Costa Rica to close non-essential businesses next week over COVID-19

SAN JOSE (Reuters) -Costa Rica will for the next week close non-essential businesses, including restaurants and bars, across the center of the country due to a sharp increase in new cases of COVID-19 and hospitalizations, the government said on Thursday.

From May 3-9, restaurants, bars, department stores, beauty salons, gyms and churches must close in 45 municipalities in central Costa Rica, where almost half the population lives and over two-thirds of new cases have been registered.

“We are in an unprecedented situation, and many people are going to die,” Health Minister Daniel Salas said after announcing 2,781 new daily infections, a record number. “There are already waiting lists to enter intensive care.”

The government is also imposing some restrictions on car travel inside the country, excepting car rentals.

Costa Rica, which remains open to international tourism, has so far reported almost 249,000 cases of COVID-19 and some 3,200 fatalities.

Some 10.5% of the population had been vaccinated as of Thursday, most of them over the age of 58, official data show.

(Reporting by Alvaro Murillo; Editing by Leslie Adler)

Exclusive: India’s oxygen crisis to ease by mid-May, output to jump 25% – executive

By Shivani Singh and Devjyot Ghoshal

NEW DELHI (Reuters) – India’s severe medical oxygen supply crisis is expected to ease by mid-May, a top industry executive told Reuters, with output rising by 25% and transport infrastructure ready to cope with a surge in demand caused by a dramatic rise in coronavirus cases.

Dozens of hospitals in cities such as New Delhi and Mumbai have run short of the gas this month, sending relatives of patients scrambling for oxygen cylinders, sometimes in vain.

Medical oxygen consumption in India has shot up more than eight-fold from usual levels to about 7,200 tonnes per day this month, said Moloy Banerjee of Linde Plc, the country’s biggest producer.

“This is what is causing the crisis because no one was prepared for it, particularly the steep curve up,” Banerjee, who heads the company’s South Asia gas business, told Reuters on Thursday.

Linde – whose two affiliates in the country are Linde India and Praxair India – and other suppliers are ramping up production to a total of more than 9,000 tonnes per day by the middle of next month, he said.

A logistics crisis impeding the speedy movement of oxygen from surplus regions in eastern India to hard-hit northern and western areas would also be resolved in the coming weeks as more distribution assets are deployed, Banerjee said.

“My expectation is that by the middle of May we will definitely have the transport infrastructure in place that allows us to service this demand across the country,” he said.

Banerjee said India was importing around 100 cryogenic containers to transport large quantities of liquid medical oxygen, with Linde providing 60 of those. Some are being flown in by Indian Air Force aircraft.

Many of these containers will be placed on dedicated trains that would cut across the country, each carrying between 80-160 tonnes of liquid oxygen and delivering to multiple cities.

The company is also looking to double the number of oxygen cylinders in its distribution network to at least 10,000, which would improve supply to rural areas with weak infrastructure.

“We are trying to create a hub-and-spoke type of system so that we make a lot of liquid oxygen available at the local area, from where the local dealers can pick it up,” Banerjee said.

India’s total COVID-19 cases passed 18 million on Thursday after another world record number of daily infections.

(Reporting by Shivani Singh and Devjyot Ghoshal; Editing by Krishna N. Das and Giles Elgood)

Fiscal stimulus powers U.S. economic growth in first quarter

By Lucia Mutikani

WASHINGTON (Reuters) – U.S. economic growth accelerated in the first quarter as the government gave money to mostly lower-income households, fueling consumer spending and setting the course for what is expected to be the strongest performance this year in nearly four decades.

The government largesse also extended to businesses, especially in the high-contact services industry. The massive fiscal stimulus and easing anxiety over COVID-19, with all adult Americans now eligible for vaccination against the virus, have resulted in a faster economic rebound in the United States compared to its global rivals.

The second-fastest gross domestic product growth since the third quarter of 2003, reported by the Commerce Department on Thursday, left output just 0.9% shy of its level at the end of 2019. Economists expect a full recovery from the pandemic recession, which started in February 2020, in late 2023.

The report is a boost for President Joe Biden as he celebrated 100 days in the White House.

