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Omicron Variant and Covid-19: Case Updates and Global Response - The New York Times

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A laboratory at the Center for the AIDS Program of Research in Durban, South Africa.
Joao Silva/The New York Times

In the rush to understand the threat posed by the Omicron variant, the worrisome new version of the coronavirus, some experts are pointing hopefully to early signs that it may cause only mild illness, without some of the trademark symptoms of Covid.

But it is far too early to assume that the variant will not cause severe illness, too, warned Dr. Richard Lessells, who coordinates clinical and epidemiological data for the South African Covid Variant Research Consortium.

Many of the early infections in South Africa were spotted among younger people more likely to experience mild illness, he said. The picture may change as the virus spreads through the larger population.

At the moment, the variant has been spotted in at least a dozen countries, including Britain and the Netherlands. Many others are closely monitoring cases. Omicron has not yet surfaced in the United States, according to the Centers for Disease Control and Prevention.

Omicron has dozens of new mutations, including many that may enable the virus to be more contagious and to sidestep immune defenses. But Dr. Angelique Coetzee, who chairs the South African Medical Association, noted on Saturday that the nation’s hospitals were not overrun by patients infected with the new variant, and that most were not fully immunized.

Moreover, most patients she had seen did not lose their sense of taste and smell, and had only a slight cough, she told reporters.

But that may not be as reassuring as it sounds. Most of South Africa’s cases were initially found in the Gauteng province, mostly among younger people at universities and higher education institutions, said Dr. Lessells, who is also an infectious disease physician at the University of KwaZulu-Natal.

“We would of course expect the vast majority of those to be mild cases anyway, regardless of vaccination status,” he said.

In addition, cases overall have also been rising only in the last two weeks, Dr. Lessells noted: “There’s even barely enough time for infections to have had time to progress to severe disease and hospitalization.”

Should Omicron cause severe illness, that will become apparent if there is a significant rise in hospitalizations over the next week or two, he added.

Scientists have not yet analyzed infections in fully immunized people, but they are already seeing some cases of reinfection that suggest the variant can overcome natural immunity, Dr. Lessells said.

He and his colleagues plan to review the latest data on Monday to spot trends and to plan for Omicron’s spread.

Kim Ludbrook/EPA, via Shutterstock

Dutch health officials said on Sunday that they had found cases of the Omicron coronavirus variant among passengers who had arrived from South Africa on Friday, a clear sign that the virus was crossing borders.

Additional cases could emerge, as health officials were still examining test samples, said Hugo de Jonge, the country’s health minister. The 61 people who tested positive, 13 with the new variant, were isolating. The passengers were among more than 500 who arrived on two separate flights.

A growing list of countries is scrambling to respond to the new, highly mutated version of the virus, which was first detected in Botswana and South Africa and which has sent ripples of panic through governments and markets. Health officials in Australia and Denmark on Sunday both confirmed cases of the variant in travelers recently arriving from southern Africa. Morocco said Sunday it would ban all incoming flights for at least two weeks, including Moroccan nationals.

And British health officials said Sunday a third case had been detected in an individual who had spent time in central London. They said the case was linked to travel to southern Africa.

In South Africa, President Cyril Ramaphosa said in a televised address on Sunday that the country was bracing for a fourth wave of infections ahead of the holiday season.

He also said his cabinet was considering making vaccines mandatory for specific locations and activities. A team will investigate “a fair and sustainable approach.”

Nationally, new infections of the virus overall have more than tripled in a week, he said. South Africa recorded a total of 2,858 new virus infections in the last 24 hours, 80 percent of them in Gauteng, the nation’s wealthiest province and home to Johannesburg, the nation’s most densely populated city.

Mr. Ramaphosa did not detail what share of new cases might be of the Omicron variant, but said that the variant appeared to be responsible for driving new cases in Gauteng.

The variant “is now showing up in all other provinces in our country,” Mr. Ramaphosa said.

The W.H.O. warned on Friday that Omicron was a “variant of concern,” the most serious category the agency uses for such tracking, and said that its numerous genetic mutations could help it spread more quickly, even among vaccinated people.

In an update on Sunday, the W.H.O. said that Omicron may pose an increased risk of reinfection, but it was not yet clear if it causes more severe disease or transmits more easily than other variants. The agency said that studies are underway.

Scientists cautioned that relatively little is known about the variant, and that only a small number of confirmed cases have surfaced globally. They have also said that existing vaccines were likely to protect against it. Still, there are worries that Omicron could have spread more widely before scientists in South Africa discovered it last week.

Some experts said that the rush to reintroduce travel bans and border closures was premature and would unfairly punish African countries that have already suffered from delayed and insufficient vaccine supplies caused in large part by wealthier countries hoarding doses.

In a sign of how seriously the authorities in Europe, which is already battling a surge of coronavirus cases, are taking the new threat, officials in France on Friday also suspended arrivals from seven southern African countries even though the new variant had not yet been detected in France.

