South Korea examines thousands of members of religious sects for coronavirus | World News

Thousands of members of a secret religious sect in South Korea They are being examined to detect the new coronavirus after more than 430 cases were confirmed in the country by officials, one of several new groups of the disease worldwide.

More than 78,000 people worldwide have been infected by the Covid-19 virus, and most cases on the continent China, although groups with unclear origins have emerged in Singapore, Iran and South Korea.

In Iran, a fifth death was confirmed on Saturday, which led Tedros Adhanom Ghebreyesus, head of the World Health Organization, to say he was especially concerned about the country. So far, 28 cases have been identified in four cities, but experts have speculated that many more infections are likely to remain undetected, and it is believed that cases that have appeared in Canada and Lebanon are linked to Iran. It is believed that infections in the country began in the city of Qom, but it is not clear how.

There is also uncertainty in Singapore, where eight of the 85 infections appear to have no links to previous cases, and in South Korea, where links to a controversial church are investigated.





Iranians with masks in Tehran



Iranians with masks in Tehran. Photography: Abedin Taherkenareh / EPA

On Saturday, Ghebreyesus expressed concern about the cases that have been identified in which a patient has not had contact with a confirmed infected person and has not traveled to China.

“Although the total number of Covid-19 cases outside of China remains relatively small, we are concerned about the number of cases without a clear epidemiological link,” he said.

Most people who get the disease experience mild symptoms, making transmission difficult. The mortality rate of the virus is approximately 2%, according to initial data from China.

Andrew Tatem, professor of geography and environmental sciences at the University of Southampton, said: “Before the recent news of apparent outbreaks in South Korea, Italy and Iran, it seemed that the relatively low number of cases outside of China and without any link to travel there pointed to the hope that the virus could be contained. This recent news, particularly regarding Iran, is especially worrying. “

In the South Korean city of Daegu, where most of the country’s cases are found. have been concentrated, officials are competing to detect the faithful who believe they may have been exposed to the virus in a service run by a controversial church. The 2.5 million people in the city have been advised to remain in their homes if possible, while officials send medical supplies and clinical staff. In Daegu and nearby areas, 354 cases have been recorded.

the World Health Organization recommends that people take simple precautions to reduce exposure and transmission of the Wuhan coronavirus, for which there is no specific cure or vaccine.

The UN agency advise people to:

  • Wash your hands frequently with an alcohol-based hand sanitizer or warm water and soap
  • Cover your mouth and nose with a flexed elbow or handkerchief when you sneeze or cough
  • Avoid close contact with anyone who has a fever or cough
  • Seek early medical help if you have a fever, cough and shortness of breath, and share your travel history with health care providers.
  • Avoid direct and unprotected contact with live animals and surfaces in contact with animals when visiting live markets in affected areas
  • Avoid eating raw or undercooked animal products and be careful when handling raw meat, milk or animal organs to avoid cross contamination with raw foods.

Despite the increase in sales of facial masks after the outbreak of the coronavirus outbreak, experts are divided on whether they can prevent transmission and infection. There is some evidence that suggests that masks can help prevent mouth-to-mouth transmissions, given the large number of times people touch their faces. The consensus seems to be that wearing a mask can limit, but not eliminate, risks, provided they are used correctly.

The Office of Foreign and Commonwealth Affairs has advised the citizens of the United Kingdom to leave China whenever possible. It is also a warning That travelers from Hong Kong, Japan, Macao, Malaysia, Republic of Korea, Singapore, Taiwan and Thailand who develop symptoms of cough or fever or shortness of breath within 14 days of returning to the UK should contact the NHS by phone .

Justin McCurry

Yoon-sook Lee, a restaurant owner in Yulha-dong, Daegu, said the city streets were deserted. “Those outside are half running as if they were in a hurry or persecuted,” he said, adding that people had been collecting water and instant noodles.