“In early 2021, the economy was served a strong cocktail of improving health conditions and rapid vaccinations along with a fizzy dose of fiscal stimulus and a steady flow of monetary policy support,” said Lydia Boussour, lead U.S. economist at Oxford Economics in New York. “Looking ahead, we foresee the economy’s spring bloom turning into a summer boom.”

GDP increased at a 6.4% annualized rate last quarter, the government said in its advance estimate for the first three months of the year. That followed a 4.3% growth rate in the fourth quarter. It was the biggest first-quarter increase in growth since 1984.

Economists polled by Reuters had forecast GDP growth would increase at a 6.1% pace in the January-March period.

Income at the disposal of households before accounting for inflation surged by a whopping $2.36 trillion after decreasing $402.1 billion in the fourth quarter. As result, consumer spending jumped at a 10.7% rate, boosted by purchases of motor vehicles, furniture, recreational goods and electronics. Consumers also dined out, stayed at hotels and gambled.

Consumer spending, which accounts for more than two-thirds of U.S. economic activity, grew at a 2.3% pace in the fourth quarter. Some of the stimulus money was stashed away, with savings ballooning to $4.12 trillion from $2.25 trillion in the fourth quarter. Economists estimate households have accumulated at least $2 trillion in excess savings during the pandemic.

The government has provided nearly $6 trillion in COVID-19 relief over the past year. Robust demand in the first quarter pushed against supply constraints, leading businesses to draw down inventories, limiting the rise in GDP growth.

Excluding inventories, government and trade, the economy grew at a 10.6% rate last quarter.

The rapidly accelerating growth could revive fears about the economy overheating. The Federal Reserve on Wednesday acknowledged the burgeoning domestic activity, but the U.S. central bank gave no sign it was ready to reduce its extraordinary support for the recovery.

The booming economy could also erode support among moderate Democrats for Biden’s ambitious economic agenda. Biden on Wednesday unveiled a sweeping $1.8 trillion package for families and education in his first joint speech to Congress. Republicans oppose more stimulus, now worried about swelling debt. The new package and an earlier infrastructure and jobs plan total around $4 trillion, rivaling the annual federal budget.

“The second quarter will be hotter, people have money to spend as they are able to go shopping and traveling again,” said Sung Won Sohn, a finance and economics professor at Loyola Marymount University in Los Angeles. “Production is being ramped up to rebuild inventories. President Biden and (Fed) Chairman (Jerome) Powell, do we need all the stimuli?”

U.S. stocks were mostly higher. The dollar was steady against a basket of currencies. U.S. Treasury prices fell.

POWERFUL MOMENTUM

Inflation has accelerated, but many economists, including Fed officials, expect it will be transitory as the labor market remains 8.4 million jobs below its peak in February 2020.

The labor market is gradually recovering. In a separate report on Thursday, the Labor Department said initial claims for state unemployment benefits fell 13,000 to a seasonally adjusted 553,000 during the week ended April 24.

While claims have dropped from a record 6.149 million in early April 2020, they are above the range of 200,000 to 250,000 that is viewed as consistent with a healthy labor market.

There were 16.6 million people receiving unemployment benefits in the first week of April.

“We’re still probably a couple years away from pre-pandemic employment levels, but based on the powerful economic momentum built up in the first quarter, we should return close to a fully-functioning economy in the second quarter,” said Robert Frick, corporate economist at Navy Federal Credit Union in Vienna, Virginia.

Economists forecast growth this year could top 7%, which would be the fastest since 1984. The economy contracted 3.5% in 2020, the worst performance in 74 years.

Growth in the first quarter was also driven by business spending on equipment, which posted a third straight quarter of double-digit expansion. But business investment in nonresidential structures fell for a sixth straight quarter as a rebound in mining exploration, shafts and wells was offset by a drop in commercial and healthcare buildings.

Residential investment contributed to GDP growth for a third straight quarter. But trade was a drag for the third consecutive quarter as some of the domestic demand was satiated with imports. Inventories were drawn down at a rate of 85.5 billion.