“It’s probably a question of hours, let’s be honest,” Olivier VĂ©ran, the health minister, told reporters on Sunday at a vaccination center in Paris. But he added that “new variant doesn’t necessarily mean new wave, or that the variant is more dangerous.”

“To be safe, we are acting as though this variant is potentially dangerous,” he said.

The latest bans and cases from around the world:

  • The European Union is restricting travel to and from seven countries in southern Africa — Botswana, Eswatini, Lesotho, Mozambique, Namibia, South Africa and Zimbabwe.

  • The United States and South Korea have targeted those countries and Malawi.

  • Britain has restricted travel with those eight nations and Angola and Zambia.

  • Israel announced it was sealing its borders to all foreigners for 14 days after one case was confirmed.

  • Australia placed two people in quarantine after they tested positive for the variant on arrival on a Qatar Airways flight on Saturday from Doha.

  • The government in Ontario confirmed two cases in Ottawa on Sunday.

  • Two travelers from South Africa are in isolation after testing positive, Denmark officials said in a statement.

Carl Zimmer, Stephen Castle and Aida Alami contributed reporting.

Amir Cohen/Reuters

JERUSALEM — Israel over the weekend became the first country to seal its borders to all foreign travelers in response to the Omicron variant of the coronavirus, taking a step that appeared more severe but less discriminatory than other countries’ travel bans.

Only four weeks ago, Israel fully re-opened its skies to vaccinated tourists after it had barred foreign visitors early in the pandemic. But by midnight between Sunday and Monday, its borders are expected to again be closed to foreigners.

The rapid reversal came after a late-night meeting on Saturday of Israel’s coronavirus cabinet and constituted a broader ban than those imposed by most countries so far. The United States, Britain, Canada, the European Union and other nations have all announced bans on travelers from southern Africa, where the variant was first detected.

Those bans have triggered a wave of resentment among Africans who believed that the continent was yet again bearing the brunt of panicked policies from Western countries, which had failed to deliver vaccines and the resources needed to administer them.

Hours after Israel announced its blanket ban, Morocco said on Sunday it would deny entry to all travelers, even Moroccan citizens, for two weeks beginning Monday. The country is banning all incoming and outgoing flights over the two-week period.

In Israel, all foreign nationals will be banned from entering for at least 14 days, except for urgent humanitarian cases to be approved by a special exceptions committee. Returning vaccinated Israelis will be tested upon landing and will have to self-quarantine for three days, pending results of another P.C.R. test. Unvaccinated Israelis will have to self-quarantine for seven days.

Israelis returning from countries classified as “red,” with high risk of infection, including most African countries, will have to enter a quarantine hotel until they receive a negative result from the airport test, then transfer to home quarantine (until they get a 7-day PCR test result).

Ran Balicer, the chairman of an expert panel that advises the Israeli government on Covid-19 response, said the decision was temporary and was taken out of prudence because most nations likely are not yet capable of detecting the variant yet.

Israel has identified at least one confirmed case of Omicron so far — a woman who arrived from Malawi — and testing has provided indications of several more likely cases in the country.

On Sunday, the Israeli Ministry of Health called for all passengers who rode a bus from Tel Aviv to the southern Red Sea resort city of Eilat on Nov. 22 to get a P.C.R. test and self-isolate, after it was revealed that the woman from Malawi was on that bus.

Israel only recently emerged from a fourth wave of the virus that saw one of the world’s highest rates of daily infections from the Delta strain. Officials attributed the containment of that outbreak to a rapid rollout of booster shots that began in August, after Israeli scientists detected waning immunity in people five or six months after they had received their second Pfizer shot.

In an effort to get ahead of the next crisis, the Israeli government held a drill code-named “Omega” this month to test nationwide preparations for the outbreak of a new, lethal Covid variant.

At least 80 percent of people living in Israel over the age of 16 have been vaccinated, but the numbers are lower in younger age groups.

Israel’s Covid policy now revolves around trying to keep the economy fully open and avoid internal lockdowns, while strictly controlling the borders.

But the reimposed entry restrictions have abruptly upended holiday plans for tourists from abroad. Esther Block, from London, has been waiting for the good part of two years to visit lifelong friends in Israel, one of whom is now 87. “We were due to come when Israel first locked down,” said Ms. Block, 57, “and we have been postponing ever since.”

Ms. Block is double vaccinated, was scheduled to get a booster shot next week and also recovered from Covid about four weeks ago. Her teenage son planned to get a second shot next week, so the family had started planning a trip to Israel over the December holidays.

“Now I don’t know when I’ll be able to come,” Ms. Block said. “I feel pretty gutted. But I actually think we should all be doing what Israel is doing,” she added. “It seems sensible to be cautious, in spite of it being incredibly frustrating.”

Aida Alami contributed reporting from Morocco.

