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Trump Slammed the W.H.O. Over Coronavirus. He’s Not Alone. | Trump Slammed the W.H.O. Over Coronavirus. He’s Not Alone. |
(about 20 hours later) | |
President Trump unleashed a tirade against the World Health Organization on Tuesday, accusing it of acting too slowly to sound the alarm about the coronavirus. It was not the first time in this pandemic that the global health body has faced such criticism. | President Trump unleashed a tirade against the World Health Organization on Tuesday, accusing it of acting too slowly to sound the alarm about the coronavirus. It was not the first time in this pandemic that the global health body has faced such criticism. |
Government officials, health experts and analysts have in recent weeks raised concerns about how the organization has responded to the outbreak. | Government officials, health experts and analysts have in recent weeks raised concerns about how the organization has responded to the outbreak. |
In Japan, Taro Aso, the deputy prime minister and finance minister, recently noted that some people have started referring to the World Health Organization as the “Chinese Health Organization” because of what he described as its close ties to Beijing. Taiwanese officials say the W.H.O. ignored its early warnings about the virus because China refuses to allow Taiwan, a self-governing island it claims as its territory, to become a member. | In Japan, Taro Aso, the deputy prime minister and finance minister, recently noted that some people have started referring to the World Health Organization as the “Chinese Health Organization” because of what he described as its close ties to Beijing. Taiwanese officials say the W.H.O. ignored its early warnings about the virus because China refuses to allow Taiwan, a self-governing island it claims as its territory, to become a member. |
Critics say the W.H.O. has been too trusting of the Chinese government, which initially tried to conceal the outbreak in Wuhan. Others have faulted the organization and its leader, Dr. Tedros Adhanom Ghebreyesus, for moving too slowly in declaring a global health emergency. | Critics say the W.H.O. has been too trusting of the Chinese government, which initially tried to conceal the outbreak in Wuhan. Others have faulted the organization and its leader, Dr. Tedros Adhanom Ghebreyesus, for moving too slowly in declaring a global health emergency. |
The W.H.O., a United Nations agency, has defended its response, saying on Wednesday that it alerted the world to the threat posed by the virus in a timely manner and that it was “committed to ensuring all member states are able to respond effectively to this pandemic.” | The W.H.O., a United Nations agency, has defended its response, saying on Wednesday that it alerted the world to the threat posed by the virus in a timely manner and that it was “committed to ensuring all member states are able to respond effectively to this pandemic.” |
The agency’s defenders say that its powers over any individual government are limited, and that it has done the best it can in dealing with a public health threat with few precedents in history. | The agency’s defenders say that its powers over any individual government are limited, and that it has done the best it can in dealing with a public health threat with few precedents in history. |
There will be time later to assess successes and failings, “this virus and its shattering consequences,” the United Nations secretary general, António Guterres, said Wednesday in a statement praising the W.H.O. as “absolutely critical” to vanquishing Covid-19. | There will be time later to assess successes and failings, “this virus and its shattering consequences,” the United Nations secretary general, António Guterres, said Wednesday in a statement praising the W.H.O. as “absolutely critical” to vanquishing Covid-19. |
Here’s why the organization is coming under attack. | Here’s why the organization is coming under attack. |
When cases of a mysterious viral pneumonia first appeared in Wuhan in December, Chinese health officials silenced whistle-blowers and repeatedly played down the severity of the outbreak. | When cases of a mysterious viral pneumonia first appeared in Wuhan in December, Chinese health officials silenced whistle-blowers and repeatedly played down the severity of the outbreak. |
Even as late as mid-January, as the virus spread beyond China’s borders, Chinese officials described it as “preventable and controllable” and said there was no evidence it could be transmitted between humans on a broad scale. | Even as late as mid-January, as the virus spread beyond China’s borders, Chinese officials described it as “preventable and controllable” and said there was no evidence it could be transmitted between humans on a broad scale. |
