In South African COVID-19 ward, medics battle worst infection wave yet

By Sisipho Skweyiya

JOHANNESBURG (Reuters) – At an emergency COVID-19 ward run by a charity in southern Johannesburg, medics wheel gasping patients to their beds, rush from room to room with oxygen cylinders and pat the back of someone in the grip of a coughing fit.

The scenes in the converted community hall are a reminder of how badly South Africa has been hit by its third and most debilitating COVID-19 wave yet, as the infectious Delta variant surges through a mostly unvaccinated population.

“The Delta variant has caused enormous strain on the resources … Every hospital is getting strained, every healthcare worker is getting strained,” said Fatimah Lambat, the doctor in charge of the ward set up by Gift of the Givers, a Muslim charity, to ease overloaded public hospitals.

“It’s very draining … patients are still phoning me from the community for help. And when we’re full here, we still need to help them,” she said. “We don’t want them to be lost.”

With South Africa recording an average of about 20,000 cases a day and nursing active cases, cumulatively, of more than 10 times that, Africa’s most economically advanced nation has also been its worst hit by the virus, with 64,000 deaths.

A vaccination campaign has been slow, with just 4.2 million doses administered to a population of 60 million. Officials aim to reach a vaccination rate of 300,000 a day by the end of August.

Doctors say they have never had to deal with so many COVID-19 infections all at once. Hospitals in the largest city Johannesburg, where the latest wave started, are full.

For 79-year-old Catherine Naidoo, the most terrifying thing about falling gravely ill was knowing that so many had died.

“You don’t know what lies ahead. You look at the news and see how people are passing away,” the recovered COVID-19 patient said, lying on her back and adjusting her mask. “It was the most frightening experience.”

Behind another curtain, medics covered head to toe in protective gear adjusted the drip of a sleeping patient, while in another, a medic was getting a patient to do some exercises before getting her to blow into a tube to test her lungs.

President Cyril Ramaphosa extended COVID-19 restrictions on Sunday for another 14 days, including a ban on gatherings, a curfew from 9 p.m. to 4 a.m. and a nationwide ban on the sale of alcohol.

(Writing by Tim Cocks; Editing by Janet Lawrence)

Living with COVID-19: Israel changes strategy as Delta variant hits

By Maayan Lubell

JERUSALEM (Reuters) – Four weeks ago, Israel was celebrating a return to normal life in its battle with COVID-19.

After a rapid vaccination drive that had driven down coronavirus infections and deaths, Israelis had stopped wearing face masks and abandoned all social-distancing rules.

Then came the more infectious Delta variant, and a surge in cases that has forced Prime Minister Naftali Bennett to reimpose some COVID-19 restrictions and rethink strategy.

Under what he calls a policy of “soft suppression,” the government wants Israelis to learn to live with the virus – involving the fewest possible restrictions and avoiding a fourth national lockdown that could do further harm to the economy.

As most Israelis in risk groups have now been vaccinated against COVID-19, Bennett is counting on fewer people than before falling seriously ill when infections rise.

“Implementing the strategy will entail taking certain risks but in the overall consideration, including economic factors, this is the necessary balance,” Bennett said last week.

The main indicator guiding the move is the number of severe COVID-19 cases in hospital, currently around 45. Implementation will entail monitoring infections, encouraging vaccinations, rapid testing and information campaigns about face masks.

The strategy has drawn comparisons with the British government’s plans to reopen England’s economy from lockdown, though Israel is in the process of reinstating some curbs while London is lifting restrictions.

The curbs that have been reinstated include the mandatory wearing of face masks indoors and quarantine for all people arriving in Israel.

Bennett’s strategy, like that of the British government, has been questioned by some scientists.

Israel’s Health Ministry advocates more of a push for stemming infections, Sharon Alroy-Preis, head of public health at Israel’s Health Ministry, told Kan Radio on Sunday.

“It’s possible that there won’t be a big rise in the severely ill but the price of making such a mistake is what’s worrying us,” she said.

But many other scientists are supportive.