Sarahbeth Maney/The New York Times

Top federal health officials in the United States urged unvaccinated Americans on Sunday to get their shots and for eligible adults to seek out boosters, amid the discovery of a new variant.

Appearing on several morning talk shows on Sunday, Dr. Francis Collins, director of the National Institutes of Health, cautioned Americans that the emergence of Omicron and the uncertainty that surrounds it is a reminder that pandemic is far from over. While the variant has yet to be detected in the United States, maintaining vigilance and safeguarding public health through inoculations, masking indoors and distancing, remains critical, he said.

“I know, America, you’re really tired about hearing those things, but the virus is not tired of us,” Dr. Collins said. “And it’s shape-shifting itself.”

Currently, much remains unknown about the Omicron variant, which has a concerning number of mutations not seen before. It is unclear whether it causes severe illness or is more transmissible than previous variants. There are also questions around whether Omicron limits vaccine’s effectiveness.

Still, Dr. Collins stressed that inoculation remain the first line of defense, saying that there are “good reasons” to believe, based on previous variants, that current vaccines will provide sufficient protection.

“Please, Americans, if you’re one of those folks who’s sort of waiting to see, this would be a great time to sign up, get your booster,” Dr. Collins said on Fox. “Or if you haven’t been vaccinated already, get started.”

He also underlined other critical mitigation efforts, including indoor masking when around unvaccinated individuals and maintaining social distance, in slowing the spread.

Dr. Anthony S. Fauci, the nation’s top infectious disease expert, delivered a similar message, sending a “clarion call” for vaccinations and boosters. It is inevitable that the variant, which has already been detected in several countries, will surface in the United States, Dr. Fauci said.

“The question is, will we be prepared for it?” Dr. Fauci said on ABC’s “This Week” on Sunday morning. “And the preparation that we have ongoing for what we’re doing now with the Delta variant just needs to be revved up.”

The discovery of the Omicron variant stoked widespread fear and alarm, and governments around the world announced border closures to travelers from South Africa and several neighboring countries.

President Biden, upon returning to Washington on Sunday from spending the Thanksgiving holiday in Nantucket, Mass., was asked if he was considering imposing new travel restrictions and replied, “I’ll have more to say.”

Ahmad Gharabli/Agence France-Presse — Getty Images

The discovery the Omicron variant comes at a delicate moment for an airline industry that was just starting to see a rebound.

The question is whether the new coronavirus variant will deter travelers, as the Delta variant did this summer.

Several nations, including the United States, have banned visitors from South Africa and a handful of neighboring countries. Morocco has banned all incoming flights for two weeks, the Philippines has banned visitors from southern Africa and several European countries, and Israel has closed its borders to all foreign visitors for 14 days.

The international travel recovery has been slower than it has been in the United States. President Biden’s decision to ease longstanding restrictions on foreign travelers this month promised to stimulate that rebound. It isn’t yet clear how or whether the Omicron variant will affect travel demand, but if travel bans proliferate and concerns over the variant continue to spread, hopes for an accelerated international rebound could be dashed once again.

Only two U.S. carriers, Delta Air Lines and United Airlines, fly out of southern Africa. Both have said that they are not yet planning to adjust their schedules in response to the administration's ban, which takes effect on Monday and does not apply to American citizens or lawful permanent residents. Delta operates three weekly flights between Atlanta and Johannesburg. United operates five flights a week between Newark and Johannesburg, and it has not changed its plans to restart flights between Newark and Cape Town on Wednesday. None of the countries that have announced the new travel restrictions are major sources of business for U.S. carriers.

No major American airline has announced any substantive changes to procedures because of the variant. And all passengers flying into the United States must provide proof of a negative coronavirus test, with noncitizens also required to be fully vaccinated.

Within the United States, air travel has nearly recovered, even with many businesses still wary of sending employees on work trips. The number of people screened at airport security checkpoints over the past week was down only 10 percent from the same week in 2019, according to the Transportation Security Administration. And the industry successfully weathered the crush of travelers, avoiding the disruptions that at some airlines lasted for days in recent months.

Siphiwe Sibeko/Reuters

On the face of it, the emergence of the Omicron variant is the unhappy fulfillment of expert predictions that the failure to prioritize vaccinations for African countries would allow the coronavirus to continue to circulate and mutate there, imperiling the world’s ability to move beyond the pandemic.

As Western nations kept most of the global vaccine supply for themselves, African countries were denied access to doses or could not afford them. Around 10 percent of people in Africa have received one dose of a vaccine, compared with 64 percent in North America and 62 percent in Europe.

But the problem is changing shape. In recent weeks, vaccines have started to flow into Africa, and the new challenge is how to rapidly scale up vaccinations — as South Africa demonstrates.

“We haven’t completely overcome the problem of vaccine supply to lower-income countries,” said Shabir Madhi, a virologist at the University of the Witwatersrand in Johannesburg. “But where they are available, countries are struggling to scale up.”

