In COVID-19 clampdown, China bars travelers from Britain, France, India

BEIJING (Reuters) – China has barred non-Chinese travelers from Britain, France, Belgium, the Philippines and India, imposing some of the most stringent entry curbs of any country as coronavirus cases surge around the world.

The restrictions, which cover those with valid visas and residence permits and take effect in conjunction with a more restrictive testing regime for arrivals from several other countries, drew a frosty response from Britain.

“We are concerned by the abruptness of the announcement and the blanket ban on entry, and await further clarification on when it will be lifted,” said the British Chamber of Commerce in China as the blanket bans were announced by the five countries’ Chinese embassies.

England started a month-long lockdown on Thursday. Britain’s virus death toll is the highest in Europe, and it is grappling with more than 20,000 new cases a day.

Belgium has Europe’s highest per capita number of new confirmed cases, while France and India are among the top five countries in the world with the most infections.

The suspensions were a partial reversal of an easing on Sept. 28, when China allowed all foreigners with valid residence permits to enter. In March, China had banned entry of foreigners in response to the epidemic.

‘SOLD OUT IN SECONDS’

Meanwhile, many people planning November visits to China scrambled to book earlier flights to circumvent potentially disruptive restrictions due to come into force for other countries from Friday.

Linyi Li, a Chinese national, had planned to fly from Seattle to China in mid-November but switched her flight to Nov. 6 even though fares had tripled.

“The tickets were sold out in seconds, as people were all scrambling to beat the deadline,” said Li, 30. “I’ve been rushing to sell many of my family belongings in the past days in case I can’t get back to the States.”

From Friday, all passengers from the United States, France, Germany and Thailand bound for mainland China must take a nucleic acid test and a blood test for antibodies against the coronavirus no more than 48 hours before boarding.

Flights scheduled for Friday are not covered by the new rule, since passengers would have done their tests before that day under previous requirements.

China also plans to impose dual-test requirements on travelers from Australia, Singapore and Japan from Nov. 8.

The European Union Chamber of Commerce in China said the antibody test was not widely available in many countries.

“(So) unfortunately, while technically leaving the door open, these changes imply a de facto ban on anyone trying to get back to their lives, work and families in China,” said the European Union Chamber of Commerce in China.

On Tuesday, China Southern Airlines, the country’s biggest carrier by passenger load, said it would suspend transit services for passengers embarking from 21 countries, mostly African and Asian countries and including India and the Philippines.

The number of weekly international passenger flights serving mainland China from late October through March is set to slump 96.8% from a year earlier to 592, the latest schedules show.

(Reporting by Ryan Woo, Lusha Zhang, Dominique Patton, Stella Qiu, Gabriel Crossley, Martin Pollard and Shivani Singh; Editing by Jacqueline Wong and John Stonestreet)

France promises 1 billion euros for curfew-hit companies

PARIS (Reuters) – Finance Minister Bruno Le Maire promised 1 billion euros ($1.17 billion) of additional support to help French companies cushion the impact of a nightly curfew in Paris and eight other big cities where the coronavirus is running rampant.

Le Maire also said that companies in the beleaguered hospitality industry would be exempt from social charges if their revenues crashed by more than 50% as a result of the curfews.

The curfews are President Emmanuel Macron’s response to a dilemma facing countries across Europe: how to keep the economy running and protect jobs while slowing the spread of infections and taking pressure off the creaking healthcare systems.

“The new measures will cost about 1 billion euros over the duration of the curfew,” Le Maire told a news conference.

Le Maire also said he was asking banks to delay interest payments on state-guaranteed loans to struggling companies in the hotel, restaurant and events industries.

The French banking lobby, FBF, said in emailed comment to Reuters that “banks share the idea that flexibility should be the rule”.

French banks have given out more than 120 billion euros in state-backed loans so far this year. FBF added that a permanent dialogue between companies and their bankers was essential in order to find the best solution for reimbursement of the loans.

“Banks are confident in their ability to act, as they did during the deployment of PGE (state-backed loans), in a perfect coordination with public authorities and businesses,” FBF said.

Prime Minister Jean Castex said people could break the curfew to travel to and from work, catch a train or plane, seek medical attention and even walk a dog – but an interior ministry exemption document would be needed in case of a police check.