“I am very much in favor of Israel’s approach,” said Nadav Davidovitch, director of the school of public health at Israel’s Ben Gurion University, describing it as a “golden path” between Britain’s easing of restrictions and countries such as Australia that take a tougher line.

THE VIRUS ‘WON’T STOP’

Israel’s last lockdown was enforced in December, about a week after the start of what has been one of the world’s fastest vaccination programs.

New daily COVID-19 infections are running at about 450. The Delta variant, first identified in India, now makes up about 90% of cases.

“We estimate that we won’t reach high waves of severe cases like in previous waves,” the health ministry’s director-general, Nachman Ash, said last week. “But if we see that the number and increase rate of severe cases are endangering the (health) system, then we will have to take further steps.”

Around 60% of Israel’s 9.3 million population have received at least one shot of the Pfizer/BioNtech vaccine. On Sunday, the government began offering a third shot to people with a compromised immune system.

Ran Balicer, chair of the government’s expert panel on COVID-19, said Israel had on average had about five severe cases of the virus and one death per day in the last week, after two weeks of zero deaths related to COVID-19.

Noting the impact of the Delta variant, he said the panel was advising caution over the removal of restrictions.

“We do not have enough data from our local outbreak to be able to predict with accuracy what would happen if we let go,” Balicer said.

Some studies have shown that though high, the Pfizer/BioNTech vaccine’s effectiveness against the Delta variant is lower than against other coronavirus strains.

Drawing criticism from some scientists, Pfizer and BioNTech SE have said they will ask U.S. and European regulators to authorize booster shots to head off increased risk of infection six months after inoculation.

Israel is in no rush to approve public booster shots, saying there is no unequivocal data yet showing they are necessary. It is offering approval only to people with weak immune systems on a case-by-case basis.

Authorities are also considering allowing children under 12 to take the vaccine on a case-by-case basis if they suffer from health conditions that put them at high risk of serious complications if they were to catch the virus.

Only “a few hundred” of the 5.5 million people who have been vaccinated in Israel have later been infected with COVID-19, Ash said.

Before the Delta variant arrived, Israel had estimated 75% of the population would need to be vaccinated to reach “herd immunity” – the level at which enough of a population are immunized to be able to effectively stop a disease spreading. The estimated threshold is now 80%.

Such data ensure doctors remain concerned.

“…the virus won’t stop. It is evolving, it’s its nature. But our nature is to survive,” said Dr. Gadi Segal, head of the coronavirus ward at Sheba Medical Centre near Tel Aviv.

(Writing by Maayan Lubell; Editing by Jeffrey Heller and Timothy Heritage)

‘Be cautious’: Johnson goes ahead with lifting England’s COVID curbs

By Costas Pitas and Alistair Smout

LONDON (Reuters) -British Prime Minister Boris Johnson urged people on Monday to show caution when nearly all remaining COVID-19 restrictions are lifted in England next week, saying an increase in cases underlined that the pandemic was by no means over.

England will from July 19 be the first nation in Britain to lift the legal requirement to wear masks and for people to socially distance. The government says Britain’s vaccination drive – one of the world’s fastest – has largely broken the link between infections and serious illness or death.

But what was once billed as “freedom day” is now being treated with wariness by ministers after a new surge in cases and fears that there could be as many as 100,000 new infections a day over the summer.

Johnson set a somber tone, defending his decision to lift most of the remaining restrictions by saying the four conditions the government set itself had been met, but also warning the country that more people would die from the coronavirus.

“We think now is the right moment to proceed…But it is absolutely vital that we proceed now with caution and I cannot say this powerfully or emphatically enough – this pandemic is not over,” he told a press conference.

“To take these steps we must be cautious and must be vaccinated,” he said, adding that England would see “more hospitalizations and more deaths from COVID”.

Johnson added: “I generally urge everyone to keep thinking of others and to consider the risks.”

Earlier, health minister Sajid Javid told parliament that people should still wear masks in crowded areas like on public transport and should only gradually move back to the workplace, and that the government would encourage businesses holding mass events to use health certification as a way to open up.

Business welcomed the move, but also called on the government to offer clearer guidance. Claire Walker, co-executive director of the British Chambers of Commerce, said companies still did not have the full picture they needed.