The W.H.O. endorsed the government’s claims, saying in mid-January, for example, that human-to-human transmission had not been proven. | The W.H.O. endorsed the government’s claims, saying in mid-January, for example, that human-to-human transmission had not been proven. |
Critics say the organization’s repeated deference to Beijing exacerbated the spread of the disease. A group of international experts was not allowed to visit Wuhan until mid-February. | Critics say the organization’s repeated deference to Beijing exacerbated the spread of the disease. A group of international experts was not allowed to visit Wuhan until mid-February. |
“They could have been more forceful, especially in the initial stages in the crisis when there was a cover-up and there was inaction,” said Yanzhong Huang, a global health expert specializing in China at Seton Hall University. | “They could have been more forceful, especially in the initial stages in the crisis when there was a cover-up and there was inaction,” said Yanzhong Huang, a global health expert specializing in China at Seton Hall University. |
Mr. Huang noted that during the SARS epidemic in 2002 and 2003, which killed more than 700 people worldwide, the W.H.O. pushed the Chinese government to be more transparent by publicly criticizing it for trying to conceal the outbreak. | Mr. Huang noted that during the SARS epidemic in 2002 and 2003, which killed more than 700 people worldwide, the W.H.O. pushed the Chinese government to be more transparent by publicly criticizing it for trying to conceal the outbreak. |
At one point during the SARS epidemic, officials at hospitals in Beijing forced SARS patients into ambulances and drove them around to avoid their being seen by a visiting delegation of W.H.O. experts, according to reports at the time. | At one point during the SARS epidemic, officials at hospitals in Beijing forced SARS patients into ambulances and drove them around to avoid their being seen by a visiting delegation of W.H.O. experts, according to reports at the time. |
Even as the virus spread to more than half a dozen countries and forced China to place parts of Hubei Province under lockdown in late January, the W.H.O. was reluctant to declare it a global health emergency. | Even as the virus spread to more than half a dozen countries and forced China to place parts of Hubei Province under lockdown in late January, the W.H.O. was reluctant to declare it a global health emergency. |
W.H.O. officials said at the time that a committee that discussed the epidemic was divided on the question of whether to call it an emergency, but concluded that it was too early. One official added that they weighed the impact such a declaration might have on the people of China. | W.H.O. officials said at the time that a committee that discussed the epidemic was divided on the question of whether to call it an emergency, but concluded that it was too early. One official added that they weighed the impact such a declaration might have on the people of China. |
After the United States announced a ban on most foreign citizens who had recently visited China, the W.H.O. again seemed to show deference to Chinese officials, saying that travel restrictions were unnecessary. The group officially called the spread of the coronavirus a pandemic on March 11. | After the United States announced a ban on most foreign citizens who had recently visited China, the W.H.O. again seemed to show deference to Chinese officials, saying that travel restrictions were unnecessary. The group officially called the spread of the coronavirus a pandemic on March 11. |
Some experts argue that the institution’s delay in making such declarations deprived other countries of valuable time to prepare hospitals for an influx of patients. | Some experts argue that the institution’s delay in making such declarations deprived other countries of valuable time to prepare hospitals for an influx of patients. |
“It reinforced the reluctance to take early strong measures before the catastrophe had actually landed on other shores,” said François Godement, senior adviser for Asia at Institut Montaigne, a nonprofit group in Paris. “The W.H.O.’s tardiness or reluctance to call out the problem in full helped those who wanted to delay difficult decisions." | “It reinforced the reluctance to take early strong measures before the catastrophe had actually landed on other shores,” said François Godement, senior adviser for Asia at Institut Montaigne, a nonprofit group in Paris. “The W.H.O.’s tardiness or reluctance to call out the problem in full helped those who wanted to delay difficult decisions." |
