31st May 2022 https://nfind.uk/lockdown_exit/index.php/newsletter=672 lockdown_exit

Lockdown Exit

Reuters Japans easing of a twoyear ban on foreign tourists seeks to balance the enormous economic importance of tourism with concerns that travellers would trigger a COVID outbreak insiders say. Under the decision Japan will allow in a limited number of foreign tourists on package tours starting June 10. Last week a few test tours mainly of overseas travel agents started to arrive. Relaxing some of the worlds strictest pandemic border measures required months of pressure from travel and tourism executives three insiders told Reuters describing both the governments fears of public backlash if infections spiked and the industrys concerns of an economic wipeout. https://www.reuters.com/world/asia-pacific/wary-foreign-bad-manners-japan-eases-borders-aid-hobbled-tourism-industry-2022-05-30/ 30th May 2022

Lockdown Exit

Reuters Indias federal government will provide educational scholarships mental health counselling and health insurance to children who have been orphaned by the coronavirus pandemic Prime Minister Narendra Modi said on Monday. For those who have lost a loved one to coronavirus the change it has brought to their lives is so difficult Modi said during an online event as he announced government benefits for minor children who have lost both parents to COVID19. https://www.reuters.com/world/india/india-provide-scholarships-counselling-those-orphaned-by-covid-19-2022-05-30/ 30th May 2022

Lockdown Exit

Reuters North Korea has lifted movement restrictions imposed in the capital Pyongyang after its first admission of COVID19 outbreak weeks ago media reported as the isolated country says the virus situation is now under control. The North has been in a heated battle against an unprecedented COVID wave since declaring a state of emergency and imposing a nationwide lockdown this month fuelling concerns about a lack of vaccines medical supplies and food shortages. https://www.reuters.com/world/asia-pacific/nkorea-reports-100710-more-people-with-fever-symptoms-kcna-2022-05-29/ 30th May 2022

Lockdown Exit

Reuters Shanghai on Monday announced an end to its twomonth long COVID19 lockdown allowing the vast majority of people in Chinas largest city to leave their homes and drive their cars from Wednesday. The news brought an outpouring of relief joy and some wariness from exhausted residents. Im so emotional that Im going to cry said one Weibo user. Most of the citys 25 million residents have been confined to their homes for almost all of the lockdown which began on April 1 with curbs only slightly relaxing in recent weeks to allow some to go out for short periods of time. https://www.reuters.com/world/china/some-beijing-back-work-shanghai-inches-closer-ending-covid-lockdown-2022-05-30/ 30th May 2022

Lockdown Exit

Reuters Article reports that Chinas capital Beijing reported 16 new domestically transmitted symptomatic coronavirus cases for May 30 up from eight a day earlier the city government said on Tuesday. Local asymptomatic cases fell to two from four from the previous day it said. https://www.reuters.com/world/china/beijing-reports-16-new-symptomatic-covid-cases-may-30-2-asymptomatic-cases-2022-05-31/ 30th May 2022

Lockdown Exit

Bloomberg The Centers for Disease Control and Prevention plans to simplify the Covid19 hospital data it collects as the demands of the pandemic evolve and some assembled information has become outdated or redundant. The agency is likely to stop collecting data from hospitals on suspected Covid cases that havent been confirmed by tests for example and may also wind down federal reporting from rehabilitation and mental health facilities that arent major intake points for virus cases according to a draft of the plan that was viewed by Bloomberg News. https://www.bloomberg.com/news/articles/2022-05-26/cdc-plans-to-stop-reporting-suspected-covid-cases-to-ease-burden 30th May 2022

Lockdown Exit

The Wall Street Journal Pfizers antiviral drug called Paxlovid totaled more than 412000 prescriptions through May 6 compared with about 110000 prescriptions of molnupiravir an antiviral from Merck Co. and Ridgeback Biotherapeutics LP according to drugdata firm Iqvia Holdings Inc. Both pills were cleared for use in highrisk individuals early in the course of their disease in December by the U.S. Food and Drug Administration to keep people from becoming hospitalized. https://www.wsj.com/articles/paxlovid-becomes-household-name-for-covid-19-patients-11653908400?mod=hp_lead_pos8 30th May 2022

