China virus cases surpass SARS as big economic hit looms

By Lusha Zhang and Cate Cadell

BEIJING (Reuters) – Infection from China’s coronavirus spread to more than 8,100 people globally on Thursday, surpassing the total from the 2002-2003 SARS epidemic in a fast-spreading health crisis forecast to deal a heavy blow to the world’s second-largest economy.

The vast majority of infections are in China where the virus originated in an illegal wildlife market in the city of Wuhan and has also claimed 170 lives, latest official data showed.

More than 100 cases have emerged in other countries, from Japan to the United States.

The World Health Organization (WHO), which has so far held off declaring the flu-like coronavirus a global emergency, began another meeting in Geneva to reconsider.

Such a declaration would trigger tighter containment and information-sharing guidelines, but may disappoint Beijing, which had expressed confidence in defeating the “devil” virus.

It could also further spook markets, already shuddering at the ripple effects of damage to China’s economy.

“The fear is that they (the WHO) might raise the alarm bells … so people are taking money off the table,” said Chris Weston, head of research at Melbourne brokerage Pepperstone.

The Severe Acute Respiratory Syndrome also came from China, killing about 800 people and costing the global economy an estimated $33 billion, or 0.1% of world GDP, in 2003.

Economists fear the impact on global growth could be bigger this time as China now accounts for a larger share of the world economy. One Chinese economist has forecast the crisis would lop a percentage point off China’s first-quarter growth.

Global stocks tumbled on Thursday, while the yuan hit its lowest this year, oil prices slid again and safe haven assets like gold gained.

The main stock index in Taiwan, 40% of whose exports go to neighboring China, closed down 5.75% on the first day of trade after the Lunar New Year holiday.

LOCKDOWN IN WUHAN

Almost all the deaths have been in Hubei province – of which Wuhan is the capital – where 60 million people are now living under virtual lockdown, only venturing outside with masks.

“Most of the shops are closed. We cannot go out and buy food,” Si Thu Tun, one of 60 students from Myanmar trapped in Wuhan, told online news outlet the Democratic Voice of Burma.

“Honestly, I have one big potato and three packs of instant noodles and some rice,” he said. Myanmar plans a special flight to get the students out within three days.

Australia, South Korea, Singapore, New Zealand and Indonesia were quarantining evacuees for at least two weeks, though the United States and Japan planned shorter, voluntary isolation.

Three Japanese, from 206 evacuated on Wednesday, were infected, and worryingly two of them had not shown symptoms, Tokyo said. A second Japanese flight included nine people showing fever or coughing symptoms, broadcaster NHK said.

India was the latest nation to report a case, a student of Wuhan University. And South Koreans protested at facilities earmarked as quarantine centers, throwing eggs at a minister.

“The weapons that will protect us from the new coronavirus are not fear and aversion, but trust and cooperation,” said South Korean President Moon Jae-in as Seoul prepared to evacuate the first of about 700 citizens from Wuhan.

An Italian cruise ship’s 6,000 passengers were kept on board while tests were held on two Chinese travelers.

The crisis has stoked a wave of anti-China sentiment around the globe, from shops barring tourists to online mockery.

‘WHEN CHINA SLOWS, WE FEEL IT’

In the corporate world, Alphabet Inc’s Google and Sweden’s IKEA were the latest big names to close China operations. South Korea’s Samsung Electronics extended holiday closure for some Chinese production facilities.

Airlines to suspend flights to mainland China include Lufthansa, Air Canada, American Airlines and British Airways. Air France cabin crew unions were demanding the same, sources said, though the company has already allowed pilots and crew to opt out of China flights.

Fuelling concern over damage to productivity, thousands of Chinese factory workers on Lunar New Year holidays may struggle to get back to work next week, due to travel restrictions.

Policymakers are anxious, with China dominating U.S. Federal Reserve Chair Jerome Powell’s news conference on Wednesday. “China’s economy is very important in the global economy now, and when China’s economy slows down we do feel that,” he said.

Streets in many Chinese cities were largely deserted and tourist attractions shut. Starbucks coffee shops were requiring temperature checks and masks.

