From Our Bureau
29th April 2020
The Corona Virus (CPVID-19) pandemic situation remained grim globally, with the confirmed cases across the world crossing three million and the death toll mounting to 2,10,000 in the 213 affected countries and territories, according to the latest update from the World Health Organization (WHO).
Globally, 30,18,681 confirmed cases and 2,07,973 deaths have been reported. European region continued to be the worst-hit, with 14,06,899 confirmed cases and 1,29,311 deaths. American region came next with 12,13,088 confirmed cases and 62,404 deaths. Eastern Mediterranean region reported 1,76,928 confirmed cases and 7,304 deaths.
Western Pacific region’s tally stood at 1,46,449 confirmed cases and 6,037 deaths. South-East Asia region recorded 51,351 confirmed cases and 2,001 deaths and African region witnessed 23,254 confirmed cases and 903 deaths. WHO Risk Assessment at global level remained very high.
WHO has published a technical guidance titled ‘Strengthening Preparedness for COVID-19 in Cities and Urban Settings’. The guidance supports local leaders and policy-makers in cities and other urban settings in implementing actions that enhance the prevention, preparedness and readiness for COVID-19.
The WHO Regional Office for Europe has highlighted the critical importance of patient rehabilitation in light of the COVID-19 pandemic. WHO Regional Director for the Eastern Mediterranean Region, Dr. Ahmed Al Mandhari, has called for ‘all to put aside their differences, find common ground, and work together for the sake of humanity.’
The WHO Information Network for Epidemics (EPI-WIN) has rapidly built an innovative analysis capability to identify misleading sources, posts and narratives, and predict rising areas of concern and information voids.
Addressing the media briefing, WHO Director-General Dr Tedros Adhanom Ghebreyesus said: “As of tomorrow, it will be three months since I declared a public health emergency of international concern over the outbreak of novel coronavirus. Today I’d like to take a few moments to look back at the period preceding that announcement, to be clear about what WHO knew, and what we did.”
“On the 31st of December, WHO’s Epidemic Intelligence System picked up a report about a cluster of cases of pneumonia of unknown cause in Wuhan, China. The following day, New Year’s Day, WHO asked China for more information under the International Health Regulations, and activated our Incident Management Support Team, to coordinate the response across headquarters, and our regional and country offices. On the 2nd of January, WHO informed the Global Outbreak Alert and Response Network – or GOARN – which includes more than 260 institutions in more than 70 countries,” he pointed out.
“Yesterday was GOARN’s 20th birthday, and I’d like to use this opportunity to say happy birthday to GOARN, and thank you and congratulations to every single GOARN member for their commitment to responding to the COVID-19 pandemic and many other emergencies. We’re really proud to work with you,” he added.
“On the 3rd of January, China provided information to WHO through a face-to-face meeting in Beijing, and through WHO’s Event Information System established under the International Health Regulations. On the 4th of January, WHO reported the cluster of cases on Twitter. At that stage, no deaths were reported.
“On the 5th of January, WHO shared detailed technical information through its Event Information System. This included advice to all Member States and IHR contact points to take precautions to reduce the risk of acute respiratory infections – providing guidance on the basis that there could be human-to-human transmission.
“On the same day, WHO also issued its first public Disease Outbreak News, publishing technical information for the scientific and public health communities, as well as the world’s media.
“On the 10th and 11th of January, WHO published a comprehensive package of guidance on how to detect, test for and manage cases, and protect health workers from potential human-to-human transmission, based on our previous experience with coronaviruses. We also published a readiness checklist to help countries assess their capacities and gaps for detection and response.
“Because Wuhan is a major domestic and international transport hub, WHO also advised that the risk of cases being reported from outside Wuhan was increased. On the 11th of January, China shared the genetic sequence of the virus for countries to use in developing testing kits. On the same day, China reported the first death from the new coronavirus.
“On the 13th of January, the first case was reported outside China, in Thailand. That day, working with partners, WHO published the first instructions for how to make PCR-based diagnostic test kits, enabling the world to find cases. On the 14th of January, WHO tweeted reports from China that preliminary investigations by Chinese authorities had found no clear evidence that human-to-human transmission was occurring.
