Saturday, 2 May 2020

The Unfolding Pandemic - April

Carrying on from March with my day by day list of going on throughout these strange times. This time though there isn’t much more than numbers of cases from Australia as nobody seems to be keeping a record of an actual timeline that can be referred to. Perhaps they are all as confused as I am by what feels like a disjointed approach (which we are assured is cohesive) which is domineered by state politicians wanting to take the limelight in a “my state is better than yours” race.

1 April 2020 – The number of deaths from COVID-19 globally has more than doubled in the past week.
79 passengers from the Ovation of the Seas tested positive by today. The number of cases in Victoria exceeds 1000 including 100 healthcare workers. 303 new cases are reported nationwide and 2 deaths.
Panic buying has created a food shortage on the Chatham Islands. 47 new cases were reported.
2 April 2020 — Cases of COVID-19 surpass 1 million. Cases of COVID-19 are growing exponentially in the African region. Sixteen days from the first confirmed case in the region numbers had increased to 100. Ten days later; 1000, five more days and there were 3000 cases.
35 passengers and 5 crew members from the Voyager of the Seas had tested positive and 11 cases from the Celebrity Solstice, just in New South Wales. The total number of new cases in the past 24 hours is 273 and 2 deaths. The Queensland government announced that persons must not leave their principal place of residence except for essential needs including work, food, medical and exercise, outdoor gatherings could only consist of up to two persons or with members of household, up to 2 visitors at a residence were permitted and no gatherings at non residences.
New Zealand sees its biggest increase in cases in one day, so far, 89 new cases. This figure includes probable cases as well as the 76 confirmed cases.
3 April 2020 — The global economic impact of the COVID-19 pandemic is now estimated to be between $2 trillion and $4 trillion, based on a 3 to 6-month scenario in which the pandemic is contained. The United States has the highest number of cases in the world, more than double the number of Italy.
It was reported that there were 10 clusters in different areas, the biggest at Marist College in Auckland. 49 confirmed cases were reported.
225 new cases are reported and 4 more deaths.
4 April 202052 new confirmed cases.
190 new cases reported in Australia and 2 further deaths.
5 April 2020South Sudan reports its first case of COVID-19. The African Union estimates that 20 million jobs could be lost on the continent as a result of the pandemic.
New South Wales Police launch a criminal investigation into whether the operator of Ruby Princess, Carnival Australia broke the Biosecurity Act 2015 (Commonwealth) NSW State laws by deliberately concealing COVID-19 cases onboard. 135 new cases across Australia and 7 deaths. Western Australia closed state borders strengthening earlier border rules. All Arrivals were quarantined in city hotels for 14 days.
The number of people now hospitalised has increased to 15, including 3 in intensive care; 2 of whom are listed as critical. 48 new cases were reported. Two additional clusters are identified, one in Auckland and the other in Christchurch. Ethnicity statistics show 74% Pakeha, 8.3% Asian, 7.6% Maori and 3.3% Pasifika.
6 April 2020According to WHO almost 90% of students globally (1.5 billion children and young people) are affected by school closures. U.K. Prime Minister Boris Johnson is moved to intensive care after his COVID-19 symptoms worsen. The death toll in Europe from COVID-19 surpasses 50,000.
The Department of Health revealed that more than one third of the cases reported, 2432, have recovered from the infection. 108 new cases and 4 deaths. Queensland waters closed to cruise ships.
39 new cases increase the number of confirmed cases is now 911. Foreign Minister Winston Peters announced that the Government had organised a mercy flight to rescue New Zealanders stranded in Peru. According to MFAT there are 22,000 New Zealander stranded overseas who have registered with MFAT’s SafeTravel.
7 April 2020The Wellcome Trust launches an initiative that aims to raise at least $8 billion through the private sector by the end of the month to cover the global funding shortfall for vaccines, treatments, and testing for COVID-19.
65 people are reported to have recovered bringing the total of recovered cases to 241. This is the first day where the number of daily recoveries exceeds the number of new cases (32).