(Reporting by Lucia Mutikani; Editing by Chizu Nomiyama and Paul Simao)

France’s Macron charts way out of third COVID-19 lockdown

By Elizabeth Pineau

PARIS (Reuters) -France will start relaxing a nightly curfew and allow cafes, bars and restaurants to offer outside service from May 19, as President Emmanuel Macron charts a way out of a third COVID-19 lockdown.

Macron, who is under pressure from business groups and a COVID-weary public to open up the economy again, announced in an interview with the regional papers a four-phase plan for unwinding France’s month-long stay-at-home order.

The easing will come despite the numbers of new daily cases and COVID-19 patients being treated in intensive care being far higher than when the two previous lockdowns were rolled back. Macron said the vaccine rollout made this possible.

“I have never gambled on the health and safety of our citizens,” Macron said. “I take responsibility for the choices I make, but these are never bets.”

The plan envisages the nightly curfew being pushed back to 2100 from 1900 CET from May 19 and to 2300 from June 9, before being scrapped completely on June 30.

Museums, cinemas and theatres will also be allowed to reopen on May 19. Foreign tourists with a “health pass” will be allowed to visit France again from June 9, according to the timetable published by Ouest France and other newspapers.

The timetable is provisional and could be delayed on a region-by-region basis in areas where intensive care units are close to saturation or the COVID-19 incidence rate exceeds 400 cases per 100,000 inhabitants.

‘EMERGENCY BRAKE’

“We will be able to pull an emergency brake in territories where the virus is too present,” Macron said.

The incidence rate in Paris and its surrounds was an average 459 per 100,000 people in the seven days up to April 25 and is falling, data showed. Ile de France is home to nearly a fifth of France’s population and accounts for 30% of economic activity.

About 22% of all French citizens have received at least one dose of a COVID-19 vaccine, according to a Reuters tracker.

Accelerating the rollout in France, Europe and in developing countries is paramount to push back against the virus, Macron said.

Opening up the vaccine to more people in France, Macron said COVID shots would be made available to all obese adults from May 1.

Macron said France could use a digital or paper-based ‘health pass’ to help curb the spread of the virus at events with large crowds such as sport stadia or festivals. But he said it would not be right to use them at everyday venues like restaurants or cinemas.

“A health pass will never be a right of access that differentiates the French,” the president said. “As it pertains to public liberties, parliament will debate the matter.”

France’s main COVID-19 indicators all showed some signs of improvement on Wednesday, with the seven-day moving average of daily new infections falling to 27,366 compared with 38,000 when the lockdown began.

France has recorded 5.57 million COVID-19 cases and 103,947 deaths since the start of the pandemic.

(Reporting by Elizabeth Pineau; writing by Richard Lough; Editing by Gareth Jones and Sonya Hepinstall)

Vaccinated Hong Kong residents ready to party till 2 a.m. curfew as bars reopen

By Farah Master and Aleksander Solum

HONG KONG (Reuters) -In Hong Kong’s famed party zone Lan Kwai Fong, dormant bars and clubs opened to serve customers again, but only for those who have had at least one vaccine shot – one of the few examples globally of offering greater freedom for the vaccinated. Bar staff need to have gotten at least one coronavirus vaccine dose too, and patrons must register with a government mobile tracking application as they enter.

“Before it was a dead city, now it has loosened a little and everyone is happier,” said Vanessa, a 25-year-old office worker who was visiting the popular bar district. The Chinese special administrative region has kept COVID-19 transmission largely under control. Hong Kong has recorded more than 11,700 coronavirus cases, far lower than other developed cities. The new rules come as authorities there try to encourage the city’s 7.5 million residents to get vaccinated; only about 12% have received their first dose. “The re-opening of bars and the extension of opening hours are incentives for people to receive the vaccination, while the most important thing … is to prevent the spread of the infection, should it hit us again,” said Professor Lau Chak Sing, head of department of Medicine at the University of Hong Kong (HKU). “In an ideal situation, one should complete the course of vaccination to ensure protection,” he said, adding that with Hong Kong’s adequate supply of vaccines, people eager to go to bars would complete both their first and second doses. Venues including nightclubs, karaoke lounges and bathhouses, can stay open until 2 a.m. from Thursday but must operate at half capacity, Sophia Chan, the city’s Health Secretary said. Bars can only seat two people per table.

