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  • WHO experts to weigh whether world ready to end COVID emergency

    WHO experts to weigh whether world ready to end COVID emergency

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    LONDON, May 4 (Reuters) – A panel of global health experts will meet on Thursday to decide if COVID-19 is still an emergency under the World Health Organization’s rules, a status that helps maintain international focus on the pandemic.

    The WHO first gave COVID its highest level of alert on Jan. 30, 2020, and the panel has continued to apply the label ever since, at meetings held every three months.

    However, a number of countries, such as the United States, have recently begun lifting their domestic states of emergency. WHO Director-General Dr Tedros Adhanom Ghebreyesus has said he hopes to end the international emergency this year.

    A final decision by Tedros based on the panel’s advice is expected in the coming days. There is no consensus yet on which way the panel may rule, advisors to the WHO and external experts told Reuters.

    “It is possible that the emergency may end, but it is critical to communicate that COVID remains a complex public health challenge,” said Professor Marion Koopmans, a Dutch virologist who is on the WHO panel. She declined to speculate further ahead of the discussions, which are confidential.

    One source close to negotiations said lifting the “public health emergency of international concern,” or PHEIC, label could impact global funding or collaboration efforts. Another said that the unpredictability of the virus made it hard to call at this stage. Others said it was time to move to living with COVID as an ongoing health threat, like HIV or tuberculosis.

    “All emergencies must come to an end,” said Lawrence Gostin, a law professor at Georgetown University in the United States who follows the WHO.

    “I expect WHO to end the public health emergency of international concern. If WHO does not end it… [this time], then certainly the next time the emergency committee meets.”

    Dr. Jarbas Barbosa, director of the Pan American Health Organization (PAHO), said he was concerned that a change in status would lead to complacency, with weaker surveillance and falling vaccination levels.

    “(The PHEIC) does not bring any kind any harm for countries but at the same time it keeps their attention,” he told journalists.

    Reporting by Jennifer Rigby in London and Emma Farge in Geneva; Editing by Alexandra Hudson

    Our Standards: The Thomson Reuters Trust Principles.

    Jennifer Rigby

    Thomson Reuters

    Jen reports on health issues affecting people around the world, from malaria to malnutrition. Part of the Health & Pharma team, recent notable pieces include an investigation into healthcare for young transgender people in the UK as well as stories on the rise in measles after COVID hit routine vaccination, as well as efforts to prevent the next pandemic. She previously worked at the Telegraph newspaper and Channel 4 News in the UK, as well as freelance in Myanmar and the Czech Republic.

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  • Protests break out in Iran over schoolgirl illnesses

    Protests break out in Iran over schoolgirl illnesses

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    DUBAI, March 4 (Reuters) – Worried parents protested in Iran’s capital Tehran and other cities on Saturday over a wave of suspected poison attacks that have affected schoolgirls in dozens of schools, according to Iranian news agencies and social media videos.

    The so-far unexplained illnesses have affected hundreds of schoolgirls in recent months. Iranian officials believe the girls may have been poisoned and have blamed Tehran’s enemies.

    The country’s health minister has said the girls have suffered “mild poison” attacks and some politicians have suggested the girls could have been targeted by hardline Islamist groups opposed to girls’ education.

    Iran’s interior minister said on Saturday investigators had found “suspicious samples” that were being studied.

    “In field studies, suspicious samples have been found, which are being investigated… to identify the causes of the students’ illness, and the results will be published as soon as possible,” the minister, Abdolreza Rahmani Fazli, said in a statement carried by the official news agency IRNA.

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    Sickness affected more than 30 schools in at least 10 of Iran’s 31 provinces on Saturday. Videos posted on social media showed parents gathered at schools to take their children home and some students being taken to hospitals by ambulance or buses.

    A gathering of parents outside an Education Ministry building in western Tehran on Saturday to protest over the illnesses turned into an anti-government demonstration, according to a video verified by Reuters.

    “Basij, Guards, you are our Daesh,” protesters chanted, likening the Revolutionary Guards and other security forces to the Islamic State group.

    Similar protests were held in two other areas in Tehran and other cities including Isfahan and Rasht, according to unverified videos.