Scientists in South Africa, which has the most sophisticated genomic sequencing facilities on the continent, were the first to announce the detection of the new variant, after it was found in four people in Botswana.

South Africa has a better vaccination rate than most countries on the continent: Just under one-quarter of the population has been fully vaccinated, and the government said it has over five months’ worth of doses in its stores. But they are not being administered fast enough.

Vaccinations in South Africa are running at about half the target rate, officials said last week. To prevent vaccines from expiring, the government has even deferred some deliveries scheduled for early next year.

In a briefing on Sunday to announce the country’s response to the new variant, President Cyril Ramaphosa said his cabinet was considering making vaccines mandatory for specific locations and activities. Before enforcing the new rules, though, a task team will investigate “a fair and sustainable approach.”

In a country where vaccines are free, this was a more desirable approach than imposing additional lockdown restrictions as he said that new virus infections in general more than tripled in a week. Masks remain mandatory in public, and a curfew is in place from midnight to 4 a.m.

“We know enough about the variant to know what we need to do to reduce transmission and to protect ourselves against severe disease and death,” said Mr. Ramaphosa. “The first, the most powerful, tool we have is vaccination.”

But the problem is not just a product of the misinformation-driven hesitancy that has plagued vaccination efforts in the West. In fact, some studies suggest it’s a small part of the problem in South Africa.

Instead, the inoculation campaign has been slowed by a complex range of logistical, financial and even political issues. And Western actions are partly to blame.

Many African countries lack the cold storage facilities or logistics chains for a large-scale vaccination campaign. Dilapidated health systems mean a lack of clinics or qualified personnel to administer vaccines.

With Western countries hogging vaccine supplies for most of this year, and doses from India halted as cases surged in there, many African countries have relied on donations. But some of those vaccines have landed close to their expiration date, giving countries a narrow window in which to safely deliver them.

And many Africans are constrained by time and money. They may lack the bus fare to reach a distant vaccination center — or be reluctant to stand in line for hours if there’s a risk of missing work, or losing a job.

Misinformation and cultural factors matter, too. Africa has a long history of vaccinating young children against diseases like polio, but a mass vaccination drive among adults is “very, very unusual” Dr. Matshidiso Moeti, the World Health Organization’s Africa director, told reporters last week.

Even nurses and doctors are prone to believing false tales of dangerous side effects: Recent studies in Ghana and Ethiopia found that fewer than 50 percent of health workers intend to get vaccinated, Dr. Moeti said.

In South Africa, race is a factor: Researchers at the University of Johannesburg found that white people were more vaccine hesitant than Black people — but were more likely to have been inoculated because they had access to better health care.

The race to vaccinate Africans is progressing. In the past eight weeks, 30 African countries have administered 80 percent of doses received, according to the World Health Organization. Only Djibouti and the Democratic Republic of Congo administered fewer than 20 percent of doses received.

Still, there is a long way to go. So far, wealthy countries have delivered just 14 percent of the 1.7 billion doses promised to low- and middle-income countries by next September, according to data collated by Our World in Data, a project at Oxford University.

And no matter how quickly those doses arrive, experts say African countries need support to help get them into people’s arms.

In Kenya this month, the Secretary of State Antony J. Blinken outlined measures to help Kenyans overcome such “last mile” obstacles through the Global Covid Corps, a new public-private partnership aimed at overcoming logistical and delivery hurdles. As fear of the new variant spreads, the sense of urgency around such programs is likely to grow.

Peter Klaunzer/EPA, via Shutterstock

A majority of Swiss voters backed the government’s Covid-19 response policy in a referendum held on Sunday, following weeks of vitriolic public debate and protests.

Official government results show 62 percent of voters agreed to keep the amendments parliament made to the nation’s existing Covid law, which includes the introduction of a Covid certificate that shows either proof of vaccination or recovery from the illness and is required to enter public spaces like restaurants or museums.

It is the second time this year that opponents have tried to overturn legislature introduced by the government in response to the pandemic, by collecting enough signatures to bring the matter to a referendum.

This time opposition focused on getting rid of contact tracing and an internationally recognized Covid certificate. Opponents, who organized many protests in the lead up to Sunday, argued they are trying to prevent a split in society between the vaccinated and unvaccinated, with different rules applying to each group.

Josef Ender, the spokesman for the committee opposing the legislation said they acknowledge the result, but “will continue to advocate for freedom in Switzerland.”

In response to the outcome, which saw one of the highest voter turnouts in decades, the Interior Minister Alain Berset commented on the tone of the opposition and its demonstrations that sometimes turned violent. “What does not belong to Switzerland is anger, hatred, intimidation and threats,” he said.

“We all want to end the pandemic as quickly as possible and that can only be done together,” he said.

On Sunday, Swiss voters also approved a proposed constitutional amendment that aims to improve compensation and working conditions for nurses, and meet the growing demand for health care workers.