“I am beginning to feel panic because I am worried about my family. I have young children, so I am worried about them. I am also very concerned about how long this will last, as it will affect our family’s income,” he said. Its restaurant offers catering for events, but all orders have been canceled.

Around 230 cases in South Korea have been linked to the Daegu branch of the Shincheonji Jesus Church, while many cases in a mental health room at Cheongdo hospital may also be related to the sect. The exact source of these infections remains unclear. While health officials are trying to locate more than 1,000 people who had contact with a 61-year-old woman who attended church services, it is believed that the virus was present before she tested positive.





A South Korean health official sprays disinfectant in front of a hospital in Cheongdo County near Daegu.



A South Korean health official sprays disinfectant in front of a hospital in Cheongdo County near Daegu. Photography: Yonhap / AFP through Getty Images

The church said in a statement on its website that it had more than 120 students in China enrolled in its Bible course but had no physical building or meeting place.

“Church leaders have told us that this is proof of the devil because he is jealous of the expansion of our church and I think that is the case,” said one of the church members, who asked not to be identified but He said she had not attended the service linked to the outbreak. “I hope this situation strengthens our church. We are persecuted by other people as they are, so this situation is even more difficult for us. “

Many accuse the church of being a cult and its members often remain distant from strangers and do not reveal their beliefs to family and friends. His leadership has shared the names of the people who attended his services with the authorities, and about 1,000 are being assigned to a government worker to control any symptoms. However, the secret surrounding the sect means that such contact tracking work is even more challenging.

The faithful attend small local services twice a week, as well as larger meetings, such as the Daegu service linked to the current case group. These larger services can attract hundreds of people across the country, where the church has a total of 230,000 members. Attendees kneel together on the floor, sing and shake hands with those around them.

The church said it had closed all branches and centers and disinfected its facilities. The members sat on the floor in the services to allow as many people as possible to attend, he added.

Throughout the city, large meetings were banned and daycare centers were closed, while soldiers were forbidden to leave their barracks after several soldiers tested positive. A Samsung plant in Gumi, near Daegu, which employs hundreds of people also closed after a worker tested positive.

Italy has recorded two deaths related to the virus, which led officials to place dozens of cities in Lombardy and Veneto, in the north of the country, under an effective blockade. The numbers of confirmed cases in the country have increased to 52.

In China, where more than 2,300 people died in the outbreak, there were 397 additional cases on Friday.

Tedros said the biggest concern remained Covid-19’s potential to spread in countries with weaker health systems.

Associated Press contributed to this report.

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Heart disease: what you can do now to escape America’s number 1 killer

Cardiovascular disease was and still is our killer n. 1. It is a major source of our health care costs and causes disability and related economic losses. At its peak, in the 1960s, among people over the age of 35, 1 in 100 dies of heart disease every year – more than two thirds higher than today.
The reduction of cardiovascular diseases has prevented 10 million dead and represented, in a spectacular way, for three quarters of the increase in life expectancy in the United States until 2010. The drop in life expectancy in the United States touched the plateau until 2014, decreased by three consecutive years from 2015 to 2017, before rising again in 2018.
Why have heart disease declined so rapidly for half a century? Why has the stall diminished? And above all, what can we do to reduce it more? (Much more progress is clearly possible – the death rate from heart disease in the United States is almost 20% higher than in other high-income countries and 75% higher than in France.
The best estimate is that around half of the reduction in cardiovascular disease results from public health interventions that have reduced smoking, cholesterol and other risk factors, and the other half from improved medical care, in particular better treatment of hypertension and more effective treatment of people during and after a heart attack.
Why the decrease in heart disease deaths has slowed is less clear. Possible causes are increased obesity and lack of further progress decrease in blood pressure, cholesterol and sodium intake.

There is a bottom line – or, actually, three – one for each of us, our clinicians and the government.