Lockdown Exit

The Guardian The archbishop of Canterbury will miss the service of thanksgiving for the Queens reign this week after being diagnosed with pneumonia and testing positive for Covid. Justin Welby had been due to preach at St Pauls Cathedral on Friday. Stephen Cottrell the archbishop of York will take his place. Welby 66 was diagnosed with mild pneumonia last Thursday. On medical advice he reduced his work schedule to allow for rest and recovery. After developing symptoms over the weekend he tested positive for Covid on Monday. https://www.theguardian.com/uk-news/2022/may/30/archbishop-of-canterbury-tests-positive-for-covid-and-will-miss-jubilee-service 30th May 2022

Lockdown Exit

European Centre for Disease Prevention and Control (ECDC) A new online modelling hub launched today the European COVID19 Scenario Hub will present modelling projections on how the COVID19 pandemic may evolve in terms of cases hospitalisations and deaths. It will serve as a resource for Member States in their pandemic planning and inform decisions aimed at minimising the expected burden caused by COVID19 under different scenarios. The hub is developed and run by the European Centre for Disease Prevention and Control ECDC in cooperation with the Centre for Mathematical Modelling of Infectious Diseases CMMID at the London School of Hygiene Tropical Medicine LSHTM. The Scenario Hub will help inform public health preparedness and anticipatory action as Europe transitions into new phases of the pandemic said Andrea Ammon ECDC Director. It will also play a key role in supporting ECDCs risk analysis assessment of public health advice and strategic planning. https://www.ecdc.europa.eu/en/news-events/launch-scenario-hub-projecting-future-covid-19-health-impact 30th May 2022

Lockdown Exit

Reuters North Korean leader Kim Jong Un and other top officials discussed revising stringent antiepidemic restrictions during a meeting Sunday state media reported as they maintained a widely disputed claim that the countrys first COVID19 outbreak is slowing. The discussion at the Norths Politburo meeting suggests it will soon relax a set of draconian curbs imposed after its admission of the omicron outbreak this month out of concern about its food and economic situations. Kim and other Politburo members made a positive evaluation of the pandemic situation being controlled and improved across the country the official Korean Central News Agency said. https://apnews.com/article/covid-health-epidemics-north-korea-government-and-politics-222a8eed52084638243435808b300010 29th May 2022

Exit Strategies

South China Morning Post Two separate outbreaks infected 26 bargoers in Central over weekend prompting expert to urge government not to relax socialdistancing measures in clubs and pubs. Government says it will tighten Covid19 testing requirements for arrivals while easing its flight ban mechanism from June 1 https://www.scmp.com/news/hong-kong/health-environment/article/3179600/hongkongers-could-pay-covid-shots-future-minister 30th May 2022

Exit Strategies

Business Standard The World Health Organization WHO announced that it will begin its Covid19 vaccination campaign in Afghanistan from June. According to the global health body the campaign will cover 34 provinces and target more than 5 million people aged 18 years and above TOLO News reported. WHO figures have revealed that as of May 22 a total of 6118557 vaccine doses against the virus have been administered in Afghanistan. Since the onset of the pandemic in early 2020 the wartorn nation has reported a total of 179835 confirmed cases of Covid19 with 7699 deaths. https://www.business-standard.com/article/international/who-says-will-begin-covid-19-vaccination-drive-in-afghanistan-from-june-122052800146_1.html 30th May 2022

Exit Strategies

CCTV The Chinese embassy handed them over to Myanmars Ministry of Health at the Yangon International Airport on Sunday. The Chinadonated COVID19 vaccines and syringes arrived in Myanmar in separate batches starting from May 18 to May 29. China has been continuously providing medical supplies to Myanmar in fighting against the COVID19 pandemic and has helped Myanmar in filling and packing COVID19 vaccines to boost the countrys vaccination rate Chinese Ambassador to Myanmar Chen Hai said at the handover ceremony. https://english.cctv.com/2022/05/30/ARTIOEc5CYXooYwqktWgxlhz220530.shtml 30th May 2022

