The rise in the number of Covid-19 cases in China, following the easing of the strict Covid Zero policy adopted by the government over the past two years, has ignited a wake-up call in the international community. Authorities fear that the high circulation of the coronavirus in Asia will lead to a new global outbreak.

Although there is a real risk of the emergence of new variants of the virus, specialists consulted by the metropolises do not believe that they can lead us to a scenario similar to that experienced at the beginning of the pandemic. Today, we have vaccines, available therapies and knowledge about the disease.

“Even with this large number of infections in China, I do not believe that there will be a general increase in deaths in the world or that we will go back to square one”, evaluates the professor at the Institute of Biology at UnB, specialist in virus mutations, Bergmann Ribeiro.

Researcher Leonardo Bastos, from InfoGripe, from the Oswaldo Cruz Foundation (Fiocruz), agrees. “After three years of the pandemic, we are much better prepared. So, for the beginning, we are not going back, but we have to continue to carefully monitor the evolution of Covid-19, not only in China, but throughout the world ”, he says.

Bastos highlights as positive indicators the advance in vaccination coverage rates and the large number of people previously infected, which reduces the chances of progression to more serious conditions in case of infection or reinfection.

Monitoring

The most recent data available on the Gisaid website – an online genetic sequencing bank that gathers information from around the world – show that the new wave of Covid-19 in China is driven by sublines of the Omicron variant, with a higher prevalence of cases associated with the BF subvariants. 7 in the Beijing and Fujian region, and BA.5.2 in multiple Chinese cities.

Representatives of World Health Organization (WHO) and Chinese authorities met on Friday (12/30) to discuss the current pandemic situation and the increase in cases in the country.

The WHO has again called for the regular sharing of specific, real-time data on the epidemiological situation. The information includes more data from genetic sequencing of test samples and on the impact of the disease, which involves the number of hospitalizations, admissions and deaths in intensive care units (ICU).

The entity emphasized the importance of monitoring and publishing data to help the country and the global community to formulate accurate risk assessments and organize effective responses.

“To make a comprehensive risk assessment of the Covid-19 situation in China, the WHO needs more detailed information,” WHO Director-General Tedros Adhanom Ghebreyesus said on Twitter on Thursday (29/12). ).

border restrictions

With the increase in cases of Covid-19 in China, the United States, the United Kingdom and Italy announced the requirement of presenting a negative test for travelers who came from the Asian country starting this month. In the US, for example, the voucher will be charged to all passengers aged 2 years or older.

The Fiocruz researcher condemns the measure. In his assessment, it does not guarantee the containment of the virus and contributes to the xenophobic behavior of the population. Bastos recalls that the strategy proved ineffective in past waves, when the coronavirus emerged in Wuhan, China, or when the Gamma, Delta and Omicron variants were identified, respectively, in Brazil, India and South Africa.

“Policies to contain travelers only from places where the virus or variants were identified did not prevent their spread across the planet. In other words, this policy of restricting travelers from China is prejudiced and only foments xenophobia. If you want to adopt a system that requires a negative test for travelers, let it be for everyone, and not just for those who come from country A or B”, considers Bastos.

The expert believes that countries should invest in epidemiological and genomic surveillance. According to him, it is essential to strengthen the analytical capacity for monitoring cases, hospitalizations and deaths to understand the dynamics of an outbreak in progress and act quickly to reduce damage.

“Coping with other infectious diseases can also benefit from this. That is, once the beginning of an epidemic is identified, it will be possible to quickly adopt effective measures to face it, as in the case of Covid-19”, ponders Bastos.

In addition, the population must pay attention to the use of good masks in closed places, increase testing and comply with isolation. Governments must prepare the health system to receive serious cases, in addition to carefully assessing the scenario, evaluating the possibility of canceling classes or events if the scenario requires such measures.

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