COMPLEX RULES

Customers must scan the government’s app and show their vaccination record – stored electronically on their mobile phones – when they enter. Many residents have declined to use the app because of privacy concerns, choosing instead to write down their details. Restaurants can stay open until 2 a.m. and seat up to 8 people at a table, provided they have received both vaccine doses. But they must have a separate area for unvaccinated customers, and depending on whether staff have been vaccinated, might be required to close at 10 p.m. or midnight. The multi-tiered rules are tough to implement immediately, industry executives said, and many venues cannot open fully as they cannot force staff to get vaccinated. Allan Zeman, chairman of Lan Kwai Fong Group, a property owner and developer in the nightclub district, said that bar owners were desperate to reopen but that there remained a lot of apprehension among staff about vaccinations. “The restrictions will not be easy. Customers themselves need to have one vaccine, that in itself is very limiting,” he said, adding that the measures were a baby step forward and an experiment for both the government and the industry.

Ben Leung, president of Hong Kong’s Licensed Bar and Club Association, said only around 50% of the city’s 1280 bars would open on Thursday with others remaining closed until all their workers had received vaccinations.

Simon Wong, chief executive of LH Group, which operates dozens of restaurants and employs hundreds of staff, wrote on his Facebook page that the new arrangement was “so complicated”. Wong said his restaurants would only be able to seat 4 people per table and stay open until 10 p.m., as many staff did not want to get vaccinated. Hong Kong residents have been hesitant since the vaccination program began in February because of a lack of confidence in China’s Sinovac vaccine and fears of adverse reactions. Some residents have shown greater take-up for the vaccine offered by Germany’s BioNTech in the city but overall figures remain far below satisfactory, said the city’s leader, Carrie Lam.

(Additional reporting by Donny Kwok and Joyce Zhou ; Writing by Farah Master. Editing by Gerry Doyle and Toby Chopra)

German officials hope COVID-19 third wave has crested

By Emma Thomasson and Caroline Copley

BERLIN (Reuters) -A third wave of the coronavirus pandemic seems to have peaked in Germany and a record number of vaccinations should help turn the tide, although it is too soon to sound the all-clear as hospitals remain overloaded, health officials said on Thursday.

“The figures must not only stagnate, they must go down,” Health Minister Jens Spahn told a news conference, adding that a sustainable fall was a prerequisite for the lockdown to ease.

“Two to three days is not a trend. It is a good signal but what is decisive is to make a trend out of it,” he said, adding nearly 1.1 million people were vaccinated on Wednesday, more than 1% of the population and more than on any other day so far.

Germany’s seven-day average of coronavirus cases per 100,000 people fell on Thursday for the third day in a row to 155 – its lowest level in two weeks, data from the Robert Koch Institute (RKI) for infectious diseases showed.

The incidence figure – a key metric used by the German government to determine when to tighten or ease lockdowns – hit 169 on Monday, but has fallen each day since then. The last time it was under 160 was on April 14, when the incidence was 153.

RKI President Lothar Wieler cautioned that the pandemic would not be over until it was under control around the world, noting that global cases had risen 24% in the last week.

LOCKDOWNS

New legislation enables the federal government to impose curfews from 10 p.m. to 5 a.m. in areas where cases exceed 100 per 100,000 residents on three consecutive days. The rules also include stricter limits on private gatherings and shopping.

Schools will have to close and return to online lessons if cases reach 165 per 100,000 residents on three consecutive days.

If the European Union’s watchdog approves COVID-19 vaccines for children, Germany will be able to vaccinate under 12-year-olds during the summer holidays at the latest, Spahn said.

The number of new confirmed coronavirus cases rose by 24,736 on Thursday – almost 5,000 fewer than those recorded a week ago – bringing Germany’s total caseload since the start of the pandemic to 3,357,268.

The total COVID-19 death toll rose by 264 to 82,544.