Exit Strategies

NDTV As North Korea finally began its COVID19 vaccination programme the nations supreme leader Kim Jong Un declared that the coronavirus jabs are an immortal potion of love gifted by him. According to Daily Star the North Korean leader made the bizarre claims through loudspeakers playing through vehicles at vaccination sites. Responding to its recent Covid outbreak North Korea started rolling out the vaccines. However so far the Covid jabs are only reserved for soldiers working on national construction projects. https://www.ndtv.com/world-news/north-korea-calls-covid-vaccines-immortal-potion-of-love-from-kim-jong-un-report-3022475 30th May 2022

Exit Strategies

Focus Taiwan News Channel Taiwans six special municipalities will each set up a largescale walkin vaccination site where COVID19 vaccine shots for children aged 511 will be administered starting June 1 the Central Epidemic Command Center CECC said Monday. In order to ensure children acquire immunity against COVID19 as soon as possible the CECC has worked together with the municipal governments of Taipei New Taipei Taoyuan Taichung Tainan and Kaohsiung to set up walkin vaccination sites for children. The sites are located at Taipei Liberty Square New Taipei Banqiao Station Taoyuan Arena Taichung National Museum of Natural Science Tainan Public Library and Kaohsiung Exhibition Center according to the CECC. https://focustaiwan.tw/society/202205300017 30th May 2022

Exit Strategies

Financial Times The signing of a licensing deal late last year for South Africas Aspen Pharmacare to bottle and sell the Johnson and Johnson Covid19 vaccine across Africa was hailed as a lifeline for a continent that lost out in the rush for jabs early in the pandemic. But six months later the factory is on the brink of closure because of lack of demand. In South Africa only 5 per cent of people have received a booster shot and just under a third of the 60mn population are double vaccinated. It is part of a broader trend across Africa that helps to explain why the future of the continents biggest vaccine manufacturing plant is in doubt. https://www.ft.com/content/48fa65a3-5aed-4fc3-b458-29b844b2bcb3 30th May 2022

Exit Strategies

Reuters Shanghai reported 22 new domestically transmitted asymptomatic coronavirus cases for May 30 down from 61 a day earlier while local symptomatic cases rose to 9 from 6 the city government said on Tuesday. No new cases was reported outside quarantined areas down from one a day earlier. Shanghai on Monday announced an end to its twomonth long COVID19 lockdown allowing the vast majority of people in Chinas largest city to leave their homes and drive their cars from Wednesday. https://www.reuters.com/world/asia-pacific/shanghai-reports-22-new-local-asymptomatic-covid-cases-9-symptomatic-cases-may-2022-05-31/ 30th May 2022

Exit Strategies

BBC News Authorities in Shanghai have announced that some Covid19 lockdown measures imposed on businesses will be lifted from Wednesday. Plans have also been introduced to support the citys economy which has been hit hard by the restrictions. The commercial centre has been under a strict lockdown for almost two months. Meanwhile Chinas capital Beijing has reopened parts of its public transport system as well as some shopping malls and other venues as infections ease. The announcement in Shanghai came as official figures showed on Sunday that new daily coronavirus cases fell to 122 from 170 over the previous 24 hours. https://www.bbc.co.uk/news/business-61628770 30th May 2022

Exit Strategies

The Associated Press Shoppers returned to the malls of Beijing on Sunday as the Chinese capital relaxed pandemic restrictions after declaring a small but persistent COVID19 outbreak effectively under control. A partial reopening of stores and offices in Beijing was welcomed by a weary populace and struggling shopkeepers eager for life to return to normal. Coupled with a gradual easing of restrictions in Shanghai it signaled that the worst is over in the twin outbreaks in Chinas most prominent cities. The lockdowns and other restrictions under Chinas zeroCOVID strategy have increasingly frustrated residents as they see other countries ease up and reopen their borders. Some have resisted and staged protests at apartment complexes and university dormitories in an authoritarian country where people think twice about speaking out publicly because of possible repercussions. https://apnews.com/article/covid-health-china-beijing-d5b42952cb86ff6d297eb9c5943b14e8 29th May 2022

