More virus trouble ahead

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More virus trouble ahead

Sat, 06/06/2020 - 14:30
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Saudi Arabia had barely inaugurated a slogan for loosening its coronavirus restrictions _ “Return carefully” _ when health officials looking at the numbers started to threaten another lockdown.

The number of COVID-19 patients in critical condition in the kingdom has tripled over the past week. Just days after the economy reopened, health-care workers are also falling ill, hospitals are filling up and some intensive care units are near capacity, according to interviews with nearly a dozen medical workers in Riyadh and Jeddah, who spoke on condition of anonymity. The fatality rate, still low, is rising.

Countries across the Middle East are grappling with what appears to be a new surge in coronavirus cases _ offering a cautionary tale for a world gradually reopening to a new normal. Iran, the epicenter of the Mideast outbreak, is back to reporting record numbers of daily infections after relaxing restrictions over the past two months. Egypt said it expects a significant rise in cases over coming weeks. In Israel, where restaurants and bars got the go-ahead to start seating customers last week, an uptick in cases since the reopening has forced cancellation of events including meetings of the parliament.

At a cabinet meeting on Sunday, Israeli Prime Minister Benjamin Netanyahu lamented what he called “a loosening of discipline.”

Some states in the region appear to be doing better. In the United Arab Emirates, a travel and business hub, the number of new cases reported has fallen steadily in the past week, despite a recent easing of movement restrictions. Case rates in Kuwait and Qatar have held steady.

But Saudi Arabia’s example shows how quickly a country’s control over the novel coronavirus can start to slip. The nation of 34 million has reported one of the lowest death rates in the world, even as the virus hobbled health care systems in the U.S. and Italy. According to data compiled by Bloomberg from Johns Hopkins University, Saudi Arabia’s mortality rate is around 0.7%, compared with 5.8% in the U.S. and more than 14% in the U.K., although a lack of standardized reporting makes country-to-country comparisons difficult. Part of that may be due to the kingdom’s relatively young population, but Saudi Arabia also acted swiftly _ imposing restrictions in March, with the number of cases in the country still under 100. It shut domestic and foreign travel and began quarantining thousands of people in hotels. In April, a 24-hour curfew was announced for major cities _ followed by another lock-down in May during an Islamic holiday.

Then, last week, the government announced a gradual return to “normal life,” with guidelines for new precautionary measures. Face masks were mandated in public, borders are still closed and an 8 p.m. curfew remains. But mosques opened their doors to the faithful, restaurants began hosting diners and workers went back to their offices in droves. The government replaced its slogan during the lockdown, “We’re all responsible,” with the new one, and plastered it on billboards across the capital.

“We’re prepared for any situation,” Health Minister Tawfiq Al-Rabiah said in an interview with Al-Arabiya television last week. “We ensure our capability to absorb any case that reaches us.”

Yet interviews with healthcare workers this week suggest that a grave situation was already brewing, and so do official figures. The number of patients in critical condition has spiked from less than 400 last week to 1,381 on Thursday.

“These worrying numbers show that there are unhealthy behaviors and activities happening,” health ministry spokesman Mohammed Al-Abdulaali admonished the public on Tuesday.

While some Saudi medical workers told Bloomberg their hospitals have plenty of space, others said that beds are filling up and reported outbreaks among staff _ putting muchneeded care-givers out of commission.

“I thought we were okay, but we’re not at all,” one nurse said, asking not to be named discussing sensitive information in a country where freedom of speech isn’t protected.

Days after unshuttering offices, some government agencies have sent employees home after positive cases were discovered, according to internal notices seen by Bloomberg. Several health-care workers said they’re awaiting the coming weeks with dread and expect a surge of cases contracted during the reopening. The health ministry did not immediately respond to a request for comment, but officials have warned that the country could return to stricter measures if cases don’t subside.

Israel, like Saudi Arabia, imposed strict precautions early, with a near-total lockdown between mid-March and mid-April; at one point, residents were not allowed further than 100 meters from their residences. The country has lifted restrictions since late April, opening schools and returning workers to offices in stages. The latest green light was given to train services, set to start Monday.

But authorities have also shut schools linked to outbreaks, and some parents are choosing to keep their children home after a recent rise in new cases.