#Kazakhstan to resume international flights from mid-June

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NoneKazakhstan has reached agreements for reciprocal air travel with six countries

Kazakhstan will resume flights to six countries, including some holiday hot-spots, starting from mid-June, the country’s civil aviation committee has said, writes Aybek Nurjanov. 

Flights to Turkey, China, South Korea, Thailand, Georgia, and Japan will resume on June 20 in a safe manner, Kazakhstan Civil Aviation Committee said in a statement.

‘‘The number of flights on international routes will be operated based on existing intergovernmental agreements on air traffic and depend on the commercial loading of aircraft on each route,’’ reads the statement published on the committee’s website.

Tickets for these flights will go on sale in accordance with the schedule published on the websites of airlines. Further destinations will be unveiled as the epidemiological situation improves, according to the committee.

Kazakhstan’s Chief Sanitary Officer Ayzhan Yesmagambetova has responded to the recent changes making amendments to the existing order aimed at strengthening lockdown measures to prevent coronavirus infection among the population of Kazakhstan.

According to the new rules, restrictive measures will be applied for regular passengers arriving from abroad, depending on the country from which they arrived.

The first group includes China, South Korea, Japan, Georgia, and Thailand. Passengers from these countries are required to fill out a health questionnaire and will be taken temperature measurements. At the same time, passengers from Turkey are included in the second group as they will be presented with more stringent requirements due to the epidemiological situation in the country. Passengers from Turkey will have to present a certificate of having tested negative for coronavirus or they will be tested less than 48 hours after their arrival. Those who have tested positive for Covid-19 will be placed in special infectious disease hospitals.

The third group includes countries with which Kazakhstan has not yet reached agreements to resume reciprocal flights.

Those exempted from the new rules are foreign and Kazakh government delegations, members of international delegations arriving in Kazakhstan at the invitation of the foreign ministry, employees of diplomatic missions, consular offices and missions of international organizations accredited in Kazakhstan, as well as members of their families, and airline crews.

Meanwhile, the flight expansion comes two weeks after the government of Kazakhstan unveiled plans to resume flights to destinations including Seoul and Beijing from June.

Central Asia’s largest country sealed off its borders on March 16, in an effort to curb the spread of the novel coronavirus, while Kazakhstan air carrier Air Astana canceled all of its international flights starting from March 29. Domestic flights resumed on 25 May to all regions, in accordance with the government decision.

More than 15,100 people in Kazakhstan are confirmed to have contracted the COVID-19 virus, while 81 deaths have been recorded in the country, according to the latest figures reported by media.

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Pandemic ‘Silver Lining:’ Better Sleep for Some

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By Cara Roberts Munez
HealthDay Reporter

WEDNESDAY, June 17, 2020 (HealthDay News) — The COVID-19 pandemic may be stressing out most people, but it has had a surprising upside for college students: They’re sleeping better.

That’s the upshot of a new study that investigated sleep habits of 139 college students before and after Colorado enacted a stay-at-home order to prevent spread of the new coronavirus.

“In the end, a higher percentage of students were obtaining the recommended amount of sleep necessary for health and cognitive function and learning and performance,” said lead author Ken Wright, director of the Sleep and Chronobiology Laboratory at the University of Colorado Boulder.

The study started in January as a way to give students in his sleep physiology class insight into their own slumber habits. After Colorado put a stay-at-home order into effect March 26, Wright realized it offered a chance to study how suddenly changing schedules might affect a good night’s sleep.

Students first reported on their sleep habits in late January and early February, then again after stay-at-home orders began. By then, students were taking courses remotely, some from different time zones.

On average, students were sleeping about 30 minutes more each weeknight and 24 minutes on weekend nights than before the stay-at-home order went into effect, the study found.

That meant 92% were getting the seven hours of shut-eye recommended by the U.S. Centers for Disease Control and Prevention.

And students who had slept the least before the stay-at-home order improved the most — logging as much as two more hours of sleep each night, the study found. At the same time, their “social jetlag” decreased — that’s the groggy feeling you get after staying up late and sleeping later on weekends and then returning to an earlier schedule on Monday morning.