France’s interior minister said 12,000 police would enforce the curfews in Paris, Toulouse, Marseille, Montpellier, Grenoble, Rouen, Lille, Lyon and Saint-Etienne. In all, the curfew order covers about 20 million people, almost a third of France’s population.

Anyone breaking the curfew will be fined 135 euros

(Reporting by Geert de Clercq; Writing by Benoit Van Overstraeten; Editing by John Stonestreet and Tomasz Janowski and Kirsten Donovan)

Global CO2 emissions show biggest ever drop in first half of 2020

By Nina Chestney

LONDON (Reuters) – Global carbon dioxide emissions fell by 8.8% in the first six months of this year, the biggest drop for a first half-year period, due to the effects of coronavirus-related restrictions, a study showed on Wednesday.

Research published in the journal Nature Communications by a group of scientists from China, France, Japan and the United States, said emissions fell by 1,551 million tonnes or 8.8% in the first half of the year, compared to the same period last year.

The 8.8% reduction represents largest ever fall in emissions over the first half year, larger than for any economic downturn. The drop was also larger than the annual decrease during World War Two, although mean emissions are much bigger now than at that time.

The scientists used data based on real-time activity and analyzed the daily, weekly and seasonal trends of CO2 emissions before and after the COVID-19 pandemic and the economic downturn it triggered.

This spring, governments around the world imposed lockdowns to contain the COVID-19 pandemic which curtailed energy use for industrial production and transport. This resulted in greenhouse gas emissions declining.

Warmer-than-usual weather across much of the northern hemisphere also meant that emissions were somewhat lower than they would have been in the same period of last year.

The study said the fall in daily CO2 emissions was most pronounced in April when the toughest restrictions were in place. Emissions began to recover in late April and May as economic activity resumed in China and parts of Europe.

But falls in transport-related emissions persisted.

“By July 1, the pandemic’s effects on global emissions diminished as lockdown restrictions relaxed and some economic activities restarted, especially in China and several European countries,” the paper said.

“However, substantial differences persist between countries, with continuing emission declines in the U.S. where coronavirus cases are still increasing substantially,” it added.

(Reporting by Nina Chestney. Editing by Jane Merriman)

Europeans, UK tell U.N. Navalny poisoning a ‘threat to international peace, security’

By Michelle Nichols

NEW YORK (Reuters) – The poisoning of Kremlin critic Alexei Navalny “constitutes a threat to international peace and security,” Britain, France, Germany, Estonia and Belgium wrote in a letter to the United Nations Security Council, seen by Reuters on Thursday.

“We call on the Russian Federation to disclose, urgently, fully and in a transparent manner, the circumstances of this attack and to inform the Security Council in this regard,” they said in the letter sent to the 15-member body late on Wednesday.

Navalny was flown to Berlin in August after falling ill on a Russian domestic flight. He received treatment for what Germany said was poisoning by a potentially deadly nerve agent, Novichok, before being discharged in September.

The letter to the Security Council said that on Sept. 2 the German government confirmed that tests had shown “unequivocal proof that Mr Navalny had been poisoned by a chemical nerve agent from the Novichok group, which was developed by the Soviet Union and subsequently held by its successor state” Russia.

Russia has denied any involvement in the incident and said it has yet to see evidence of a crime. The Russian mission to the United Nations did not have an immediate comment on the letter.

The European members of the Security Council and Britain noted that last November the Security Council adopted a statement reaffirming that any use of chemical weapons “anywhere, at any time, by anyone, under any circumstance is unacceptable and a threat to international peace and security.”

“As such, we consider that the use of a chemical nerve agent from the Novichok group in the abhorrent poisoning of Mr Alexey Navalny constitutes a threat to international peace and security,” they wrote.

The letter was sent as Russia takes the monthly presidency of the Security Council for October.

The United States did not sign the letter, but on Wednesday U.S. Secretary of State Mike Pompeo said: “The Russian Government must provide a full accounting for the poisoning of Alexei Navalny and hold those involved responsible.”

(Reporting by Michelle Nichols; editing by Jonathan Oatis)

No clear link between school opening and COVID surge, study finds

By Kate Kelland

LONDON (Reuters) – Widespread reopening of schools after lockdowns and vacations is generally not linked to rising COVID-19 rates, a study of 191 countries has found, but lockdown closures will leave a 2020 “pandemic learning debt” of 300 billion missed school days.

