Indonesia earthquake toll jumps to 97 as more bodies found in rubble

December 7, 2016

Meureudu, Dec 7: The death toll from a powerful earthquake that struck western Indonesia on Wednesday has nearly doubled to 97, the military said, as more bodies were pulled from the rubble of scores of shattered buildings.

Indonesia

The shallow 6.5-magnitude quake struck Pidie Jaya district in Aceh province at dawn as many in the mainly Muslim region on Sumatra island were preparing for morning prayers.

The death toll has steadily climbed as rescue crews search, often by hand, through the homes, mosques and shops reduced to ruins.

The earlier figure of 52 dead was revised up significantly by the Indonesian military, which has taken over responsibility for the search and rescue operation.

"So far 97 people have been killed and the number keeps growing," Aceh military chief Tatang Sulaiman told AFP.

"When we retrieve bodies sometimes there's five, sometimes 10 corpses."

More than 1,000 soldiers and about 900 police have been deployed to the worst-hit areas to set up shelters and evacuation points, he added.

Hundreds of houses and shops had been levelled by the quake, leaving countless people homeless and in need of basic supplies like food and water, officials said.

"The electricity is still off. Some places have generators, but there are not many," local disaster agency head Puteh Manaf told AFP.

"If it rains there will be disease."

The sole hospital in Pidie Jaya was quickly overwhelmed, with patients treated on the grass out front or sent to neighbouring districts with better facilities.

The district health office chief Said Abdullah said nearly 200 injured had arrived since the quake, but many would not enter the hospital for fear of aftershocks.

"We are treating people outside. We took the beds out because nobody is daring enter the hospital," he told AFP.

Another regional hospital had suffered serious damage in the quake, along with schools and other key infrastructure, a national disaster agency spokesman said.

In the hard-hit town of Meureudu, terrified residents rushed outside as their homes buckled and crumbled.

"Everything was destroyed," said Hasbi Jaya, who pulled his two children unconscious from the rubble of their home.

"It was pitch black because the electricity was out. I looked around and all my neighbours' homes were completely flattened."

An AFP correspondent said dazed residents were wandering debris-strewn streets, unable to return to their damaged homes in fear of aftershocks.

Some fled to higher ground for fear of a tsunami although no alert was issued.

A huge undersea earthquake in 2004 triggered a tsunami that engulfed parts of Aceh and other countries around the Indian Ocean, killing more than 170,000 people in Indonesia alone.

Indonesian seismologists said the latest earthquake was felt across much of Aceh province, with many aftershocks following the initial tremor.

The US Geological Survey upgraded the magnitude to 6.5 from an initial reading of 6.4 and issued a yellow alert for expected fatalities and damage.

Indonesia experiences frequent seismic and volcanic activity due to its position on the Pacific "Ring of Fire", where tectonic plates collide.

Aceh lies on the northern tip of Sumatra island, which is particularly prone to quakes.

In June a 6.5-magnitude quake struck off the west of Sumatra, damaging scores of buildings and injuring eight people.

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News Network
May 7,2020

Islamabad, May 7: Pakistan's COVID-19 cases have crossed 24,000 after 1,523 new infections were detected, while the death toll has jumped to 564 with 38 more people succumbing to the coronavirus, health officials said on Thursday.

Even as the country is seeing an increase in the number of coronavirus cases and fatalities, Prime Minister Imran Khan will discuss the easing of lockdown restrictions with his top aides on Thursday.

The Ministry of National Health Services said that out of the 24,073 total cases, Punjab reported 9,077, Sindh 8,640, Khyber-Pakhtunkhwa 3,712, Balochistan 1,495, Islamabad 521, Gilgit-Baltistan 388 and Pakistan-occupied Kashmir 76 cases.

After 38 more deaths on Wednesday, the total coronavirus patient death toll jumped to 564. Another 6,464 have recovered. A total of 1,523 new patients were added in a single day, the ministry.

So far, 244,778 tests have been conducted, including 12,196 in the last 24 hours, it said.

Prime Minister Khan will chair the National Coordination Committee (NCC) meeting on easing the lockdown restrictions in the country. The meeting will be attended by all chief ministers.

The issue was debated in the National Command and Operation Centre (NCOC) on Wednesday and in the Cabinet on Tuesday.

Planning Minister Asad Umar said that different proposals to allow certain businesses to open were prepared and will be presented before the Prime Minister for a final decision.