“Business leaders aren’t public health experts and cannot be expected to know how best to operate when confusing and sometimes contradictory advice is coming from official sources,” she said.

GLOBAL STRUGGLE

After 18 months of pandemic, governments around the world have been wrestling with how and when to reopen their economies.

Dutch Prime Minister Mark Rutte conceded on Monday that coronavirus restrictions had been lifted in the Netherlands too soon and he apologized as infections surged to their highest levels of the year.

Britain has implemented one of the world’s swiftest vaccination programs, with more than 87% of adults having received at least one dose of a COVID-19 vaccine and 66% having received two.

The Conservative government argues that the fact that deaths and hospital admissions remain far lower than before, even though cases have risen sharply, is proof that the vaccines are saving lives and it is now safer to open up.

But the surge in infections to rates unseen since the winter has raised concern, with some epidemiologists saying the Euro soccer championships might have helped fuel the rise.

Britain, which ranks 20th in the world for per-capita reported deaths from COVID-19, on Monday reported a further 34,471 COVID-19 cases, up 26% in a week, and six additional deaths within 28 days of a positive test.

London’s Wembley Stadium hosted the Euro 2020 final on Sunday between England and Italy. Large crowds gathered in London, including around the stadium, and there were reports that some had gained entry to the match without tickets to join the more than 60,000 who had them – much to the dismay of the World Health Organization.

“Am I supposed to be enjoying watching transmission happening in front of my eyes?” WHO epidemiologist Maria Van Kerkhove tweeted in the late stages of the match.

“The #COVID19 pandemic is not taking a break tonight … #SARSCoV2 #DeltaVariant will take advantage of unvaccinated people, in crowded settings, unmasked, screaming/shouting/singing. Devastating.”

(Additional reporting by Elizabeth Piper, William James and Michael Holden in London, Emma Farge in Geneva; Editing by Nick Macfie and Mark Heinrich)

World hunger, malnutrition soared last year mostly due to COVID-19 – U.N. agencies

By Maytaal Angel

LONDON (Reuters) – World hunger and malnutrition levels worsened dramatically last year, with most of the increase likely due to the COVID-19 pandemic, according to a multi-agency United Nations (U.N.) report published on Monday.

After remaining virtually unchanged for five years, the number of undernourished people rose to around 768 million last year – equivalent to 10% of the world’s population and an increase of around 118 million versus 2019, the report said.

Authored by U.N. agencies including the Food and Agriculture Organization (FAO), the World Food Program (WFP) and the World Health Organization (WHO), the report is the first comprehensive assessment of food insecurity and nutrition since the pandemic emerged.

“Unfortunately, the pandemic continues to expose weaknesses in our food systems, which threaten lives and livelihoods. No region of the world has been spared,” the U.N. agencies said in a joint statement.

The 2021 edition of “The State of Food Security and Nutrition in the World” estimated that on current trends, the U.N. sustainable development goal of zero hunger by 2030 will be missed by a margin of nearly 660 million people.

That number is 30 million higher than in a scenario where the pandemic had not occurred.

“Our worst fears are coming true. Reversing such high levels of chronic hunger will take years if not decades,” said WFP chief economist Arif Husain.

There is increased diplomatic momentum this year to tackle hunger and malnutrition with upcoming summits like the U.N. Food Systems Summit and the Nutrition for Growth Summit. But the report stressed the challenge was huge.

The number of people unable to access adequate food year-round rose by 320 million to 2.37 billion last year – a rise in one year equal to the preceding five years combined.

Of the 768 million undernourished people, 418 million were in Asia, 282 million in Africa and 60 million in Latin America and the Caribbean. In Africa though, 21% of people are undernourished, more than double that of any other region.

After declining for several decades, food insecurity has been on the rise since the mid-2010s, especially in countries affected by conflict, climate extremes, economic downturns, or battling high inequality.

The increase last year however was equal to that of the previous five years combined.

