Taipei
Taiwan struggles with testing backlog amid largest outbreak
Facing Taiwan’s largest outbreak of the pandemic and looking for rapid virus test kits, the mayor of the island’s capital did what anyone might do: He Googled it.
“If you don’t know, and you try to know something, please check Google,” Taipei Mayor Ko Wen-je quipped.
Praised for its success at keeping the virus away for more than a year, Taiwan had until May recorded just 1,128 cases and 12 deaths. But the number of locally transmitted cases started growing this month and it soon became clear that the central government was ill prepared not only to contain the virus, but to even detect it on a large scale due to a lack of investment in rapid testing.
That left officials like Ko scrambling to catch up as the number of new infections climbed to some 300 a day. Ko’s search put him in contact with six local companies who make rapid tests and his government was soon able to set up four rapid testing sites in a district that had emerged as a virus hotspot.
Read: Coronavirus: Taiwan has another jump, capital closing schools
Rapid tests, experts say, are a critical tool in catching the virus in its early days. The alternative that Taiwan has been relying on — tests that have to be sent out to a lab for processing — has led to backlogs that may be obscuring the true extent of the outbreak.
“You want to identify those infected cases as soon as possible,” to contain the spread, said Ruby Huang, a professor in the medical college at National Taiwan University. “And then you’re basically running against time.”
With so few cases, Taiwan had been a bubble of normalcy for most of the pandemic. Schools stayed open, people went to bars and restaurants, and the island’s economy was among the few globally that saw positive growth.
Its success was built largely on strict border controls that primarily allowed in only citizens and long-term residents, who then faced mandatory two-week quarantines.
From time to time it found small clusters of infections and stamped them out through contact tracing and quarantines. Last month authorities found a cluster involving pilots from the state-owned China Airlines.
Stopping the virus this time would prove difficult, in part because under government policy pilots were only required to quarantine for three-days and did not need a negative test to get out of quarantine. Soon employees at a quarantine hotel where China Airlines flight crew stayed started getting sick — and so did their family members.
The virus had escaped quarantine and was spreading locally, mostly in Taipei and surrounding areas.
The government in Taiwan — where only about 1% of the population have been vaccinated — responded by ordering a lockdown, closing schools and switching offices to remote work or rotating shifts. Contact tracers identified 600,000 people that needed to quarantine themselves.
The biggest roadblock has been testing.
Government policy throughout the pandemic has been to rely on polymerase chain reaction, or PCR, tests, which are seen as the gold standard for diagnosis but must be processed using special machines in a lab. The government has not encouraged rapid tests, which are quicker and cheaper but potentially less accurate.
In and around Taipei, labs have been working overtime in recent weeks but are still struggling to process all the samples.
Tim Tsai said on just a single day last week his lab in New Taipei city received 400 samples from hospitals to test. He said his lab was only able to process about 120 samples a day.
Read:The Latest: Taiwan raises alert amid sharp rise in cases
“Our medical technicians, they were leaving work at midnight,” he said.
The government’s Central Epidemic Command Center said in a statement that all 141 government designated labs have the capacity to process 30,000 PCR tests a day. However, it declined to provide the actual number of tests being processed.
It said it was “continuing to work with relevant labs to research ways to accelerate and expand our capacity, without impacting accuracy.”
Throughout the pandemic the government has maintained there are few benefits to mass testing, with the health minister saying last year that public funds and medical resources could better be used elsewhere.
The government instead has emphasized a strategy of contact tracing and isolation and only testing those with symptoms and direct contact with someone infected.
“This is more efficient, effective and accurate,” said Chen Chien-jen, the island’s former vice president, who led the pandemic response last year before retiring.
Experts say such a strategy may have been appropriate when case numbers were low, but needed to change as infections spread.
“You should have a two-pronged approach. You do the quarantine, but you should do massive widespread testing,” said K. Arnold Chan, an expert on drug and medical products regulation at National Taiwan University. “For whatever reason the government is completely unprepared.”
Taiwanese companies developed rapid tests for COVID-19 early last year, but the majority of their sales have been overseas.
“Back then the CDC didn’t support rapid tests, and there was no epidemic,” said Edward Ting, a spokesperson for Panion and BF Biotech, which has had its own test since March 2020. “We tried to sell, but it wasn’t possible.”
The central government finally appears to be coming around, with the health minister last week asking local governments to set up rapid testing sites. Ting said his company has since had calls from governments across the island asking about its tests.
The central government also is now offering subsidies for labs to buy new machines to process PCR tests.
Read: Why the world should pay attention to Taiwan's drought
Aaron Chen, whose company developed a machine that can process up to 2,000 PCR test samples every four hours, said he has diverted two machines bound for export to be used locally instead.