113 new cases reported and 7 deaths.
8 April 2020 – China lifts its lockdown on Wuhan, the city where the COVID-19 outbreak began.
WHO responds to U.S. President Donald Trump’s threats to withhold funds from WHO because the agency “missed the call” on the pandemic response, urging governments not to politicize their response. WHO also launches the U.N. COVID-19 Supply Chain Task Force to meet needs and scale up the supply of lifesaving medical supplies, such as personal protective equipment and diagnostic tests.
26 new cases reported. New Zealand Police reported 367 breaches of the lockdown requirements including 45 prosecutions, 309 warnings and 13 youth referrals. They also reported that they were dealing with 37,000 breaches, mainly by businesses. Government announced they were introducing an $87.7million distance learning package including two education television channels one in English and one in Te Reo, improved internet access and devices, educational materials including online resources for parents, handheld devices and hard copy packs for different years. Also announced was a $4 million package to help tackle health, economic and social impacts and $1 million to assist the Tongan Ministry of Health to continue to fight the virus.
105 new cases reported across Australia and 2 more deaths. Queensland closed Surfers Paradise, Coolangatta and The Spit beaches in response to people ignoring the social distancing and public gathering restrictions. Non-essential travel was not permitted, people were encouraged to stay home during the holiday weekend and not venture outside their suburb.
9 April 2020 – One hundred days have passed since WHO was initially notified of COVID-19 in China. A two week ceasefire begins in Yemen following calls from United Nations to halt fighting amid the global pandemic. Warring parties had agreed to a ceasefire the previous weekend to allow for a COVID-19 scale-up, but violated it two days later. “We cannot control a global pandemic amongst bombs and airstrikes.”
23 new cases reported. Compulsory quarantine for New Zealanders returning home was announced to commence by midnight on this day as the country looks to ways to manage the spread once restrictions begin to be removed.
90 cases reported and another death. In Queensland National Parks including Fraser Island and all off shore islands in Moreton Bay (Not including Bribie Island) were closed. The Queensland government announced that non-essential business, activity or undertaking must not be operated, the only exemption if it was not able to be carried out online. This covered the closure of cinemas, casinos, concerts, indoor sports, gyms, playgrounds, campgrounds and libraries. Restrictions also apply to restaurants (takeaway or delivery only) hairdressers and churches.
10 April 2020 – The number of COVID-19 deaths around the world surpasses 100,000. Cases are spreading to rural areas in Africa, according to WHO with clusters of cases and community spread in more than 16 countries. The newly established United Nations Supply Chain Task Force, may need to cover more than 30% of the world’s needs in the acute phase of the pandemic and, every month, would need to ship at least 100 million medical masks and gloves; up to 25 million N95 masks, gowns, and face shields; up to 2.5 million diagnostic tests; and other equipment. It may need about $280 million for the cost of storing and moving supplies. Hubs will be located in Belgium, China, Ethiopia, Ghana, Malaysia, Panama, South Africa, and the United Arab Emirates.
Yemen reports its first case of COVID-19.
23 new cases overnight. A second death is reported, an elderly woman in the Christchurch rest home cluster. Other cases, residents and staff, at the rest home are moved to hospital care. The Uruguay government announced that it would be repatriating 16 New Zealanders and 96 Australians who had been stranded on the cruise ship Greg Mortimer near Montevideo since 27 March. They would be flown from Montevideo to Melbourne.
A further 100 cases reported and 3 deaths.
11 April 2020 – The United States records over 2000 deaths in one day, the highest death rate recorded by any country during the pandemic.
20 new cases. Two more deaths recorded, another from the Christchurch rest home cluster and the other in Wellington.
An aged care facility in Sydney reported an outbreak. 89 new cases reported and 2 more deaths. Queensland strengthened border control to Level 4, the most restrictive level, every person crossing the border requires a permit to enter the state and if travelling from a known hotspot e.g. Sydney within the previous 14 days must self-quarantine for 14 days.