(Reporting by Maytaal Angel; Editing by Hugh Lawson)

Find $75 billion to head off next pandemic, top panel tells G20

By Gavin Jones

VENICE (Reuters) – COVID-19 is probably only a forerunner of increasingly dangerous pandemics in the future and governments need to find $75 billion over the next 5 years to prepare for them, a panel of experts told finance ministers of the Group of 20 rich countries on Friday.

In a report to the G20 meeting in Venice the panel said the $15 bln per year of investments it recommended doubled current spending levels but was “negligible” compared with the costs of another major outbreak of a new contagious illness.

“The economic case for these additional investments is overwhelming,” said former U.S. Treasury Secretary Lawrence Summers, who co-chaired the 23-member panel along with World Trade Organization Chief Ngozi Okonjo-Iweala and Singapore’s former finance minister, Tharman Shanmugaratnam.

Summers told Reuters in an interview he was “guardedly optimistic” its recommendations would be implemented and said “we won’t be reluctant to speak out” if they are not.

“Spending tens of billions of dollars could save tens of trillions,” he said.

To plug “major gaps” in pandemic preparedness, the panel identified four main areas for action: infectious disease surveillance, resilience of national health systems, supply and delivery of vaccines and other medicines, and global governance.

The report, titled “Global deal for a pandemic age”, called for the creation of a $10 bln annual Global Health Threats Fund, plus $5 bln to strengthen the World Health Organization and create dedicated pandemic facilities at the World Bank and multilateral development banks.

In addition, low and middle-income income countries would need to add about 1% of gross domestic product to public spending on health over the next five years, it said.

“Achieving safety from pandemics will require a basic shift in thinking about international cooperation,” said Shanmugaratnam. “It is the ultimate case for both national self-interest and international solidarity at the same time.”

The panel was set up in January and includes prominent names such as former European Central Bank chief Jean-Claude Trichet, Ana Botin, executive chairman of the Santander group, and Guntram Wolff, head of the Bruegel think-tank.

The G20, chaired this year by Italy, will consider its recommendations in the lead up to a joint finance and health ministers’ meeting in October.

Okonjo-Iweala told Reuters the finance ministers had been “generally very positive” about the report and she was confident it would be taken forward.

(Editing by Giles Elgood)

U.S. donation of 1.4 million COVID-19 vaccine doses arrives in Afghanistan

By Doyinsola Oladipo

(Reuters) – A U.S. donation of more than 1.4 million doses of the Johnson & Johnson COVID-19 vaccine arrived in Afghanistan on Friday, the first of two shipments this month, the U.N. children’s agency UNICEF said in a statement.

A second shipment of vaccines donated by the United States through the COVAX global sharing program will bring the total to 3.3 million doses, UNICEF said. The U.S. vaccine donations come as U.S. military forces withdraw from Afghanistan, ending a 20-year war in the country.

The deliveries are part of President Joe Biden’s pledge to share 80 million vaccine doses globally, most through COVAX, which is run by the Gavi Vaccine Alliance, the Coalition for Epidemic Preparedness Innovations, the World Health Organization and UNICEF.

“These vaccines arrive at a critical time for Afghanistan as the country faces a difficult surge in COVID-19 infections,” said UNICEF Representative in Afghanistan, Hervé Ludovic De Lys.

Over 1,200 new infections were reported in Afghanistan on July 8th down from a record peak of 1,853 new cases on June 21st, according to the Reuters COVID-19 tracker. Less than four percent of the Afghan population is vaccinated, UNICEF said.

“As many countries face vaccine supply challenges, the dose-sharing mechanism is a rapid way to close the immediate supply gap,” De Lys said. “I hope that other governments will step up and share their doses, supplies and therapeutics to protect those most in need.”

(Reporting by Doyinsola Oladipo, editing by Michelle Nichols and David Gregorio)

CDC recommends masking indoors for unvaccinated students, teachers in U.S. schools

(Reuters) – The U.S. Centers for Disease Control and Prevention on Friday updated its guidance to help reopen schools in the fall, including recommending masking indoors for everyone who is not fully vaccinated and three feet of distance within classrooms.

The CDC in its latest guidance said all kindergarten through grade 12 schools in the United States should continue to mandate wearing masks indoors by all individuals who are not fully vaccinated.