Cases of human-to-human transmission outside China are of particular concern to medics, but it is too early to determine how lethal the coronavirus is, as there are likely to be many cases of milder infections going undetected.

It has an incubation time of between one and 14 days.

With local officials facing a backlash from China’s public, especially over their early response, the health chief of Huanggang city – also in Hubei province, with a population of 7.5 million – was dismissed, authorities said.

No explanation was given.

(Reporting by Pei Li, Gabriel Crossley, Cate Cadell, Kevin Yao and Muyu Xu in Beijing; Samuel Shen and David Stanway in Shanghai; Josh Smith, Sangmi Cha and Joyce Lee in Seoul, Chang-Ran Kim in Tokyo and Se Young Lee; Stephanie Nebehay in Geneva; Kate Kelland in London; Crispian Balmer in Rome; Thu Thu Aung in Yangon; Ben Blanchard in Taipei; Writing by Andrew Cawthorne; Editing by Clarence Fernandez and Nick Macfie)

Global alarm mounts as China virus deaths hit 17

By Cate Cadell and David Stanway

BEIJING/SHANGHAI (Reuters) – Deaths from China’s new flu-like virus rose to 17 on Wednesday with more than 540 cases confirmed, increasing fears of contagion from an infection suspected to originate from illegally traded wildlife.

The previously unknown coronavirus strain is believed to have emerged from an animal market in central city of Wuhan, with cases now detected as far away as the United States.

Contrasting with its secrecy over the 2002-03 Severe Acute Respiratory Syndrome (SARS) that killed nearly 800 people, China’s communist government has this time given regular updates to try to avoid panic as millions travel for the Lunar New Year.

“The rise in the mobility of the public has objectively increased the risk of the epidemic spreading,” National Health Commission vice-minister Li Bin said.

The World Health Organization (WHO) was meeting in a high-tech room at its Geneva headquarters to decide whether the outbreak is a global health emergency.

Many Chinese were cancelling trips, buying face masks, avoiding public places such as cinemas and shopping centers, and even turning to an online plague simulation game or watching disaster movie “The Flu” as a way to cope.

“The best way to conquer fear is to confront fear,” said one commentator on China’s Twitter-like Weibo.

The virus has spread from Wuhan to population centers including Beijing, Shanghai, Macau and Hong Kong.

With more than 11 million people, Wuhan is central China’s main industrial and commercial center and a transport hub, home to the country’s largest inland port and gateway to its Three Gorges hydroelectric dam.

The latest death toll in Hubei province, of which Wuhan is the capital, rose from nine to 17 by midday on Wednesday, state television quoted the provincial government as saying.

The official China Daily newspaper said 544 cases had now been confirmed in the country. Thailand has confirmed four cases, while the United States, Taiwan, South Korea and Japan have each reported one.

U.S. President Donald Trump said U.S. Centers for Disease Control and Prevention had a good containment plan. “We think it is going to be handled very well,” he said at Davos in Switzerland.

RESPIRATORY THREAT

Li said the virus, which can cause pneumonia and has no effective vaccine, was being spread via breathing. Symptoms include fever, coughing and difficulty breathing.

“I believe the government for sure, but I still feel fearful. Because there’s no cure for the virus,” said Fu Ning, a 36-year-old woman in Beijing. “You have to rely on your immunity if you get an infection. It sounds very scary.”

Fears of a pandemic initially spooked markets but they regained their footing on Wednesday.

But companies across China, from Foxconn  to Huawei Technologies and HSBC Holdings , warned staff to avoid Wuhan and handed out masks.

Terry Gou, founder of Apple supplier Foxconn, said he was advising employees not to visit China. Automaker General Motors Co, which operates a plant in Wuhan in a joint venture with China’s SAIC Motor, placed a temporary restriction on employees’ travel to Wuhan.

The chief executive of one of the world’s largest aircraft lessors, Aercap, said he expected the virus to impact Chinese airlines’ profitability in the first quarter.

Chinese officials believe wildlife trafficked at a Wuhan market was the source of the virus. Two sources said provincial and city officials in Wuhan had been told to remain in the city, and those who have left were told to report their whereabouts.