What can you do

Over a third of American children who don't smoke are still exposed to it. Most are below the poverty line.
We all need to know and check our blood pressure – the lower the better, up to 120/80. For many of us – including me – that means medicine every day for the rest of our lives. People who have had a heart attack or stroke must take a statin. Others at risk recommended to do it, even if they are there different views of potential population benefit of drugs to lower cholesterol.

Nobody should smoke cigarettes or inhale other people’s smoke.

We have to walk more – up the stairs, out, to and from work or school, practically wherever we like to walk or can walk comfortably.

We need to find healthy foods that we like – vegetables, fruits, nuts, legumes, fish – and eat more. And we should consume less saltand when we use salt, use low sodium salt and low sodium soy sauce (except for people on a low potassium diet).

What your doctor can do

Healthcare professionals need to measure blood pressure in every adult, put all hypertensive patients into effective medications, and track patient progress through blood pressure control. They must advise all tobacco users to stop, help them do so with drugs and advice, and become strong supporters of tobacco control. And they should not simply advise, but prescribe a healthy diet and regular physical activity.

What governments can do

The U.S. surgeon general says doctors aren't encouraging enough smokers to quit
Governments need to incentivize primary care health systems to improve blood pressure and cholesterol control rates. Blood pressure control can save more lives than any other medical intervention among adults, but for more than $ 3 trillion a year, the American health system does it correctly only about half the time.

They also need to increase tobacco taxes (the best way to stop people from smoking); guarantee public spaces and workplaces without smoke; make the image of tobacco use consistent with reality – not fascinating, but disabling and disfiguring; help people quit; and implement other new anti-tobacco policies, including those against children’s use of e-cigarettes.

And governments must make healthy food readily available and accessible and ensure that only healthy food is served, sold or subsidized by the government or on government property.

These deaths can be avoided

These aren’t the only drivers of heart disease. fatigue, lead exposure, pollution, alcohol, depression, inadequate sleep, childhood trauma, obesity and others also contribute, although the relative importance of these factors and their interactions are not known definitively. But that shouldn’t stop us from taking action now on the main factors we can change to prevent heart attacks and strokes: quitting smoking, eating healthy and controlling high blood pressure.

Every year, cardiovascular disease kills over half a million Americans and disables millions more. The costs of health care for the treatment of heart disease and stroke are astronomical and the economic losses resulting from disability and premature death are even higher. Most of these deaths and costs can be avoided. All of us – our families, neighbors, friends, doctors and the government – will benefit if we take these simple steps for a longer and healthier life.

.

image source

Heart disease: what you can do now to escape America’s number 1 killer

Cardiovascular disease was and still is our killer n. 1. It is a major source of our health care costs and causes disability and related economic losses. At its peak, in the 1960s, among people over the age of 35, 1 in 100 dies of heart disease every year – more than two thirds higher than today.
The reduction of cardiovascular diseases has prevented 10 million dead and represented, in a spectacular way, for three quarters of the increase in life expectancy in the United States until 2010. The drop in life expectancy in the United States touched the plateau until 2014, decreased by three consecutive years from 2015 to 2017, before rising again in 2018.
Why have heart disease declined so rapidly for half a century? Why has the stall diminished? And above all, what can we do to reduce it more? (Much more progress is clearly possible – the death rate from heart disease in the United States is almost 20% higher than in other high-income countries and 75% higher than in France.
The best estimate is that around half of the reduction in cardiovascular disease results from public health interventions that have reduced smoking, cholesterol and other risk factors, and the other half from improved medical care, in particular better treatment of hypertension and more effective treatment of people during and after a heart attack.
Why the decrease in heart disease deaths has slowed is less clear. Possible causes are increased obesity and lack of further progress decrease in blood pressure, cholesterol and sodium intake.

There is a bottom line – or, actually, three – one for each of us, our clinicians and the government.

