Wuhan is the latest crisis to face China's Xi, and it's exposing major flaws in his model of control - CNN | Canada News Media
Connect with us

Health

Wuhan is the latest crisis to face China's Xi, and it's exposing major flaws in his model of control – CNN

Published

 on


“SARS forced the whole country to pay attention to the livelihood of the people,” he said, before adding a warning. “We’ve made huge progress, but our footsteps are slow, especially in terms of healthcare.”
With the Wuhan coronavirus spreading across the country, killing at least 25 people so far, China is now facing a major test of just how much it has changed since 2003, both in terms of the healthcare system’s ability to react to a new deadly pathogen — and crucially, how the central government handles the developing crisis.
Speaking this week, Chinese President Xi Jinping ordered “all-out efforts” to contain the virus’ spread and treat those affected. His intervention seemed to carry with it a clear message: the mistakes of SARS will not be repeated.
Wuhan is only the latest crisis to face Xi since he secured personal control of the Communist Party, joining the US-China trade war, ongoing anti-government unrest in Hong Kong, and the recent Taiwan election, in which Tsai Ing-wen, much loathed by Beijing, handily won re-election against a more pro-China candidate.
More than any leader since Mao Zedong, Xi has centralized power around himself. He is the state, and while this gives him immense control, it also means that every crisis is a test of his leadership — Wuhan perhaps most of all, as the country looks to their leader for reassurance and confidence.
Since Xi’s statement, efforts to control the virus have ramped up nationwide, with health authorities ordering the highest level response, typically used to tackle outbreaks of plague or cholera. On Thursday, Wuhan itself — all 11 million people — was partially quarantined, with public transport “temporarily suspended,” including all planes and trains departing the city.
In state media, editorials urged greater transparency and lauded the central government’s quick response and that of Chinese scientists and doctors, who quickly released the virus’ genome in order to aid the work of other researchers worldwide in coming up with a vaccine.
Despite the laudatory efforts of Chinese healthcare workers, however, and forceful statements from Beijing, allegations of an initial — and potentially even ongoing — cover-up continue to hang over the Wuhan outbreak.
This virus could have been China’s chance to exorcise the ghosts of SARS once and for all, instead it may have exposed that, for all the progress in the past 17 years, fundamental flaws remain in place when it comes to handling a crisis like this — ones that could result in far greater danger in future.
<!–

Crisis and cover-up

The first cases of what would later be called severe acute respiratory syndrome (SARS) were identified in southern China in November 2002. The virus would go on to infect more than 8,000 people worldwide, the majority of them in China.
Even as the deadly pathogen spread throughout Guangdong province, however, media reports were censored and patients and their families prevented from speaking out. If they addressed the issue at all, officials downplayed it, unwilling to risk upsetting the economy or “social stability” — important metrics for future promotion.
It was not until whisteblower Jiang Yanyong, a retired Chinese army doctor, came forward in early 2003 that much of China and the rest of the world became aware of the true danger — by which time SARS had already spread widely. The virus was soon declared a “global threat” by the World Health Organization (WHO) and efforts to contain its spread were put in place worldwide.
In the months that followed, China’s government officially apologized for its slow reporting of the outbreak, and the country’s health minister was sacked, along with the mayor of Beijing at the time. “Never again” was the message of the day, one that has been repeated ad nauseum regarding the Wuhan virus.
While the Communist Party’s grasp on power in China has grown stronger than ever under Xi, it’s popular legitimacy is much more fragile. The SARS scandal, and similarly mishandled crises such as the 2008 Sichuan earthquake, had a devastating effect on that legitimacy, greatly alarming officials who place “stability” above all else.
Xi’s gathering of power around himself also means the Wuhan crisis will be more of a test of his personal control of the Party and country — and of the highly-centralized system he’s put in place in recent years.
<!–