WHO spokesman Tarik Jasarevic said new cases would appear as China increased monitoring. But Li said there was no evidence of “super-spreaders” capable of disseminating the virus more widely, as happened during the SARS outbreak. SARS was thought to have crossed to humans from civet cats sold for food.

GLOBAL PRECAUTIONS

Airports globally stepped up screening from China.

Russia strengthened its sanitary and quarantine controls, Britain said it was starting enhanced monitoring of passengers from Wuhan, and Singapore started screening all passengers from China. Italy created a task force to monitor the possible spread of the virus.

The Chinese-ruled gambling hub of Macau confirmed its first case of pneumonia linked to the coronavirus and tightened body-temperature screening measures.

A first case emerged in Chinese-ruled Hong Kong, media reported, with the patient arriving via high-speed railway from the mainland, and Mexico was investigating a potential case.

North Korea banned foreign tourists, several foreign tour operators said. Some qualifying boxing matches for the 2020 Olympics set for Wuhan were canceled and women’s football qualifiers were shifted to Nanjing.

China’s Central Political and Legal Affairs Commission, the top legal authority, said anyone failing to report virus cases “will be forever nailed to the pillar of historical shame”.

But some experts were skeptical. “We have reason to doubt whether surv (surveillance) is adequate as cases mount,” tweeted Lawrence Gostin, a public health expert at Georgetown University Law School in Washington.

(Reporting by Cate Cadell, Lusha Zhang and Jiang Xihao in Beijing, David Stanway in Shanghai, Anne Marie Roantree in Hong Kong, Ben Blanchard in Taipei, Josh Smith in Seoul, Stephanie Nebehay in Geneva, Kate Kelland in London, Alexandra Alper in Davos, Shreyashi Sanyal in Bangalore, Ian Ransom in Melbourne; Writing by Andrew Cawthorne and Timothy Heritage; Editing by Janet Lawrence and Nick Macfie)

China virus deaths rise to nine, heightening global alarm

By Cate Cadell and David Stanway

BEIJING/SHANGHAI (Reuters) – Deaths from China’s new flu-like virus rose to nine on Wednesday with more than 470 confirmed cases, heightening global fears of contagion from an infection suspected to have come from animals.

The previously unknown and contagious coronavirus strain emerged from the central city of Wuhan, with cases now detected as far away as the United States. Officials believe the origin to be a market where wildlife is traded illegally.

Contrasting with its secrecy over the 2002-03 Severe Acute Respiratory Syndrome (SARS) that killed nearly 800 people, China has this time given regular updates to try and head off panic as millions travel at home and abroad for the Lunar New Year.

“The rise in the mobility of the public has objectively increased the risk of the epidemic spreading,” National Health Commission vice-minister Li Bin acknowledged.

The World Health Organization (WHO) began an emergency meeting to rule if the outbreak was a global health emergency.

Amid official exhortations to stay calm, many Chinese were cancelling trips, buying face masks, avoiding public places like cinemas and shopping centers, and even turning to an online plague simulation game or watching disaster movie “The Flu” as a way to cope.

“The best way to conquer fear is to confront fear,” said one commentator on China’s Twitter-like Weibo.

The virus has spread from Wuhan around China to major population centers including Beijing, Shanghai, Macau and Hong Kong, with 473 cases confirmed in the country. Abroad, Thailand has confirmed four cases, while the United States, Taiwan, South Korea and Japan have each reported one.

President Donald Trump said the United States’ Centers for Disease Control and Prevention had a good containment plan. “We think it is going to be handled very well,” he said at Davos in Switzerland.

RESPIRATORY THREAT

Li said the virus, which can cause pneumonia, was being spread via breathing. Symptoms include fever, coughing and difficulty breathing. About 2,200 people in contact with infected people were in isolation.

There is no vaccine for the virus.

“I believe the government for sure, but I still feel fearful. Because there’s no cure for the virus,” said Fu Ning, a 36-year-old woman in Beijing. “You have to rely on your immunity if you get an infection. It sounds very scary.”