What can you do

Over a third of American children who don't smoke are still exposed to it. Most are below the poverty line.
We all need to know and check our blood pressure – the lower the better, up to 120/80. For many of us – including me – that means medicine every day for the rest of our lives. People who have had a heart attack or stroke must take a statin. Others at risk recommended to do it, even if they are there different views of potential population benefit of drugs to lower cholesterol.

Nobody should smoke cigarettes or inhale other people’s smoke.

We have to walk more – up the stairs, out, to and from work or school, practically wherever we like to walk or can walk comfortably.

We need to find healthy foods that we like – vegetables, fruits, nuts, legumes, fish – and eat more. And we should consume less saltand when we use salt, use low sodium salt and low sodium soy sauce (except for people on a low potassium diet).

What your doctor can do

Healthcare professionals need to measure blood pressure in every adult, put all hypertensive patients into effective medications, and track patient progress through blood pressure control. They must advise all tobacco users to stop, help them do so with drugs and advice, and become strong supporters of tobacco control. And they should not simply advise, but prescribe a healthy diet and regular physical activity.

What governments can do

The U.S. surgeon general says doctors aren't encouraging enough smokers to quit
Governments need to incentivize primary care health systems to improve blood pressure and cholesterol control rates. Blood pressure control can save more lives than any other medical intervention among adults, but for more than $ 3 trillion a year, the American health system does it correctly only about half the time.

They also need to increase tobacco taxes (the best way to stop people from smoking); guarantee public spaces and workplaces without smoke; make the image of tobacco use consistent with reality – not fascinating, but disabling and disfiguring; help people quit; and implement other new anti-tobacco policies, including those against children’s use of e-cigarettes.

And governments must make healthy food readily available and accessible and ensure that only healthy food is served, sold or subsidized by the government or on government property.

These deaths can be avoided

These aren’t the only drivers of heart disease. fatigue, lead exposure, pollution, alcohol, depression, inadequate sleep, childhood trauma, obesity and others also contribute, although the relative importance of these factors and their interactions are not known definitively. But that shouldn’t stop us from taking action now on the main factors we can change to prevent heart attacks and strokes: quitting smoking, eating healthy and controlling high blood pressure.

Every year, cardiovascular disease kills over half a million Americans and disables millions more. The costs of health care for the treatment of heart disease and stroke are astronomical and the economic losses resulting from disability and premature death are even higher. Most of these deaths and costs can be avoided. All of us – our families, neighbors, friends, doctors and the government – will benefit if we take these simple steps for a longer and healthier life.

.

image source

She learned to love eating – and herself – despite a life of fat shame

“When I was little, probably seven or eight, the doctor said to my mother,” She is fat, take her to Weight Watchers. “I ate Melba toast and ricotta,” said Harriet, who is now 50 years old.

School meals, she recalls, turned her into a mocking object among her elementary classmates.

“The kids laughed at me because I was going to get this ugly whole wheat bread with unsweetened peanut butter, carrot sticks, celery sticks and black olives, while everyone else would have fun with Wonder Bread and chips,” said Harriet.

“Then, when I visited my grandmother, I was fond of chips and candy,” he added. “So I grew up with a very unhealthy relationship with food.”

And all the ingredients of a childhood eating disorder that would have followed her throughout her life.

“Nobody wakes up one day and says, ‘Hey, I’m going to have an eating disorder.’ It’s a slow descent into hell, “says dietitian Evelyn Tribole, co-author of” Intuitive Eating “, an anti-diet plan that emphasizes the re-learning of the body’s stimuli for healthy eating.

It would have taken Harriet years to get rid of her childhood trauma and switch to intuitive food to cure her broken relationships with food. It is a struggle shared by hundreds of millions of adults around the world who also suffer from an eating disorder.

A global problem

In the United States, at least 30 million people suffer from eating disorders, according to the National Association of Anorexia Nervosa and Associated Disorders (ADVERTISING).
It is not just the obsessive Americans or members of other Western societies who suffer. A Study of 2019 found that eating disorders doubled globally between 2000 and 2018, from 3.5% for the 2000-2006 period to 7.8% for the 2013-2018 period.
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Considering that the planet contains about 8 billion people, that would be about 624 million people with unhealthy relationships with food, an increasing number of those in Asia and in the Middle East countries.