Initial problems

By a number of measures, China’s handling of the current crisis has been infinitely better than during SARS. Authorities in Wuhan alerted the public to the new virus in mid-December, soon after the first cases were identified. Xi’s statement four weeks later drastically boosted the response and publicized the risk.
In 2003, by comparison, it was over two months after the first patients were diagnosed with SARS that the WHO was alerted — by a whistleblower, not the Chinese authorities — of a “strange contagious disease” that has “already left more than 100 people dead.”
But behind this outwardly competent handling of a crisis there are signs of a deeper problem.
One of the oldest cliches in Chinese politics is that “the mountains are high and the emperor is far away.” Despite being an intensely centralized state, provincial authorities do not always act as Beijing would prefer, nor do commandments from on high — to crack down on corruption or reign in pollution, or to increase transparency — always trickle down to the provinces.
While unconfirmed, there are numerous indications that officials in Wuhan downplayed the risks of the virus for several weeks, delaying proper action and potentially increasing its spread.
Though the first case was detected on December 8 — it was not until January 14 that officials in Wuhan introduced any screening measures. In the intervening period, a major meeting of the Hubei provincial party was held in the city, and more than 40,000 families were invited to attend a banquet in an attempt to set a world record.
Speaking to state media, Wuhan officials downplayed the danger, saying the virus was unlikely to be spread from human to human. State officials initially repeated this assessment: Wang Guangfa, head of a team of researchers sent from Beijing to investigate the situation, said on January 11 that it was under control — he has since been diagnosed with the virus.
At the same time, Wuhan authorities also tried to clamp down on discussion of the virus. State media reported that police arrested eight people in early January for spreading “rumors” that the virus was related to SARS, something which has since been confirmed by health authorities.
Even as researchers in the UK estimated that the initial spread of the virus could have affected at least 1,700 people, no new cases were reported in Wuhan itself, despite patients being identified in other countries. “Does the virus only affect overseas travelers?” people asked darkly on Chinese social media, where accusations of a cover-up quickly spread and were censored.
It was not until inspectors sent from Beijing had assessed the situation that the alarm was properly raised. In an interview with state broadcaster CCTV, Zhong Nanshan, the SARS hero, said there was “definitely human-to-human transmission,” and warned the infection rate was “climbing.”

Worst possible timing

Speaking to state media this week, Wuhan Mayor Zhou Xianwang admitted that the city’s “warnings were not sufficient.”
Whether because of bureaucratic incompetence or a politically-motivated cover-up, the delay could not have come at a worse time. China is currently in the middle of the Lunar New Year travel rush, in which hundreds of millions of people move across the country, packed close together on trains, coaches and planes.
Revelations about the true spread and severity of the virus only came after the four-week travel period had got underway, and restrictions on people leaving Wuhan itself did not come into place until Thursday. One woman identified as having the virus in South Korea even told health officials there that she visited a doctor in Wuhan with symptoms — after screening measures were introduced — but got sent on her way and was able to leave the country.
The pervasive censorship of the Chinese press and internet undoubtedly played a role in this, as did Xi’s years-long crackdown on civil society groups, forcing people to rely on official accounts and the transparency of officials whose own motivations are often completely apposite.
Once Xi intervened, essentially signaling that the Wuhan virus was fair game for Chinese media, reporters rushed to the scene. Both Caixin and the Beijing News — some of the most independently minded outlets in the country — quickly began producing in-depth coverage, some of which exposed oversights by local officials and punched holes in their narrative. Writing on WeChat from Wuhan, Caixin reporter Gao Yu compared the situation to SARS, saying that “the lack of transparency, public supervision and truth (have) caused huge damage to public safety.”
China learned hard lessons in 2003 at a terrible cost. The legacy of SARS could be seen in the central government’s response this month, and that of Chinese scientists, both of which deserve a great deal of credit.
But Xi has also reversed gradual liberalization and opening up which occurred post-SARS, massively centralizing power within the Communist Party once again. At the same time, he has overseen a crackdown on the internet, the press and civil society, and an anti-corruption purge that, while it has turfed out plenty of bad apples, may also have left provincial officials more afraid of angering Beijing.
Xi is the closest China has had to an emperor since Mao, but like the old saying goes, he’s often far away. The Wuhan virus shows what happens when the country has to rely on information filtering up to the top for decisive action to be taken.

Let’s block ads! (Why?)



Source link

Continue Reading

Health

Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

Published

 on

 

The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Health

How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

Published

 on

 

HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Health

Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

Published

 on

 

ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Trending

Exit mobile version