(Reporting by Emma Thomasson, Caroline Copley, editing by Kirsti Knolle and Gareth Jones)

Ireland to reopen all shops in May, hospitality in early June

By Padraic Halpin

DUBLIN (Reuters) -Ireland will press ahead with plans to reopen all retail stores, personal services and non-residential construction in May with hotels, restaurants and bars to follow sooner than expected in early June, Foreign Minister Simon Coveney said on Thursday.

The government committed a month ago to reopening all shops for the first time this year in May and hotels in June if it could avoid a fourth wave of COVID-19 disease and speed up its vaccine program – criteria that it has met.

Coveney said the plan to be signed off by ministers later on Thursday would permit hotels to open their doors again on June 2 with restaurants and pubs – not mentioned a month ago – allowed to serve guests outdoors from June 7.

Ireland has one of the lowest COVID-19 infection rates in Europe but is opting for a slower reopening of its economy than most of its European peers after a relaxation of measures in December triggered a huge spike in cases.

Deputy Prime Minister Leo Varadkar told parliament that in May alone, as many as 15,000 business could reopen with up to 200,000 people being offered their jobs back.

The number of people claiming temporary coronavirus-related jobless benefits stood at 403,000 this week. The total fell as low as 206,000 last September before restrictions began to be reimposed.

Including those claiming regular jobless benefits, Ireland’s unemployment rate stood at 24.2% at the end of March.

Ireland has also put in place the EU’s toughest restrictions on international travel and Varadkar said that a plan for a phased return to international travel this summer should be agreed by the end of May.

Welcoming the reopening plan, the incoming chief executive of Ireland’s largest hotel operator told Reuters that the Dalata Hotel Group expects very strong occupancy levels outside Dublin this summer and a recovery in the capital from September with the hoped-for return of international travel.

(Reporting by Padraic Halpin; Editing by Hugh Lawson and Andrew Cawthorne)

India infections top 18 million as gravediggers work round the clock

By Alasdair Pal and Francis Mascarenhas

NEW DELHI/MUMBAI (Reuters) -India’s total COVID-19 cases passed 18 million on Thursday after another world record number of daily infections, as gravediggers worked around the clock to bury victims and hundreds more were cremated in makeshift pyres in parks and parking lots.

India reported 379,257 new infections and 3,645 new deaths on Thursday, health ministry data showed, the highest number of fatalities in a single day since the start of the pandemic.

The world’s second most populous nation is in deep crisis, with hospitals and morgues overwhelmed.

Mumbai gravedigger Sayyed Munir Kamruddin, 52, said he and his colleagues were working non-stop to bury victims.

“I’m not scared of COVID, I’ve worked with courage. It’s all about courage, not about fear,” he said. “This is our only job. Getting the body, removing it from the ambulance, and then burying it.”

Each day, thousands of Indians search frantically for hospital beds and life-saving oxygen for sick relatives, using social media apps and personal contacts. Hospital beds that become available, especially in intensive care units (ICUs), are snapped up in minutes.

“The ferocity of the second wave took everyone by surprise,” K. Vijay Raghavan, principal scientific adviser to the government, was quoted as saying in the Indian Express newspaper.

“While we were all aware of second waves in other countries, we had vaccines at hand, and no indications from modelling exercises suggested the scale of the surge.”

India’s military has begun moving key supplies, such as oxygen, across the nation and will open its healthcare facilities to civilians.

Hotels and railway coaches have been converted into critical care facilities to make up for the shortage of hospital beds.

India’s best hope is to vaccinate its vast population, experts say, and on Wednesday it opened registration for all above the age of 18 to receive shots from Saturday.

But although it is the world’s biggest producer of vaccines, India does not have the stocks for the estimated 800 million now eligible.

Many who tried to sign up for vaccination said they failed, complaining on social media of being unable to get a slot or even to simply get on the website, as it repeatedly crashed.

“Statistics indicate that far from crashing or performing slowly, the system is performing without any glitches,” the government said on Wednesday.

More than 8 million people had registered, it said, but it was not immediately clear how many had got slots.