Ko, the mayor of Taipei, said his city has purchased 250,000 rapid test kits. Though the city is still relying on PCR tests to confirm actual cases, Ko said the rapid tests better allow him to monitor the situation on the ground.
Ko, a former surgeon, said it was important to be open to change.
“There’s a phrase in Chinese: One thrives in times of calamity and perishes in soft times. Because when you’re very successful you are not forced to improve. Only when you fail, then are you forced to improve,” said Ko. “We were too successful in the past year.”
3 years ago
Restrictions reimposed as virus resurges in much of Asia
Taxi drivers are starved for customers, weddings are suddenly canceled, schools are closed, and restaurant service is restricted across much of Asia as the coronavirus makes a resurgence in countries where it had seemed to be well under control.
Sparsely populated Mongolia has seen its death toll soar from 15 to 233, while Taiwan, considered a major success in battling the virus, has recorded more than 1,000 cases since last week and placed over 600,000 people in two-week medical isolation.
Hong Kong and Singapore have postponed a quarantine-free travel bubble for a second time after an outbreak in Singapore of uncertain origin. China, which has all but stamped out local infections, has seen new cases apparently linked to contact with people arriving from abroad.
The resurgence hasn’t come close to the carnage wrought in India and parts of Europe, but it is a keen reminder that the virus remains resilient, despite strict mask mandates, case tracing, mass testing and wider deployment of the newest weapon against it — vaccinations.
Read:COVID-19 cases rise to 25,228,996 in India, highest daily death toll recorded
That’s setting back efforts to get social and economic life back to normal, particularly in schools and sectors like the hospitality industry that are built on public contact.
In Taiwan, the surge is being driven by the more easily transmissible variant first identified in Britain, according to Chen Chien-jen, an epidemiologist and the island’s former vice president, who led the highly praised pandemic response last year.
Complicating matters are some senior citizens who frequent slightly racy “tea salons” in Taipei’s Wanhua neighborhood. They accounted for about 375 of the new cases as of Tuesday, Chen said. The tea shops are known for providing adult entertainment with singing and dancing.
“These seniors, when they go to these places, want to keep it veiled,” Chen said. “When we are conducting the investigation, they may not be honest.”
In Wanhua, normally a bustling area with food stalls, shops and entertainment venues, the Huaxi night market and historic Longshan Buddhist temple are closed.
Kao Yu-chieh, who runs a breakfast shop in the area, said business is down at least 50% since last week.
Cab driver Wang Hsian Jhong said he hasn’t had a customer in three days. “Everyone is affected. This is a Taiwan-wide problem. We have to get through it,” he said, puffing on a cigarette on a street in Wanhua.
Schools, gyms and pools are closed in Taipei, and gatherings of more than five people indoors and more than 10 people outdoors are banned. The island shut all schools starting Wednesday.
Taiwan President Tsai Ing-wen has sought to reassure a public that is reverting to panic-buying and shunning public places.
“We will continue to strengthen our medical capacity,” Tsai said, adding that vaccines are arriving from abroad.
Malaysia unexpectedly imposed a one-month lockdown through June 7, spooked by a sharp rise in cases, more-infectious variants and weak public compliance with health measures.
Read:Coronavirus: Taiwan has another jump, capital closing schools
It was the second nationwide lockdown in just over a year and came after the country’s cases shot up fourfold since January; it’s now more than 479,000 and 1,994 people have died, a sum also up by four times from January. Interstate travel and social activities are banned, schools are shut, and restaurants can provide only takeout service. The government has warned that hospitals have almost maxed out their capacity to take new coronavirus cases.
Singapore has imposed stringent social distancing measures until June 13, restricting public gatherings to two people and banning dine-in service at restaurants.
That came after the number of coronavirus infections of untraceable origin rose to 48 cases in the past week, from 10 cases the week before. Singapore had previously been held up as a role model after keeping the virus at bay for months.
Schools moved online after students in several institutions tested positive. Wedding receptions are no longer allowed, and funerals are capped at 20 people.
For wedding planner Michelle Lau, at least seven clients either canceled or postponed weddings meant to take place over the next month. Other couples have opted for a simple ceremony without a reception, she said.
Janey Chang, who runs two Latin dance studios in Singapore, says that the tougher restrictions have drastically reduced class size.
“We are taking on fewer students, but the costs such as rent remain the same,” Chang said. “Whether we can continue to operate is highly dependent on the number of coronavirus cases.”
Hong Kong has responded to fresh outbreaks by increasing the quarantine requirement from 14 to 21 days for unvaccinated travelers arriving from “high-risk” countries, including Singapore, Malaysia and Japan, and, farther afield, Argentina, Italy, the Netherlands and Kenya.
