Shanghai authorities on Monday reported the first COVID-19 deaths of the latest outbreak in China’s most populous and wealthiest city.
All three who died were elderly, had underlying diseases such as diabetes and hypertension and had not been vaccinated against the coronavirus, city Health Commission inspector Wu Ganyu told journalists.
“After entering hospital, their conditions grew worse and they died after attempts to save them were unsuccessful,” Wu said.
The deaths raise to 4,641 the number of people China says have succumbed to the disease since the virus was first detected in the central city of Wuhan in late 2019.
Most of Shanghai’s 25 million residents are being confined to their homes for a third week as China continues to employ a “zero-tolerance” strategy to curb the outbreak, demanding isolation of anyone possibly infected.
China on Monday said 23,362 people had tested positive for the virus over the previous 24 hours, most of them showing no symptoms and almost all of them in Shanghai.
The city has reported more than 300,000 cases since late March. Shanghai began easing restrictions last week, although officials have warned the city doesn’t have its outbreak under control.
Shanghai, which is home to China’s biggest port and most important stock exchange, appeared unprepared for such a massive undertaking.
Residents ran short of food and daily necessities while enduring lockdown conditions, and tens of thousands of people put under medical observation have been sequestered in crowded facilities where lights are always on, garbage bins overflow, food is inadequate and hot showers nonexistent.
Anyone who tests positive but has few or no symptoms is required to spend one week in a quarantine facility.
Concerns have risen about the economic impact of the government’s hardline policy.
China’s economic growth edged up to a still-weak 4.8% over a year earlier in the first three months of 2022 as lockdowns cut production in major industrial cities. Official data showed growth accelerated from the previous quarter’s 4%.
While the ruling Communist Party has urged more targeted prevention measures, local officials have routinely adopted stringent regulations, possibly for fear of being fired or penalized over outbreaks in their areas.
In the city of Wenzhou, which has seen only a handful of cases, authorities have authorized rewards of up to 50,000 yuan ($7,800) for information about people who falsify their health status, online news site The Paper reported.
Total Doses Distributed = 718,074,545. Total Doses Administered = 569,397,972. Number of People Receiving 1 or More Doses = 256,777,441. Number of People Fully Vaccinated = 218,907,165.
Total Doses Distributed = 718,039,345. Total Doses Administered = 569,032,907. Number of People Receiving 1 or More Doses = 256,721,753. Number of People Fully Vaccinated = 218,856,150.
Total Doses Distributed = 716,587,745. Total Doses Administered = 568,313,997. Number of People Receiving 1 or More Doses = 256,578,697. Number of People Fully Vaccinated = 218,740,564.
Yet again, the U.S. is trudging into what could be another COVID-19 surge, with cases rising nationally and in most states after a two-month decline.
One big unknown? “We don’t know how high that mountain’s gonna grow,” said Dr. Stuart Campbell Ray, an infectious disease expert at Johns Hopkins University.
No one expects a peak nearly as high as the last one, when the contagious omicron version of the coronavirus ripped through the population.
But experts warn that the coming wave – caused by a mutant called BA.2 that’s thought to be about 30% more contagious – will wash across the nation and push up hospitalizations in a growing number of states in the coming weeks. And the case wave will be bigger than it looks, they say, because reported numbers are vast undercounts as more people test at home without reporting their infections or skip testing altogether.
At the height of the previous omicron surge, reported daily cases reached into the hundreds of thousands. On April 14, the seven-day rolling average for daily new cases rose to 39,521, up from 30,724 two weeks earlier, according to data from Johns Hopkins collected by The Associated Press.
Dr. Eric Topol, head of Scripps Research Translational Institute, said the numbers will likely keep growing until the surge reaches about a quarter the height of the last “monstrous” one. BA.2 may well have the same effect in the U.S. as it did in Israel, where it created a “bump” in the chart measuring cases, he said.
Keeping the surge somewhat in check, experts said, is a higher level of immunity in the U.S. from vaccination or past infection compared with early winter.
But Ray said the U.S. could wind up looking like Europe, where the BA.2 surge was “substantial” in some places that had comparable levels of immunity. “We could have a substantial surge here,” he said.
Both experts said BA.2 will move through the country gradually. The Northeast has been hit hardest so far — with more than 90% of new infections caused by BA.2 last week compared with 86% nationally. As of Thursday, the highest rates of new COVID cases per capita over the past 14 days were in Vermont, Rhode Island, Alaska, New York and Massachusetts. In Washington, D.C., which also ranks in the top 10 for rates of new cases, Howard University announced it was moving most undergraduate classes online for the rest of the semester because of “a significant increase in COVID-19 positivity” in the district and on campus.