A majority of these students were already getting decent amounts of sleep, even before COVID-19 restrictions, Wright said.

“The fact that we were able to improve the sleep health of these college students suggests that other populations that have even higher proportions of people that don’t meet the recommended amount of sleep, we have an even greater opportunity there,” he said.

The one negative: Students were going to sleep later and waking later, which contributes to poor health.

Poor sleep habits can worsen several major health problems, include heart disease, obesity, diabetes, mood disorders and substance abuse, according to the study. And sleep is particularly important during the pandemic — lack of sleep weakens the immune system, putting people at risk of infection.

“We can go on and on into almost every major health condition,” Wright said. “When you’re not getting enough sleep, it’s altering your physiology in ways that are unhealthy.”

Dr. Shelley Hershner, director of the Collegiate Sleep Clinic at the University of Michigan in Ann Arbor, looked over the study findings and said they dovetailed with some of her own students’ behaviors.

She said the benefits might have occurred because remote classes allowed some students to take classes at flexible times, not early in the morning.

Sleep is a critical issue for college students and one of the biggest barriers to academic performance, Hershner said, adding that students have sleep stressors that other populations don’t, with workloads and schedules that vary a lot.

“One of the primary functions of sleep is learning and memory. It’s very vital in this age demographic,” Hershner said, adding depression and anxiety are prevalent among college students.

“Whatever we can do to improve sleep health is actually going to potentially impact the mental health of students,” she said.

Although the study did not consider how behaviors such as substance use, jobs or social lives affected students’ sleep, Wright said it’s clear anecdotally that the pandemic has changed commuting times and social lives of many people.

“There are probably a number of factors like that contributing to this,” he said.

Wright said another recent sleep study, of 18- to 65-year-olds in Europe, found similar results.

“The fact that we have consistency in different populations, different parts of the world, in very different lockdown situations suggest that these findings are representative of what’s happening in other populations,” he said.

The findings were published June 10 in the journal Current Biology.

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Sleep Disorders: Foods That Help Sleep or Keep You Awake
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SOURCES: Ken Wright, Ph.D., professor, integrative physiology, and director, Sleep and Chronobiology Laboratory, University of Colorado Boulder; Shelley Hershner, M.D., clinical associate professor, neurology, and director, Collegiate Sleep Clinic, University of Michigan, Ann Arbor; Current Biology, June 10, 2020



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New Blood Test May Improve Liver Cancer Screening

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TUESDAY, June 16, 2020 (HealthDay News) — An experimental blood test may improve screening for the most common form of liver cancer, researchers at the U.S. National Cancer Institute say.

The test checks people for previous exposure to certain viruses that may interact with the immune system and increase the risk of hepatocellular carcinoma (HCC), according to their new study.

“Together with existing screening tests, the new test could play an important role in screening people who are at risk for developing HCC. It could help doctors find and treat HCC early,” said study leader Xin Wei Wang, co-leader of the NCI Center for Cancer Research liver cancer program.

“The method is relatively simple and inexpensive, and it only requires a small blood sample,” he said in an institute news release.

Many screening tests detect features of cancer cells, but those features can change over time, and not all cancer cells in a tumor have the same characteristics, the authors noted. Rather than focus on cells, the new test detects features of the cancer‘s environment — signs left behind by past viruses.

Infection with hepatitis B or hepatitis C virus, or cirrhosis of the liver are among the factors that increase the risk of HCC. It’s recommended that people with risk factors get screened for HCC every six months, undergoing an ultrasound with or without a blood test for alpha-fetoprotein.

If HCC is caught early, there’s a much better chance that it can be cured. But most patients are diagnosed when the cancer is advanced and often incurable.

“We need a better way to identify people who have the highest risk for HCC and who should get screened more frequently,” Wang said.

Improving early detection and monitoring of HCC are particularly important because HCC rates are rising in the United States.

The researchers are continuing to study their blood test and plan to assess it in clinical trials.

The study was published June 10 in the journal Cell.