12 April 2020 – The International Rescue Committee launches an initiative aimed to help the 165,000 refugees and immigrants in the US who are medical and health professionals trained abroad to become credentialled there to assist in the nation’s fight against COVID-19. The UK government pledges £200 million to slow the spread of the virus in vulnerable countries. British Prime Minister Boris Johnson is discharged from hospital, in his thanks to the NHS for their care, singling out a New Zealand nurse and a Portuguese nurse. At least 28 UK healthcare workers have died from COVID-19.
14 new cases making the total confirmed cases now 1049 with 471 recorded as recovered. The mercy flight from Uruguay arrived ion Melbourne and 13 of the New Zealanders were transferred to a New Zealand Government chartered flight to Auckland where they were required to enter quarantine for 14 days.
Just 21 cases reported across the country and 3 deaths. Victorian government extend the state of emergency by for weeks to 11 May.
13 April 2020 – The International Monetary Fund approves immediate debt service relief to 25 countries. The Asian Development Bank expands its response package from $6.5 billion to $20 billion. CNN reports that China has imposed restrictions on the publication of research focussing on the origins of COVID-19. WHO urge countries to only ease control efforts such as “stay at home” if the right public health support is in place and to do it slowly.
15 new cases reported. Another death brings the total to 5, this latest case was also a part of the Christchurch rest home cluster. Two more clusters are identified, one in Auckland and a separate one in Christchurch. A Government chartered LATAM airlines  flight  carrying New Zealanders stranded in Peru landed in Auckland, other passengers who had been scattered in Brazil and Chile were able to board at Santiago when the flight transited there. All passengers were required to enter quarantine in Auckland under new quarantine requirements. Fiji Airways announced that they would fly stranded New Zealanders to Auckland on 17 April and return the same day carrying Fijians returning to Nadi.
Tasmanian Government closed two hospitals and put the entire staff (more than 1000) and their families into quarantine. 46 new cases confirmed, 11 of them part of the spike in Tasmania, and 2 deaths.
14 April 2020 – US President Trump announces he is cutting off the nations funding to WHO in response to their perceived mismanagement of the response to the pandemic. It is unclear whether he holds this authority. The UN warns that more than 117 million children in 37 countries could miss out on measles vaccine because of the pandemic. Immunisation campaigns have already been delayed in 24 countries. The number of cases on the African continent surpasses 15,000.
Just 8 new cases confirmed, but sadly 4 more deaths; three linked to the Christchurch rest home cluster and the fourth later confirmed as part of the Bluff wedding cluster. Government announced a $130 million support package for tertiary students.
The outbreak at a Sydney aged care facility was linked to a staff member who had attended work for 6 shifts while having minor symptoms. 10 residents and 5 other staff had tested positive. 41 new cases across the country and 1 death.
15 April 2020 – The number of cases globally surpasses 2,000,000. French President Emmanuel Macron says that putting a hold on debt payments of African governments is an indispensable step in the fight against the virus. WHO says that the agency is assessing how the US withdrawal of financial support will affect its programs and that it will fill any gaps with other partners. WHO adds that a full performance review will be undertaken following the pandemic as is normal business practice. Bill & Melinda Gates Foundation announces it will increase funding by $150 million
6 new cases, the pattern is showing early indications that the measures taken by the Government are flattening the curve. Prime Minister Jacinda Ardern announced that all government ministers and public sector chief executives would take a 20% pay cut.
A Western Australian man became the first person to be jailed for violating a self-isolation directive. 47 new cases confirmed in Australia and 1 death.
16 April 2020 – There has been a rapid increase in case numbers in countries on the African continent. WHO says the impact of US President Trumps threat to withdraw funding will not only effect the COVID-19 response, but also other existing programmes such as the eradication of polio from the African continent.
