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Hong Kong Tightens Border as Medical Workers Call for Shutdown Hong Kong Tightens Border as Medical Workers Call for Shutdown
(3 days later)
HONG KONG — Hong Kong’s government said Monday that it would close more border checkpoints, as some medical workers went on strike to demand a complete ban on entries from mainland China to limit the outbreak of the new coronavirus.HONG KONG — Hong Kong’s government said Monday that it would close more border checkpoints, as some medical workers went on strike to demand a complete ban on entries from mainland China to limit the outbreak of the new coronavirus.
Carrie Lam, Hong Kong’s top official, has faced increasing calls from hospital employees, the business community and even some pro-government lawmakers to further tighten border controls with mainland China, where the virus emerged in December.Carrie Lam, Hong Kong’s top official, has faced increasing calls from hospital employees, the business community and even some pro-government lawmakers to further tighten border controls with mainland China, where the virus emerged in December.
More than 2,500 medical workers in Hong Kong — mostly those considered to be nonemergency personnel — went on strike Monday morning to pressure the authorities to bar entries from mainland China. The number of strikers was expected to grow if the government did not relent.More than 2,500 medical workers in Hong Kong — mostly those considered to be nonemergency personnel — went on strike Monday morning to pressure the authorities to bar entries from mainland China. The number of strikers was expected to grow if the government did not relent.
The medical workers, who are members of a newly formed union, said they were worried that hospitals would be overwhelmed by a surge of coronavirus cases, as mainland Chinese seek to use Hong Kong’s health care system.The medical workers, who are members of a newly formed union, said they were worried that hospitals would be overwhelmed by a surge of coronavirus cases, as mainland Chinese seek to use Hong Kong’s health care system.
The increasingly fraught debate over Hong Kong’s border reflects its unusual status within China. Since it returned from British control 23 years ago, Hong Kong has been given a degree of autonomy, including its own border controls, a model known as “one country, two systems.”The increasingly fraught debate over Hong Kong’s border reflects its unusual status within China. Since it returned from British control 23 years ago, Hong Kong has been given a degree of autonomy, including its own border controls, a model known as “one country, two systems.”
[Read: A coronavirus outbreak on a cruise ship in Japan has left travelers quarantined for two weeks.][Read: A coronavirus outbreak on a cruise ship in Japan has left travelers quarantined for two weeks.]
But if the city does not further tighten its border, the striking medical workers argue, it risks an outbreak comparable to that in the mainland. Already, some countries have included Hong Kong with the rest of China in recently announced restrictions on arrivals, though the city has just 15 of the more than 17,000 confirmed cases nationwide.But if the city does not further tighten its border, the striking medical workers argue, it risks an outbreak comparable to that in the mainland. Already, some countries have included Hong Kong with the rest of China in recently announced restrictions on arrivals, though the city has just 15 of the more than 17,000 confirmed cases nationwide.
Mrs. Lam announced some measures last week to cut arrivals from mainland China, including the closure of several border checkpoints, halting cross-border trains and cutting inbound flights. The government also said it would not allow entry by residents of Hubei Province, the center of the outbreak, or people who acknowledged that they had traveled there recently.Mrs. Lam announced some measures last week to cut arrivals from mainland China, including the closure of several border checkpoints, halting cross-border trains and cutting inbound flights. The government also said it would not allow entry by residents of Hubei Province, the center of the outbreak, or people who acknowledged that they had traveled there recently.
Arrivals by mainland residents dropped by 62 percent since those restrictions were put in place, she said, and would fall further with the newly announced closures.Arrivals by mainland residents dropped by 62 percent since those restrictions were put in place, she said, and would fall further with the newly announced closures.
But she has resisted a complete prohibition on mainland arrivals, calling such a move “a discriminatory approach” and not in line with recommendations from the World Health Organization.But she has resisted a complete prohibition on mainland arrivals, calling such a move “a discriminatory approach” and not in line with recommendations from the World Health Organization.
Mrs. Lam said the closure of four more border points at midnight Monday was in response to advice from experts and not the strike.Mrs. Lam said the closure of four more border points at midnight Monday was in response to advice from experts and not the strike.
“If anyone thinks that extreme means could force the hand of the Hong Kong S.A.R. government and the Hospital Authority, threatening us into doing unreasonable things that would harm the public, they are wrong,” she said.“If anyone thinks that extreme means could force the hand of the Hong Kong S.A.R. government and the Hospital Authority, threatening us into doing unreasonable things that would harm the public, they are wrong,” she said.
She also criticized the striking hospital workers. “To use extreme means in such a sensitive time would inevitably affect the rights of the patient and add immensely to the burdens of the already beleaguered Hospital Authority leaders,” Mrs. Lam said.She also criticized the striking hospital workers. “To use extreme means in such a sensitive time would inevitably affect the rights of the patient and add immensely to the burdens of the already beleaguered Hospital Authority leaders,” Mrs. Lam said.
Members of the newly formed Hospital Authority Employees Alliance rallied outside of public hospitals on Monday morning.Members of the newly formed Hospital Authority Employees Alliance rallied outside of public hospitals on Monday morning.
After talks with a Hospital Authority official Monday evening, the union announced it would continue its strike.After talks with a Hospital Authority official Monday evening, the union announced it would continue its strike.