— Robert Preidt

MedicalNews
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Skin Cancer Symptoms, Types, Images
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SOURCE: U.S. National Cancer Institute, news release, June 10, 2020

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When the Fight Against COVID-19 Is at Home

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WEDNESDAY, June 17, 2020 (HealthDay News) — If a loved one is dealing with COVID-19 at home, there are several steps you can take to aid in their recovery.

First and foremost: Limit your direct exposure to them. Stay 6 feet away whenever you can.

“If possible, sleep in different rooms, use different bathrooms, and have your family member isolate him- or herself in certain rooms of the home,” said Dr. Turner Overton, an associate professor of medicine at the University of Alabama at Birmingham.

Wear a mask and wash your hands often with soap and water, he recommended. But don’t leave your loved one completely alone.

“Check on your loved one frequently to make sure he or she is doing OK,” Overton said in a university news release. “Make sure they are hydrating and eating.”

Check to be sure they are not developing symptoms that could suggest inadequate oxygen levels: blue lips, blue fingers or toes, persistent headache, slow thinking, shortness of breath at rest and inability to talk because of it, and high fever.

Remember: You could still have the disease even if you don’t have symptoms. But you don’t need to get tested if you are asymptomatic, Overton said.

The U.S. Centers for Disease Control and Prevention recommends you isolate for 14 days after a loved one is diagnosed with COVID-19 to prevent spread of the virus.

People with mild COVID-19 can take over-the-counter medicines to relieve symptoms, including acetaminophen or ibuprofen for headaches and fever.

“I recommend over-the-counter decongestants if sinus or nasal congestion is a major symptom and OTC cough suppressants, particularly at bedtime,” Overton said. “Antidiarrheal agents are recommended if diarrhea is a major component of the disease illness.”

— Steven Reinberg

MedicalNews
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SOURCE: University of Alabama at Birmingham, news release, June 15, 2020

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Telehealth May Help Rural Americans Keep the Weight Off

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By Serena Gordon
HealthDay Reporter

TUESDAY, June 16, 2020 (HealthDay News) — Although many people can lose weight, few maintain the loss. Could individual telephone support be the key to keeping extra pounds at bay?

New research suggests that telehealth counseling after weight loss may be just the support that people in rural areas need to maintain their weight loss long-term. At the 12-month point in the study, people who had individual telephone counseling had maintained an average of 100% of their weight loss.

Other studies have found that it is not uncommon for dieters to regain up to half the weight they lost within a year.

“We tend to think of problems like overweight and obesity as acute care problems — people think you treat it and it’s done. But for continued success, you have to work on it always, and it’s hard to do this on your own,” said the study’s senior author, Michael Perri. “You really do need support and someone who is on your side, but also someone who can challenge you.”

But distances can be a real barrier to care for people who live in rural areas, said Perri, dean of the University of Florida College of Public Health and Health Professions, in Gainesville.

The COVID-19 pandemic has helped remove that barrier through increased access to telehealth — care delivered remotely by telephone or internet.

So researchers designed their study using telehealth — either individually or by group — to see if consistent remote counseling made a difference in weight maintenance.

The study started with a face-to-face weight loss program including more than 500 adults from 14 counties in Florida. Their average weight loss was just over 18 pounds. The participants met at U.S. Department of Agriculture (USDA) cooperative extension offices.

“The USDA cooperative extension service has offices in almost every county in the U.S.: They were originally set up to help farmers, but their mission has expanded to health promotion,” Perri said.

He said folks in rural areas tend to be familiar with the cooperative extension office and value information it provides. For example, Perri said people at the office know the history of cooking in the area and can suggest healthier ways to prepare local favorites.

“Cooperative extension agents are from the community,” Perri noted.

During the study’s maintenance phase, 445 participants were randomly assigned to individual phone counseling, group phone counseling or email education. Over a year, they had 18 sessions or emails from the USDA agents. They were also asked to keep daily food logs.

People who had one-on-one phone counseling had the most success with maintaining their weight loss once support ended, regaining about 5 pounds over 18 months. Those who got group counseling regained just over 6 pounds, and the email group regained 9 pounds.

Perri said the counseling approaches probably helped through “supportive accountability.” People knew their counselor would continue to work with them and support them, and they also knew the counselor would be asking, “How did you do this week?”