Fears of a pandemic initially spooked markets, with aviation and luxury goods stocks hit and the yuan falling, but they were regaining their footing on Wednesday in approval of China’s containment response.

Across China, companies from Foxconn <2317.TW> to Huawei Technologies [HWT.UL] and HSBC Holdings <HSBA.L> were warning staff to avoid Wuhan and handing out masks. Terry Gou, the billionaire founder of Apple <AAPL.O> supplier Foxconn, said he was advising employees not to visit China.

With more than 11 million people, Wuhan is central China’s main industrial and commercial center and an important transport hub, home to the country’s largest inland port and gateway to its giant Three Gorges hydroelectric dam.

WHO spokesman Tarik Jasarevic said new cases would appear as China stepped up monitoring. But Li said there was no evidence of “super-spreaders” capable of disseminating the virus more widely, as happened during the SARS outbreak. SARS was thought to have crossed to humans from civet cats sold for food.

GLOBAL PRECAUTIONS

Airports round the world have stepped up screening of people from China.

The Chinese-ruled gambling hub of Macau confirmed its first case of pneumonia linked to the coronavirus and tightened body-temperature screening measures.

A first case of the virus emerged in Hong Kong on Wednesday, media reported. The patient arrived via high-speed railway from the mainland and had been quarantined.

“The whole world is watching,” the city’s commerce secretary, Edward Yau, told Reuters at the World Economic Forum in Davos.

North Korea banned foreign tourists from Wednesday due to the virus, several foreign tour operators said, losing one of its main sources of foreign currency.

Sport too was affected, with some qualifying boxing matches for the 2020 Olympics set for Wuhan canceled and women’s football qualifiers shifted to Nanjing.

China’s Central Political and Legal Affairs Commission, the top legal authority in the communist-ruled country, posted on Tuesday that anyone failing to report virus cases “will be forever nailed to the pillar of historical shame”.

And state broadcaster CCTV has shown footage of doctors in quarantine gear in Wuhan.

But despite such openness, some experts were sceptical.

“We have reason to doubt whether surv (surveillance) is adequate as cases mount,” tweeted Lawrence Gostin, a public health expert at Georgetown University Law School in Washington.

Neil Ferguson, an infectious disease specialist at Imperial College London, estimated the number of cases in Wuhan at about 4,000 and predicted the outbreak would spread fast.

“Novel viruses can spread much faster through the population than other viruses because we have no immunity to them,” he said.

(Reporting by Cate Cadell, Lusha Zhang and Jiang Xihao in Beijing, David Stanway in Shanghai, Anne Marie Roantree in Hong Kong, Ben Blanchard in Taipei, Josh Smith in Seoul, Stephanie Nebehay in Geneva, Kate Kelland in London, Alexandra Alper in Davos, Shreyashi Sanyal in Bangalore, Ian Ransom in Melbourne; Writing by Andrew Cawthorne; Editing by Janet Lawrence)

Fatal attacks on Congo clinics risk resurgence of Ebola epidemic

By Fiston Mahamba

GOMA, Democratic Republic of Congo (Reuters) – International organizations warned on Friday of a potential resurgence of Ebola in Congo after deadly militia attacks on health centers forced aid groups to suspend operations and withdraw staff from the epidemic’s last strongholds.

Mai Mai militia fighters killed four people and injured several others at two Ebola centers on Thursday in the worst yet of violence hampering efforts to tame the outbreak in eastern Democratic Republic of Congo (DRC).

The world’s second biggest Ebola epidemic on record has killed over 2,200 people since mid-2018, but new infections slowed in recent months.

“Ebola was retreating and now it is likely to resurge,” World Health Organization (WHO) spokesman Christian Lindmeier told a news briefing in Geneva. WHO has relocated 173 staff while the U.N. children’s agency UNICEF has evacuated 20 staff.

After Thursday’s fatal raids on health centers in Mangina and Byakoto, a screening center was also attacked overnight in the town of Oicha, Congolese health authorities said.

Mai Mai fighters and local residents have attacked health facilities sometimes because they believe Ebola does not exist and in other cases because of resentment that they have not benefited from the influx of donor funding.