The analysis, by the Zurich-based independent educational foundation Insights for Education, said 84% of those 300 billion days would be lost by children in poorer countries, and warned that 711 million pupils were still out of school.

“It’s been assumed that opening schools will drive infections, and that closing schools will reduce transmission, but the reality is much more complex,” said IfE’s founder and chief executive Randa Grob-Zakhary.

The vast majority – 92% – of countries that are through their first wave of COVID-19 infections have started to reopen school systems, even as some are seeing a second surge.

IfE found that 52 countries that sent students back to school in August and September – including France and Spain – saw infection rates rise during the vacation compared to when they were closed.

In Britain and Hungary, however, infection levels dropped after initial school closures, remained low during the holidays, and began rising after reopening.

Full analysis of these 52 countries found no firm correlation between school status and infections – pointing to a need to consider other factors, IfE said.

“The key now is to learn from those countries that are reopening effectively against a backdrop of rising infections,” Grob-Zakhary said.

The report said 44 countries have kept schools closed.

It found countries are developing strategies for schools during the pandemic – including some, such as Italy, France, which order temporary school closures on a case-by-case basis.

Other measures include policies on masks, class rotations and combining remote with in-school lessons.

“This first real global test highlights what school life looks like in a COVID-world,” said Grob-Zakhary. “Understanding how countries undergoing a massive second wave are dealing with this new reality in the classroom is essential to guide future reopening decisions and to help schools remain open.”

(Reporting by Kate Kelland; Editing by Giles Elgood)

Most executives seek work-life balance after experiencing pandemic blues: survey

(Reuters) – Nearly eight out of 10 corporate executives have experienced poor mental health during the coronavirus crisis, prompting a number of them to re-evaluate and improve work-life balance, a survey showed on Monday.

Many top company officials in France and Egypt were most likely to have recalibrated their lives after experiencing the pandemic blues, followed by those in the United Arab Emirates, the United States and Britain, according to a survey of about 2,000 high net-worth individuals by health insurer Bupa Global.

The COVID-19 crisis has forced a vast majority of people, including top executives, to work remotely as governments imposed sweeping measures to curb the spread of the pandemic, putting a strain on physical and mental well-being.

Executives plan to exercise more regularly, eat a better diet, make time for meditation and spend more time with family and friends, the survey said.

“With the pandemic impacting mental health so heavily, it’s really important that business leaders work to address any issues both personally and at their organizations,” Bupa’s medical director Luke James said

The survey also found that less than a third of the participants intend to keep working from home primarily, and a quarter of them planned to trim working hours.

Women were more likely than men to opt for working from home, it showed, although those with children were less likely to take that option.

“Anyone who has been working from home around young children or trying to juggle work and home-schooling will know it can be challenging,” Bupa Managing Director Sheldon Kenton said.

As the line between work and personal space blurs, about a fifth of the high net-worth individuals surveyed said they would work remotely from their holiday homes as travel and face-to-face meetings decline.

(Reporting by Yadarisa Shabong in Bengaluru; Editing by Anil D’Silva)

French labs show how global supply bottlenecks thwart effort to ramp up testing

By Richard Lough

PARIS (Reuters) – Mass testing was meant to be the answer to the second wave. Politicians promised that with enough tests, conducted quickly enough, they could keep the coronavirus in check, without having to resort to lockdowns that crippled economies six months ago.

But so far, with a surge sweeping Europe just as students return to school and university, it hasn’t quite worked out that way. There aren’t enough tests, and they are taking too long.

Pierre-Adrien Bihl, who runs four labs that together conduct 800 tests a day in eastern France, has one explanation for what has gone wrong: a global supply chain that can’t keep up.

“I spend my days checking orders have been made and received and hassling my supplier to deliver, deliver, deliver,” he said. “But all their clients demand the same thing.”

French President Emmanuel Macron, like other European leaders, has pressed for a swift increase in tests. His government promises that anyone who needs a test can get one.

But five companies that operate laboratories in Paris and eastern France told Reuters there was simply no way they could work any faster, as long as they are struggling to obtain chemicals and test kits that are mainly produced abroad.