Although the initiative was launched by the country’s nursing association before the pandemic, it took on a new significance because of the increased reliance on nurses.

“It is an incredible sign of appreciation from the Swiss electorate towards caregivers,” Yvonne Ribi, the director of the country’s nursing association, said to Switzerland’s national broadcaster after the proposal was approved by a 61 percent majority vote.

The results come amid a recent surge in Covid cases in Switzerland, which despite being one of the wealthiest countries in the world, has one of the continent’s lowest vaccination rates.

The Alpine nation has received criticism throughout the pandemic for maintaining looser regulations than much of Europe. It has also been slow to make booster jabs available.

In light of the new Omicron variant, Swiss authorities on Friday decided to ban all direct flights from South Africa and the surrounding region. The country has so far not reported any confirmed cases of the new variant.

Visitors from several countries where cases of Omicron have been detected, including Hong Kong, Israel and the United Kingdom, are now required to quarantine for 10 days upon arrival in Switzerland.

Mary Altaffer/Associated Press

On Friday, Gov. Kathy Hochul of New York declared a state of emergency partly in response to the emerging Omicron variant of the coronavirus. Most governors did not comment publicly on the threat over the weekend, but some said they were monitoring developments without taking any new steps.

Gov. Ned Lamont of Connecticut issued a statement on Sunday saying local health officials were paying close attention to the Omicron variant.

“Our team at the Connecticut Department of Public Health, led by Commissioner Manisha Juthani, is following these developments closely,” he said in the statement. “While there have been no cases of the Omicron variant reported here in Connecticut or the United States to date, we still must be vigilant. Given the number of countries where Omicron has already been detected, it may already be present in the U.S.”

Other state leaders took the same tone, urging caution as well as highlighting the resources they had already put in place through the pandemic.

Mr. Lamont pointed to the network of labs sequencing genomes in his state and reminded residents to wear masks in indoor public spaces.

Gov. Gavin Newsom of California said on Twitter on Sunday that the state was “monitoring the new variant from Southern Africa closely.” He did not announce any new steps but said that the coronavirus vaccine and booster shot were essential.

The Los Angeles County Department of Public Health echoed that message and said in a statement, “More studies are needed to determine whether the Omicron variant is more contagious, more deadly or resistant to vaccine and treatments than other Covid-19 strains.” The department added that people in Los Angeles should adhere to existing mask requirements.

“While we are still learning much about Omicron, we know enough about Covid to take steps now that can reduce transmission as we prepare to better understand the additional strategies that may needed to mitigate this new variant of concerns,” the statement said.

Health leaders in the United States have said that it is all but inevitable that the variant will reach the country and called this a time for caution but not panic.

“We’re going to get better information about this,” Dr. Francis Collins, director of the National Institutes of Health, said on the CNN program “State of the Union.” “But there’s no reason to panic. But it is a great reason to go get boosted.”

Some leaders sought to reassure residents. Gov. Dan McKee of Rhode Island said that its health department was not aware of any cases in the state linked to the variant, although he said that the state would continue to be on the lookout.

“The best way to keep RI safe: Get vaccinated. Get your booster,” he said on Twitter.

On Sunday, his office issued a statement saying that the state’s health laboratories already perform genomic surveillance on samples, “which would identify the Omicron variant.”

In New York, under Ms. Hochul’s executive order, all state agencies are authorized “to take appropriate action to assist local governments and individuals” in containing and responding to cases. Although the measures are a far cry from early pandemic rules, they were the nation’s first attempt to accelerate preparation for the arrival of Omicron.

“We continue to see warning signs of spikes this upcoming winter, and while the new Omicron variant has yet to be detected in New York State, it’s coming,” Ms. Hochul said in a release.

Two governors of more conservative-leaning states addressed concerns about the variant, too, but maintained their position that vaccine mandates were off the table for now.

Gov. Asa Hutchinson of Arkansas said on “State of the Union” that while a new variant “is a great concern,” encouraging vaccinations would work better than forcing them.

Gov. Tate Reeves of Mississippi made similar statements on NBC’s “Meet the Press.” “We’re certainly monitoring this new variant,” he said. “We don’t have all the data that we need to make decisions at this time.”

Denis Farrell/Associated Press

The cascade of travel closures sparked by the emergence of the Omicron variant has triggered resentment among Africans who believed that the continent was yet again bearing the brunt of panicked policies from Western countries, which had failed to deliver vaccines and the resources needed to administer them.

Richer countries, having already hoarded vaccines for much of 2021, were now penalizing parts of the world that they had starved of shots in the first place, scientists said.

“Told you so,” said Francois Venter, a researcher at University of the Witwatersrand in Johannesburg, referring to warnings from African researchers that delaying vaccinations there risked the emergence of new variants. “It feels like these rich countries have learned absolutely nothing in terms of support.”