The International Federation of the Red Cross (IFRC) halted operations in the towns of Mangina, Beni and Butembo.

“We’ve had to put all Ebola activities on hold in high-risk areas,” said Corrie Butler, spokeswoman for the IFRC in Congo, saying the attacks had been in areas with most Ebola cases.

At least 1,500 Red Cross staff and volunteers are involved in Ebola work in east Congo, she said, most in areas where activities are now suspended due to violence.

The World Food Programme (WFP), another U.N. agency which provides food to those around infected people and at risk of Ebola, said its activities had also been interrupted due to insecurity.

Congolese health authorities said they had evacuated 13 staff and other transfers were underway.

The Alliance for International Medical Action (ALIMA) charity said activities at its treatment centers in Mambasa and Katwa towns were not suspended but it was monitoring the security situation closely.

Thursday’s attacks followed raids on communities by suspected Islamist rebels believed to have killed at least 100 people in the past month, according to U.N. figures.

At least four people also died this week during protests at the perceived failure of the army and U.N. peacekeepers to protect civilians from the Islamist Allied Democratic Forces (ADF)

(Reporting from Fiston Mahamba in Goma, Stephanie Nebehay in Geneva, Anna Pujol-Mazzini in Dakar; Writing by Anna Pujol-Mazzini; Editing by Alessandra Prentice and Andrew Cawthorne)

Family sent back to DR Congo after two die of Ebola in Uganda

A health worker checks the temperature of a woman as she crosses the Mpondwe border point separating Uganda and the Democratic Republic of Congo as part of the ebola screening at the computerised Mpondwe Health Screening Facility in Mpondwe, Uganda June 13, 2019. REUTERS/Newton Nabwaya

By Elias Biryabarema

KAMPALA (Reuters) – Authorities repatriated the relatives of two people who died of Ebola in Uganda back to the Democratic Republic of Congo on Thursday, including a 3-year-old boy confirmed to be suffering from the disease, the Ugandan health minister said.

The cases marked the first time the virus has crossed an international border since the current outbreak began in Congo last August. The epidemic has already killed 1,390 people in eastern Congo.

The family sent home on Thursday had crossed from Congo to Uganda earlier this week and sought treatment when a 5-year-old boy became unwell. He died of Ebola on Tuesday. His 50-year-old grandmother, who was accompanying them, died of the disease on Wednesday, the ministry said.

They were the first confirmed deaths in Uganda in the current Ebola outbreak.

The dead boy’s father, mother, 3-year-old brother and their 6-month-old baby, along with the family’s maid, were all repatriated, the minister’s statement said.

The 3-year-old has been confirmed to be infected with Ebola. His 23-year-old Ugandan father has displayed symptoms but tested negative, Ugandan authorities said.

“Uganda remains in Ebola response mode to follow up the 27 contacts (of the family),” the statement said.

Three other suspected Ebola cases not related to the family remain in isolation, the ministry said.

The viral disease spreads through contact with bodily fluids, causing hemorrhagic fever with severe vomiting, diarrhea and bleeding.

UGANDA PRECAUTIONS

Authorities in neighboring Uganda and South Sudan have been on high alert in case the disease spreads.

On Thursday, Uganda banned public gatherings in the Kasese district where the family crossed the border. Residents are also taking precautions, local journalist Ronald Kule told Reuters.

“They are a little alarmed now and they realize that the risk of catching Ebola is now real,” he said.

“Hand washing facilities have been put in place, with washing materials like JIK (bleach) and soap. There’s no shaking of hands, people just wave at each other.”

At the border, health workers checked lines of people and isolate one child with a raised temperature, a Reuters journalist said.

Uganda has already vaccinated many frontline health workers and is relatively well prepared to contain the virus.

The World Health Organization (WHO) sent 3,500 doses of a Merck experimental vaccine to Uganda this week, following 4,700 initial doses.

Dr. Mike Ryan, head of WHO’s emergencies program, said that he expected Uganda to approve the use of experimental therapeutic drug treatments, to be shipped “in coming days”.