This week, Bihl said, he had to take his diagnostic machine offline for nearly 24 hours, after a four-day delay in the delivery of some single-use parts.

The shutdown forced Bihl to reduce testing appointments until the backlog could be made up, he said, adding that such shutdowns were taking place three or four times a month.

Arthur Clement, who runs four laboratories, said the U.S. manufacturer of his diagnostic machine, Cepheid, was sending him just 300 test kits per month at the end of the summer, as cases surged.

With his labs performing 25,000 tests per month, Clement had to send nearly all of them out to a third party, where they were taking up to 7-10 days to get results. Cepheid did not respond to a request for comment.

Clement ordered a new diagnostic machine from a South Korean manufacturer two months ago, which finally arrived last Friday, and now he says he can perform all tests in-house and deliver results in a day.

GLOBAL MARKET

In Paris, queues snake out of testing centers each day, with lines forming before sunrise at some. People with COVID symptoms are waiting on average three days for their results, according to official data, though for some the wait can be double.

France is now conducting more than 1.2 million polymerase chain reaction (PCR) tests per week in response to the epidemic, which has killed more than 31,000 people in the country and infected nearly half a million.

The French health ministry denies that there is a nationwide shortage of chemicals. It says there have been localized shortages in some parts of the country, but the overall supply is adequate. Health Minister Olivier Veran has said France has access to supplies of reagents equivalent to double the actual demand for tests.

But laboratories can’t just order chemicals from anywhere: testing machines typically require proprietary chemical kits and tools, some of which can be obtained only from the manufacturer.

The ministry recommends laboratories diversify their suppliers of testing machines, to mitigate the risk of one supply chain becoming blocked. But that means buying extra machines to duplicate capacity, which costs more money and can take months.

Suppliers of the machines to French labs include Cepheid and Becton Dickinson in the United States, Switzerland’s Roche, and France’s Biomerieux and Eurobio Scientific.

Cepheid, Roche and Eurobio Scientific did not respond to requests for comment on the supply of COVID equipment and reagents.

Becton Dickinson told Reuters in an email it was delivering more than 1 million tests per month globally. It acknowledged that this has fallen short of demand, but said it aims to scale up to 1.9 million per month by late 2020.

Biomerieux said its sites in France had spare capacity.

Lionel Barrand, one of the five laboratory operators who spoke to Reuters, said the supply-chain crunch was partly rooted in France’s reliance on imported reagents. He estimated 90% of COVID-19 reagents used in France were sourced overseas.

“We depend heavily on the global market,” said Barrand, who heads a laboratory industry group, the Syndicat National des Jeunes Biologistes.

Some of the French laboratories worry that U.S. suppliers such as Cepheid and Becton Dickinson are prioritizing labs in the United States, where healthcare costs are higher and profit margins bigger.

Becton Dickinson said it allocates test kits using quotas, which are set on the basis of the number of its testing machines in a country and the severity of outbreaks.

“We do not use pricing, margins or profit as a factor in our allocations,” the company said.

(Reporting by Richard Lough; Additional reporting by Matthias Blamont; Editing by Peter Graff)

Severe COVID-19 riskier than heart attack for young adults; antibiotic shows no benefit

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.

More young adults survive heart attacks than severe COVID-19

Among COVID-19 patients treated at 419 U.S. hospitals from April through June, only about 5% were ages 18 to 34. But that group had “substantial rates of adverse outcomes,” according to a report on Wednesday in JAMA Internal Medicine. Roughly one in five needed intensive care, one in 10 needed mechanical ventilation, and nearly 3% died. While the mortality rate is lower than in older adults, it is roughly double the death rate of young adults from heart attacks, the authors say. Obesity, high blood pressure, and diabetes were tied to higher risk for adverse events. For young adults with more than one of these conditions, the risk of a bad outcome was similar to middle-aged adults without the risk factors. More than half of hospitalized young adults were Black or Hispanic, “consistent with prior findings of disproportionate illness severity in these demographic groups,” the authors said. “Given the sharply rising rates of COVID-19 infection in young adults, these findings underscore the importance of infection prevention measures in this age group,” the concluded.

