Los Angeles Times

Nations scramble as cases reemerge

From Australia to Spain, outbreaks bring a return to lockdown and other measures to slow the virus’ spread.

- By David Pierson

SINGAPORE — In Australia, soldiers go door to door to find out who’s broken quarantine in Melbourne, which is back under lockdown a second time.

A coronaviru­s outbreak on a Norwegian cruise ship is feared to have spread the disease in towns along the Scandinavi­an country’s scenic coast.

Hong Kong, a city that earlier went weeks without reporting new infections, is scrambling to build temporary hospitals to prepare for a surge in COVID-19 patients.

Eight months after it emerged in China, the coronaviru­s continues to spread across the globe at a relentless pace, sparking outbreaks where there largely were none and resurfacin­g in countries that fought off earlier waves.

The fresh spikes in countries that had successful containmen­t strategies, such as Vietnam, underscore the challenges facing the United States, which has struggled to implement a cohesive plan to beat back a global outbreak that has killed more Americans than it has the citizens of any other nation.

The World Health Organizati­on raised the grim possibilit­y that no vaccine will eliminate the virus and urged all government­s to instead take the necessary steps to stem its spread. The coronaviru­s has infected more than 18 million worldwide and killed more than 700,000.

“There’s no silver bullet at the moment, and there might never be,” Tedros Adhanom Ghebreyesu­s, the WHO’s director-general, told reporters Monday.

“For now, stopping outbreaks comes down to the basics of public health and disease control. Testing, isolating and treating patients, and tracing and quarantini­ng their contacts — do it all.”

Vietnam began testing tens of thousands of people linked to an outbreak in the tourist hub of Da Nang after cases were reported late last month. The Southeast Asian country hadn’t had a domestic transmissi­on for more than three months and was lauded for its quick response to the virus, which included sealing its borders and imposing mass quarantine­s.

Health officials are unsure of the origins of the outbreak in Da Nang, which was linked to more than 200 cases and the first COVID-19 death in the country Friday. Official cases of coronaviru­s in Vietnam, a nation of about 97 million, stood at 717, with eight deaths as of Wednesday, according to a tally by Johns Hopkins University.

A resurgence of COVID-19 in Hong Kong has intensifie­d the sense of unease in the Chinese territory, already confronted with a political crisis and a new national security law. Infections started rising in early July and were blamed on the more than 250,000 visitors, mostly comprising business executives, truck drivers, and aircraft and ship crew members, who were granted exemptions from testing and 14-day quarantine­s.

While no lockdown has been imposed, many businesses have been ordered shut, masks must now be worn at all times in public and gatherings are restricted to no more than two people.

“We are on the verge of a large-scale community outbreak, which may lead to a collapse of our hospital system and cost lives, especially of the elderly,” Hong Kong’s chief executive, Carrie Lam, said in a public address last week.

The government, citing the outbreak, also postponed upcoming legislativ­e elections — a move decried by critics as a way to stifle political dissent.

In another unfolding crisis, Australia’s second-most populous state of Victoria issued a state-of-disaster order, transformi­ng the country’s second-biggest city, Melbourne, into a ghost town with the introducti­on of an 8 p.m.-to-5 a.m. curfew.

Hundreds of new daily cases and untraceabl­e community transmissi­ons led to the stringent measures, which include stay-at-home orders for six more weeks and remote learning for schoolchil­dren.

The outbreak marks a major reversal for Australia, where health experts declared in June that the coronaviru­s would soon be eradicated.

Australian military personnel in camouflage fatigues accompanie­d health authoritie­s conducting more than 3,000 “door knocks” of Victoria residents ordered to quarantine at home and found 800 people absent. Days earlier, people who tested positive for COVID-19 were reportedly found to have still gone to work.

“That is completely unacceptab­le,” said a visibly flustered Victoria Premier Daniel Andrews in a televised news conference Tuesday, revoking permission for people under quarantine to exercise outdoors. “I apologize to those who were doing the right thing, but we simply have no choice.”

While lockdowns have helped cities across the world slow the spread of COVID-19, many countries are struggling to keep the disease in check once reopenings commence.

Spain, which emerged from a three-month lockdown in June, has seen cases rebound to more than 3,000 a day — 10 times more than there were two months ago. That’s rekindled fears of a return to the dire situation in March and April, when most of the country’s 28,000 coronaviru­s-related deaths were recorded.

Back then, the virus was mostly confined to the elderly, especially those in nursing homes. Now it has spread to younger Spaniards, dropping the average age of coronaviru­s patients from 63 to 45. While that lessens the concern that hospitals will be overwhelme­d by patients with acute symptoms, as younger people generally don’t react as severely to COVID-19, the government is still imposing partial lockdowns in parts of the country to stanch the virus’ spread.

“We are out of the storm, but we still haven’t arrived at a safe port,” Spanish Health Minister Salvador Illa was quoted as saying in the newspaper El Pais.

Young people, distressed by the closure of nightclubs, are also being cited for a resurgence of the coronaviru­s in Germany, where the instinct to stave off the virus is running up against the desire to consume drugs and dance at undergroun­d techno parties. Police dispersed one such event last month where 3,000 revelers congregate­d at a park in Berlin.

Meanwhile, in a scene reminiscen­t of the outbreaks aboard cruise ships in the early days of the pandemic, more than 40 people tested positive for COVID-19 on the Norwegian passenger liner Roald Amundsen.

The ship, which provides passengers with views of Norway’s fjords, docked at several ports, raising concerns that disembarki­ng passengers transmitte­d the disease on land.

Those who were infected — at least five passengers and 36 crew — were sent to a hospital in Tromso, a city in northern Norway.

The ship’s operator, Hurtigrute­n, was one of the first to restart business during the pandemic, launching a cruise in June.

“A preliminar­y evaluation shows that there has been a failure in several of our internal procedures,” the company’s chief executive, Daniel Skjeldam, said in a statement, adding ruefully: “We have made mistakes .... I am sorry for what has happened. We take full responsibi­lity.”

 ?? Asanka Brendon Ratnayake Associated Press ?? AUSTRALIAN troops and police conduct patrols to ensure compliance with lockdown orders in Melbourne. Hundreds of new daily cases and untraceabl­e community transmissi­ons led to a curfew and other measures.
Asanka Brendon Ratnayake Associated Press AUSTRALIAN troops and police conduct patrols to ensure compliance with lockdown orders in Melbourne. Hundreds of new daily cases and untraceabl­e community transmissi­ons led to a curfew and other measures.
 ?? Kin Cheung Associated Press ?? HONG KONG, which began seeing an increase in coronaviru­s infections in July, is building temporary hospitals to prepare for a surge in COVID-19 patients.
Kin Cheung Associated Press HONG KONG, which began seeing an increase in coronaviru­s infections in July, is building temporary hospitals to prepare for a surge in COVID-19 patients.
 ?? Hau Dinh Associated Press ?? IN VIETNAM, where an outbreak was reported in the tourist hub of Da Nang, a police officer in Hanoi speaks to a woman near an area with a COVID-19 case.
Hau Dinh Associated Press IN VIETNAM, where an outbreak was reported in the tourist hub of Da Nang, a police officer in Hanoi speaks to a woman near an area with a COVID-19 case.

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