You don’t have to starve in anorexia or binge eating and purge to have an eating disorder. Anyone who spends a good part of the day “thinking about food, weight and body image” could be on the spectrum of eating disorders, says ANAD.

Too bad to be different

Born into a southern family with a Greek mother who mixed “good southern food with good Mediterranean Greek food”, Harriet’s family dinners always included salad, broccoli or Brussels sprouts, healthy vegetables such as turnip greens, chard, cabbage or spinach, brown rice and chicken or fish.

Despite healthy choices and dietary restrictions, Harriet’s body has continued to challenge society’s standards.

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In high school in Harriet, polycystic ovary syndrome, or PCOS, was diagnosed as a hormonal disorder that triggers the female body to produce too many male androgens.

Women with PCOS gain weight like a man, centered around the abdomen. Losing weight with the condition is extremely demanding; today, doctors often turn to various medications to block excess hormones.

It should have been a turning point in understanding his body, but doctors knew little about PCOS at the time, says Harriet, and were extremely unsympathetic to his struggles for weight loss.

His self-esteem continued to plummet.

“I was trying to hide in PE [physical education class] because I was fat and I was dirty, “he said.” I grew up with self-loathing, you know, and all the things that accompany that baggage you carry when you don’t look like what society thinks you should Look like. “

Shame is a painful reality for many people who are born into a body that is not meant to be thin, says registered dietitian Elyse Resch, who was a co-author of “Intuitive Eating” with Tribole.

Keep your kids moving to reduce the risk of depression, the study says

“So many people with heavier weight are embarrassed to go out on the street and walk because the stigma is really more toxic than their weight,” said Resch, a nutritional therapist who specializes in eating disorders.

“Many of my clients have not gone to a doctor for a long time because they are humiliated when the medical profession puts them on the scale and tells them to lose weight – as if they haven’t tried it already.”

In adulthood Harriet became even more obsessed with its size. He started jumping from one diet to another while training frantically. At one point she went from a size 24 to a size 16, but her hair fell into tufts and the weight always came back.

The turning point came when Harriet visited a doctor for routine physical work last year.

“She was a beautiful woman, very thin,” recalls Harriet. “And she starts screaming at me, literally screaming at me,” Don’t you care about yourself? You will die, you are so fat. “

“And I remember calling my husband and bursting into tears and feeling like just the biggest piece of shit.”

A change in the way of thinking

“Harriet came to me with a totally negative relationship with food,” said Atlanta registered dietitian Rahaf Al Bochi. “If he ate something he would automatically feel very guilty about it. Food was a complete stressor in his life.”

Intuitive eating: the anti-diet, or the pleasure of food is the answer, say its creators
Al Bochi is part of an increasing number of nutritionists who promote the concept of intuitive eating “without dieting”, which emphasizes a positive relationship with food.

“People feel like they have no idea what to eat anymore,” said Al Bochi. “They listened to all these different food rules – don’t eat carbohydrates, don’t eat after seven, eat it to increase metabolism – and intuitive eating helps you unlearn that unhealthy relationship with food and bring back the fun of eating.”

The concept is “Eat intuitively“the book, developed by Tribole and Resch in 1995 and now in its fourth printing, is composed of ten principles that emphasize the refusal of a dietary mentality

“Intuitive consumption is not a diet or a food plan. Period,” Tribole stressed, adding that the plan is supported by over 120 studies that demonstrate success with overcoming a disordered diet.