The sense of outrage was most visceral in South Africa, where business leaders predicted that travel bans by Western nations would inflict a dire economic toll, especially on tourism. In the arrivals halls of Johannesburg’s O.R. Tambo International airport, Ronald Masiwa, a tour operator, watched with dread as the information board flipped to red, displaying cancellation notices. Three clients had already canceled trips overnight, and he feared that many more would follow.

In South Africa, December is traditionally the high season for tourism, one of the country’s biggest industries, and operators had been banking on a surge in visitors from Britain, which had removed South Africa from its “red list” only last month.

“This is devastating,” said David Frost, chief executive officer of the Southern Africa Tourism Services Association. “Many companies have been hanging on by their fingernails, and this is going to wipe them out. It’s going to be dire for conservation, and it’s going to be dire for people in rural areas where tourism is the only economic generator.”

South Africa’s number of daily infections — 2,828 on Friday — was a small fraction of case counts in countries with similarly sized populations, like Germany and Britain, not to mention the United States. For Mr. Frost, the hurried measures were the mark of a blatant double standard.

In South Africa, most of the 22 cases of the Omicron variant detected as of Saturday were in Pretoria, the capital city north of Johannesburg. With fears growing that the government would announce a new lockdown, a sense of foreboding hung over one shopping mall, festooned with Christmas decorations, where Mary Njuguna sells beaded jewelry and woven handbags.

The pandemic had already caused the price of imports to soar, and goods from Kenya and Malawi that once arrived in one week now took months, she said. Talk of a new lockdown made her fear what might come next.

“It’s a big, big mess,” Ms. Njuguna said.

The travel bans resonated widely in a continent where they were seen as a mark of Western double standards. Nanjala Nyabola, a Kenyan writer, said that border closures appeared to be dictated by politics and not public health concerns.

“If you look at the way the numbers are going, we should be thinking about bans on Europe and United States,” she said. “But the border closures are not tied to the public health crisis in front of us.”

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Travelers at O.R. Tambo International Airport expressed concerns as flights were canceled, after many nations banned travel from southern Africa in an effort to curb the spread of the Omicron coronavirus variant.Sumaya Hisham/Reuters
Aaron Chown/Press Association, via Associated Press

British health officials said Sunday that a third case of the new Omicron coronavirus variant had been discovered in the country, in an individual who had spent time in central London. The announcement came just hours after the health secretary, Sajid Javid, rejected calls for tougher restrictions on daily life.

The health security agency said the individual had spent time in the Westminster section of London, but was no longer in the country, and that contact tracing was being performed. It said the case was linked to travel in southern Africa.

Dr. Jenny Harries, chief executive of the agency, said it was “very likely’’ there would be more cases in the coming days.

On Saturday, a day after the government learned of the first two cases, Prime Minister Boris Johnson said that masks would be mandatory on public transportation and in shops in England starting on Tuesday. Tighter testing rules for travelers arriving from abroad would also go into effect that day.

But the government has rejected the idea of ordering people to work from home where possible, introducing vaccine passports in England or requiring masks in restaurants. “This is about taking proportionate action against the risks we face,” Mr. Javid told the BBC on Sunday, speaking before the third case was confirmed.

40,000 cases

7–day average

43,482

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

Britain began suspending flights from six southern African nations on Friday, but some travelers had already arrived in London by the time the measure took effect.

Mr. Javid acknowledged that passengers landing on Friday were not tested at the airport and were able to leave as usual, including by public transport. He said that all travelers who had arrived from southern Africa within the past 10 days were being contacted and asked to take tests.

“We could not have acted more swiftly,” he said.

By contrast, in Amsterdam, Dutch health officials tested more than 500 passengers who arrived on Friday on two flights from South Africa. Those who were negative were allowed to leave the airport and quarantine at home, or to continue their journeys.

Mr. Javid also urged Britons to quickly get booster shots and said he expected advice “imminently” from scientific experts on expanding the scope of the country’s vaccine program, especially with regard to boosters.

Such measures would, he added, help to “protect the progress we have made so we can continue to look forward to Christmas with family and friends.”

Sascha Steinbach/EPA, via Shutterstock

Scientific experts at the World Health Organization warned on Friday that a new coronavirus variant discovered in southern Africa was a “variant of concern,” the most serious category the agency uses for such tracking.

The designation, announced after an emergency meeting of the health body, is reserved for dangerous variants that may spread quickly, cause severe disease or decrease the effectiveness of vaccines or treatments. The last coronavirus variant to receive this label was Delta, which took off this summer and now accounts for virtually all Covid cases in the United States.

The W.H.O. said the new version, named Omicron, carries a number of genetic mutations that may allow it to spread quickly, perhaps even among the vaccinated.

Independent scientists agreed that Omicron warranted urgent attention, but also pointed out that it would take more research to determine the extent of the threat. Although some variants of concern, like Delta, have lived up to initial worries, others have had a limited impact.

William Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health, and other researchers said that vaccines will most likely protect against Omicron, but further studies are needed to determine how much of the shots’ effectiveness may be reduced.

As the coronavirus replicates inside people, new mutations constantly arise. Most provide the virus with no new advantage. When worrisome mutations do emerge, the World Health Organization uses Greek letters to name the variants. The first “variant of concern,” Alpha, appeared in Britain in late 2020, soon followed by Beta in South Africa.

Omicron first came to light in Botswana, where researchers at the Botswana Harvard H.I.V. Reference Laboratory in Gaborone sequenced the genes of coronaviruses from positive test samples. They found some samples sharing about 50 mutations not found in such a combination before. So far, six people have tested positive for Omicron in Botswana, according to an international database of variants.

Around the same time, researchers in South Africa stumbled across Omicron in a cluster of cases in the province of Gauteng. As of Friday, they have listed 58 Omicron samples on the variant database. But at a news conference on Thursday, Tulio de Oliveira, the director of the Centre for Epidemic Response & Innovation in South Africa, said that “close to two or three hundred” genetic sequences of Omicron cases would be released in the next few days.

Sumaya Hisham/Reuters

When the World Health Organization began to name the emerging variants of the coronavirus, officials turned to the Greek alphabet to make it easier for the public to understand the evolution: Alpha, Beta, Gamma, Delta and so on.

Now the alphabet has created its own political headache. When it came time to name the potentially dangerous new variant that has emerged in southern Africa, the next letter in alphabetical order was Nu, which officials thought would be too easily confused with “new.”

The letter after that was even more complicated: Xi, a name that in its transliteration, though not its pronunciation, happens to belong to the leader of China, Xi Jinping. So they skipped both and named the new variant Omicron.

“‘Nu’ is too easily confounded with ‘new,’ and ‘Xi’ was not used because it is a common last name,” a spokesman, Tarik Jasarevic, said on Saturday in an emailed response to questions about skipping the two letters.

The organization’s policy, he went on, requires “avoiding causing offense to any cultural, social, national, regional, professional, or ethnic groups.”

The organization did not initially explain why it jumped from Mu, a lesser variant first documented in Colombia, to Omicron. The omission resulted in speculation over the reasons. For some, it rekindled criticism that the organization has been far too deferential in its dealings with the Chinese government.

“If the WHO is this scared of the Chinese Communist Party, how can they be trusted to call them out the next time they’re trying to cover up a catastrophic global pandemic?” Senator Ted Cruz, the Republican from Texas, wrote on Twitter.

There is no evidence that the Chinese had any say in naming the new variant, known scientifically as the SARS-CoV-2 variant B.1.1.529. Some variants have proved less transmissible, but Omicron could be the most worrisome new version since Delta.

Throughout the pandemic, the W.H.O. has sought to avoid the once common practice of referring to health threats with geographic terms: Spanish flu, West Nile virus, Middle East Respiratory Syndrome, Zika and Ebola.

That reflected concerns among scientists about the risk of stigmatizing places or peoples, but it was also seen in the early months of the pandemic as deferential to China, which has an influential role in global health affairs.

Chinese officials have reacted angrily to efforts to associate the pandemic with the country or Wuhan, the central city where it first spread in the fall of 2019. China’s fiercest critics in the United States, including then President Donald J. Trump and his aides, persisted anyway, at times using sophomoric and racist slurs.

“The novel coronavirus affects everyone and needs to be tackled with joint efforts, instead of fear-mongering in a xenophobic way,” Geng Shuang, a spokesman for China’s Ministry of Foreign Affairs, said at the time.

Ahn Young-Joon/Associated Press

At the first BTS concert of the coronavirus era on Saturday, Maggie Larin, 25, and her three friends were surrounded by a roaring crowd of 70,000 other fans in SoFi Stadium in Inglewood, Calif.

But when Lee Hye Su, 23, and her two friends go to see the K-pop group The Boyz in Seoul Olympic Park next weekend, she will be seated silently, masked and socially distanced, alongside only 2,100 other fans, according to the venue’s rules.

As K-pop bands start touring the world and performing for live audiences again, fans in their home country, South Korea, are flocking to stadiums. But they must abide by the government’s strict rules: no shouting, chanting or singing along at concerts with 500 or more attendees.

“We’ll only be able to clap when we enter the hall,” said Ms. Lee, who has followed the band since 2018. She said it was unfortunate that the atmosphere on Saturday would be different from that of past concerts, where she could yell all she wanted.

“But I knew I had to go as soon as I found out about it,” she said.

Live K-pop concerts are returning to South Korea as hospitalizations are rising across the country and the spread of a new variant alarms the world. The health minister, Kwon Deok-cheol, said on Friday that the government was considering tightening some restrictions because the number of available beds for critically ill patients in and around Seoul was “reaching a limit.”

3,000 cases

7–day average

3,639

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

But there is pent-up demand for live performances. K-pop fan groups have remained active throughout the pandemic, said Kim Hong Ki, chief executive of Space Oddity, a South Korean music collective. Record sales for K-pop groups have even spiked, he said.