That probably wasn’t as strong in the group counseling, he suggested.

“People in the group sessions were more reluctant to talk about not doing well than those in one-on-one sessions,” Perri said, and attendance wasn’t as high for the group sessions. But those who participated did well at maintaining their weight, he added.

The findings were published online June 15 in JAMA Network Open.

Lu Hu, an assistant professor in the Center for Healthful Behavior Change at NYU Langone Health in New York City, co-authored an editorial that accompanied the study.

“A major part of the success of the individual telephone counseling is that it holds them accountable and keeps them more engaged in obesity management behavior, including self-monitoring what you eat and your physical activity,” Hu said.

Hu expects that the shift to remote health care spurred by the COVID-19 pandemic will continue. And that’s helpful not only for rural folks: Transportation issues and taking time off work can be challenges for urban and suburban populations, too.

Using a smartphone to log your activity and what you eat might be easier for most people, Hu added.

“Self-monitoring really is an essential component of behavior change. If you track what you are taking in, it helps you evaluate your calorie goals. If you have a daily goal of 1,200 calories, and you’ve eaten 1,000 calories by lunch, you know that you need to make an adjustment at dinner,” Hu said.

Text messaging (for accountability and support) could also be part of a calorie-tracking program. Hu recommended downloading an app to help you remember nutrition facts and figure out what foods might be a problem for you.

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Weight loss occurs in the belly before anywhere else.
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SOURCES: Michael Perri, PhD, dean, University of Florida College of Public Health and Health Professions, Gainesville; Lu Hu, PhD, assistant professor, Center for Healthful Behavior Change, department of population health, NYU School of Medicine and NYU Langone Health, New York City; JAMA Network Open, June 15, 2020, online



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Children, Teens Half as Likely as Adults to Develop COVID-19

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WEDNESDAY, June 17, 2020 (HealthDay News) — Children and teens are about half as likely as those 20 and older to develop COVID-19, a new study says.

Researchers analyzed data from China, Japan, Italy, Singapore, Canada and South Korea and concluded that younger people appear less likely to develop COVID-19 after contact with an infected person and could have less severe illness, CNN reported.

They said that clinical symptoms of COVID-19 develop in about 21% of those ages 10-19, compared with about 69% of those 70 and older.

The study by researchers at the London School of Hygiene and Tropical Medicine in the U.K. was published in the journal Nature Medicine.

In the U.S., adults account for most of the known COVID-19 cases, according to the Centers for Disease Control and Prevention.


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Some U.S. Restaurants Closing Again Due to Coronavirus Resurgence

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WEDNESDAY, June 17, 2020 (HealthDay News) — A resurgence of the new coronavirus in certain states that began lifting pandemic restrictions has forced some restaurants that had reopened to again close their doors.

Public health experts had warned about such problems if social distancing rules were eased, CBS News reported.

After weeks of lockdown, Texas started easing restrictions May 1. But in and around Houston, at least a dozen restaurants recently shut down to sanitize their businesses and test employees after new cases of the coronavirus.

Similar situations have occurred in other states where social distancing measures were rolled back, including Florida and Arizona, CBS News reported.


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Hydroxychloroquine-Remdesivir Combo Dangerous for COVID-19 Patients: FDA

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TUESDAY, June 16, 2020 (HealthDay News) — The drugs promoted by President Donald Trump as treatments for COVID-19 should not be used with the experimental drug remdesivir because of a potentially unfavorable drug interaction, the U.S. Food and Drug Administration said.

The drugs, hydroxychloroquine and chloroquine, could reduce the antiviral effectiveness of remdesivir, the FDA warned Monday.

The FDA in May gave emergency authorization for use of remdesivir to treat hospitalized, severely ill COVID-19 patients.

Recent research suggested remdesivir on its own isn’t enough to curb the coronavirus, so scientists had been pinning their hopes on various drug combinations.

But in a revised fact sheet for health care providers, the FDA said a recently completed nonclinical laboratory study suggests that remdesivir shouldn’t be used with the malaria drugs chloroquine or hydroxychloroquine.