Antibiotic fails to help hospitalized COVID-19 patients

The antibiotic azithromycin did not appear to provide any benefit to hospitalized COVID-19 patients who were having trouble breathing, according to a study in Brazil. At 57 hospitals, 243 COVID-19 patients who needed oxygen or mechanical ventilation were randomly assigned to receive azithromycin, while 183 similar patients did not get the antibiotic. All received other standard treatment, which in Brazil included hydroxychloroquine, a malaria drug that other studies have shown provides little or no benefit. While azithromycin did not appear to do any harm, after 15 days it was not associated with any patient improvement nor did it reduce their risk of death. In an April survey of more than 6,000 physicians in 30 countries, azithromycin was the second most commonly prescribed treatment for COVID-19, the study investigators wrote in The Lancet medical journal. The absence of any benefit in this new study “suggests that the routine use of this strategy should be avoided,” they said.

Risk of catching COVID-19 while hospitalized can be low

Among nearly 8,500 patients admitted to a large Boston hospital between early March and the end of May, only two became sick with coronavirus infections that may have been acquired while they were hospitalized, doctors report. One likely was infected by a spouse who initially appeared well during daily visits but who developed symptoms while the patient was still hospitalized. That was before visitor restrictions and universal masking rules had been implemented. The other patient developed symptoms four days after leaving the hospital. The source of the infection is not known. According to a paper published on Wednesday in JAMA Network Open, infection control efforts at the hospital included dedicated COVID-19 units with airborne infection isolation rooms, personal protective equipment for staff and monitoring to make sure those were used correctly, universal masking, visitor restriction, and liberal COVID-19 testing of symptomatic and asymptomatic patients. These “robust and rigorous infection control practices may be associated with minimized risk” of COVID-19 spreading through hospitals, the authors conclude. Their findings, if replicated at other U.S. hospitals, “should provide reassurance to patients,” they said.

Longer-term COVID-19 lung damage can improve over time

COVID-19 lung damage persists long term but tends to improve, researchers reported on Monday at the European Respiratory Society International Virtual Congress. Researchers studied 86 hospitalized COVID-19 patients, 48% of whom had a smoking history and 21% of whom required intensive care. At 6 weeks after discharge, 47% of patients still reported feeling short of breath. By 12 weeks, that dropped to 39%. CT scans still showed lung damage in 88% of patients at six weeks, dropping to 56% at 12 weeks. “Overall, this study shows that COVID-19 survivors have persisting pulmonary impairment weeks after recovery. Yet, overtime, a moderate improvement is detectable,” lead researcher Dr. Sabina Sahanic, from University Clinic of Internal Medicine in Innsbruck, Austria, said during a press briefing. A related study featured at the meeting stressed the importance of early pulmonary rehabilitation after COVID-19 patients come off a ventilator. This should include balance and walking, muscle strengthening, respiratory exercises and endurance training. “The sooner rehabilitation started and the longer it lasted, the faster and better was the improvement in patients’ walking and breathing capacities and muscle gain,” coauthor Yara Al Chikhanie, from Grenoble Alps University in France, said in a statement.

(Reporting by Nancy Lapid; Editing by Bill Berkrot)

U.S. troops to start extended exercises in Lithuania amid tensions over Belarus

By Andrius Sytas

VILNIUS (Reuters) – U.S. troops and tanks will arrive in Lithuania on Friday for a two-month deployment near the Belarus border, but the government said the move was not a message to its Russian-backed neighbor, where protests continue over a disputed election.

In an announcement on Wednesday evening, NATO member Lithuania said U.S. troops will be moved from Poland for pre-planned military exercises. These are “defensive in nature and not directed against any neighbor, including Belarus,” it added.

However, the troops are arriving earlier and staying longer than the government had indicated before the outbreak of protests in Belarus over the Aug. 9 election that returned President Alexander Lukashenko, a key ally of Russian leader Vladimir Putin, to power.

Lukashenko has denied accusations by the Belarus opposition and Western countries that the vote was rigged and has resisted protesters’ demands to step down. He has accused NATO of a military buildup near Belarus’ borders, something the alliance denied, and has said he will ask for Russian military help if needed.

The deployment in Lithuania, which will begin on Friday and will last until November, includes 500 American troops and 40 vehicles, such as Abrams tanks and Bradley armored troop carriers, a Lithuanian army spokesman said.