The W.H.O. defended its actions, saying on Wednesday that it had “alerted member states to the significant risks and consequences of Covid-19 and provided them with a continuous flow of information” ever since Chinese officials first reported the outbreak on Dec. 31. | The W.H.O. defended its actions, saying on Wednesday that it had “alerted member states to the significant risks and consequences of Covid-19 and provided them with a continuous flow of information” ever since Chinese officials first reported the outbreak on Dec. 31. |
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. |
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. |
Mr. Guterres of the United Nations said, “It is possible that the same facts have had different readings by different entities.” He added in his statement, “Once we have finally turned the page on this epidemic, there must be a time to look back fully to understand how such a disease emerged and spread its devastation so quickly across the globe, and how all those involved reacted to the crisis.” | Mr. Guterres of the United Nations said, “It is possible that the same facts have had different readings by different entities.” He added in his statement, “Once we have finally turned the page on this epidemic, there must be a time to look back fully to understand how such a disease emerged and spread its devastation so quickly across the globe, and how all those involved reacted to the crisis.” |
China’s leader, Xi Jinping, has made it a priority to strengthen Beijing’s clout at international institutions, including the W.H.O., seeing the American-dominated global order as an impediment to his country’s rise as a superpower. | China’s leader, Xi Jinping, has made it a priority to strengthen Beijing’s clout at international institutions, including the W.H.O., seeing the American-dominated global order as an impediment to his country’s rise as a superpower. |
China contributes only a small fraction of the W.H.O.’s $6 billion budget, while the United States is one of its main benefactors. But in recent years, Beijing has worked in other ways to expand its influence at the organization. | China contributes only a small fraction of the W.H.O.’s $6 billion budget, while the United States is one of its main benefactors. But in recent years, Beijing has worked in other ways to expand its influence at the organization. |
The government has lobbied the W.H.O. to promote traditional Chinese medicine, which Mr. Xi has worked to harness as a source of national pride and deployed as a soft-power tool in developing countries, despite skepticism from some scientists about its effectiveness. | The government has lobbied the W.H.O. to promote traditional Chinese medicine, which Mr. Xi has worked to harness as a source of national pride and deployed as a soft-power tool in developing countries, despite skepticism from some scientists about its effectiveness. |
Last year, the W.H.O. offered an endorsement of traditional Chinese medicine, including it in its influential medical compendium. The move was roundly criticized by animal rights activists, who argued that it could contribute to a surge in illegal trafficking of wildlife whose parts are used in Chinese remedies. | Last year, the W.H.O. offered an endorsement of traditional Chinese medicine, including it in its influential medical compendium. The move was roundly criticized by animal rights activists, who argued that it could contribute to a surge in illegal trafficking of wildlife whose parts are used in Chinese remedies. |
China has sought to promote traditional Chinese medicine in the treatment of symptoms of the coronavirus both at home and abroad. Last month, the W.H.O. was criticized after it removed a warning against taking traditional herbal remedies to treat the coronavirus from its websites in mainland China. | China has sought to promote traditional Chinese medicine in the treatment of symptoms of the coronavirus both at home and abroad. Last month, the W.H.O. was criticized after it removed a warning against taking traditional herbal remedies to treat the coronavirus from its websites in mainland China. |
China’s role at the W.H.O. will probably continue to grow in the coming years, especially if Western governments retreat from the organization, as Mr. Trump has threatened. | China’s role at the W.H.O. will probably continue to grow in the coming years, especially if Western governments retreat from the organization, as Mr. Trump has threatened. |
“This is part of China’s efforts to more actively engage in international institutions,” said Mr. Huang, the global health expert. “It will not please every country or every actor, but it’s going to affect the agenda of the W.H.O.” | “This is part of China’s efforts to more actively engage in international institutions,” said Mr. Huang, the global health expert. “It will not please every country or every actor, but it’s going to affect the agenda of the W.H.O.” |
Hisako Ueno contributed reporting from Tokyo. | Hisako Ueno contributed reporting from Tokyo. |