Partisan Exits

Bloomberg Top UK bosses are earning as much as they were before the pandemic after pay packages rebounded from a Coviddriven lull. Overall pay for chief executive officers in the FTSE 100 rose to a median average of 3.6 million 4.6 million in 2021 according to research by Deloitte LLP. The revival in higher pay packages was spurred by an increase in annual bonuses and stronger incentives for staff. https://www.bloomberg.com/news/articles/2022-05-30/pay-for-top-uk-executives-rebounded-to-pre-covid-levels-in-2021 30th May 2022

Partisan Exits

ABC News A Tasmanian government MP has come under fire for making a concerning decision to sponsor a petition to State Parliament containing vaccinerelated misinformation. Liberal backbencher John Tucker has sponsored a petition to State Parliament that claims vaccine and mask mandates imposed by the government he is a member of have not stopped the spread or mitigated the risks of contracting COVID19 in Tasmania. It also argues that there is increasing public concern that vaccinations and masking are unsafe and calls on the Tasmanian government to lift all vaccination mandates and end mask requirements in schools medical clinics and transport. https://www.abc.net.au/news/2022-05-30/tamania-mp-petition-covid-masks-vaccinations/101109936 30th May 2022

Partisan Exits

ABC News The first of several civil cases brought on by dozens of Queensland frontline workers who are challenging their COVID19 vaccine mandates including police officers and paramedics has begun in Brisbane. More than 70 Queensland Police Service QPS and Queensland Ambulance Service QAS staff who have refused to comply with their employers directives are testing the legality of the policies in the Supreme Court arguing they are unjust or an improper exercise of power. Some of the applicants made up of three groups have also claimed that similar directions made by the states Chief Health Officer last year breached human rights laws but that matter will be heard at a later date alongside other similar legal challenges. https://www.abc.net.au/news/2022-05-30/qld-coronavirus-covid19-vaccine-mandate-court-challenge/101110802 30th May 2022

Partisan Exits

South China Morning Post May 31 vaccine pass deadline means only those with three jabs or suitable exemption will be allowed entry to most venues citywide. Firm belief in personal freedoms fear of side effects remain key hurdles for inoculation drive. https://www.scmp.com/news/hong-kong/health-environment/article/3179529/vaccine-reluctance-why-some-hongkongers-are-still 30th May 2022

Partisan Exits

iNews The longawaited statutory inquiry into how Boris Johnsons Government handled the Covid pandemic is expected to begin next month i has learnt. While public hearings of the UK Covid19 Inquiry are not due to start until next year its chairman Baroness Hallett is ready to formally start work as soon as the Prime Minister approves her request to update the terms of reference. Downing Street sources said this response was likely to come in June meaning the work could begin as early as this week. https://inews.co.uk/news/politics/covid-public-inquiry-government-handling-pandemic-start-days-1657347 30th May 2022

Partisan Exits

The BMJ Almost all of us reading about the tawdry details of partygate will have specific memories from the past two years to put the revelry at No. 10 Downing Street into sombre context. Sue Grays long awaited report released last week detailed the drunken parties and people staggering out in the early hours the vomit and hangovers the splashed red wine and empties stacked up outside the door the karaoke machine the rudeness to the cleaners the messages that make it abundantly clear if proof was needed that the partygoers knew they were breaking laws they themselves had drawn up. Families separated funerals missed partners unable to be present at the birth of their child children unable to be present at the death of their parent loneliness social isolation depression anxietyall the inevitable consequences of following rules laid down for the collective good. I have some of these memories myself but as the cofounder of Johns Campaignwhich was set up to campaign on behalf of the rights of people living with dementiaI have also heard the stories and witnessed the pain and trauma of a particular group of people who suffered greatly during the pandemic whose health was harmed whose hearts were broken and in some cases whose lives ended because of the rules drawn up under the pandemic. https://www.bmj.com/content/377/bmj.o1358 30th May 2022