    The outbreak of schoolgirl sickness comes at a critical time for Iran’s clerical rulers, who have faced months of anti-government protests sparked by the death of a young Iranian woman in the custody of the morality police who enforce strict dress codes.

    Social media posts in recent days have shown photos and videos of girls who have fallen ill, feeling nauseaous or suffering heart palpitations. Others complained of headaches. Reuters could not verify the posts.

    The United Nations human rights office in Geneva called on Friday for a transparent investigation into the suspected attacks and countries including Germany and the United States have voiced concern.

    Iran rejected what it views as foreign meddling and “hasty reactions” and said on Friday it was investigating the causes of the incidents.

    “It is one of the immediate priorities of Iran’s government to pursue this issue as quickly as possible and provide documented information to resolve the families’ concerns and to hold accountable the perpetrators and the causes,” Foreign Ministry spokesperson Nasser Kanaani told state media.

    Schoolgirls were active in the anti-government protests that began in September. They have removed their mandatory headscarves in classrooms, torn up pictures of Supreme Leader Ayatollah Ali Khamenei and called for his death.

    Reporting by Dubai newsroom
    Editing by Frances Kerry

    Our Standards: The Thomson Reuters Trust Principles.

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  • U.S. FDA proposes shift to annual COVID vaccine shots

    U.S. FDA proposes shift to annual COVID vaccine shots

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    Jan 23 (Reuters) – The U.S. health regulator on Monday proposed one dose of the latest updated COVID-19 shot annually for healthy adults, similar to the influenza immunization campaign, as it aims to simplify the country’s COVID-vaccine strategy.

    The U.S. Food and Drug Administration also asked its panel of external advisers to consider the usage of two COVID vaccine shots a year for some young children, older adults and persons with compromised immunity.The regulator proposed the need for routine selection of variants for updating the vaccine, similar to the way strains for flu vaccines are changed annually, in briefing documents ahead of a meeting of its panel on Thursday.

    The FDA hopes annual immunization schedules may contribute to less complicated vaccine deployment and fewer vaccine administration errors, leading to improved vaccine coverage rates.The agency’s proposal was on expected lines, following its announcement of its intention for the update last month.

    A nurse fills up syringes with the coronavirus disease (COVID-19) vaccines for residents who are over 50 years old and immunocompromised and are eligible to receive their second booster shots in Waterford, Michigan, U.S., April 8, 2022. REUTERS/Emily Elconin

    The Biden administration has also been planning for a campaign of vaccine boosters every fall season.

    Currently, most people in the United States need to first get two doses of the original COVID vaccine spaced at least three to four weeks apart, depending on the vaccine, followed by a booster dose a few months later.

    Pfizer’s primary vaccine doses for children and people involve three shots, with the third a bivalent shot given about two months later.

    If the panel votes in favor of the proposal, Pfizer Inc (PFE.N) and Moderna Inc’s (MRNA.O) bivalent vaccines, which target both the Omicron and the original variants, would be used for all COVID vaccine doses, and not just as boosters.

    Reporting by Leroy Leo in Bengaluru; Editing by Shailesh Kuber and Shinjini Ganguli

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  • Omicron subvariant XBB.1.5 accounts for 43% of U.S. COVID cases – CDC

    Omicron subvariant XBB.1.5 accounts for 43% of U.S. COVID cases – CDC

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    Jan 13 (Reuters) – The fast-spreading Omicron subvariant XBB.1.5 is estimated to account for 43% of the COVID-19 cases in the United States for the week ended Jan. 14, data from the Centers for Disease Control and Prevention showed on Friday.

    The subvariant accounted for about 30% of cases in the first week of January, higher than the 27.6% the CDC estimated last week.

    XBB.1.5, which is related to Omicron, is currently the most transmissible variant. It is an offshoot of XBB, first detected in October, which is itself made from a combination of two other Omicron subvariants.

    The World Health Organization (WHO) said earlier this week XBB.1.5 may spur more COVID-19 cases based on genetic characteristics and early growth rate estimates.