Monitoring and vaccination had been stepped up, but there had been “no panic reaction” so far to the cases there.

The WHO has said it will reconvene an emergency committee on Friday to decide whether the outbreak is an international public health emergency and how to manage it.

Authorities have struggled to contain the disease partly because health workers have been attacked nearly 200 times this year in conflict-hit eastern Congo, the epicenter of the outbreak.

(Reporting by Elias Biryabarema; Writing by Omar Mohammed and Katharine Houreld; Editing by Angus MacSwan)

WHO issues warning as measles infects 34,000 in Europe this year

FILE PHOTO: A vial of the measles, mumps, and rubella (MMR) vaccine is pictured at the International Community Health Services clinic in Seattle, Washington, U.S., March 20, 2019. REUTERS/Lindsey Wasson/File Photo

By Kate Kelland

LONDON (Reuters) – More than 34,000 people across Europe caught measles in the first two months of 2019, with the vast majority of cases in Ukraine, the World Health Organization said on Tuesday as it urged authorities to ensure vulnerable people get vaccinated.

The death toll among 34,300 cases reported across 42 countries in the WHO’s European region reached 13, with the virus killing people in Ukraine – which is suffering a measles epidemic – as well as in Romania and Albania. The risk is that outbreaks may continue to spread, the WHO warned.

“If outbreak response is not timely and comprehensive, the virus will find its way into more pockets of vulnerable individuals and potentially spread to additional countries within and beyond the region,” it said in a statement.

“Every opportunity should be used to vaccinate susceptible children, adolescents and adults.”

Measles is a highly contagious disease that can kill and cause blindness, deafness or brain damage. It can be prevented with two doses of an effective vaccine, but – in part due to pockets of unvaccinated people – it is currently spreading in outbreaks in many parts of the world including in the United States, the Philippines and Thailand.

In Europe, the majority of measles cases so far in 2019 are in Ukraine, which saw more than 25,000 people infected in the first two months of the year.

There is no specific antiviral treatment for measles, and vaccination is the only way to prevent it, the WHO said. Most cases are in unvaccinated or under-vaccinated people.

It added that even though the region had its highest ever estimated coverage for the second dose of measles vaccination in 2017 – at around 90 percent – some countries have had problems, including declining or stagnating immunization coverage in some cases, low coverage in some marginalized groups, and immunity gaps in older populations.

The WHO called on national health authorities across the region to focus efforts on ensuring all population groups have access to vaccines.

“The impact on public health will persist until the ongoing outbreaks are controlled,” it said, adding that health authorities should “identify who has been missed in the past and reach them with the vaccines they need.”

A report by the United Nations children’s fund UNICEF last month found that more than 20 million children a year missed out on measles vaccines across the world in the past eight years, laying the ground for dangerous outbreaks.

(Reporting by Kate Kelland; Editing by Mark Heinrich)

Congo Ebola death toll nears 1,000, new vaccine planned -WHO

Mike Ryan, Executive Director of the World Health Organisation (WHO) attends a news conference on the Ebola outbreak in the Democratic Republic of Congo at the United Nations in Geneva, Switzerland May 3, 2019. REUTERS/Denis Balibouse

By Stephanie Nebehay

GENEVA (Reuters) – The World Health Organization said on Friday it feared continued “intense transmission” of Ebola virus in the Democratic Republic of Congo, where deaths from a nine-month-old epidemic stood at 994 and were expected to exceed 1,000 within hours.

The WHO plans to expand vaccination with an unlicensed new Ebola vaccine made by Johnson &amp; Johnson, in addition to a Merck vaccine already being used, said Dr. Michael Ryan, executive director of WHO’s Health Emergencies Programme.

“We are anticipating a scenario of continued intense transmission,” Ryan told a news briefing.

“We haven’t exceeded the 1,000 (deaths) as of this morning but we will likely exceed that today when we see the numbers later this evening. We want to use every tool in the tool box.”

Security incidents continue to plague the response to the outbreak, with 119 since January alone, Ryan said. This curtails access and thereby slows efforts to vaccinate more than 900 people a day as well as daily checks on some 12,000 people potentially exposed to the virus, he said.