China has set up checkpoints at toll booths, airports and railway stations in Liaoning province, where new cases were reported this week. Travelers must have proof of a recent negative virus test, and mass testing was ordered in part of Yingkou, a port city with shipping connections to more than 40 countries.
Thailand reported 35 deaths, the highest since the outbreak started, on Tuesday, and an additional 29 on Wednesday. That brought its number of fatalities to 678, of which 584 have been reported in the latest wave. About three-quarters of Thailand’s more than 116,000 cases have been recorded since the beginning of April.
Thailand had about 7,100 cases in all of last year in what was regarded as a success story.
The resurgence has posed difficult choices for governments, particularly in poorer nations where lockdown restrictions can increase financial suffering for those already living on the edge of starvation.
Read:Indonesia suspends AstraZeneca COVID-19 vaccine batch after death
In the Philippines, President Rodrigo Duterte has eased a lockdown in the bustling capital and adjacent provinces to fight economic recession and hunger but has still barred public gatherings this month, when many Roman Catholic festivals are held.
COVID-19 infections started to spike in March to some of the worst levels in Asia, surging beyond 10,000 a day and prompting Duterte to impose the lockdown in and around Manila in April. The Philippines has reported more than 1.1 million infections with 19,372 deaths, though the surge has begun to ease.
Health Secretary Francisco Duque III said the partial resumption of economic activities, increased noncompliance with restrictions and inadequate tracing of people exposed to the virus combined to spark the steep rise in infections.
Experts said the delivery of vaccines, however delayed and small in amount, also fostered false confidence the pandemic might be ending.
3 years ago
The Latest: Taiwan raises alert amid sharp rise in cases
Taiwan has raised the COVID-19 alert level for the capital Taipei and the surrounding area of New Taipei city following its worst outbreak since the pandemic began.
The level 3 alert announced Saturday requires people to wear a mask outdoors and limits indoor gatherings to five people and outdoor gatherings to 10 people. The alert remains in effect for two weeks.
Health authorities said that 180 new locally spread cases had been confirmed through Friday, the majority in Taipei and New Taipei. The daily number of new cases had risen steadily from single digits early this week to 29 before the triple-digit jump announced Saturday.
“The epidemic is gaining intensity,” Health Minister Chen Shih-chung said, while noting that more cases are being identified as authorities hone in on hot zones.
Read:Global Covid cases approach 162 million
Movie theaters, museums, indoor swimming pools and amusement parks were among the places ordered closed under the level 3 alert, as were community colleges and senior citizen activity centers.
THE VIRUS OUTBREAK:
— States, business sort out what new CDC mask guidance means
— Cuba rolls out mass vaccines while awaiting study results
— The unwitting are the target of COVID-19 falsehoods online
— A video promoting tourism in Turkey amid the pandemic has caused an uproar on social media for showing tourism employees wearing masks that read “Enjoy, I’m vaccinated.”
— Japan is further expanding a coronavirus state of emergency from six areas, including Tokyo, to nine as the government repeated its determination to hold the Olympics in just over two months.
— Southern European countries are racing to reopen their tourism services despite delays in rolling out a planned EU-wide travel pass.
HERE’S WHAT ELSE IS HAPPENING:
NEW DELHI — India’s two biggest cities have reported a drop in daily infections but the government is warning that the devastating surge is spreading in rural areas, where nearly two-thirds of India’s 1.4 billion people live.
India reported 326,098 new confirmed cases and 3,890 deaths in the past 24 hours, though experts say both figures are an undercount. The Health Ministry had reported 343,144 cases on Friday and 362,727 on Thursday.
Prime Minister Narendra Modi on Friday warned people to take extra precautions as the virus was spreading fast in rural areas. He said the government was mobilizing all resources, including the military.
News reports say hapless villagers have been rushing the sick to nearby towns and cities for treatment because health care facilities are limited in the countryside.
India’s capital has reported less than 10,000 new cases in a day for the first time in over a month. It recorded 8,506 cases in the past 24 hours.
After a peak of 11,000 daily infections, Mumbai, India’s financial and entertainment capital, has been reporting less than 2,000.
Read:Indian states asked to stop people from dumping bodies of COVID-19 victims into Ganga
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SANTA FE, N.M. -- New Mexico has adopted guidance on facemasks from the Centers for Disease Control and Prevention that says fully vaccinated Americans no longer need to wear masks indoors or outside in most cases.
Under revisions Friday to the state’s emergency public health order, masks are no longer required of fully vaccinated people in many public settings, though businesses and workplaces may still make face coverings a requirement for all.
Public schools are still bound by universal mask requirements with allowances for meals, as the state gradually relaxes aggressive restrictions on public gatherings and some business operations.
New Mexico Gov. Michelle Lujan Grisham said that getting vaccinated is crucial to a safe future, with the statewide vaccination rate recently surpassing 50% for eligible residents 16 and over.