    While it is unclear if XBB.1.5 can cause its own wave of global infections, experts say the current booster shots continue to protect against severe symptoms, hospitalization and death.

    WHO Director General Tedros Adhanom Ghebreyesus tweeted last week the subvariant has been on the rise globally and has been identified in over 25 countries.

    The rise in the new variant correlated with an uptick in COVID-19 cases in United States over the last six weeks.

    Increased prevalence of XBB.1.5 cases has eclipsed the previously dominant Omicron subvariant BQ.1.1 and BQ.1, which were offshoots of BA.5. The two strains together accounted for 44.7% of cases in the United States in the week ended Jan. 14, compared with 53.2% a week ago, the CDC said.

    Reporting by Khushi Mandowara and Sriparna Roy in Bengaluru; Editing by Maju Samuel and Shounak Dasgupta

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  • U.S. FDA allows abortion pills to be sold at retail pharmacies

    U.S. FDA allows abortion pills to be sold at retail pharmacies

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    WASHINGTON, Jan 3 (Reuters) – The U.S. Food and Drug Administration (FDA) will allow retail pharmacies to offer abortion pills in the United States for the first time, the agency said on Tuesday, even as more states seek to ban medication abortion.

    The regulatory change will potentially expand abortion access as President Joe Biden’s administration wrestles with how best to protect abortion rights after they were sharply curtailed by the Supreme Court’s decision to overturn the landmark Roe v Wade ruling and the state bans that followed.

    Pharmacies can start applying for certification to distribute abortion pill mifepristone with one of the two companies that make it, and if successful they will be able to dispense it directly to patients upon receiving a prescription from a certified prescriber.

    The FDA had first said it would be making those changes in December 2021 when it announced it would relax some risk evaluation and mitigation strategies, or REMS, on the pill, that had been in place since the agency approved it in 2000 and were lifted temporarily in 2021 due to the COVID-19 pandemic.

    The changes included permanently removing restrictions on mail order shipping of the pills and their prescription through telehealth.

    The agency finalized the changes on Tuesday after reviewing supplemental applications from Danco Laboratories and GenBioPro, the two companies that make the drug in the United States.

    “Under the Mifepristone REMS Program, as modified, Mifeprex and its approved generic can be dispensed by certified pharmacies or by or under the supervision of a certified prescriber,” the agency said on its website on Tuesday.

    Mifeprex is the brand name version of mifepristone which, in combination with a second drug called misoprostol that has various uses including miscarriage management, induces an abortion up to 10 weeks into a pregnancy in a process known as medication abortion.

    Abortion rights activists say the pill has a long track record of being safe and effective, with no risk of overdose or addiction. In several countries, including India and Mexico, women can buy them without a prescription to induce abortion.

    “Today’s news is a step in the right direction for health equity,” Planned Parenthood President Alexis McGill Johnson said in a statement.

    “Being able to access your prescribed medication abortion through the mail or to pick it up in person from a pharmacy like any other prescription is a game changer for people trying to access basic health care,” Johnson added.

    NO EQUAL ACCESS

    The regulatory change will, however, not provide equal access to all people, GenBioPro, which makes the generic version of mifepristone, said in a statement.

    Abortion bans, some targeting mifepristone, have gone into effect in more than a dozen states since the U.S. Supreme Court overturned the constitutional right to terminating pregnancies when it scrapped the 1973 Roe v. Wade ruling last year.

    Women in those states could potentially travel to other states to obtain medication abortion.

    The president of anti-abortion group SBA Pro-Life America, Marjorie Dannenfelser, said the latest FDA move endangers women’s safety and the lives of unborn children.

    “State lawmakers and Congress must stand as a bulwark against the Biden administration’s pro-abortion extremism,” she said in a statement.

    FDA records show a small mortality case number associated with mifepristone. As of June 2021, there were reports of 26 deaths linked with the pill out of 4.9 million people estimated to have taken it since it was approved in September 2000.

    Retail pharmacies will have to weigh whether or not to offer the pill given the political controversy surrounding abortion, and determine where they can do so.

    A spokesperson for CVS Health (CVS.N) said the drugstore chain owner was reviewing the updated REMS “drug safety program certification requirements for mifepristone to determine the requirements to dispense in states that do not restrict the dispensing of medications prescribed for elective termination of pregnancy.”