Earlier, Khan, undeterred by the mounting number of deaths and the new cases, announced that he was against a lockdown as it hits the poor people badly.

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News Network
April 28,2020

Washington, Apr 28: After nearly three weeks in an intensive care unit in Los Angeles, doctors treating 41-year-old Broadway actor Nick Cordero for COVID-19 were forced to amputate his right leg.

The flow of blood had been impeded by a blood clot: yet another dangerous complication of the disease that has been bubbling up in frontline reports from China, Europe and the United States.

To be sure, so-called "thrombotic events" occur for a variety of reasons among intensive care patients, but the rates among COVID-19 patients are far higher than would be otherwise expected.

"I have had 40-year-olds in my ICU who have clots in their fingers that look like they'll lose the finger, but there's no other reason to lose the finger than the virus," Shari Brosnahan, a critical care doctor at NYU Langone said.

One of these patients is suffering from a lack of blood flow to both feet and both hands, and she predicts an amputation may be necessary, or the blood vessels may get so damaged that an extremity could drop off by itself.

Blood clots aren't just dangerous for our limbs, but can make their way to the lungs, heart or brain, where they may cause lethal pulmonary embolisms, heart attacks, and strokes.

A recent paper from the Netherlands in the journal Thrombosis Research found that 31 percent of 184 patients suffered thrombotic complications, a figure that the researchers called "remarkably high" -- even if extreme consequences like amputation are rare.

Behnood Bikdeli, a doctor at New York-Presbyterian Hospital, assembled an international consortium of experts to study the issue. Their findings were published in the Journal of The American College of Cardiology.

The experts found the risks were so great that COVID-19 patients "may need to receive blood thinners, preventively, prophylactically," even before imaging tests are ordered, said Bikdeli.

What exactly is causing it? The reasons aren't fully understood, but he offered several possible explanations.

People with severe forms of COVID-19 often have underlying medical conditions like heart or lung disease -- which are themselves linked to higher rates of clotting.

Next, being in intensive care makes a person likelier to develop a clot because they are staying still for so long. That's why for example people are encouraged to stretch and move around on long haul flights.

It's also now clear the COVID-19 illness is associated with an abnormal immune reaction called "cytokine storm" -- and some research has indicated this too is linked to higher rates of clotting.

There could also be something about the virus itself that is causing coagulation, which has some precedent in other viral illnesses.

A paper in the journal The Lancet last week showed that the virus can infect the inner cell layer of organs and of blood vessels, called the endothelium. This, in theory, could interfere with the clotting process.

According to Brosnahan, while thinners like Heparin are effective in some patients, they don't work for all patients because the clots are at times too small.

"There are too many microclots," she said. "We're not sure exactly where they are."

Autopsies have in fact shown some people's lungs filled with hundreds of microclots.

The arrival of a new mystery however helps solve a slightly older one.

Cecilia Mirant-Borde, an intensive care doctor at a military veterans hospital in Manhattan, told AFP that lungs filled with microclots helped explain why ventilators work poorly for patients with low blood oxygen.

Earlier in the pandemic doctors were treating these patients according to protocols developed for acute respiratory distress syndrome, sometimes known as "wet lung."

But in some cases, "it's not because the lungs are occupied with water" -- rather, it's that the microclotting is blocking circulation and blood is leaving the lungs with less oxygen than it should.

It has just been a little under five months since the virus emerged in Wuhan, China, and researchers are learning more about its impact every day.

"While we react surprised, we shouldn't be as surprised as we were. Viruses tend to do weird things," said Brosnahan.

While the dizzying array of complications may seem daunting, "it's possible there'll be one or a couple of unifying mechanisms that describe how this damage happens," she said.

"It's possible it's all the same thing, and that there'll be the same solution."

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News Network
June 29,2020

Paris, Jun 29: More than half a million people have been killed by the novel coronavirus, nearly two thirds of them in the United States and Europe, according to an news agency tally at 2200 GMT Sunday based on official sources.

The official death count for the disease now stands at 500,390 deaths from 10,099,576 cases recorded worldwide. The United States has suffered the highest death count (125,747), followed by Brazil (57,622) and the United Kingdom (43,550).

The tallies, using data collected by AFP from national authorities and information from the World Health Organization (WHO), probably reflect only a fraction of the actual number of infections.

Many countries are testing only the most serious cases.

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