The agency said that if localities decide to remove prevention strategies in schools based on local conditions, they should remove them one at a time. Schools should monitor closely for increases in COVID-19 cases before removing the next prevention strategy.

“Because of the importance of in-person learning, schools where not everyone is fully vaccinated should implement physical distancing to the extent possible within their structures, but should not exclude students from in-person learning to keep a minimum distance requirement,” the new guidance said.

A study by the CDC also released on Friday showed that half of unvaccinated adolescents and parents of unvaccinated adolescents reported being uncertain about getting a COVID-19 vaccine, or did not intend to get one at all.

(Reporting by Mrinalika Roy in Bengaluru; Editing by Dan Grebler)

Taliban say they control 85% of Afghanistan, humanitarian concerns mount

KABUL/ MOSCOW (Reuters) -Taliban officials said on Friday the Sunni Muslim insurgent group had taken control of 85% of territory in Afghanistan, and international concern mounted over problems getting medicines and supplies into the country.

Afghan government officials dismissed the assertion that the Taliban controlled most of the country as part of a propaganda campaign launched as foreign forces, including the United States, withdraw after almost 20 years of fighting.

But local Afghan officials said Taliban fighters, emboldened by the withdrawal, had captured an important district in Herat province, home to tens of thousands of minority Shi’ite Hazaras.

Torghundi, a northern town on the border with Turkmenistan, had also been captured by the Taliban overnight, Afghan and Taliban officials said.

Hundreds of Afghan security personnel and refugees continued to flee across the border into neighboring Iran and Tajikistan, causing concern in Moscow and other foreign capitals that radical Islamists could infiltrate Central Asia.

Three visiting Taliban officials sought to address those concerns during a visit to Moscow.

“We will take all measures so that Islamic State will not operate on Afghan territory… and our territory will never be used against our neighbors,” one of the Taliban officials, Shahabuddin Delawar, told a news conference.

He said “you and the entire world community have probably recently learned that 85% of the territory of Afghanistan has come under the control” of the Taliban.

The same delegation said a day earlier that the group would not attack the Tajik-Afghan border, the fate of which is in focus in Russia and Central Asia.

Asked about how much territory the Taliban held, Pentagon spokesman John Kirby declined direct comment.

“Claiming territory or claiming ground doesn’t mean you can sustain that or keep it over time” he said in an interview with CNN. “And so I think it’s really time for the Afghan forces to get into the field – and they are in the field – and to defend their country, their people.”

“They’ve got the capacity, they’ve got the capability. Now it’s time to have that will,” he said.

HUMANITARIAN CONCERNS

As fighting continued, a World Health Organization (WHO) official said health workers were struggling to get medicines and supplies into Afghanistan, and that some staff had fled after facilities came under attack.

The WHO’s regional emergencies director, Rick Brennan, said at least 18.4 million people require humanitarian assistance, including 3.1 million children at risk of acute malnutrition.

“We are concerned about our lack of access to be able to provide essential medicines and supplies and we are concerned about attacks on health care,” Brennan, speaking via video link from Cairo, told a U.N. briefing in Geneva.

Some aid will arrive by next week including 3.5 million COVID-19 vaccine doses and oxygen concentrators, he said. They included doses of Johnson & Johnson’s shot donated by the United States and AstraZeneca doses through the COVAX facility.

A U.S. donation of more than 1.4 million doses of the Johnson & Johnson vaccine arrived on Friday, the U.N. children’s agency UNICEF said.

In Afghanistan, a prominent anti-Taliban commander said he would support efforts by Afghan forces to claw back control of parts of western Afghanistan, including a border crossing with Iran.

Mohammad Ismail Khan, widely known as the Lion of Herat, urged civilians to join the fight. He said hundreds of armed civilians from Ghor, Badghis, Nimroz, Farah, Helmand and Kandahar provinces had come to his house and were ready to fill the security void created by foreign force withdrawal.

U.S. President Joe Biden said on Thursday the Afghan people must decide their own future and that he would not consign another generation of Americans to the two-decade-old war.

Biden set a target date of Aug. 31 for the final withdrawal of U.S. forces, minus about 650 troops to provide security for the U.S. embassy in Kabul.