Scientific Viewpoint

Medical Xpress Imagine inhaling just a few drops of liquid or mist to get protected from COVID19. That is the idea behind nasal COVID19 vaccines and they have been getting a lot of attention recently as a spray or liquid. These nasal vaccines would be based on the same technology as normal vaccines given by injection. But as Mayuresh Abhyankar a University of Virginia researcher who studies infectious diseases and works on nasal vaccines explains vaccinating someone right where the coronavirus is likely to start its attack comes with many immunological benefits. https://medicalxpress.com/news/2022-05-nasal-covid-vaccines-body-infection.html 30th May 2022

Scientific Viewpoint

Nature.com While the negative impact of the pandemic on students mental health has been studied around the world very little is known about the mental health of faculty and staff. This research aims to examine mental health among Japanese faculty members who taught online courses during the COVID19 pandemic. We recruited 537 university faculty members and assessed their mental health using the World Health OrganizationFive WellBeing Index WHO5 both retrospectively during the academic year before the onset of the pandemic and during the pandemic. https://www.nature.com/articles/s41598-022-12841-x 30th May 2022

Scientific Viewpoint

Hospital Healthcare Europe CT chest scans in patients with breakthrough COVID19 infections show lower levels of pneumonia compared to scans of unvaccinated patients. A significantly higher proportion of CT chest scans in fully vaccinated patients who experience a breakthrough infection showed no signs of pneumonia during their stay in hospital according to a study by Korean researchers. COVID19 vaccination across the globe has led to a protection against both symptomatic and asymptomatic COVID19 as well as severe disease hospitalisation and death. Although a CT chest scan has been described as an indispensable diagnostic tool in COVID19 no studies have reported on using this imaging modality to examine the features associated with breakthrough infections that are generally less severe. https://hospitalhealthcare.com/clinical/radiology-and-imaging/ct-chest-reveals-fewer-cases-of-pneumonia-in-breakthrough-covid-19-infections/ 30th May 2022

Scientific Viewpoint

Hospital Healthcare Europe A fourth COVID19 vaccinations effectiveness against infection drops after only 10 weeks but remains high against severe disease. A fourth COVID19 vaccination dose offers greater protection against infection than three doses but this effectiveness quickly wanes within 10 weeks but is maintained against more severe disease. This was the key finding of a retrospective analysis by Israeli researchers. The use of a third COVID19 vaccination is more effective at protecting individuals against severe COVID19related outcomes in comparison to only two doses. Nevertheless it is also becoming clear that in the presence of COVID19 variants such as Omicron the relative protection against infection even from three doses wanes over time. For instance in one study the effectiveness of a third COVID19 vaccine waned from 53.4 a month after vaccination to 16.5 three months later. https://hospitalhealthcare.com/covid-19/fourth-covid-19-vaccination-effectiveness-drops-significantly-after-10-weeks/ 30th May 2022

Scientific Viewpoint

News-Medical.Net Though many studies have been conducted over the last two years both during and after coronavirus disease 2019 COVID19 restrictions were implemented the longterm effects of these events remain unclear. A new study published on the preprint server medRxiv discusses changes in the prevalence of depressive and anxiety symptoms over the course of the COVID19 pandemic and their association with individual and environmental factors. https://www.news-medical.net/news/20220530/Increase-in-depression-and-anxiety-rates-in-the-UK-identified-during-COVID-19-lockdowns.aspx 30th May 2022

Scientific Viewpoint

ECDC.Europa.eu A new online modelling hub launched today the European COVID19 Scenario Hub will present modelling projections on how the COVID19 pandemic may evolve in terms of cases hospitalisations and deaths. It will serve as a resource for Member States in their pandemic planning and inform decisions aimed at minimising the expected burden caused by COVID19 under different scenarios. The hub is developed and run by the European Centre for Disease Prevention and Control ECDC in cooperation with the Centre for Mathematical Modelling of Infectious Diseases CMMID at the London School of Hygiene Tropical Medicine LSHTM. The Scenario Hub will help inform public health preparedness and anticipatory action as Europe transitions into new phases of the pandemic said Andrea Ammon ECDC Director. It will also play a key role in supporting ECDCs risk analysis assessment of public health advice and strategic planning. https://www.ecdc.europa.eu/en/news-events/launch-scenario-hub-projecting-future-covid-19-health-impact 30th May 2022