    A spokesperson for Walgreens (WBA.O), one of the largest U.S. pharmacies, said the company was also reviewing the FDA’s regulatory change. “We will continue to enable our pharmacists to dispense medications consistent with federal and state law.”

    Reporting by Ahmed Aboulenein; Additional reporting by Eric Beech in Washington, Shivani Tanna, Rahat Sandhu, and Kanjyik Ghosh in Bengaluru; Editing by Himani Sarkar

    Our Standards: The Thomson Reuters Trust Principles.

    Ahmed Aboulenein

    Thomson Reuters

    Washington-based correspondent covering U.S. healthcare and pharmaceutical policy with a focus on the Department of Health and Human Services and the agencies it oversees such as the Food and Drug Administration, previously based in Iraq and Egypt.

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  • Medical staff in China’s hospitals say COVID-19 ripping through their ranks

    Medical staff in China’s hospitals say COVID-19 ripping through their ranks

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    HONG KONG, Dec 14 (Reuters) – A growing number of China’s doctors and nurses are catching COVID-19 and some have been asked to keep working, as people showing mostly moderate symptoms throng hospitals and clinics, according to medical staff and dozens of posts on social media.

    China’s health authority did not immediately respond to a request for comment on infections among medical staff.

    Health experts say China’s sudden loosening of strict COVID rules is likely to trigger a surge in severe cases in coming months, and hospitals in big cities are already showing signs of strain.

    Reuters was unable to immediately get verification from hospitals on waiting times and bed utilisation rates, but photographs circulated on social media showed patients in Beijing and neighbouring Baoding waiting for hours to get treated.

    Health officials have been recommending that people with mild COVID symptoms quarantine at home and have also said most of the cases reported in the country are mild or asymptomatic.

    “Our hospital is overwhelmed with patients. There are 700, 800 people with fever coming every day,” said a doctor surnamed Li at a tertiary hospital in Sichuan province.

    “We are running out of medicine stocks for fever and cold, now waiting for delivery from our suppliers. A few nurses at the fever clinic were tested positive, there aren’t any special protective measures for hospital staff and I believe many of us will soon get infected,” Li added.

    A nurse at another hospital in Chengdu said: “I was swamped with nearly 200 patients with COVID symptoms last night.”

    Ben Cowling, an epidemiologist at Hong Kong University, said insufficient medical resources to cope with an overload of COVID cases contributed to a surge in deaths in Hong Kong when infections peaked there earlier this year, and he warned that the same was going to happen in China.

    “One of the reasons we had such a high mortality rate (in Hong Kong) is because we simply didn’t have enough hospital resources to cope in the surge. And unfortunately, that is what is going to happen in about one to two months time in the mainland,” Cowling said.

    He said a surge in severe cases coupled with a surge of mild cases among the elderly who needed monitoring overwhelmed Hong Kong’s hospitals, and recommended separate isolation facilities for the elderly with mild cases to free up hospital beds.

    State media Xinhua reported on Tuesday in capital Beijing 50 patients are currently in a serious or critical condition in hospital with COVID.

    ‘WHAT A MESS’

    The sudden loosening of restrictions has sparked long queues outside fever clinics since last week in a worrying sign that a wave of infections is building, even though official tallies of new cases have trended lower recently as authorities eased back on testing.

    Some hospitals in Beijing have up to 80% of their staff infected, but many of them are still required to work due to staff shortages, a doctor in a large public hospital in Beijing told Reuters, adding he has spoken to his peers at other big hospitals in the capital.

    All operations and surgeries have been cancelled at his hospital unless the patient is “dying tomorrow”, he said, declining to be named due to the sensitivity of the subject.

    A post on the Weibo social media platform recounted a recent experience at the emergency ward at Beijing Hospital.

    “Those who have not been to the emergency department of Beijing Hospital don’t know what a mess it has become,” wrote a Weibo user called Moshang. The post went on to say that people in serious need of surgery were being made to wait.

    Beijing Hospital did not immediately respond to a Reuters’ request for comment.