“We still face major issues of community acceptance and trust,” Ryan added.

There was a would-be assault on an Ebola treatment facility in Butembe on Thursday, he said, adding that nobody was injured and the assailants were captured.

(Reporting by Stephanie Nebehay; Editing by Mark Heinrich)

Ebola spread concentrated in Congo, not a wider emergency: WHO

FILE PHOTO: Health workers carry a newly admitted confirmed Ebola patient into a treatment centre in Butembo in the eastern Democratic Republic of Congo, March 28, 2019. REUTERS/Baz Ratner

By Stephanie Nebehay and Kate Kelland

GENEVA/LONDON (Reuters) – An outbreak of Ebola in the Democratic Republic of Congo (DRC) that has killed more than 700 people and is continuing to spread does not constitute an international emergency, the World Health Organization said on Friday.

Declaring the epidemic a “public health emergency of international concern” would have signaled that greater resources and international coordination are needed.

The WHO’s independent Emergency Committee, which analyzed the latest data, said the disease was entrenched in several epicenters in the northeast and was being transmitted in health care settings.

It had not spread across borders to Uganda, Rwanda or South Sudan, but neighboring countries should shore up their preparedness, the experts said.

“It was an almost unanimous vote that this would not constitute a PHEIC (public health emergency of international concern) because we are moderately optimistic that this outbreak can be brought into control – not immediately, but still within a foreseeable time,” panel chairman Professor Robert Steffen told a news conference.

Dozens of new cases reported this week have been mainly in the epicenters of Butembe, Katwe and Vuhovi, said Mike Ryan, head of the WHO’s health emergencies program.

“It’s quite a focused amplification of disease in a very specific geographic area,” Ryan said.

“But the disease there has risen because of lack of access to that community, we’ve fallen behind in starting vaccination rings,” he said, referring to attacks on health centers by armed groups in February that cut-off hotspot areas.

“Vaccine is proving to be a highly effective way of stopping this virus but if we can’t vaccinate people we cannot protect them,” he added, noting that nearly 100,000 people have been vaccinated.

Experts have declared four emergencies in the past decade: the H1N1 virus that caused an influenza pandemic (2009), a major Ebola outbreak in West Africa (2014), polio (2014) and Zika virus (2016).

Some experts expressed concern that the Emergency Committee was too narrowly interpreting WHO guidelines.

“This is a deeply concerning event, due to the pathogen itself, the total number of cases, the increase in cases just this week, and the difficulty of coordinating the response due to conflict – that needs to receive the appropriate level of attention,” health experts Rebecca Katz and Alexandra Phelan of Georgetown University in Washington D.C. said in a statement.

The Ebola outbreak – by far the biggest Congo has seen, and the world’s second largest in history – was declared by national authorities in August. It is concentrated in Congo’s North Kivu and Ituri provinces.

It has already infected at least 1,206 people, of whom 764 have died – giving a death rate of 63 percent.

They include 20 new cases reported by the health ministry on Thursday, another one-day record after 18 on Wednesday. Two workers at the Butembo airport tested positive, it said.

(Reporting by Stephanie Nebehay and Kate Kelland Additional reporting by Aaron Ross in Dakar; Editing by Hugh Lawson and Frances Kerry)

Battle against Ebola being lost amid militarized response, MSF says

FILE PHOTO: A mother of a child, suspected of dying from Ebola, cries outside a hospital during the funeral in Beni, North Kivu Province of Democratic Republic of Congo, December 17, 2018. REUTERS/Goran Tomasevic

By Tom Miles

GENEVA (Reuters) – The battle against Ebola in Democratic Republic of Congo is failing because ordinary people do not trust health workers and an overly militarized response is alienating patients and families, the medical charity MSF said on Thursday.

Last week Medecins Sans Frontres (Doctors Without Borders) suspended medical activities at the focal point of the epidemic after two of its facilities were torched by unidentified assailants.

MSF’s international president Joanne Liu said the outbreak, which has killed 569 people, would not be beaten unless the community trusted the authorities and were treated humanely.

“The existing atmosphere can only be described as toxic,” Liu told reporters in Geneva.