Scientific Viewpoint

The Guardian Government efforts to focus NHS resources on a smaller number of welldesigned clinical trials could inadvertently be contributing to a backlog of stalled medical research and result in some important trials being scrapped researchers say. Their warning comes as a report outlines the scale of research waste that has occurred during the pandemic with rampant duplication of scientific efforts and weakly designed clinical trials exposing millions of patients to unproven treatments with little scientific benefit. https://www.theguardian.com/science/2022/may/30/medical-research-stalled-as-nhs-focuses-on-small-number-of-trials-experts-say 30th May 2022

Coronavirus Resurgence

The Hill As the US marks Memorial Day weekend and the unofficial start of summer the sevenday average for COVID19 cases in the U.S. are more than six times what they were a year ago. The Johns Hopkins Coronavirus Resource Center showed a sevenday average of 119725 cases as of Saturday. That figure held at 17887 cases on May 28 of last year. Despite the rising infection rate COVIDrelated deaths were down from last year a sign of increased immunity through vaccines and prior infections along with wider availability of treatments. The sevenday average of 470 deaths reported on Friday marked a decrease from 637 on the same day last year. https://thehill.com/policy/healthcare/3505649-as-summer-begins-us-covid-19-cases-six-times-higher-than-last-year/ 30th May 2022

Coronavirus Resurgence

RNZ There are 403 people in hospital with the coronavirus the ministry said in a statement. That compares with 283 people in hospital with four in ICU in the update yesterday. There were also nine more deaths and 4841 community cases of the virus announced yesterday. The total number of publicly reported deaths of people with Covid19 is now 1154. Of the five deaths reported today two were from the Auckland region one was from Taranaki one from Canterbury and one was the Southern region. One person was in their 70s three were in their 80s and one was over 90. Of these three were male and two were female. Covid19 is also having an impact on Prime Minister Jacinda Arderns trade mission to the United States. https://www.rnz.co.nz/news/national/468149/covid-19-update-5836-new-cases-and-five-deaths-reported-in-the-community 30th May 2022

Coronavirus Resurgence

Focus Taiwan News Channel Taiwan on Monday recorded 60103 new COVID19 cases 60042 domestically transmitted and 61 imported and 109 deaths according to the Central Epidemic Command Center CECC. The 109 patients reported Monday to have died of COVID19 complications ranged in age from their 40s to 90s including 106 who had chronic illnesses or other severe diseases the CECC said. https://focustaiwan.tw/society/202205300008 30th May 2022

Coronavirus Resurgence

The BMJ At a briefing on 18 May PAHO officials said they were concerned that health systems in the region could be unprepared for a resurgence of SARSCoV2. Many countries have reduced testing and lifted restrictions on mask wearing and social distancing in recent months following a drop in infections after the surge driven by the omicron variant in January. PAHO director Carissa Etienne said some governments were letting their guard down despite them not having reached high levels of vaccine coverage. Only 14 of 51 countries in the Americas and territories have reached the World Health Organizations goal of 70 vaccination coverage leaving them vulnerable to future surges particularly if new variants emerge. Etienne called on governments to strengthen testing infrastructure and maintain high levels of hospital capacity so that health services can quickly be scaledup should infections surge. Governments must also do more to make sure vaccines reach the oldest and most vulnerable populations officials said. https://www.bmj.com/content/377/bmj.o1355 30th May 2022

Coronavirus Resurgence

Reuters Mainland China reported 184 new coronavirus cases on May 29 of which 34 were symptomatic and 150 were asymptomatic the National Health Commission said on Monday. That compares with 293 new cases a day earlier 82 symptomatic and 211 asymptomatic infections which China counts separately. There were no new deaths leaving the death toll at 5226. As of May 29 mainland China had 224049 confirmed cases. https://www.reuters.com/world/china/china-reports-184-new-covid-cases-may-29-vs-293-day-earlier-2022-05-30/ 30th May 2022