Orlando Sentinel

Even with strict rules, Asia braces for omicron

Variant raises fears as countries await an inevitable surge

- By Huizhong Wu

TAIPEI, Taiwan — Much of Asia has largely managed to keep omicron at bay even as the variant rages in other parts of the world, but the region that is home to most of the globe’s population is bracing for what may be an inevitable surge.

Strict quarantine rules for arrivals and widespread mask wearing have helped slow the spread of the highly contagious variant in Asia. Countries such as Japan, South Korea and Thailand quickly reinstated entry and quarantine restrictio­ns in recent weeks after relaxing them in the fall.

But cases are mounting, and experts say the next few months will be critical. Those fears have been amplified by doubts about the effectiven­ess of the Chinese-made vaccines used in China and much of the developing world.

“Once the pace picks up, its upsurge would be extremely fast,” said Dr. Shigeru Omi, a top medical adviser to Japan’s government.

In India, which has been getting back to normal after a devastatin­g COVID-19 outbreak earlier this year, omicron is once again raising fears, with more than 700 cases reported in the country of nearly 1.4 billion people.

The capital, New Delhi, banned large gatherings for Christmas and New Year’s, and many other states have announced new restrictio­ns, including curfews and vaccinatio­n requiremen­ts at stores and restaurant­s.

At the crowded Chandni Chowk market in New Delhi, many people were shopping without masks this week.

Cycle rickshaw driver Mahesh Kumar said he is afraid of passengers who don’t wear masks.

“There are many people who don’t believe in this disease. They think it doesn’t exist. But I am very scared. I have children and a family,” he said. “If something happens to me, who will take care of them?”

Elsewhere, Thailand has topped 700 cases, South Korea has more than 500 and Japan over 300. China, which has some of the strictest virus controls in the world, has reported at least eight.

Only four cases have been reported in the Philippine­s, where people flocked to shopping malls ahead of Christmas and to Mass in the biggest Roman Catholic nation in Asia. Some hospitals have even begun dismantlin­g COVID-19 wards in a move experts say could prove to be premature.

Japan managed to delay the spread of the new variant for about a month largely thanks to its reimpositi­on of entry restrictio­ns, mandatory COVID-19 tests for all arrivals and the isolation of all passengers on a flight if anyone tested positive for omicron.

But the barrier was broken last week when the first locally transmitte­d cases were confirmed in the neighborin­g cities of Osaka and Kyoto. Experts are urging the government to prepare for an imminent wave of infections by increasing testing, speeding up booster shots and preparing more beds at hospitals.

“We want to believe the omicron cases could be mild, but its fast-paced infections could quickly multiply the number of patients and could still overwhelm hospitals,” Omi said.

Taiwan has started to offer booster shots of the Moderna vaccine and is urging people to get a third shot before an expected influx of people returning home for Lunar New Year at the end of January.

Preliminar­y research has shown that booster shots of the Pfizer, AstraZenec­a and Moderna vaccines offer continued, though diminished, protection against omicron.

However, a Hong Kong University study that has yet to be published found that China’s widely used Sinovac vaccine does not generate enough antibodies to protect against omicron, even with a booster shot, according to a university news release.

Hong Kong offers the Sinovac and Pfizer vaccines.

Sinovac did not respond to a request for comment. Chinese officials have said their vaccines are still effective.

“Our inactivate­d vaccines are still rather reliable and cover a range of antigens. Therefore, they won’t be completely ineffectiv­e against omicron,” Zhong Nanshan, a top government doctor, said at a public forum.

Some countries that relied on the Chinese vaccines are turning to others for boosters.

Thailand, which largely used Sinovac and Sinopharm, another Chinese vaccine, is offering booster shots of AstraZenec­a or Pfizer.

Indonesia, where Sinovac has been the mainstay of a campaign to vaccinate its 270 million residents, is offering a Moderna booster for health care workers. The government is also planning boosters for the general population in January, though it hasn’t said which vaccine.

 ?? CHIANG YING-YING/AP ?? Pedestrian­s wear masks Wednesday to help protect against the spread of COVID-19 in Taipei, Taiwan. Wearing a face mask is near universal in major cities in Taiwan.
CHIANG YING-YING/AP Pedestrian­s wear masks Wednesday to help protect against the spread of COVID-19 in Taipei, Taiwan. Wearing a face mask is near universal in major cities in Taiwan.

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