Biden said Washington had long ago achieved its original rationale for invading the country in 2001: to root out al-Qaeda militants and prevent another attack on the United States like the one launched on Sept. 11, 2001.

The mastermind of that attack, Osama bin Laden, was killed by a U.S. military team in neighboring Pakistan in 2011.

(Reporting by Kabul, Moscow, Geneva and Washignton bureau, Editing by Timothy Heritage)

U.S. cases rising, mostly among unvaccinated – health officials

(Reuters) – U.S. COVID-19 cases are up around 11% over last week, almost entirely among people who have not been vaccinated, officials said on Thursday, as the highly infectious Delta variant becomes the dominant COVID-19 strain in the country.

Around 93% of COVID-19 cases have occurred in counties with vaccination rates of less than 40%, said U.S. Centers for Disease Control and Prevention director Rochelle Walensky.

Nearly all deaths and hospitalizations nationwide are among unvaccinated people, said Jeff Zients, who leads the White House’s COVID-19 response team.

“Simply put: in areas of low vaccination coverage, cases and hospitalizations are up,” Walensky said.

The CDC earlier this week said that the Delta variant of COVID-19 has already become the dominant strain in the United States. The variant, which is highly contagious, has also become dominant in other countries around the world.

Cases of COVID-19 are surging in counties representing 9 million people, Walensky said.

The White House plans to concentrate federal assistance for vaccinating against and treating COVID-19 in states including Arkansas, Missouri, Nevada and Illinois, Zients said.

The White House last week said it would send out special teams to hot spots around the United States to combat the Delta variant amid rising case counts in parts of the country.

The White House is also working to make COVID-19 vaccines available at doctors’ offices around the country, Zients added.

He said the spread of the Delta variant is particularly dangerous to young people. Research suggests it may cause more severe disease among younger people than other variants of the coronavirus.

Walensky added that the United States is seeing outbreaks of COVID-19 at summer camps and other community events.

(Reporting by Carl O’Donnell in New York and Jeff Mason in Washington, D.C.; Editing by Chizu Nomiyama and Mike Collett-White)

U.S. jobless claims unexpectedly rise, data remains volatile

WASHINGTON (Reuters) – The number of Americans filing new claims for unemployment benefits rose unexpectedly last week, an indication that the labor market recovery from the COVID-19 pandemic continues to be choppy.

Businesses have reopened at a rapid clip, boosted by a rollback in restrictions now that more than 155 million Americans have been fully vaccinated against the coronavirus. Still, the job market rebound has been anything but steady despite recent employment gains.

Initial claims for state unemployment benefits rose 2,000 to a seasonally adjusted 373,000 for the week ended July 3, the Labor Department said on Thursday. Economists polled by Reuters had forecast 350,000 applications for the latest week.

Lack of affordable child care and fears of contracting the coronavirus have been cited for keeping workers, mostly women, at home. There were a record 9.2 million job openings at the end of May and 9.5 million people were officially unemployed in June.

The data comes on the heels of an encouraging monthly jobs report from the Labor Department last Friday, which showed U.S. companies hired the most workers in 10 months in June.

Claims have dropped from a record 6.149 million in early April 2020 but remain above the 200,000-250,000 range that is seen as consistent with a healthy labor market.

The four-week moving average of claims, considered a better measure of labor market trends as it smooths out week-to-week volatility, fell 250 to 394,750.

The claims data may remain volatile in the coming weeks as 25 states with mostly Republican governors pull out of federal government-funded unemployment programs. These included a $300 weekly check, which businesses complained were encouraging the jobless to stay at home.

The early termination began on June 5 and will run through July 31, when Louisiana, the only one of those states with a Democratic governor, ends the weekly check.

For the rest of the country, these benefits will lapse on Sept. 6.

The claims report also showed the number of people continuing to receive benefits after an initial week of aid declined 145,000 to 3.339 million during the week ended June 26. There were 14.2 million people receiving benefits under all programs in late June, a fall from 14.7 million earlier in the month.

(Reporting by Lindsay Dunsmuir; Editing by Andrea Ricci)