“Over the course of this unprecedented pandemic, the FDA has issued emergency use authorizations for a variety of medical products after evaluating the available scientific evidence and carefully balancing any known or potential risks against the benefits of making these products available during the current public health emergency,” said Dr. Patrizia Cavazzoni, acting director of the FDA’s Center for Drug Evaluation and Research.

“We understand that, as we learn more about these products, changes may be necessary based on new data, such as today’s updates for health care providers about a potential drug interaction and other important information about using remdesivir to treat COVID-19 patients,” Cavazzoni said in an agency news release.

The FDA said it’s not aware of any cases of reduced remdesivir activity among patients who received the antiviral drug along with chloroquine or hydroxychloroquine, but is continuing to evaluate all data associated with remdesivir.

The announcement comes on the heels of another blow to hydroxychloroquine and chloroquine. On Monday, the FDA pulled its emergency approval for hydroxychloroquine and chloroquine as COVID-19 treatments, noting the risks outweigh the benefits. The agency said the medications should be reserved for clinical trials.

Trump touted the drugs as treatments for COVID-19. Moreover, he said he took hydroxychloroquine preventively after two White House staffers tested positive for the virus, despite no evidence of the drug’s effectiveness against the illness.

The FDA’s revised fact sheet for remdesivir clarifies dosing and administration recommendations. It also provides additional safety data and other findings from clinical trials conducted by the U.S. National Institutes of Health and remdesivir maker Gilead Sciences, Inc.

The updated fact sheet for patients and caregivers provides additional information about possible allergic reactions, including liver damage; low blood pressure; abnormal heart rate; vomiting; wheezing, and respiratory distress. And it alerts patients to inform their health care providers if they’re taking chloroquine or hydroxychloroquine.

“As we have done throughout the pandemic, the FDA continues to evaluate all of the emergency use authorizations issued and their related materials and will continue to make changes as appropriate based on emerging science and data,” Cavazzoni said.

Preliminary clinical trial results have shown that patients treated with remdesivir tend to have a faster recovery time, according to the FDA.

However, a major study published May 22 in the New England Journal of Medicine found that remdesivir alone won’t be enough to curb cases and deaths significantly.

That study found that “given high mortality [of patients] despite the use of remdesivir, it is clear that treatment with an antiviral drug alone is not likely to be sufficient.”

— Robert Preidt

MedicalNews
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SOURCE: U.S. Food and Drug Administration, news release, June 15, 2020

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Coronavirus Fears in China Find a New Target: Salmon

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When a new coronavirus outbreak emerged last week in Beijing, residents were jolted by reports that traces of the virus had been found on a cutting board used for imported salmon, and the backlash was swift.

Within a few days, salmon was removed from major supermarket shelves in Beijing, reserves of the fish were dumped and bulk orders evaporated. Diners rushed to cancel reservations at Japanese restaurants in the capital, while salmon suppliers around the world scrambled to salvage the tarnished reputation of their prized product in the country. Chinese officials later said that imported salmon was not responsible for spreading the virus, but the damage had already been done.

“The unluckiest restaurateur of 2020,” said Alan Wong, owner of Hatsune, a chain of Japanese restaurants in Beijing and Shanghai. “That’s my title.”

“We were packed on Friday and now dead ever since,” he said. “Totally empty.”

In a country where fears of the virus remain strong and nationalism is on the rise, imported salmon has found itself an easy target.

Facing global criticism for its initial mishandling of the virus, Chinese authorities have for months waged a propaganda campaign to highlight their successes in taming the virus and deflect blame for the pandemic to outsiders. They have cast foreigners as public health risks, sowed doubt about the origins of the virus and even pushed an unfounded conspiracy theory that the United States military had deliberately brought the virus to China.

After the chairman of the wholesale market linked to the latest outbreak told a Beijing News reporter that the virus had been found on a cutting board used for salmon, panic ensued. On Saturday, Zeng Guang, a senior epidemiologist at the Chinese Center for Disease Control and Prevention, was quoted in the Global Times, a party-controlled nationalist newspaper, urging the public to temporarily stay away from raw salmon.

For years, China’s growing appetite for salmon, like American lobsters, oysters and cherries, had been celebrated as a sign of the country’s rising living standards and burgeoning middle class. Now, the luxury good, which is mostly imported from Norway and Chile, is being cast out.

