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Quieter Response to Coronavirus in Countries Where China Holds Sway Quieter Response to Coronavirus in Countries Where China Holds Sway
(3 days later)
BANGKOK — In Myanmar, loudspeakers broadcast advice from Buddhist monks: Seven ground peppercorns, exactly seven, placed on the tongue will ward off the coronavirus spreading across Asia and the world.BANGKOK — In Myanmar, loudspeakers broadcast advice from Buddhist monks: Seven ground peppercorns, exactly seven, placed on the tongue will ward off the coronavirus spreading across Asia and the world.
In Indonesia, Terawan Agus Putranto, the health minister, advised citizens to relax and eschew overtime work to avoid the disease, which has killed more than 360 people and infected more than 17,000 others, mostly in China.In Indonesia, Terawan Agus Putranto, the health minister, advised citizens to relax and eschew overtime work to avoid the disease, which has killed more than 360 people and infected more than 17,000 others, mostly in China.
“To prevent it is very easy as long as your immunity is good,” Mr. Terawan said.“To prevent it is very easy as long as your immunity is good,” Mr. Terawan said.
And in Cambodia, Prime Minister Hun Sen told a packed news conference on Thursday that he would kick out anyone who was wearing a surgical mask because such measures were creating an unwarranted climate of fear.And in Cambodia, Prime Minister Hun Sen told a packed news conference on Thursday that he would kick out anyone who was wearing a surgical mask because such measures were creating an unwarranted climate of fear.
“The prime minister doesn’t wear a mask,” he said, “so why do you?”“The prime minister doesn’t wear a mask,” he said, “so why do you?”
The World Health Organization has declared the epidemic, which appears to have originated in the central Chinese city of Wuhan, a global health emergency. But the message does not seem to be resonating in some parts of Southeast Asia, a magnet for Chinese tourists and workers.The World Health Organization has declared the epidemic, which appears to have originated in the central Chinese city of Wuhan, a global health emergency. But the message does not seem to be resonating in some parts of Southeast Asia, a magnet for Chinese tourists and workers.
The region now has the largest cluster of coronavirus patients outside China. Some governments there have either played down the threat of the epidemic or openly worried about offending a superpower whose economic heft can propel their economies.The region now has the largest cluster of coronavirus patients outside China. Some governments there have either played down the threat of the epidemic or openly worried about offending a superpower whose economic heft can propel their economies.
Medical experts worry that a delayed response could hasten the spread of the disease.Medical experts worry that a delayed response could hasten the spread of the disease.
“Our greatest concern is the potential for the virus to spread to countries with weaker health systems,” said Tedros Adhanom Ghebreyesus, the W.H.O.’s director general.“Our greatest concern is the potential for the virus to spread to countries with weaker health systems,” said Tedros Adhanom Ghebreyesus, the W.H.O.’s director general.
On Sunday, the first overseas death from the virus, of a 44-year-old Wuhan resident who had died a day earlier, was reported in the Philippines. The virus has spread to about two dozen countries.On Sunday, the first overseas death from the virus, of a 44-year-old Wuhan resident who had died a day earlier, was reported in the Philippines. The virus has spread to about two dozen countries.
Hours before the death was announced, President Rodrigo Duterte of the Philippines ordered a temporary entry ban on most travelers who had recently been in mainland China, Hong Kong and Macau. Earlier in the week, Mr. Duterte, who has brought the Philippines closer to China while distancing it from the United States, said there was no reason to bar visitors from mainland China, bringing a barrage of criticism from local medical experts.Hours before the death was announced, President Rodrigo Duterte of the Philippines ordered a temporary entry ban on most travelers who had recently been in mainland China, Hong Kong and Macau. Earlier in the week, Mr. Duterte, who has brought the Philippines closer to China while distancing it from the United States, said there was no reason to bar visitors from mainland China, bringing a barrage of criticism from local medical experts.
“We are not as prepared as first-world countries,” said Anthony Leachon, a Philippine health advocate who had urged a temporary entry ban, even if it risked riling Beijing. “Countries should break protocols to save their people.”“We are not as prepared as first-world countries,” said Anthony Leachon, a Philippine health advocate who had urged a temporary entry ban, even if it risked riling Beijing. “Countries should break protocols to save their people.”
With 19 confirmed cases, Thailand has the most cases in Southeast Asia, followed by Singapore, with 18. Japan, with 20 confirmed cases, has the second-largest number outside China.With 19 confirmed cases, Thailand has the most cases in Southeast Asia, followed by Singapore, with 18. Japan, with 20 confirmed cases, has the second-largest number outside China.
Thailand announced on Friday that a Thai taxi driver had tested positive for coronavirus, most likely after coming into contact with a Chinese traveler. Yet even as the threat of human-to-human transmission grows, the country’s health officials have counseled against undue concern.Thailand announced on Friday that a Thai taxi driver had tested positive for coronavirus, most likely after coming into contact with a Chinese traveler. Yet even as the threat of human-to-human transmission grows, the country’s health officials have counseled against undue concern.