“We are close and getting closer. But that all depends on New Mexicans continuing to protect themselves and their community by getting vaccinated,” she said in a statement.
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JUNEAU, Alaska — Alaska legislative leaders have voted to make mask-wearing optional at the state Capitol and then shed their own face coverings after the vote.
The decision by the Legislative Council followed new guidelines the U.S. Centers for Disease Control and Prevention for people who are fully vaccinated against COVID-19. The council is composed of House and Senate leaders.
Under the new policy, masks are optional in legislative facilities, with some exceptions. For example, lawmakers can require masks in their respective offices.
The policy also further eases testing rules.
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BATON ROUGE, La. --Louisiana Gov. John Bel Edwards has further eased the state’s mask requirements.
Edwards largely dropped the state mask mandate on April 27, but there were exceptions. Friday’s order drops the requirement for entry into state office buildings for people who are fully vaccinated.
Masking is still required by the state in educational facilities from early childhood classes to universities, and at state correctional facilities and health care facilities.
New Orleans, which had a tougher mask mandate than the state’s, also did away with the mask mandate for fully vaccinated people Friday, with similar exceptions.
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Word from federal health officials that vaccinated people don’t have to wear masks in most situations may be leading to confusion among travelers.
Read:Pfizer COVID-19 shot expanded to US children as young as 12
Masks are still required under a Transportation Security Administration rule that will run into mid-September unless it is revoked before then. The Federal Aviation Administration, which regulates airlines, felt the need to remind passengers of the TSA rule.
It issued a statement late Friday to “remind the traveling public that at this time if you travel, you are still required to wear a mask on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States, and in U.S. transportation hubs such as airports and stations.”
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NEW YORK — Walmart, the world’s largest retailer, said Friday that it won’t require vaccinated shoppers or workers to wear a mask in its U.S. stores, unless state or local laws say otherwise.
Vaccinated shoppers can go maskless immediately, the company said. Vaccinated workers can stop wearing them on May 18. As an incentive, Walmart said it is offering workers $75 if they prove they’ve been vaccinated.
Walmart said it won’t ask shoppers if they’ve been vaccinated. Workers, however, will need to tell the company if they’ve been vaccinated in order to go maskless.
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JUNEAU, Alaska — The acting mayor of Anchorage says Alaska’s largest city is revoking its mask mandate, starting May 21.
Acting Mayor Austin Quinn-Davidson’s office says masks no longer will be required in indoor or outdoor settings but that people who are not vaccinated against COVID-19 are encouraged to wear masks.
The decision follows guidance released by the U.S. Centers for Disease Control and Prevention on Thursday for people who are vaccinated.
Quinn-Davidson’s office says applying a mask mandate only to those who are not vaccinated in Anchorage would have created enforcement challenges and issues for businesses.
Meanwhile, in Juneau, city officials ease mask wearing rules for people who are fully vaccinated.
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LITTLE ROCK, Ark. — Arkansas’ capital city is dropping its requirement to wear a mask to combat the coronavirus following loosened federal guidance and a new state law that will ban local mandates, Little Rock Mayor Frank Scott said Friday.
Scott said the city’s mask mandate will end Saturday, though private entities, hospitals and churches can still enforce their own requirements on employees and patrons. People entering City of Little Rock indoor facilities will still be required to wear a mask, the mayor said.
“We strongly encourage residents to continue wearing face coverings in public until we reach the desired vaccination rate in our city, as outlined by healthcare professionals,” Scott said in a statement.
The decision comes a day after the Centers for Disease Control and Prevention eased mask-wearing guidance for fully vaccinated people, allowing them to stop wearing masks outdoors in crowds and in most indoor settings.
Arkansas dropped its mask mandate in March, but the governor allowed local governments to enforce their own. A new state law, however, takes effect in July that will ban any state or local mandates.
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ATLANTA — Georgia’s 26 public universities and colleges do not currently plan to require students, faculty or staff to be vaccinated against COVID-19 in the fall, according to guidance issued by the University System of Georgia.
Read:In Argentina, doctors adapt as COVID-19 strains hospitals
The 340,000-student university system in March asked all campuses “to plan for resuming normal operations for the Fall 2021 semester.” Thursday’s guidance says fully vaccinated people won’t have to socially distance or wear masks, while unvaccinated people “are strongly encouraged to continue” socially distancing and wearing a mask inside.
The universities are supposed to make sure vaccinations are available, but schools won’t be “responsible for assessing current COVID-19 vaccination rates for their institution.”
The university system said it had made the decisions in concert with the state Department of Public Health and that they were subject to change.
The Board of Regents insisted on at least some in-person instruction in the fall and spring semesters. Those moves came despite resistance from some employees.
3 years ago