A local official in Mumbai said the city had paused its vaccination drive for three days as supplies were running short, while officials said the worst-hit state of Maharashtra was likely to extend strict coronavirus curbs by another two weeks.

DEATHS LIKELY UNDER-REPORTED

Only about 9% of India’s population of about 1.4 billion has received a dose since the vaccination campaign began in January.

However, while the second wave overwhelms the health system, the official death rate is below that of Brazil and the United States.

India has reported 147.2 deaths per million, the Reuters global COVID-19 tracker shows, while Brazil and the United States reported figures of 1,800 and 1,700 respectively.

However, medical experts believe India’s true COVID-19 numbers may be five to 10 times greater than the official tally.

At Delhi’s Holy Family Hospital, patients arrived in ambulances and private vehicles, some gasping for air as their oxygen cylinders ran out. In the ICU, patients lay on trolleys between beds.

“Someone that should be in the ICU is being treated in the wards,” Dr. Sumit Ray, head of the unit, told Reuters.

“We are completely full. The doctors and nurses are demoralized, they know they can do better, but they just don’t have the time. No one takes a break.”

The U.S. State Department issued a travel advisory on Wednesday against travel to India because of the pandemic and advised its citizens to leave the country.

Prime Minister Narendra Modi has been criticized for allowing massive political rallies and religious festivals which have been super-spreader events in recent weeks.

“The people of this country are entitled to a full and honest account of what led more than a billion people into a catastrophe,” Vikram Patel, a global health expert at Harvard Medical School, said in the Hindu newspaper.

AID STARTS ARRIVING

India expects close to 550 oxygen generating facilities from around the world as medical aid starts pouring in, Foreign Secretary Harsh Vardhan Shringla said on Thursday.

Two planes from Russia, carrying 20 oxygen concentrators, 75 ventilators, 150 bedside monitors, and 22 tonnes of medicine, have arrived in Delhi.

The United States is sending supplies worth more than $100 million, including 1,000 oxygen cylinders, 15 million N95 masks and 1 million rapid diagnostic tests, the White House said on Wednesday.

The supplies will begin arriving on Thursday, it added.

The United States also has redirected its own order of AstraZeneca manufacturing supplies to India, to allow it to make more than 20 million doses, the White House said.

India will receive a first batch of Russia’s Sputnik V vaccine on May 1. Russia’s RDIF sovereign wealth fund, which markets Sputnik V globally, has signed deals with five Indian manufacturers for more than 850 million vaccine doses a year.

Bangladesh said it would send about 10,000 vials of anti-viral medicines, 30,000 PPE kits, and several thousand mineral and vitamin tablets.

Germany will send 120 ventilators on Saturday, and a mobile oxygen production facility next week, its defense ministry said.

(Additional reporting by Shilpa Jamkhandikar in Mumbai, Anuron Kumar Mitra in Bengaluru, Neha Arora and Tanvi Mehta in Delhi, Ruma Paul in Dhaka, Subrata Nag Choudhury in Kolkata; Writing by Michael Perry and Giles Elgood; Editing by Raju Gopalakrishnan and Gareth Jones)

Placental infection may be more likely early in pregnancy; COVID-19 may cause heart failure in some patients

By Nancy Lapid

(Reuters) – The following is a roundup of some of the latest scientific studies on the novel coronavirus and efforts to find treatments and vaccines for COVID-19, the illness caused by the virus.

Placental infection may be more likely in early pregnancy

The coronavirus that causes COVID-19 rarely infects the placenta, but new research suggests that when such an infection does occur it is more likely to happen early in pregnancy. Analyzing 12 placentas from healthy women, ranging in gestational age from 5 weeks to 36 weeks, researchers found that the cells in the placenta that become infected with the coronavirus have the surface protein ACE2, which the virus uses as a gateway for entry. Late in pregnancy, the ACE2 proteins are positioned on cells in a way that does not expose them to the virus circulating in the mother’s blood, possibly protecting the placenta from infection, said study coauthor Dr. Drucilla Roberts of the Massachusetts General Hospital in Boston. This “protective” positioning pattern was less often seen in early gestation placentas, when ACE2 was typically present over the entire cell circumference, the study found. That suggests “increased vulnerability of the early placenta to infection,” Roberts said. “As more pregnant women recover from first trimester SARS-CoV-2 infection, it is important to remain vigilant to possible placental infection” and transmission from mother to fetus, the researchers said in a report published in Journal of Infectious Diseases. How often that happens, and effects on the fetus and newborn remain unknown, they added.