“In K-pop, fans aren’t ordinary consumers, but active, evangelistic and dedicated to their fandom, almost religiously,” said Mr. Kim, who has worked in the South Korean music industry for decades. “When the rules are relaxed to some extent, fans will be chasing after live shows.”

Several other bands, like NCT 127 and Twice, have scheduled their first pandemic-era concerts in South Korea for next month. And thousands of K-pop fans in the country are dashing for tickets, even if they know those shows could get canceled.

Pandemic rules in the United States require fans to wear masks in concert halls, and provide proof of full vaccination, negative virus test results and photo identification upon entry. Still, the BTS concert in California this weekend was sold out months in advance.

To catch the show, Ms. Larin took a weekend away from law school in Michigan.

“I’ve been spending a lot of time preparing for the actual concert, listening to a lot of their music and learning their fan chants,” she said before the event on Saturday. “It’s going to be a very emotional experience.”

Pedro Nunes/Reuters

A top-flight soccer game in Portugal produced instead farcical drama on Saturday evening, after one of the teams was forced to field only nine players, including two goalkeepers, because the rest of its squad had been depleted by a Covid-19 outbreak.

In the match between Benfica and Belenenses in Portugal’s top professional league, Benfica’s full-size complement of 11 players dominated, scoring seven goals by halftime. The game was called off during the second half, after one of seven remaining Belenenses players sat down, saying he was unable to continue, reducing his side to six. The rules of the sport require a team to field at least seven players.

Ahead of the game, the virus swept through the Belenenses club, infecting as many as 17 of its players and staff members. One of the players who had tested positive had recently returned from playing in South Africa, where researchers were the first to identify the new Omicron variant of the coronavirus.

10,000 cases

7–day average

2,861

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

The World Health Organization has labeled Omicron a “variant of concern,” saying it could spread more easily than other forms of the virus. It was unclear if the player had been infected with the variant.

The Belenenses players sought to have the game canceled, warning in a joint statement before the match that soccer would have “lost its heart” if they were forced to play such an uncompetitive matchup amid a public health crisis. Officials reportedly told the players that the game must go on.

Players from several other clubs criticized Portugal’s sports authorities for tainting the country’s reputation and that of one of its favorite sports.

Merck & Co Inc/Via Reuters

The pharmaceutical company Merck said on Friday that in a final analysis of a clinical trial, its antiviral pill reduced the risk of hospitalization and death among high-risk Covid patients by 30 percent, down from an earlier estimate of 50 percent.

The lower efficacy is a disappointment for the drug, known as molnupiravir, which health officials around the world are counting on as a critical tool to save lives and reduce the burden on hospitals. It increases the importance of a similar, apparently more effective, offering from Pfizer that is also under review by the Food and Drug Administration.

A panel of advisers to the F.D.A. is set to meet on Tuesday to discuss Merck’s treatment and vote on whether to recommend authorizing it to treat high-risk Covid patients.

In briefing documents posted to the F.D.A.’s website on Friday, agency reviewers did not take a position on whether the drug should be authorized, though they found that the clinical trial data did not show any major safety concerns and that the drug was effective in preventing severe disease.

The reviewers said they had only become aware of the updated efficacy estimate earlier this week and were still reviewing the data. They said they could update their assessment when the panel meets on Tuesday.

Merck’s initial estimate that the drug reduced hospitalization and death by 50 percent came from an early look at results from 775 study participants. The updated figure announced on Friday came from more than 1,400. In the final analysis, the participants who received molnupiravir had a 6.8 percent risk of being hospitalized, and one patient died. Those who received a placebo had a 9.7 percent risk of being hospitalized, and nine died.

Dr. David Boulware, an infectious disease researcher at the University of Minnesota, said he expected the drug would still receive emergency authorization. If the expert committee endorses it and the F.D.A. heeds the recommendation, the treatment could be authorized in the United States as soon as next week.

“The reduction in hospitalization is a little bit less, but there is still a big mortality benefit if you start early,” he said.

Still, he said, molnupiravir will probably be deemed a lower-tier treatment, an alternative choice for people who can’t get or don’t want more effective treatments.

Monoclonal antibody drugs, which are typically administered intravenously in the United States, have been found to reduce hospitalizations and deaths by at least 70 percent. Pfizer’s antiviral pill, Paxlovid, which was found in a clinical trial to cut the risk of hospitalization and death by 89 percent, could become available within weeks. Fluvoxamine, a common and inexpensive antidepressant, appears to be about as effective as molnupiravir.

Meant to be dispensed at pharmacies and taken at home, Merck’s drug is the first in a new class of antiviral treatments for Covid that are expected to reach many more people than other treatments have. Public health experts say that while the pills are no substitute for vaccination, they have the potential to prevent severe illness and save lives.

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