6 confirmed new cases and another 42 recoveries reported, this brings the total number of cases to 1078 with 770 of those recorded as recovered. Prime Minister Ardern outlined rules and guidelines for the return to Alert Level 3. No date has been confirmed for this, but it will include easing work restrictions, reopening schools up to Year 10 on a voluntary basis reopening early childcare centres, introducing strict guidelines for gathering such as funerals and tangi and allowing food eateries to provide takeaway services. More will be announced after the weekend.
21 new cases confirmed.
17 April 2020 – WHO emphasize that as yet there is no evidence to prove whether someone who has had COVID-19 and recovered is immune to reinfection. WHO also state that if “wet markets” are permitted to reopen that they must conform to stringent food safety and hygiene standards. They went on to say governments must rigorously enforce bans on the sale and trade of wildlife for food. They estimate that 70% of new viruses come from animals. The Asian Infrastructure Investment Bank doubles its contribution; now up to $10 billion. The prevention and control taskforce In Wuhan, China revises the death toll in the city by 50% from 2,579 to 3,869. Globally there are more than 2,000,000 cases and the US has recorded more than 30,000 deaths.
2 more deaths in New Zealand, both linked to known clusters. 2 new cases are confirmed. A clinical trial into the efficacy of 16 drugs on patients with COVID-19 is being led by NZ researchers.
55 new cases nationwide and 2 more deaths.
18 April 2020 – Singapore sees record spike of 942 new cases. The World Medical Association call on WHO to allow Taiwan into the organisation, noting that failure to listen to early warning from Taiwan about COVID-19 coupled with its decision to ignore Taiwan during much of the SARS crisis were errors which led to the world paying a high price. In the past Taiwan has been granted observer status but in recent years has been locked out by the One China policy. WHO release data by age and sex; the sex ratio (male to female) among confirmed cases is 1.03:1 and the median age is 51.
8 new cases reported, the number of deaths increased to 12 after the results of a post mortem confirmed evidence of COVID-19. It was also confirmed that three children under a year old had tested positive.
42 new cases in Australia and a further 4 deaths. The MS Artania departed Fremantle following a stand off with State and Federal governments over responsibility for the care of passengers and crew.
19 April 2020 – The death toll in Europe surpasses 100,000 and data compiled by John Hopkins University suggests the death rate in Europe is 9%. There have been more than 30,000 deaths in the US. UN appeals to the donor community for $350million to rapidly scale up their global logistics system to respond to the pandemic. The President threatens China with consequences in what he believes is a cover up.
Queensland recorded 5 new cases, Australia a total of 41 new cases, and 2 new deaths bring the total deaths to 70.
4 new cases confirmed in New Zealand, however another death was recorded bringing the total to 12.
20 April 2020 – People gather together in some US states ignoring social distancing rules to protest being asked to lockdown and demand the conditions to be lifted to allow them to return to work. Their protests are supported by President Trump. The numbers of deaths fall in Italy and Spain; China reports no new deaths and 12 new cases. The US hostility toward WHO scuppered publication of a communique from the G20 heath ministers which committed to strengthening the WHO mandate in coordinating a response to the pandemic. Thousands of people gathered in Tel Aviv AND attempted to practice social distancing while protesting against Benjamin Netanyahu. A WHO worker was killed in Myanmar while transporting COVID-19 test samples.
School returned for Term 2 for children of essential workers in Queensland, the remainder of students will be schooled at home with support of teachers, schools, television channels and the Education Department for 5 weeks when the situation will be reviewed. Server problems caused outages and headaches for staff, parents and students on day one. Just 13 new cases reported.
New Zealand announce that they will remain in lockdown at Alert level 4 until midnight Monday 27 April and then return to Level 3. This will be monitored with the view to moving to Level 2 after a further two weeks. 7 new cases  were reported.
21 April 2020 – The number of cases worldwide surpasses 2.5million and the number in the US passes 800,000. Health worker cases in the Philippines are at 13% compared to 2-3% in the general population, but the reasons for this are unclear. Cases in Japan reach more than 11,000 though there is not yet a large scale community outbreak. The cause of the virus remains unknown amid speculations that it came from the Wuhan Institute of Virology and not the Huanan seafood market. A rapid spike in the number of infections in Singapore provides lessons for countries to learn as they begin to remove some restrictions and to pay attention to vulnerable groups of their populations.