    Wan Ling, a head nurse at a hospital in Huashan in China’s Anhui province, wrote on Weibo that many of her infected colleagues were relatively serious and had high fever.

    Several doctors from Wuhan province’s top public hospital Tongji have also tested positive for COVID-19, but since Sunday have not been allowed to take leave, a pharmaceutical sales representative with direct knowledge of the matter told Reuters, declining to be named, as the information is not public.

    “They have to stay at work while they are sick,” said the person who regularly visits the hospital and spoke to its doctors recently.

    Tongji hospital did not immediately respond to a Reuters request for comment.

    Reporting by the Beijing newsroom, David Stanway and the Shanghai newsroom, Julie Zhu and Selena Li in Hong Kong; Writing by Farah Master; Editing by Miyoung Kim & Simon Cameron-Moore

    Our Standards: The Thomson Reuters Trust Principles.

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  • China’s Xi unwilling to accept western vaccines, U.S. official says

    China’s Xi unwilling to accept western vaccines, U.S. official says

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    WASHINGTON, Dec 3 (Reuters) – Chinese leader Xi Jinping is unwilling to accept Western vaccines despite the challenges China is facing with COVID-19, and while recent protests there are not a threat to Communist Party rule, they could affect his personal standing, U.S. Director of National Intelligence Avril Haines said on Saturday.

    Although China’s daily COVID cases are near all-time highs, some cities are taking steps to loosen testing and quarantine rules after Xi’s zero-COVID policy triggered a sharp economic slowdown and public unrest.

    Haines, speaking at the annual Reagan National Defense Forum in California, said that despite the social and economic impact of the virus, Xi “is unwilling to take a better vaccine from the West, and is instead relying on a vaccine in China that’s just not nearly as effective against Omicron.”

    “Seeing protests and the response to it is countering the narrative that he likes to put forward, which is that China is so much more effective at government,” Haines said.

    “It’s, again, not something we see as being a threat to stability at this moment, or regime change or anything like that,” she said, while adding: “How it develops will be important to Xi’s standing.”

    China’s foreign ministry did not immediately respond to a request for comment sent on Sunday.

    China has not approved any foreign COVID vaccines, opting for those produced domestically, which some studies have suggested are not as effective as some foreign ones. That means easing virus prevention measures could come with big risks, according to experts.

    China had not asked the United States for vaccines, the White House said earlier in the week.

    One U.S. official told Reuters there was “no expectation at present” that China would approve western vaccines.

    “It seems fairly far-fetched that China would greenlight Western vaccines at this point. It’s a matter of national pride, and they’d have to swallow quite a bit of it if they went this route,” the official said.

    Haines also said North Korea recognized that China was less likely to hold it accountable for what she said was Pyongyang’s “extraordinary” number of weapons tests this year.

    Amid a record year for missile tests, North Korean leader Kim Jong Un said last week his country intends to have the world’s most powerful nuclear force.

    Speaking on a later panel, Admiral John Aquilino, the commander of the U.S. Indo-Pacific Command, said China had no motivation to restrain any country, including North Korea, that was generating problems for the United States.

    “I’d argue quite differently that it’s in their strategy to drive those problems,” Aquilino said of China.

    He said China had considerable leverage to press North Korea over its weapons tests, but that he was not optimistic about Beijing “doing anything helpful to stabilize the region.”

    Reporting by Michael Martina, David Brunnstrom, Idrees Ali, and Eric Beech; Additional reporting by Martin Quin Pollard in Beijing; Editing by Sandra Maler and Lincoln Feast

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  • U.S. Congress split on making daylight-saving time permanent

    U.S. Congress split on making daylight-saving time permanent

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    WASHINGTON, Nov 3 (Reuters) – A push in the U.S. Congress to make daylight-saving time permanent, which was unanimously passed by the Senate earlier this year, has stalled in the House, with a key lawmaker telling Reuters they have been unable to reach consensus.

    In March, the Senate voted to put a stop next year to the twice-annual changing of clocks, which supporters say will lead to brighter afternoons and more economic activity.