“If there is a focus on weight loss, this sabotages the intuitive food process,” explained Resch. “If they constantly think,” I need to lose weight. I shouldn’t be eating this piece of pizza, “they will go into the same cycle of feeling bad if they eat it:” I’m broken so I’ll continue to eat it. ‘”

Search for & # 39; perfect & # 39; meditation to fight perfectionism
Instead, the ten principles focus on self-care; teach how to learn the cues of hunger, satisfaction and fullness; respect the body and emotions; adding movement; and make peace with food.

“Fight the diet culture. Let go of this culturally subtle ideal, this belief that you are just your body and that you are judged,” said Resch. “We are much more than our bodies. Let go of everything and tune in to yourself. Enjoy the food.”

Give permission to the body

In intuitive eating, no food is prohibited. You can eat brownies or fries or have a drink. In fact, you may be encouraged to consume as much as you want of that guilty pleasure until you no longer desire it. The idea is to “make peace with forbidden delicacies” by eating so much that it becomes just another food.

“When your body feels that it has full permission to eat it when it wants, you will begin to crave other types of foods, including healthier foods. For many people this is like a light bulb moment,” said Al Bochi.

For Harriet, the approach changed lives.

Being happier will help you live longer, so learn to be happier

“I no longer feel tied to food with a ball in the foot,” he said. “Because I wasn’t listening when I was hungry, I was eating too much because I couldn’t understand when I was full.”

Working with a trained dietician he helped Harriet re-learn the signs of her body, such as not waiting too long to eat and then be hungry.

“One of the things I teach my clients is to see hunger and fullness on a scale of one to ten,” said Al Bochi. “Ideally you want to eat when you’re four or six, it’s when you’re hungry.”

Now, says Harriet, bring snacks to eat when hunger strikes. That way, when he goes to lunch, “I can eat a normal lunch because I’m not stupidly hungry.”

“If I want a piece of cake, I have a piece of cake,” he says. “I don’t have a big piece. I have a small slice. Most of the time I only need half of it because I know I can have it.”

Harriet also learned to listen to feelings of fullness, which she had never been able to do.

“I no longer feel the need to clean my plate, but I have also prepared myself for success,” said Harriet. “I don’t fill my plate. I put some, I eat it, I wait a little and if I am happy and satisfied, I leave. If I am not, I have a little more.”

More than a year has passed and Harriet has not yet reached a ladder. Her clothes are now a little wider, note, but that’s not the point anymore. Instead, she is satisfied with the variety of foods her body craves and feels satisfied – both physically and emotionally.

“I know I’m heavy. I will never look like Chrissy Teigen. I will never look like Nicole Kidman. I will never be that thin woman, but it’s okay because I will be healthy,” she said.

But Harriet is annoyed by a culture that can make a five-year-old girl hate it.

“I think about all the time I wasted worrying about how I look because of my weight when I should have worried about other things that were more important,” said Harriet. “And I’m angry. I’m angry that our society promotes this unrealistic ideal.

“Now I know that food is not my enemy. Food is an instrument. Diet is not useful. You must embrace who you are and understand that your body is your body, and there will never be an ideal like none of us will never reach, “he continued. “We are what we are, we are the way we were made, and it is life”.

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China has changed the way coronavirus cases count again. Here because

On Thursday, China announced only 394 new confirmed cases, the lowest number of daily infections reported in weeks. But on Friday, the confirmed number of cases in mainland China rose to 889, according to the country’s National Health Commission.

This fluctuation may be partially due to a change this week in what is considered a “confirmed case” in the province of Hubei, the epicenter of the global epidemic.

Here’s what we know.

Last week, Hubei province announced that it would do so count “clinically diagnosed” cases in its numbers. These were patients who demonstrated all the symptoms of Covid-19, but either they had not been able to get tested or were believed to have been falsely tested negative.
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Hubei doctors could use CT scans to confirm such coronavirus infections without a test.

That decision saw confirmed cases soar in Hubei province, with more than 15,152 new infections announced in mainland China only on February 12th.

Officials said the move to include clinically diagnosed patients was intended to help clear a backlog of suspect cases in Hubei.