On July 29, Lithuanian Defense Minister Raimundas Karoblis told BNS wire the United States would send a battalion-sized troop contingent – between 300 to 1,000 soldiers – in September, for two weeks’ training, beginning in the middle of the month.

He repeated that information on Aug. 4 in an interview with public radio LRT.

“Deployment was aligned with training schedule and training area availability,” defense minister spokeswoman Vita Ramanauskaite told Reuters.

In addition to the U.S. deployment, up to 1,000 troops and military planes from France, Italy, Germany, Poland and others will take part in an annual exercise on Sept. 14-25, the Lithuanian army spokesman said.

The ministry did not state any plans for those troops to stay beyond Sept. 25.

Karoblis said earlier this month that there was a real danger Russia would send forces to Belarus.

(Reporting by Andrius Sytas; Editing by Simon Johnson, Steve Orlofsky and Frances Kerry)

Steroids cut death rates among critically ill COVID-19 patients, major study finds

By Kate Kelland

LONDON (Reuters) – Treating critically ill COVID-19 patients with corticosteroid drugs reduces the risk of death by 20%, an analysis of seven international trials found on Wednesday, prompting the World Health Organisation to update its advice on treatment.

The analysis – which pooled data from separate trials of low dose hydrocortisone, dexamethasone and methylprednisolone – found that steroids improve survival rates of COVID-19 patients sick enough to be in intensive care in hospital.

“This is equivalent to around 68% of (the sickest COVID-19) patients surviving after treatment with corticosteroids, compared to around 60% surviving in the absence of corticosteroids,” the researchers said in a statement.

The WHO’s clinical care lead, Janet Diaz, said the agency had updated its advice to include a “strong recommendation” for use of steroids in patients with severe and critical COVID-19.

“The evidence shows that if you give corticosteroids …(there are) 87 fewer deaths per 1,000 patients,” she told a WHO social media live event. “Those are lives … saved.”

“Steroids are a cheap and readily available medication, and our analysis has confirmed that they are effective in reducing deaths amongst the people most severely affected by COVID-19,” Jonathan Sterne, a professor of medical statistics and epidemiology at Britain’s Bristol University who worked on the analysis, told the briefing.

He said the trials – conducted by researchers in Britain, Brazil, Canada, China, France, Spain, and the United States – gave a consistent message throughout, showing the drugs were beneficial in the sickest patients regardless of age or sex or how long patients had been ill.

The findings, published in the Journal of the American Medical Association, reinforce results that were hailed as a major breakthrough and announced in June, when dexamethasone became the first drug shown to be able to reduce death rates among severely sick COVID-19 patients.

Dexamethasone has been in widespread use in intensive care wards treating COVID-19 patients in some countries since then.

Martin Landray, a professor of medicine and epidemiology at the University of Oxford who worked on the dexamethasone trial that was a key part of the pooled analysis published on Wednesday, said the results mean doctors in hospitals across the world can safely switch to using the drugs to save lives.

CLEAR BENEFITS

“These results are clear, and instantly usable in clinical practice,” he told reporters. “Among critically ill patients with COVID-19, low-dose corticosteroids … significantly reduce the risk of death.”

Researchers said the benefit was shown regardless of whether patients were on ventilation at the time they started treatment. They said the WHO would update its guidelines immediately to reflect the fresh results.

Until the June findings on dexamethasone, no effective treatment had been shown to reduce death rates in patients with COVID-19, the respiratory disease caused by the new coronavirus.

More than 25 million people have been infected with COVID-19 and 856,876​ have died, according to a Reuters tally.

Gilead Sciences Inc’s remdesivir was authorized by United States regulators in May for use in patients with severe COVID-19 after trial data showed the antiviral drug helped shorten hospital recovery time.

Anthony Gordon, an Imperial College London professor who also worked on the analysis, said its results were good news for patients who become critically ill with COVID-19, but would not be enough to end outbreaks or ease infection control measures.

“Impressive as these results are, this is not a cure. We now have something that will help, but it is not a cure, so it’s vital that we keep up all the prevention strategies.”

(Reporting by Kate Kelland; Editing by Mark Heinrich and Catherine Evans)