Ebola responders were increasingly seen as the enemy, with more than 30 attacks and incidents against the Ebola response in the past month alone, she said.

The epidemic is in a region of Congo that is prey to armed groups and violence where officials are prone to see threats through a security lens and to use force.

“There is a lot of militarization of the Ebola response,” she said. “Using police to force people into complying with health measures is not only unethical, it’s totally counterproductive. The communities are not the enemy.”

Involvement of security and police forces merely deepened suspicions that Ebola was being used as a political tool, she said.

A spokeswoman for Congo’s Health Ministry said there appeared to be confusion about the security forces’ role.

“The police and the army are not involved in Ebola response activities and their role has never been to enforce sanitary measures,” Jessica Ilunga said.

The Interior Ministry has been asked to guarantee security, as it is unacceptable for health officials to be threatened and attacked, or for the threat of violence to stop families burying their loved ones in a dignified and safe manner, she said.

MSF was insisting on security before it returned to its damaged facilities, she said. Local officials, unlike international staffers, did not have the privilege of being evacuated for security reasons, she said.

Liu said there were still signs the outbreak – the second worst ever – was not being brought under control.

Forty percent of deaths were outside medical centers, meaning patients had not sought care, and 35 percent of new patients were not linked to existing cases, meaning the spread of the disease was not being tracked.

“Ebola still has the upper hand,” Liu said.

Villagers saw fleets of cars racing to pick up a single sick person and vast amounts of money pouring in. Some were instructed to wash their hands but had no soap to do so.

“They see their relatives sprayed with chlorine and wrapped in plastic bags, buried without ceremony. Then they see their possessions burned,” she said.

 

(Reporting by Tom Miles, additional reporting by Giulia Paravicini in Kinshasa; Editing by Angus MacSwan)

China warns pig trade against African swine fever cover-ups as Taiwan concerns grow

Pork for sale is seen at a market in Beijing, China December 26, 2018. Picture taken December 26, 2018. REUTERS/Jason Lee

BEIJING/TAIPEI (Reuters) – China has warned the country’s pork industry that covering up cases of African swine fever is a crime, days after a dead pig was found on a Taiwanese beach prompting Taipei to claim Beijing was not sharing accurate information on the disease.

China’s animal husbandry and veterinary affairs bureau is stepping up investigation and punishment of illegal activity in the pig industry, said a statement published on the Ministry of Agriculture and Rural Affairs website on Friday.

Failing to report deaths and privately slaughtering and selling sick or dead pigs would be pursued under criminal law, it said, and compensation of 1,200 yuan ($175) for each pig culled was sufficient incentive for farmers to report the disease.

In the worst epidemic of the disease ever seen, China has confirmed about 100 cases of African swine fever across 23 provinces since August last year. The disease, for which there is neither cure nor vaccine, is deadly to pigs but does not harm people.

But many experts believe it is even worse than has been reported, and Taiwan President Tsai Ing-wen urged Beijing last month to “not conceal” information about the disease.

Tsai raised the issue again in a New Year’s speech after a dead pig was found on a beach on Taiwan’s Kinmen island, a half-hour ferry ride from the east coast of China. The pig has since been confirmed to have the African swine fever virus, while another dead pig was found on a nearby island on Friday, Taiwan’s official Central News Agency reported.

“During our recent efforts to prevent an African swine fever epidemic, China’s government has never followed the relevant agreements and provided Taiwan with accurate, real-time reports about the epidemic situation,” she said.

China has repeatedly said that the disease has been effectively dealt with and is under control. The Ministry of Agriculture and Rural Affairs did not immediately respond to a fax seeking comment on Friday.

The dead animals found on the Taiwanese islands have stoked fears that Taiwan’s pigs could soon become infected with the disease.

Taiwan’s herd of 5.39 million pigs is tiny compared with China’s 700 million, but pork is the most popular meat in both places and domestic production in Taiwan reduces its need for imports of the staple meat.

(Reporting by Dominique Patton in BEIJING and Yi-Mou Lee in TAIPEI; Editing by Kenneth Maxwell)