One of the confirmed cases in Thailand involved a Chinese man in the northern city of Chiang Mai who initially tested negative for the virus after being admitted to a hospital and was therefore transferred out of an isolation unit to a general ward, said Rungrueng Kitphati, a spokesman for the country’s health ministry.One of the confirmed cases in Thailand involved a Chinese man in the northern city of Chiang Mai who initially tested negative for the virus after being admitted to a hospital and was therefore transferred out of an isolation unit to a general ward, said Rungrueng Kitphati, a spokesman for the country’s health ministry.
“The chances of him spreading the disease is very low,” said Mr. Rungrueng, noting that the space between beds in the general ward was more than a yard. “Our medical staff always wash their hands in and out. It will not be communicable to others.”“The chances of him spreading the disease is very low,” said Mr. Rungrueng, noting that the space between beds in the general ward was more than a yard. “Our medical staff always wash their hands in and out. It will not be communicable to others.”
Yet in Wuhan, the coronavirus has infected medical workers, including a doctor who had raised the alarm about the mysterious virus in December, only to have the local government berate him for “illegal behavior.”Yet in Wuhan, the coronavirus has infected medical workers, including a doctor who had raised the alarm about the mysterious virus in December, only to have the local government berate him for “illegal behavior.”
As the virus has spread across the region, some governments have remained in denial.As the virus has spread across the region, some governments have remained in denial.
At one hospital in Yangon, the largest city in Myanmar, a slide show during a presentation on preventing the spread of coronavirus said: “Don’t be so afraid of the coronavirus. It won’t last long because ‘made in China.’”At one hospital in Yangon, the largest city in Myanmar, a slide show during a presentation on preventing the spread of coronavirus said: “Don’t be so afraid of the coronavirus. It won’t last long because ‘made in China.’”
“Health is not a joke, and the virus is not a joke either,” said Aung Aung, a surgeon at Mandalay General Hospital. “I don’t think Myanmar has the modern techniques to know whether the virus is here.”“Health is not a joke, and the virus is not a joke either,” said Aung Aung, a surgeon at Mandalay General Hospital. “I don’t think Myanmar has the modern techniques to know whether the virus is here.”
On Friday, Myanmar announced its first suspected case, involving a Chinese man who had arrived by plane from Guangzhou. Myanmar does not have the capacity to test for this specific coronavirus, said U Zaw Htay, a government spokesman. Any samples will need to be sent to Thailand or Hong Kong, which could take up to a week.On Friday, Myanmar announced its first suspected case, involving a Chinese man who had arrived by plane from Guangzhou. Myanmar does not have the capacity to test for this specific coronavirus, said U Zaw Htay, a government spokesman. Any samples will need to be sent to Thailand or Hong Kong, which could take up to a week.
Even high-level officials have been trading in folk remedies. After a Facebook user in Myanmar wrote a widely read tribute to onions as a way to prevent transmission of the coronavirus, the chief minister of Tanintharyi Division, U Myint Mg, shared the post on his Facebook page.Even high-level officials have been trading in folk remedies. After a Facebook user in Myanmar wrote a widely read tribute to onions as a way to prevent transmission of the coronavirus, the chief minister of Tanintharyi Division, U Myint Mg, shared the post on his Facebook page.
“The Chinese government has announced that people should consume and have on hand as many onions as they can,” the post read, with no basis in fact.“The Chinese government has announced that people should consume and have on hand as many onions as they can,” the post read, with no basis in fact.
Cambodia has only one confirmed case of the deadly virus, involving a Chinese national in the boomtown of Sihanoukville, which has been remade by an influx of tens of thousands of Chinese workers. About 3,000 travelers from Wuhan have flown to Cambodia since the epidemic was announced last month, according to Cambodian civil aviation authorities.Cambodia has only one confirmed case of the deadly virus, involving a Chinese national in the boomtown of Sihanoukville, which has been remade by an influx of tens of thousands of Chinese workers. About 3,000 travelers from Wuhan have flown to Cambodia since the epidemic was announced last month, according to Cambodian civil aviation authorities.
In a country with limited media freedoms, some Cambodians worry that the full scope of the virus’s potential impact is not being reported for political reasons. The country’s health minister suggested that Cambodia’s hot and humid climate could ward off the coronavirus.In a country with limited media freedoms, some Cambodians worry that the full scope of the virus’s potential impact is not being reported for political reasons. The country’s health minister suggested that Cambodia’s hot and humid climate could ward off the coronavirus.
Updated June 5, 2020 Updated June 12, 2020
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
And China has been pressuring countries not to ban its travelers, with a Chinese Foreign Ministry spokeswoman calling an entry ban enacted by the United States “not in keeping with the facts” and not “in keeping with friendship.”And China has been pressuring countries not to ban its travelers, with a Chinese Foreign Ministry spokeswoman calling an entry ban enacted by the United States “not in keeping with the facts” and not “in keeping with friendship.”
