All you need to know about Hong Kong's first female leader

Agencies
July 1, 2017

Hong Kong, Jul 1: Carrie Lam, who was sworn in as Hong Kong's first female leader on Saturday, is a former student activist who climbed the rungs of the civil service over 36 years, and a tough, capable and possibly divisive Beijing-backed leader.china

Lam, most recently Hong Kong's number two official, has to unify the Chinese-ruled city as public resentment swells at Beijing's growing interference in its affairs despite being promised a high degree of autonomy.

She also has to reinvigorate the economy and address growing social inequalities and high property prices, issues Chinese president Xi Jinping highlighted at her swearing-in ceremony.

Several sources who have worked with Lam say she's intelligent, hard-working and able to push controversial government policies, earning her the trust of Beijing factions who strongly lobbied for votes on her behalf when she was chosen in March.

But her hardline and pro-Beijing tendencies, say critics and opposition democrats, risk sowing further social divisions in the former British colony that returned to China 20 years ago under a "one country, two systems" formula that guarantees it wide-ranging freedoms.

"Carrie Lam ... is a nightmare for Hong Kong," said student activist Joshua Wong in March, one of the leaders of the student-led "Umbrella Movement" protests in 2014 which blocked the streets for 79 days demanding full democracy.

"Theoretically, the chief executive is a bridge between the central government and the Hong Kong people. But Lam will be a tilted bridge. She will only tell us what Beijing wants, and won't reflect what the people want to the communist regime."

Lam, dubbed "the fighter" by media, was once the most popular official in the cabinet of staunchly pro-Beijing former chief executive, Leung Chun-ying, who in 2012 won a similar election restricted to just 1,200 voters.

"Picking Carrie as chief secretary was Leung's best appointment," said a senior government official who declined to be identified because he was not authorised to speak to the media. But she could also sometimes be a "bully", he added.

Softer Image

Lam's popularity began to slip just as a younger generation of protesters rose to prominence, and tumbled further during the course of her election campaign this year.

Her attempt to push through a planned Palace Museum in Hong Kong, showing artefacts from the museum in Beijing's Forbidden City, was criticised for being presented as a done deal without public consultation, highlighting what some describe as her "autocratic" style, according to a source who knows her.

She is not well regarded by the opposition democratic camp, with most of the 300 or so democrats seen having voted for former Financial Secretary John Tsang.

The bespectacled Lam was also criticised by student leaders for being "vague" after their televised meeting failed to defuse the 2014 protests. The demonstration ran out of steam two months later and ended with police clearing the streets.

During her campaign, Lam attempted to present a softer, more populist image, but was ridiculed for gaffes including not appearing to know how to use subway turnstiles.

She was also lampooned for a late-night hunt for toilet paper which took her to her posh former home on the Peak after she failed to find any at a convenience store.

The daughter of a Shanghainese immigrant who worked on ships and a mother who had never received a formal education, Lam grew up in a cramped apartment shared by four siblings and several families.

A devout Catholic and a student of sociology at the University of Hong Kong, Lam took part in social activism before joining the government. She is married with two sons.

Lam joins a select group of female leaders who have risen to the top job in Asia in recent years including Taiwan President Tsai Ing-wen, hugely distrusted by China, and ousted South Korean president Park Geun-hye, who angered Beijing with her plans to deploy a United States missile defence system to counter the threat from North Korea.

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Agencies
June 22,2020

The total number of global COVID-19 cases was nearing 9 million, while the deaths have increased to over 467,000, according to the Johns Hopkins University.

By Monday morning, the total number of cases stood at 8,927,195, while the fatalities increased to 467,636, the University's Center for Systems Science and Engineering (CSSE) revealed in its latest update.

With 2,279,306 cases and 119,967 deaths, the US continues with the world's highest number of COVID-19 infections and fatalities, according to the CSSE.

Brazil comes in the second place with 1,083,341 infections and 50,591 deaths.

In terms of cases, Russia ranks third (583,879), and was followed by India (410,461), the UK (305,803), Peru (251,338), Spain (246,272), Chile (242,355), Italy (238,499), Iran (204,952), France (197,008), Germany (191,272), Turkey (187,685), Mexico (180,545), Pakistan (176,617), Saudi Arabia (157,612), Bangladesh (112,306) and Canada (103,078), the CSSE figures showed.

The other countries with over 10,000 deaths are the UK (42,717), Italy (34,634), France (29,643), Spain (28,323), Mexico (21,825) and India (13,254).

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News Network
June 4,2020

Jun 4: A malaria drug President Donald Trump took to try to prevent COVID-19 proved ineffective for that in the first large, high-quality study to test it in people in close contact with someone with the disease.

Results published Wednesday by the New England Journal of Medicine show that hydroxychloroquine was no better than placebo pills at preventing illness from the coronavirus.

The drug did not seem to cause serious harm, though -- about 40% on it had side effects, mostly mild stomach problems.

 “We were disappointed. We would have liked for this to work,” said the study leader, Dr. David Boulware, an infectious disease specialist at the University of Minnesota.

“But our objective was to answer the question and to conduct a high-quality study,” because the evidence on the drug so far has been inconclusive, he said.

Hydroxychloroquine and a similar drug, chloroquine, have been the subject of much debate since Trump started promoting them in March.

Hydroxychloroquine has long been used for malaria, lupus, and rheumatoid arthritis, but no large studies have shown it or chloroquine to be safe or effective for much sicker patients with coronavirus, and some studies have suggested the drugs may do harm.