Some states, such as Rhode Island and New Hampshire, saw the average of daily new cases rise by more than 100% in two weeks, according to Johns Hopkins data.
Joseph Wendelken, spokesperson for the Rhode Island Department of Health, said despite rising cases, hospitalizations remain relatively low, and that’s the metric they are most focused on right now. About 55 COVID-19 patients are hospitalized, compared with more than 600 at one point in the pandemic.
Officials credit high vaccination rates. State statistics show 99% of Rhode Island adults are at least partially vaccinated and 48% have gotten the booster dose that scientists say is key in protecting against severe illness with omicron.
Vermont also has relatively high levels of vaccination and fewer patients in the hospital than during the height of the first omicron wave. But Dr. Mark Levine, the health commissioner there, said hospitalizations and the numbers of patients in intensive care units are both up slightly, although deaths have not risen.
Data from the Centers for Disease Control shows that new hospital admissions of patients with confirmed COVID-19 were up slightly in New England and the New York region.
On the West Coast, modelers from Oregon Health & Science University are projecting a slight increase in hospitalizations over the next two months in that state, where cases have also risen steeply.
As the wave moves across the country, experts said states with low rates of vaccination may face substantially more infections and severe cases that wind up in the hospital.
Ray said government leaders must be careful to strike the right tone when talking to people about protecting themselves and others after COVID restrictions have largely been lifted. Philadelphia recently became the first major U.S. city to reinstate its indoor mask mandate after a sharp increase in infections. But Vermont’s Levine said there are no plans to bring back any of the restrictions that were imposed earlier during the pandemic.
“It’s going to be hard to institute restrictive, draconian measures,” Ray said. “Fortunately, we have some tools that we can use to mitigate risk. And so I hope that leaders will emphasize the importance for people to watch the numbers,” be aware of risks and consider taking precautions such as wearing masks and getting vaccinated and boosted if they’re not already.
Lynne Richmond, a 59-year-old breast cancer survivor who lives in Silver Spring, Md., said she plans to get her second booster and keep wearing her mask in public as cases rise in her state and nearby Washington, D.C.
“I never really stopped wearing my mask…I’ve stayed ultra-vigilant,” she said. “I feel like I’ve come this far; I don’t want to get COVID.”
Vigilance is a good strategy, experts said, because the coronavirus is constantly throwing curveballs. One of the latest: even more contagious subvariants of BA.2 found in New York state, known as BA.2.12 and BA.2.12.1. And scientists warn that new and potentially dangerous variants could arise at any time.
“We shouldn’t be thinking the pandemic is over,” Topol said. “We should still keep our guard up.”
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Associated Press reporter Wilson Ring contributed from Stowe, Vermont.
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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.
South Korea will remove most pandemic restrictions, including indoor gathering limits, as it slowly wiggles out of an omicron outbreak officials say is stabilizing.
People will still be required to wear masks indoors, but authorities could remove an outdoor mask mandate if the coronavirus further slows over the next two weeks, Health Minister Kwon Deok-cheol said in a government briefing Friday.
Starting next week, authorities will remove a 10-person limit on private social gatherings and lift a midnight curfew at restaurants, coffee shops and other indoor businesses. Officials will also remove a ban on large political rallies and other events involving 300 or more people.
People will be allowed to eat inside movie theaters, religious facilities, bus terminals and train stations starting on April 25.
The new measures were announced as the country reported 125,846 new cases of the coronavirus, continuing a weekslong downward trend after infections peaked in mid-March. The country’s one-day record was 621,187 on March 17.
While health workers reported 264 virus-related deaths in the latest 24 hours, more than half of the country’s 2,800 COVID-19 intensive care units remained available.
Kwon pleaded that people remain vigilant against the virus, saying officials will be forced to tighten social distancing again if the pandemic brings another huge wave of infections.
He said it has become difficult to prolong social distancing rules, considering people’s fatigue and frustration with extended restrictions and the toll on the service sector economy. Social distancing measures have become less effective as tools to slow transmissions because omicron has been so much more contagious than previous variants of the virus, said Son Youngrae, another Health Ministry official.
Omicron has forced South Korea to abandon a stringent COVID-19 response based on mass laboratory tests, aggressive contact tracing and quarantines to focus limited medical resources on high-risk groups, including people 60 and older and those with preexisting medical conditions.
Starting in late May, officials will remove a mandatory seven-day quarantine period for COVID-19 patients and allow them to receive treatment at hospitals and local clinics just like other illnesses.
The country had already eased quarantine restrictions and stopped requiring adults to show proof of vaccination or negative tests when entering potentially crowded spaces like restaurants so that more public and health workers could respond to rapidly expanding at-home treatments. More than 900,000 virus patients have been asked to isolate at home to save hospital space.