1 more death was reported; a resident of a rest home in Auckland where 5 new cases (2 confirmed) were identified today. Additionally a New Zealander died in Peru after missing a repatriation flight but this death is not included in the Ministry of Health’s figures.
Just 26 new cases; 0 in Queensland, South Australia, Western Australia and Northern Territory. 431,000 tests have been conducted across Australia. The Federal Government announces an easing of restrictions for elective surgeries from 28 April in a staged and controlled manner which will balance patient needs and the ongoing need for capacity to treat COVID-19 patients. The National Cabinet received up to date data on the stock of PPE in the National Medical Stockpile and PPE held by states and territories. PPE stocks and other equipment such as ventilators are now largely sufficient to meet expected demand for Australia’s COVID-19 response through to December 2020 with current social distancing and travel restrictions in place. To date the National Medical Stockpile has dispatched 22 million masks primarily to states and territories, GPs, Community Pharmacy, ACHHOS and aged care with a further 11.5million being dispatched this week. The National Medical Stockpile does not replace state, territory or private processes to source and deliver PPE to meet their needs
22 April 2020 – Outbreaks in Western Europe appear to be stable or declining. Most countries are still in the early stages of their epidemics in Africa, Central and South America and Eastern Europe. Some countries which were affected early in the pandemic are beginning to see a resurgence in cases. Of the countries that have reported data to WHO only 66% have a clinical referral system in place, 48% have a community action plan and 48% have an infection prevention and control program and standards for water, sanitation and hygiene in health facilities. When asked if WHO should have declared a pandemic earlier they replied that the highest level of alert that WHO can declare is a public health emergence and that at the time they did this on January 30th, there were just 82 cases outside of China and no deaths.
6 new cases and 1 death.
Only 4 new cases reported and 3 more deaths.
23 April 2020 – on the African continent there are more than 25,000 cases and over 1200 deaths. South Africa is the most affected country with 3300 cases but the nation is beginning to flatten the curve. There are concerning increases in the number of cases in some West African countries and Tanzania where social distancing recommendations were not initially implemented. There are also concerns that any reduction in the distribution of insecticide treated bed nets will lead to an increase in the number of malaria cases as was seen during the Ebola outbreak. The first patients are injected with the first human COVID-19 vaccine trial in Europe.
2 new cases and a further 2 deaths reported. Broadcasting Minster Kris Faafoi announced Government investment of $50 million into a media relief package to support the New Zealand media.
12 new cases throughout Australia and 2 deaths.
24 April 2020 – WHO launches the Access to COVID-19 Tools Accelerator, a global initiative to speed up the development and production of vaccines, diagnostics and therapeutics to respond to COVID-19. Niger report a new outbreak of polio, but WHO says that a vaccination campaign will not be possible during the COVID-19 pandemic.
2 new cases reported bringing the total to 1,114, with 1095 people recovered. Another death today, the 10th from the Christchurch aged care facility, bringing the total to 17. There have ben 108,238 tested completed in total with a positivity rate of 1.03%.
Over 482,000 tests have been conducted across Australia. 14 new cases reported and 3 more deaths.
25 April 2020 – The global death toll passes 200,000.
3 new cases and another death; the second linked to the Auckland rest home.
20 new cases across Australia and 2 deaths.
New Zealand and Australia celebrate ANZAC Day at home. There are no parades or public gatherings for the first time since 1919 when the Spanish Flu pandemic halted the first post war commemorations. In 2020 a social media and mainstream media campaign encouraged people to stand at their gate or on their balcony at 6am and be a part of the Dawn Service together, at home.
26 April 2020 – UN launch a knowledge hub for COVID-19 in Africa. Bill Gates tells the Financial Times that his foundation will give it “total attention” to COVID-19.