Trump took a two-week course of hydroxychloroquine, along with zinc and Vitamin D, after two staffers tested positive for COVID-19, and had no ill effects, according to results of his latest physical released by his doctor Wednesday.

Federal regulators have warned against hydroxychloroquine's use except in hospitals and formal studies because of the risk of side effects, especially heart rhythm problems.

Boulware's study involved 821 people in the United States and Canada living with someone diagnosed with COVID-19 or at high risk of getting it because of their job -- doctors, nurses, ambulance workers who had significant exposure to a sick patient while not wearing full protective gear.

They were randomly assigned to get either the nutrient folate as a placebo or hydroxychloroquine for five days, starting within four days of their exposure. Neither they nor others involved in the research knew who was getting which pills.

After 14 days in the study, 12 per cent on the drug developed COVID-19 symptoms versus 14 per cent in the placebo group, but the difference is so small it could have occurred by chance, Boulware said.

“There's basically no effect. It does not prevent infection,” he said of the drug. Even if it were to give some slim advantage, “we'd want a much larger effect” to justify its use and risk of side effects for preventing illness, he said.

Results were no different among a subgroup of participants who were taking zinc or vitamin C, which some people believe might help make hydroxychloroquine more effective or fight the coronavirus.

There are some big caveats: The study enrolled people through the Internet and social media, relying on them to report their own symptoms rather than having them tracked in a formal way by doctors.

Participants were not all tested for the coronavirus but were diagnosed as COVID-19 cases based on symptoms in many cases. And not all took their medicines as directed.

The results “are more provocative than definitive,” and the drug may yet have prevention benefits if tried sooner or in a different way, Dr. Myron Cohen of the University of North Carolina at Chapel Hill wrote in a commentary in the journal.

Others were glad to see a study that had a comparison group and good scientific methods after so many weaker reports on hydroxychloroquine.

“This fits with everything else we've seen so far which suggests that it's not beneficial," said Dr. Peter Bach, director of a health policy center at Memorial Sloan Kettering Cancer Center in New York.

This study was in younger relatively healthy people, but the results “would make me very discouraged about trying to use this in older people” who are most vulnerable to serious illness from the coronavirus, Bach said.

“If it does work, it doesn't work very well.” Dr. Dan Culver, a lung specialist at the Cleveland Clinic, said there's still a chance that giving the drug sooner than four days after someone's exposure to the virus may help prevent illness.

But the study “takes 'home run' off the table” as far as hopes for the drug, he said.

The study was mostly funded by David Baszucki, founder of Roblox, a California-based game software company, and other private donors and the Minnesota university.

Boulware also is leading a study testing hydroxychloroquine for treating COVID-19. The study is finished and results are being analyzed now.

On Tuesday, the journal Lancet posted an “expression of concern” about a study it published earlier this month of nearly 15,000 COVID-19 patients on the malaria drugs that tied their use to a higher risk of dying in the hospital or developing a heartbeat problem.

Scientists have raised serious questions about the database used for that study, and its authors have launched an independent audit.

That work had a big impact: the World Health Organization suspended use of hydroxychloroquine in a study it is leading, and French officials stopped the drug's use in hospitals. On Wednesday, the WHO said experts who reviewed safety information decided that its study could resume.

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Agencies
March 15,2020

Houston, Mar 15: Researchers, studying the novel coronavirus, have found that the time between cases in a chain of transmission is less than a week, and over 10 per cent of patients are infected by someone who has the virus, but does not show symptoms yet, a finding that may help public health officials contain the pandemic.

The study, published in the journal Emerging Infectious Diseases, estimated what's called the serial interval of the coronavirus by measuring the time it takes for symptoms to appear in two people with the virus -- the person who infects another, and the infected second person.

According to the researchers, including those from the University of Texas at Austin, the average serial interval for the novel coronavirus in China was approximately four days.

They said the speed of an epidemic depends on two things -- how many people each case infects, and how long it takes cases to spread.

The first quantity, the scientists said, is called the reproduction number, and the second is the serial interval.

Due to the short serial interval of the disease caused by the coronavirus -- COVID-19 -- they said, emerging outbreaks will grow quickly, and could be difficult to stop.

“Ebola, with a serial interval of several weeks, is much easier to contain than influenza, with a serial interval of only a few days,” said Lauren Ancel Meyers, study co-author from UT Austin.

Meyers explained that public health responders to Ebola outbreaks have much more time to identify and isolate cases before they infect others.

“The data suggest that this coronavirus may spread like the flu. That means we need to move quickly and aggressively to curb the emerging threat,” Meyers added.

In the study, the scientists examined more than 450 infection case reports from 93 cities in China, and found the strongest evidence yet that people without symptoms must be transmitting the virus -- known as pre-symptomatic transmission.

More than one in ten infections were from people who had the virus but did not yet feel sick, the scientists said.

While researchers across the globe had some uncertainty until now about asymptomatic transmission with the coronavirus, the new evidence could provide guidance to public health officials on how to contain the spread of the disease.

“This provides evidence that extensive control measures including isolation, quarantine, school closures, travel restrictions and cancellation of mass gatherings may be warranted,” Meyers said.

The researchers cautioned that asymptomatic transmission makes containment more difficult.

With hundreds of new cases emerging around the world every day, the scientists said, the data may offer a different picture over time.

They said infection case reports are based on people's memories of where they went and whom they had contact with, and if health officials move quickly to isolate patients, that may also skew the data.

“Our findings are corroborated by instances of silent transmission and rising case counts in hundreds of cities worldwide. This tells us that COVID-19 outbreaks can be elusive and require extreme measures,” Meyers said.

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