For the many salmon suppliers and restaurateurs who were already struggling to claw their way back in the aftermath of the pandemic, the sudden boycott in China has dealt an unexpected blow.

Like many other restaurant owners in China, Mr. Wong of Hatsune was forced to close several of his fifteen restaurants after the epidemic exploded in the country in late January. The remaining restaurants were beginning to return to pre-pandemic levels of business earlier this month. Then reports began circulating last Friday about the contaminated cutting board, and the customers stopped coming.

Halfway around the world, the reports also delivered a seismic shock. Regin Jacobsen, chief executive of Bakkafrost, a salmon farming company based in the Faroe Islands, said that calls from China to cancel orders began coming in over the weekend and soon they “practically went from 100 percent down to zero.”

Over the last decade, Mr. Jacobsen said, the market for salmon in China had grown with the increase in Japanese restaurants and the expansion of a Chinese middle class interested in reaping salmon’s health benefits. Up to 20 percent of Bakkafrost’s fresh salmon exports, he said, went to China every year.

After seeing the mounting cancellations, Bakkafrost rushed to respond, putting out a statement emphasizing that there had been no new cases of the coronavirus in the Faroe Islands since April and that the company’s employees had been regularly tested for the coronavirus.

Anders Snellingen, manager of global operations for the Norwegian Seafood Council, an industry group, said that Norway’s seafood companies had also seen a rapid uptick in cancellations for salmon orders from China over the weekend and that several shipments of salmon had been destroyed or returned.

“We hope this can be resolved quickly,” said Mr. Snellingen. “In the very short term we see there might be logistical challenges to getting seafood in via Beijing.”

It is not the first time that Norwegian salmon has been made collateral damage in China. In 2010, the Nobel committee, which is based in Norway, awarded the Peace Prize to pro-democracy dissident Liu Xiaobo, angering the Chinese authorities. Beijing responded in part by slapping import controls on Norwegian salmon that were so strict that much of the fresh fish reportedly ended up rotting in Chinese warehouses. It took six years for Norway and China to normalize relations, and salmon sales began to recover.

Last year, Norwegian salmon accounted for 45 percent of the market in China, according to the Norwegian Seafood Council. The total value of the country’s salmon exports to China last year reached $167 million and was growing, Mr. Snellingen said.

The new outbreak, which has so far sickened more than 130 people in Beijing and forced the closure of workplaces, restaurants and hotels in high-risk areas of the city, comes at a delicate time for China’s leader Xi Jinping. Official data released this week showed that authorities are still struggling to rev up the country’s economy. Abroad, the ruling Communist Party faces a growing international backlash for its initial attempts to downplay the epidemic.

“Given all of the effort they put into protecting Beijing, the fact that they let the virus slip through their formidable capital defenses is a bit of a blow to the Communist Party,” said Drew Thompson, director for China in the Pentagon from 2011 to 2018 and now a research fellow at the Lee Kuan Yew School of Public Policy in Singapore.

“Blaming this on foreign forces that got through their screen is a palatable option for them,” he added, calling the backlash against salmon a form of “xenopescophobia, the fear of foreign fish.”

In Beijing, concerns have spread beyond salmon. One vendor at Jingshen market, which processes much of the city’s seafood, said in a telephone interview that he had seen sales of all seafood drop by 80 percent since Friday, though he was optimistic that demand would eventually rebound.

In the last few days, state media and health officials have started to walk back their earlier statements about salmon. At a news briefing on Tuesday, Shi Guoqing, an official from the Chinese Center for Disease Control said that there was no evidence to suggest that salmon could host the new coronavirus.

Officials, however, have not ruled out the possibility that the seafood products could have been contaminated during the packaging process.

  • Updated June 16, 2020

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      The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

    • What is pandemic paid leave?

      The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.

    • Does asymptomatic transmission of Covid-19 happen?

      So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.

    • What’s the risk of catching coronavirus from a surface?

      Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.

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      A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

    • How many people have lost their jobs due to coronavirus in the U.S.?

      The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

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      Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.