But Thursday government guidelines changed and “clinically confirmed” were excluded from counting confirmed cases.

Now patients must have a positive laboratory test result to be counted. Other cases will be listed as “suspects”.

The World Health Organization (WHO) reacted to the change in their report on Friday’s situation, noting: “Some previously reported” clinically diagnosed “cases should therefore be discarded in the next few days as laboratory tests are conducted and some were found to be Covid -19-negative “.

In addition to the confusion, Hubei’s health authorities announced another new development on Friday.

Tu Yuanchao, deputy director of the Hubei health committee, said in a press conference that the provincial government has banned the practice of reducing the number of confirmed cases.

You said that all cases that were confirmed but then retroactively rejected as they no longer met the reporting obligations would be added to the total count.

“These adjustments in numbers attracted enormous public attention, caused some doubts about the data. As a result, Ying Yong, secretary of the provincial party committee, attached great importance to this problem. He explicitly ordered that no subtractions are already allowed – confirmed cases and all subtractions can be added, “said Tu.

Why did China do this?

China cited improving the testing capacity of the new coronavirus as the reason for changing the way confirmed cases are counted in Hubei province, officials said Thursday.

Wang Guiqiang, director of the Chinese Medical Association’s Society of Infectious Diseases, said: “In order to resolve the conflict between diagnosis and treatment, in Hubei, this clinical diagnosis was introduced to allow for timely treatment of possible patients and to reduce the rate. of mortality.

“But now that the situation in Hubei has changed. The nucleic acid test capability has been significantly improved. And now all suspected or unconfirmed cases can be tested quickly for nucleic acids. The nucleic acid test is not plus a problem. “

Nucleic acids – like DNA – are the main molecules that carry information on the cell. Nucleic acid tests analyze swabs taken from a patient’s saliva or mucus and look for the genetic materials of the virus.

However, scientists have reported problems with the nucleic acid test that produces false negatives, which means that infected patients may not be detected.

There they are also relationships in some parts of China the shortage of test kits and inaccurate results is leading to long delays in diagnosing and treating coronavirus patients.

What the experts say

WHO previously expressed support for the way China is counting coronavirus infections and said Thursday it was encouraged by the drop in reported cases.

Some experts, however – including a former American commissioner of the Food and Drug Administration – expressed skepticism about taking China’s figures at face value, given the government’s past in suppressing information about this and previous epidemics.

But David Fisman, a professor of epidemiology at the University of Toronto, said that the way officials define cases of a virus often evolves as their understanding of the disease develops.

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“The definition of a case could be changed for a number of dire reasons to create the illusion that the epidemic is improving. In this case, China has done exactly the opposite,” he said. “They expanded the definition of their case when needed, so as not to lose cases, and now that things are under control, they are narrowing it down again to make it coherent and easier to keep track of what’s really going on.”

But Eric Feigl-Ding, epidemiologist and scientist visiting Harvard T.H. Chan School of Public Health said that changing tracks twice in a week is “very unusual”.

“It is very confusing to see the true trends and to clarify them,” continued Feigl-Ding. “The cases have really decreased or is it because you haven’t reported it in the last few days?”

Experts also questioned China’s reliability based solely on laboratory tests.

“There is evidence that people do not prove positive until long after the disease has progressed,” said Feigl-Ding.

Asymptomatic cases not counted in China

China’s decision not to count patients who tested positive in the lab but showed no symptoms also raised eyebrows.

This differs from reporting practices from countries around the world, said Feigl-Ding.

For example, 11 Americans who returned to the United States from Japan last week tested positive for the virus but showed no symptoms. Those asymptomatic patients are considered confirmed cases in the United States, but if they were in China they would not be.

“It is extremely frustrating,” said Feigl-Ding, who said that trying to count the number of global cases with such a discrepancy “becomes an apple and orange situation.”

He urged China to report how many positive asymptomatic patients in the laboratory has, since failing to prevent “for international comparisons”.