“Our discussions have fallen apart,” Winnie Yu, the chairwoman of the union, said as she announced the start of the strike’s second phase. Members, including doctors and nurses who handle emergency services, have pledged not to go to work on Tuesday and to continue the strike for the rest of the week if the government does not meet their demands.“Our discussions have fallen apart,” Winnie Yu, the chairwoman of the union, said as she announced the start of the strike’s second phase. Members, including doctors and nurses who handle emergency services, have pledged not to go to work on Tuesday and to continue the strike for the rest of the week if the government does not meet their demands.
The union has about 18,000 members, including 9,000 who have signed pledges to strike. The Hospital Authority of Hong Kong has about 80,000 employees in total.The union has about 18,000 members, including 9,000 who have signed pledges to strike. The Hospital Authority of Hong Kong has about 80,000 employees in total.
Signaling concerns among business executives, more than half of American business leaders questioned said they wanted to see the Hong Kong government shut down the border with mainland China, according to a survey of 156 executives by the American Chamber of Commerce in Hong Kong.Signaling concerns among business executives, more than half of American business leaders questioned said they wanted to see the Hong Kong government shut down the border with mainland China, according to a survey of 156 executives by the American Chamber of Commerce in Hong Kong.
A handful of explosive devices have also been placed around the city in recent days, followed by anonymous threats online of more bombs if the mainland border was not completely sealed. On Sunday, two devices were found in a train at the border, the police said. One ignited, but no injuries were reported.A handful of explosive devices have also been placed around the city in recent days, followed by anonymous threats online of more bombs if the mainland border was not completely sealed. On Sunday, two devices were found in a train at the border, the police said. One ignited, but no injuries were reported.
To lessen the effects of the strike, some private sector doctors have said they would volunteer to help in hospitals. And other unions, including the Hong Kong Public Nurses Association and the Hong Kong Medical and Health Care Staff General Union, condemned the strike and urged their members to stay on the job.To lessen the effects of the strike, some private sector doctors have said they would volunteer to help in hospitals. And other unions, including the Hong Kong Public Nurses Association and the Hong Kong Medical and Health Care Staff General Union, condemned the strike and urged their members to stay on the job.
Updated June 12, 2020Updated 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.
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.
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.
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.
The initial cases in Hong Kong were all found in people who returned from the mainland. But the latest appeared to have been transferred between a 39-year-old man who returned from a trip to Wuhan on Jan. 23 and his 72-year-old mother.The initial cases in Hong Kong were all found in people who returned from the mainland. But the latest appeared to have been transferred between a 39-year-old man who returned from a trip to Wuhan on Jan. 23 and his 72-year-old mother.
Some in Hong Kong’s business community have also voiced concerns that if Hong Kong does not further tighten its border, it will be lumped in with mainland China by countries barring entry.Some in Hong Kong’s business community have also voiced concerns that if Hong Kong does not further tighten its border, it will be lumped in with mainland China by countries barring entry.
Vietnam initially took that step on Saturday, when it included Hong Kong in a ban on most flights from China and Taiwan. But hours later it relented, limiting the restrictions to mainland China.Vietnam initially took that step on Saturday, when it included Hong Kong in a ban on most flights from China and Taiwan. But hours later it relented, limiting the restrictions to mainland China.
The Philippines, where the first coronavirus death outside China was announced on Sunday, went further, barring non-Filipino arrivals from mainland China, Hong Kong and Macau.The Philippines, where the first coronavirus death outside China was announced on Sunday, went further, barring non-Filipino arrivals from mainland China, Hong Kong and Macau.
Mrs. Lam’s reluctance to further clamp down on entries from the mainland is seen by her critics as a sign of her prioritizing the expectations of the central government over the Hong Kong public.Mrs. Lam’s reluctance to further clamp down on entries from the mainland is seen by her critics as a sign of her prioritizing the expectations of the central government over the Hong Kong public.
“Carrie Lam once again seems to be adopting one country over two systems,” said David Webb, an independent investor in Hong Kong.“Carrie Lam once again seems to be adopting one country over two systems,” said David Webb, an independent investor in Hong Kong.
Countries including the United States, Australia and Singapore have barred entry by foreigners who have recently been to mainland China. If case numbers increase in Hong Kong, the city could find itself lumped in with the restrictions on people traveling from the mainland, Mr. Webb said.Countries including the United States, Australia and Singapore have barred entry by foreigners who have recently been to mainland China. If case numbers increase in Hong Kong, the city could find itself lumped in with the restrictions on people traveling from the mainland, Mr. Webb said.
“Residents are not allowed to go to libraries, to concerts, to amusement parks,” he said. “The city is on an unprecedented level of lockdown. At the same time, we’re allowing potential cases to walk across the border into Hong Kong. That’s inconsistent. If everybody should make every effort, then we should shut down the border except to essential traffic.”“Residents are not allowed to go to libraries, to concerts, to amusement parks,” he said. “The city is on an unprecedented level of lockdown. At the same time, we’re allowing potential cases to walk across the border into Hong Kong. That’s inconsistent. If everybody should make every effort, then we should shut down the border except to essential traffic.”
Alexandra Stevenson contributed reporting.Alexandra Stevenson contributed reporting.