    • My state is reopening. Is it safe to go out?

      States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.

    • What are the symptoms of coronavirus?

      Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

    • How can I protect myself while flying?

      If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.


Norwegian officials said on Wednesday that together with Chinese authorities, they had concluded that salmon from Norway was not the source of the coronavirus found on cutting boards at the Beijing market.

“We can clear away uncertainty,” Odd Emil Ingebrigtsen, Norway’s fisheries and seafood minister, said during a video conference.

Despite the official reassurances, many Chinese diners were still hesitant. Alyssa Mai, 19, a college student from Guangzhou, said that while she knew the risk of getting the virus from eating salmon was low, she would not have it any time soon. “My relatives would be worried,” she said.

Some Chinese researchers and state media have zeroed in on a finding that the virus in the latest outbreak most closely resembles what they described as a “European strain.” They have cited it as the latest reason to question whether the virus originated from Wuhan. On Monday, the headline of a story in the Global Times read: “Source of Beijing cases renews speculation over Covid-19 origin.”

Other experts said that the speculation over the virus strain was misleading.

“It clearly emerged in Wuhan,” said Ben Cowling, a professor and head of the division of epidemiology and biostatistics at Hong Kong University’s School of Public Health. “In the media in China they are saying it’s a European strain but they haven’t clarified that it’s the virus that came from Wuhan and went to Europe and then came back again.”

As Beijing reverts to a partial lockdown, many restaurateurs like Li Kuan are finding it harder to be optimistic about the future. Mr. Li had been forced to suspend business at his 30-seat, high-end Japanese restaurant during the height of the epidemic but bookings quickly bounced back in May as restrictions were lifted.

But since Friday, the intimate, earth-toned restaurant in eastern Beijing has been nearly empty. Mr. Li said he was reluctant to close the restaurant because he didn’t want to give in to the misinformation. But, he was struggling to stay afloat — he had already sent half of his staff home and was sitting on a rapidly expiring stock of fresh tuna and salmon flown in from Japan.

“I’ve been a chef for so many years, I can’t just give up now,” Mr. Li said. “But right now the problem I’m thinking about is just: when is this going to end?”

Bella Huang contributed reporting from Hong Kong.

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‘Conscience of Nation Bruised’: Pranab Mukherjee Calls for Bipartisan Consensus on Ladakh Face-off

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File photo of former President Pranab Mukherjee. (PTI)

The former president underlined that the situation arising out of the tension in Ladakh is of grave concern for not only India’s national strategic interests but also have far-reaching global geopolitical ramifications.

  • PTI New Delhi
  • Last Updated: June 18, 2020, 12:23 AM IST

Former president Pranab Mukherjee said the death of Indian Army personnel in a violent face-off with the Chinese troops in east Ladakh’s Galwan Valley has bruised the conscience of the nation and all avenues must be explored to avoid its repetition.

This needs to be addressed satisfactorily by the entire political class through a bipartisan consensus, he said.

Twenty Indian Army personnel, including a colonel, were killed in a fierce clash with Chinese troops in the Galwan Valley in eastern Ladakh on Monday night, the biggest military confrontation in over five decades that has significantly escalated the already volatile border standoff in the region.

In a statement, Mukherjee said, “It is for the government of the day to ensure that nothing but our national interests are kept supreme.”

The former president underlined that the situation arising out of the tension at the Indo-Chinese line of control in Ladakh is of grave concern for not only India’s national strategic interests but also have far-reaching global geopolitical ramifications.

“While this situation has to be successfully diffused and contained, it also has to be ensured that all avenues are explored so as to avoid any repetition in the future,” he said.

“The conscience of the nation has been bruised and needs to be addressed satisfactorily by the entire political class through a bipartisan consensus — the onus of achieving which lies mostly on the Government of India, by taking various stakeholders, including the Armed forces on board,” Mukherjee said.

He expressed his deepest condolences on the supreme sacrifice made by the personnel of the Indian Army.

“It is my considered opinion that no service in the cause of Mother India can be greater than the service rendered by the brave hearts who guard our sovereignty and integrity, as indeed our freedom with their lives,” the former supreme commander of the armed forces said.


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