“This is in line with our practice of reporting to the world information that countries report to us. We post country reports as it is. However, earlier the same day, WHO held a press briefing at which we said that, based on our past experience with coronaviruses, human-to-human transmission was likely. Our senior experts participated in that press conference, and that news was carried by mainstream media.
“On the 20th and 21st of January, WHO staff visited Wuhan, and on the 22nd, reported that the evidence suggested human-to-human transmission was occurring. On the 22nd and 23rd of January, I convened the Emergency Committee, consisting of 15 independent experts from around the world. At the time, 581 cases had been reported, and only 10 cases outside China. The Emergency Committee was divided in its opinion, and did not advise that I declare a public health emergency of international concern.
“The Committee asked to be reconvened in 10 days or less to allow time for more information and evidence to be collected and considered. On the 27th of January, I traveled to Beijing with WHO’s chief of emergencies, Dr Mike Ryan, and other senior WHO staff, and met with President Xi Jinping and other leaders to learn more about the response and offer WHO’s assistance.
“We discussed the seriousness of the situation, and agreed that an international team of scientists should travel to China to look into the outbreak and the response, including experts from China, Germany, Japan, the Republic of Korea, Nigeria, the Russian Federation, Singapore and the United States of America. On the 30th of January, I reconvened the Emergency Committee and after receiving their advice, because of the new information gathered they had a consensus, I declared a global public health emergency – WHO’s highest level of alarm.
“At the time, as you may remember, there were less than 100 cases and no deaths outside China. To be specific, we had 82 cases outside China, and no deaths, when we declared the highest level of international emergency. From the beginning, WHO has acted quickly and decisively to respond and to warn the world. We sounded the alarm early, and we sounded it often. We said repeatedly that the world had a window of opportunity to prepare and to prevent widespread community transmission.
“We started our early press conference. People were saying the world will be tired of you if you’re making a press conference every day, but we didn’t mind. We wanted to make sure the world understands what WHO is saying. WHO is committed to transparency and accountability.
“In accordance with the International Health Regulations, I will reconvene the Emergency Committee tomorrow – because it’s almost 3 months since we declared the highest emergency and that’s what was suggested by the Emergency Committee – to evaluate the evolution of the pandemic, and to advise on updated recommendations.
“In the three months since the Emergency Committee last met, WHO has worked day in, day out to sound the alarm, support countries and save lives. We’ve worked with countries to help them prepare and respond. We’ve brought countries together to share experiences and lessons learned. We’ve brought together thousands of experts to analyze the evolving evidence and distil it into guidance.
“We’ve convened researchers to identify priorities, from all over the world. We’ve launched a large international trial to find answers fast about which drugs are the most effective. We’ve brought together a consortium of countries and partners to accelerate the development and equitable distribution of vaccines, diagnostics and therapeutics. We’ve shipped millions of test kits and tons of protective gear all around the world, focusing on those countries who need our support most.
“We’ve trained more than 2 million health workers – to be exact, 2.3 million health workers around the world. We don’t think that’s enough, we will train more. We’ve worked with tech companies to fight the infodemic. We’ve kept the world informed in multiple ways, including these regular press conferences, answering your questions. We’ve brought together entertainers to provide music and laughter, even in these dark times, using this opportunity to thank Hugh Evans from Global Citizen and Lady Gaga.
“And we’ve watched with admiration as the world has come together in solidarity to fight this common enemy. We share the grief and pain of so many people around the world, and we share the hope that we will overcome this pandemic together. There’s one thing we haven’t done: we haven’t given up. And we will not give up.
“Our commitment remains to serving all the people of the world with science, solidarity and solutions, but above all with humility and respect to all people and nations. WHO is now working to provide the critical strategies, solutions and supplies that countries will need in the coming weeks and months. One thing that we would ask is unity at the national level, and solidarity at the global level. More than ever, the human race should stand together to defeat this virus.
“I have said it before: this virus can wreak havoc. It’s more than any terrorist attack. It can bring political, economic and social upheavals. But the choice is ours, and the choice should be unity at the national level. The choice should be global solidarity, standing in unity, the WHO Director-General added. (eom)