COVID-19 patients face low risk of new heart failure

Patients hospitalized with COVID-19 may develop heart failure even if they do not have a previous history of heart disease or cardiovascular risk factors, although the risk is low, according to a study published on Monday in the Journal of the American College of Cardiology. Among 6,439 hospitalized COVID-19 patients, doctors found 37 patients (0.6%) with no history of heart failure who developed new cases during their hospitalization – including eight in their 40’s, on average, who had no previous cardiovascular disease or risk factors. It is not clear yet whether new-onset heart failure in these patients is an indirect effect of critical illness or a direct effect of the virus invading the heart, said study coauthor Dr. Anu Lala of the Icahn School of Medicine at Mount Sinai in New York, in a statement. “Importantly,” she added, “though symptoms of heart failure – particularly shortness of breath – can mimic symptoms associated with COVID-19, being alerted to the findings of this study may prompt clinicians to monitor for signs of congestion more consistent with heart failure than COVID-19 alone.”

Hepatitis C drugs work synergistically with remdesivir

Combining Gilead Sciences’ antiviral drug remdesivir – the current standard of care for hospitalized COVID-19 patients – with oral drugs used to treat hepatitis C virus (HCV) might be more effective than remdesivir alone, laboratory experiments suggest. Four HCV drugs that work synergistically with remdesivir “are especially interesting,” said Gaetano Montelione of Rensselaer Polytechnic Institute in Troy, New York. In test tube experiments, these HCV drugs increased remdesivir’s antiviral activity as much as 10-fold, his team reported on Monday in Cell Reports. The drugs – simeprevir, grazoprevir, paritaprevir, and vaniprevir – inhibit a protein in the coronavirus called PLpro, while remdesivir, which is given intravenously, targets viral polymerase proteins. Drug companies are developing oral drugs that target the same viral proteins as remdesivir. If those become available, Montelione said, it may be possible to offer them in combination with a hepatitis C drug for use at home, before COVID-19 patients become so ill that they need to be hospitalized. “So far all of the research has been performed in cells,” he noted, “and this approach must undergo further testing, perhaps first in animals, and then in clinical trials.”

(Reporting by Nancy Lapid; Editing by Bill Berkrot)

COVID pandemic accelerating, WHO Americas office warns

MEXICO CITY/BUENOS AIRES (Reuters) -The COVID-19 pandemic is accelerating, which is why equitable access to vaccines and effective preventive measures are crucial to helping turn the tide, the head of the Pan American Health Organization (PAHO) said on Wednesday.

“Our region is still under the grip of this pandemic … in several countries of South America the pandemic in the first four months of this year was worse than what we faced in 2020,” PAHO Director Carissa Etienne said in a briefing.

“This shows that we will only overcome this pandemic with a combination of rapid and equitable vaccine access and effective preventive measures. This pandemic is not only not over, it is accelerating,” she added.

Over the past week more than 1.4 million people became infected with COVID-19 in the region and over 36,000 died from complications related to the disease, meaning that one in four coronavirus deaths reported worldwide last week were in the Americas.

Etienne pointed to Canada’s infection rates, which surpassed U.S. figures for the first time since the start of the pandemic; surging cases across the Caribbean and Central America, underscoring the expectation of more hospitalizations in Costa Rica as the country reported a 50% jump in cases in the last week; and spiking infections across South America.

The PAHO director urged countries with extra vaccine doses to consider donating them to counties in need in the Americas, saying that considering the increased incidence of COVID-19 variants of concern, time was of the essence.

PAHO serves as the Regional Office for the Americas of the World Health Organization.

(Reporting by Anthony Esposito in Mexico City and Lucila Sigal in Buenos Aires Editing by Matthew Lewis)