The US Centers for Diseases and Control have said so asymptomatic patients can still be contagious and spread the virus.

Is the epidemic under control?

During a press conference on Thursday, WHO Director-General Tedros Adhanom Ghebreyesus said that although data from China shows a decline in new infections, it is not the time to be complacent.

Experts have warned that there may be a new increase in cases once China returns to work properly – hundreds of millions of people across the country have been in a state of lockdown for weeks now.

Smaller outbreaks continue to spread elsewhere, including on the Diamond Princess cruise ship in Japan, where two deaths were confirmed Thursday, the first of hundreds of cases on the ship, which began disembarking passengers after a 14-day quarantine this week . 78 cases were confirmed with no connection to the ship, raising concerns about a self-sufficient outbreak in the country.

South Korea reported another 52 additional cases overnight, bringing the total to 156 on Friday.

In Singapore, the infection rate continues to rise, with 85 confirmed cases. Similarly, in Hong Kong, there are 68 confirmed cases and two deaths.

Steven Jiang, Shanshan Wang, Claudia Otto, Frederik Pleitgen and Jacqueline Howard of CNN contributed to this report.

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Pete Pete Buttigieg hits Bernie Sanders by name on health care in the new South Carolina TV commercial

The ad, which will be released for a week ahead of the South Carolina primary at the end of this month, is the first time Buttigieg has put money behind a television commercial that directly attacks Sanders. He introduces a narrator who claims that Sanders’ plan would “eliminate private insurance” and launches independent Vermont as a polarizing figure.

A campaign aide Buttigieg declined to reveal how much the campaign was spending to spread the ad, saying only that it will publish the ad across the state.

“In healthcare, there is a choice,” says the narrator, before an image of Sanders appears on the screen and the narrator goes through Buttigieg’s litany of complaints about Medicare for All.

“Bernie Sanders’ Medicare for All would completely eliminate private insurance, forcing 150 million Americans to give up on their current plans, including 20 million seniors on Medicare Advantage,” says the narrator. “Pete Buttigieg has a better way to cut costs and cover everyone.”

As narrators read the script, bold text indicates every point on the screen.

Healthcare, a topic that emerges in almost all candidates for the host city hall, is widely regarded as the most important issue in the minds of voters participating in the presidential election.

The main distinction on the matter is between the Medicare plan for all supported by Sanders, a radical proposal that should revise the health system in the country and create a single-paid government plan and the Medicare supported by Buttigieg for anyone who wants it plan, a a more moderate approach that would not force people to cover government health coverage but would offer a public option for people who choose to enroll.

Bernie Sanders and Medicare for All are at a crossroads with unions in Nevada

Politics has become one of the central distinctions between Sanders, who is widely seen as the Democratic leader, and Buttigieg, who has performed strongly in Iowa and New Hampshire, but now has to prove he can win in several states like Nevada. , where voters will make the caucus on Saturday.

The former mayor of South Bend, Indiana, used Medicare for everyone as a way of attacking Sanders as too divisive, a point the narrator points out at the end of the announcement.

“Instead of polarization,” says the narrator, “Progress”.

Sanders reacted by accusing Buttigieg of opposing Medicare for All because of the donations he received from the pharmaceutical industry.

“Last year, the healthcare industry made profits of $ 100 billion. The pharmaceutical industry, the top six companies, $ 69 billion in profits. And those CEOs are contributing to Pete’s campaign and other campaigns here.” Sanders said to this week’s debate here in Las Vegas. “The time has finally come for us to say as a nation, enough is enough; the function of a rational health system is not to make the pharmaceutical industry and pharmaceutical companies rich.”
Buttigieg started hitting Sanders by name in health care advertisements in October, when he began to publish a digital advertisement that recalled both the Senator from Vermont and Massachusetts Senator Elizabeth Warren.

But Buttigieg’s decision to put the ad on television is an escalation.

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