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The WHO had asked China for more information on Wednesday after groups including the Program for Monitoring Emerging Diseases (ProMED) reported clusters of undiagnosed pneumonia in children in north China. No unusual pathogens have been detected in the capital of Beijing and the northeastern province of Liaoning. The U.N. health agency had also asked China for further information about trends in the circulation of known pathogens and the burden on healthcare systems. WHO China said it was "routine" to request information on increases in respiratory illnesses and reported clusters of pneumonia in children from member states, such as China. The WHO said that while it was seeking additional information, it recommended that people in China follow measures to reduce the risk of respiratory illness.
Persons: Dado Ruvic, pneumoniae, Ben Cowling, Deena Beasley, Andrew Silver, Jennifer Rigby, Emma Farge, Urvi, Robert Birsel, Miyoung Kim, Josie Kao Organizations: REUTERS, World Health Organization, WHO, International, National Health Commission, FTV News, Hong Kong University, Health Commission, Xinhua, Influenza, Thomson Locations: China, Beijing, Liaoning, Wuhan, WHO China, Taiwan, Los Angeles, Shanghai, London, Geneva, Bengaluru
How Deadly Was China’s Covid Wave?
  + stars: | 2023-02-15 | by ( James Glanz | Mara Hvistendahl | Agnes Chang | ) www.nytimes.com   time to read: +15 min
China’s official count 0 2.5 million 83,150 deaths Model based on Shanghai outbreak 1.6 million deaths LOW ESTIMATE HIGH ESTIMATE Estimate using travel patterns 970,000 deaths Estimate using recent testing data 1.5 million deaths Estimate based on U.S. death rates 1.1 million deaths China’s official count 0 2.5 million 83,150 deaths Model based on Shanghai outbreak 1.6 million deaths LOW EST. But China’s official Covid death toll for the entire pandemic remains strikingly low: 83,150 people as of Feb. 9. Four separate academic teams have converged on broadly similar estimates: China’s Covid wave may have killed between a million and 1.5 million people. Why official data underrepresents China’s outbreak83,150 deaths China’s official count on Feb. 9 0 2.5M 83,150 deaths China’s official count on Feb. 9 0 2.5 millionChina has a narrow definition of what counts as a Covid-19 death. But the work was unwavering in its ultimate conclusion: Ending the “zero Covid” policy was likely to overwhelm the health care system, producing an estimated 1.6 million deaths.
China said last Saturday that nearly 60,000 people with COVID died in hospitals between Dec. 8 and Jan. 12 - a roughly ten-fold increase from previous disclosures. However, that number excludes those who die at home, and some doctors in China have said they are discouraged from putting COVID on death certificates. China's chaotic exit from a regime of mass lockdowns, travel restrictions and frequent COVID testing, has also prompted a run on drugs as people fend for themselves against the disease. To meet soaring demand, drugmakers in China are ramping up operations to triple their capacity to make key fever and cough medicines, the state-run China Daily reported on Thursday. Medical facilities are relatively weak in rural areas, thus prevention is difficult and the task is arduous," Xi said, adding that the elderly were a top priority.
If doctors believe that the death was caused solely by COVID-19 pneumonia, they must report to their superiors, who will arrange for two levels of "expert consultations" before a COVID death is confirmed, it said. "We have stopped classifying COVID deaths since the reopening in December," said a doctor at a large public hospital in Shanghai. Three other doctors at public hospitals in different cities said they were unaware of any such guidance. Before Saturday, China was reporting five or fewer COVID deaths per day. But the hospital told him it had run out of medicine, so they could only go home.
The methods for counting COVID deaths have varied across countries in the nearly three years since the pandemic began. CAN CHINA'S COVID DATA BE TRUSTED? With one of the lowest COVID death tolls in the world, China has been routinely accused of downplaying infections and deaths for political reasons. Globally, the study estimated 18.2 million excess deaths in 2021-2022, compared with reported COVID deaths of 5.94 million. China actually cut its accumulated death toll by one on Dec. 20, bringing the total to 5,241.
China's health authority did not immediately respond to a request for comment on infections among medical staff. A few nurses at the fever clinic were tested positive, there aren’t any special protective measures for hospital staff and I believe many of us will soon get infected," Li added. A post on the Weibo social media platform recounted a recent experience at the emergency ward at Beijing Hospital. "Those who have not been to the emergency department of Beijing Hospital don't know what a mess it has become," wrote a Weibo user called Moshang. Beijing Hospital did not immediately respond to a Reuters' request for comment.
But for a place that until earlier this month assiduously tracked every case, there is now no clear data on the extent of the virus’ spread. Customers queue at a pharmacy in Beijing, China, on Tuesday, December 13. Authorities on Wednesday morning reported 2,249 symptomatic Covid cases nationally for the previous day, 20% of which were detected in the capital. A closed Covid testing booth in Beijing, China, on Tuesday, December 13. Chinese state media has since warned people the preserved fruit is not a Covid remedy nor a substitute for medicine.
But the popular traditional Chinese medicine Lianhua Qingwen, used for symptoms like fever and cough, and antigen test kits remained harder to find. Online pharmacies across China have run out of drugs and test kits, prompting the government to crack down on hoarding. Heat was insufficient because of "unstable" coal supplies caused by COVID, state-run Baoding Daily reported, without giving details. "I have no fear" of COVID, said Yang, a farmer who is fully vaccinated and with no underlying diseases. China has reported no deaths since easing the COVID curbs, with fatalities to date around 5,200, versus more than 1 million in the United States.
Across the country, however, some parts of residential communities and buildings designated high risk by authorities are still locked down. A QR code for Covid-19 contact tracing displayed at the entrance to a subway station in Shanghai, China, on Monday. Top health officials on November 28 announced a new plan to bolster elderly vaccination rates, but such measures will take time, as will other preparations for a surge. Minimizing the worst outcomes in a transition out of zero-Covid depends on that preparation, according to Cowling. From that perspective, he said, “it doesn’t look like it would be a good time to relax the policies.”
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