4 new cases reported , most are linked to existing clusters or to known confirmed cases.
16 new cases across Australia and a further 2 deaths. The Australian Government launch a voluntary tracking app which will use a Bluetooth signal to determine if a person has been in contact with a person with COVID-19 allowing authorities to alert them that they may have been exposed to the virus. It is based on Singapore’s TraceTogether app. Uncertainty surrounds return to school plans across the country with each state implementing its own plan contra to advice from Federal Government. Victoria’s Premier stating that schools there would not reopen during term 2. Some restrictions will be removed in Queensland at the weekend, enabling non essential shops to reopen if they can maintain social distancing, allowing some relaxing to rules around visiting family and revising the numbers of people attending funerals and allowing people to venture up to 50km from their homes.
27 April 2020 – Globally the number of cases surpasses 3,000,000. The US House Foreign Affairs Committee launches an inquiry into the White House’s decision to halve funding to WHO.
The country’s death toll reaches 19, and another 1 confirmed case reported. The UN report that New Zealand’s Prime Minister Jacinda Ardern says that there is currently no widespread community transmission of COVID-19 in the country, allowing some restrictions to be lifted while being mindful to remain vigilant to prevent any resurgence. Businesses working to prepare to reopen some physically but many online. The country entered alert level 3 at 11.59.59pm. Cafes and fast food chains will be able to open from midnight tonight as long as they offer only takeaway while ensuring the correct levels of social distancing.
9 new cases across Australia.
28 April 2020 – The number of cases in the US surpasses 1,000,000 now accounting for one third of the cases globally. The death toll too has soared past 58,000 which is higher than the number of American troops killed during the Vietnam War. The International Rescue Committee estimate that COVID-19 infections could reach 500 million-1 billion in 34 conflict affected and fragile countries. This could lead to between 1.7-3.2million deaths. A group of scientists warn against using a tuberculosis vaccine to protect against COVID-19 as it has not been proven effective. They fear that it could also lead to a global shortage which may limit access to those using it to prevent TB.
Ridiculous queues form across the country for fast food chains in New Zealand as the country moves into Alert Level 3. They will remain at Level 3 until 11 May when the next step will be announced. There were 2 new cases and no deaths. As more people return to work, they were reminded of the need to be mindful that the virus is still “there” and to not undo all the good that has been done.
11 new cases across Australia and 5 deaths. 4 residents of a nursing home in Sydney died in the past 24 hours bringing the total number of deaths at that facility to 11 since 11 April.
29 April 2020 – Despite an announced ceasefire in Yemen airstrikes ae up 30% complicating the humanitarian response to the pandemic. United Nations Children’s Fund and World Food Programme estimate that 370 million children are missing out on school meals globally because of school closures.
Some fast food chains and takeaway outlets were called out by police, local media and the Prime Minister for encouraging poor social distancing. Many people seemed to flaunt the distancing requirements instead of using common sense for the sake of a fast food fix. Just 1 new case was reported.
15 new cases reported across Australia and 2 deaths.
30 April 2020 – Several laboratories in different countries are reporting good progress with their search for a vaccine. Some have progressed to testing on humans, and others hope to be at that stage by June or July.
The Ministry of Health report that 84% of those diagnosed with COVID-19 have recovered. 3 new cases were reported. Schools up to Year 10 have reopened for the children of essential workers the government reported that just 4% had returned to early childhood centres and 1% of school age children had attended on the first day (29 April). There were 742 complaints of businesses not complying  with the rules on the first day of alert level 3, mostly for the lack of social distancing.
6 new cases reported nationwide and 1 death. ACT became the first Australian jurisdiction to be free of all known cases of COVID-19.


Total cases globally as of April 30, 2020: 3, 090, 445 and 217. 769 deaths, 1,000,000+ recovered
Total cases in Australia: 6746, deaths 90, 5685 recovered
Total cases in New Zealand: 1129, deaths 19, 915 recovered
(figures from WHO)


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