Mr. Hun Sen, the prime minister, who has tethered his country close to China, has said he will not ban flights from China. Nor will he organize an effort to evacuate Cambodians from Wuhan, as other nations have done, he said, because they “have to continue staying there and joining with Chinese to fight this disease.”Mr. Hun Sen, the prime minister, who has tethered his country close to China, has said he will not ban flights from China. Nor will he organize an effort to evacuate Cambodians from Wuhan, as other nations have done, he said, because they “have to continue staying there and joining with Chinese to fight this disease.”
“Is there any Cambodian or foreigner in Cambodia who has died of the disease?” the prime minister asked. “The real disease happening in Cambodia right now is the disease of fear. It is not the coronavirus that occurs in China’s Wuhan city.”“Is there any Cambodian or foreigner in Cambodia who has died of the disease?” the prime minister asked. “The real disease happening in Cambodia right now is the disease of fear. It is not the coronavirus that occurs in China’s Wuhan city.”
Indonesia, where direct flights from Wuhan brought tourists to the holiday island of Bali, has not confirmed any cases of coronavirus, leading to concerns about lax monitoring of incoming passengers. The virus has been found in Malaysia, Singapore and Australia, three much less populous countries around Indonesia.Indonesia, where direct flights from Wuhan brought tourists to the holiday island of Bali, has not confirmed any cases of coronavirus, leading to concerns about lax monitoring of incoming passengers. The virus has been found in Malaysia, Singapore and Australia, three much less populous countries around Indonesia.
Laos, a secretive socialist nation on the border with China, has also not confirmed any cases, even though a large number of Chinese tourists and workers cycle through the country.Laos, a secretive socialist nation on the border with China, has also not confirmed any cases, even though a large number of Chinese tourists and workers cycle through the country.
On Saturday, residents of the remote Natuna islands in Indonesia, on the southern shores of the South China Sea, gathered by the hundreds to protest a decision to quarantine about 240 Indonesians airlifted there from Wuhan.On Saturday, residents of the remote Natuna islands in Indonesia, on the southern shores of the South China Sea, gathered by the hundreds to protest a decision to quarantine about 240 Indonesians airlifted there from Wuhan.
“People are upset,” said Andes Putra, the head of Natuna’s Parliament, noting that local officials had been given scant information about the virus.“People are upset,” said Andes Putra, the head of Natuna’s Parliament, noting that local officials had been given scant information about the virus.
Like other countries in Southeast Asia, Indonesia depends heavily on Chinese tourism. On Thursday alone, 10,000 Chinese tourists canceled their trips to Bali, according to one industry association. But on Sunday, Indonesia said it was temporarily barring visitors from mainland China who had been there for 14 days.Like other countries in Southeast Asia, Indonesia depends heavily on Chinese tourism. On Thursday alone, 10,000 Chinese tourists canceled their trips to Bali, according to one industry association. But on Sunday, Indonesia said it was temporarily barring visitors from mainland China who had been there for 14 days.
Mr. Terawan, the health minister, has suggested that the coronavirus will not affect people who exercise properly and sleep amply.Mr. Terawan, the health minister, has suggested that the coronavirus will not affect people who exercise properly and sleep amply.
“Don’t fret,” he said. “Just enjoy and eat enough.”“Don’t fret,” he said. “Just enjoy and eat enough.”
In Thailand, where normally bustling airports have been emptied of holidaymakers and tourism officials say that arrivals from China could drop by 80 percent in the first four months of this year, Anutin Charnvirakul, the public health minister, recommended temporarily revoking the country’s visa-on-arrival program for mainland Chinese travelers.In Thailand, where normally bustling airports have been emptied of holidaymakers and tourism officials say that arrivals from China could drop by 80 percent in the first four months of this year, Anutin Charnvirakul, the public health minister, recommended temporarily revoking the country’s visa-on-arrival program for mainland Chinese travelers.
But more than 180,000 Chinese tourists who had entered Thailand over the past two months remain in the country, according to immigration officials.But more than 180,000 Chinese tourists who had entered Thailand over the past two months remain in the country, according to immigration officials.
Prime Minister Prayuth Chan-ocha of Thailand called for Mr. Anutin to check in with tourism officials before submitting a formal proposal to the cabinet, a process that could take days.Prime Minister Prayuth Chan-ocha of Thailand called for Mr. Anutin to check in with tourism officials before submitting a formal proposal to the cabinet, a process that could take days.
Reporting was contributed by Muktita Suhartono from Jakarta, Indonesia, Jason Gutierrez from Manila, Sun Narin from Phnom Penh, Cambodia, and Saw Nang from Mandalay, Myanmar.Reporting was contributed by Muktita Suhartono from Jakarta, Indonesia, Jason Gutierrez from Manila, Sun Narin from Phnom Penh, Cambodia, and Saw Nang from Mandalay, Myanmar.