    U.S. Representative Frank Pallone, who chairs the Energy and Commerce Committee that has jurisdiction over the issue, said in a statement to Reuters the House is still trying to figure out how to move forward.

    “We haven’t been able to find consensus in the House on this yet. There are a broad variety of opinions about whether to keep the status quo, to move to a permanent time, and if so, what time that should be,” Pallone, a Democrat, said, adding that opinions break down by region, not by party.

    Legislative aides told Reuters they do not expect Congress to reach agreement before the end of the year. Supporters in the Senate would need to reintroduce the bill next year if it is not approved by the end of the year.

    Daylight-saving time has been in place in nearly all of the United States since the 1960s. Year-round daylight-saving time was used during World War Two and adopted again in 1973 in a bid to reduce energy use because of an oil embargo and repealed a year later.

    “We don’t want to make a hasty change and then have it reversed several years later after public opinion turns against it — which is exactly what happened in the early 1970s,” Pallone said.

    On Sunday, Nov. 6 at 2 a.m. EDT (0600 GMT), the United States will resume standard time.

    Pallone previously said he backs ending the clock-switching but has not decided whether to support daylight or standard time as the permanent choice.

    Supporters also argue that if approved, the so-called Sunshine Protection Act would allow children to play outdoors later, and reduce seasonal depression. It would also prevent a slight uptick in car crashes that typically occurs around time changes — notably crashes with deer.

    They also point to studies suggesting a small increase in heart attacks and strokes soon after the time change and argue the measure could help businesses like golf courses draw more customers into the evening.

    Critics, including the National Association of Convenience Stores, say it will force many children to walk to school in darkness during the winter, since the measure would delay sunrise by an hour in some places.

    On Sunday, Mexico rolled back its clocks one last time after the passage of a law last week to abolish daylight-saving time. Some northern towns will continue to practice the time change come spring, however, likely due to their ties with U.S. cities across the border.

    The move, long sought by President Andres Manuel Lopez Obrador, was based on backing by voters as well as negligible energy savings and negative health effects from the time change, officials said.

    The White House declined to say earlier this year if Biden supports making daylight-saving time permanent.

    Since 2015, about 30 states have introduced or passed legislation to end the twice-yearly changing of clocks, with some states proposing to do it only if neighboring states do the same.

    The bill would allow Arizona and Hawaii, which do not observe daylight-saving time, to remain on standard time as well as American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.

    Reporting by David Shepardson in Washington; additional reporting by Kylie Madry in Mexico City; editing by Diane Craft

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  • Prominent Chinese commentator urges COVID experts to ‘speak out’

    Prominent Chinese commentator urges COVID experts to ‘speak out’

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    BEIJING, Sept 26 (Reuters) – Prominent Chinese commentator Hu Xijin said on Sunday that as China ponders its COVID-19 policies, epidemic experts need to speak out and China ought to conduct comprehensive research and make any studies transparent to the public.

    Hu’s unusual call on Chinese social media for candour and transparency earned him 34,000 likes on the popular Twitter-like microblog Weibo, as well as frank responses from netizens in a normally tightly policed internet quick to censor voices deemed a risk to social stability.

    China’s top leaders warned in May amid the COVID lockdown of Shanghai and widespread restrictions in the Chinese capital Beijing that they would fight any comment or action that distorted, doubted or repudiated the country’s COVID policies. read more

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    “About the future, China needs very rational research and calculations,” said Hu, former editor-in-chief of nationalist state tabloid Global Times.

    “Experts must speak out, and the country should organise comprehensive studies and make them transparent to the public: what are the pros and cons for our common people, and what are the overall pros and cons for the country?”

    China has significantly tightened its COVID-19 policies this year to contain the spread of the highly transmissible Omicron variant even as its death toll since the pandemic began remains low – around 5,226 as of Saturday – and as many other countries let go of tough restrictions and learn to live with the coronavirus.

    “Oppose excessive epidemic prevention,” one Weibo user wrote in response to Hu’s post.

    In the name of putting the lives of people first, entire cities have been subjected to varying degrees of lockdown, while the infected or suspected cases are confined in facilities or at home, and local populations are required to take a PCR test every two to three days or be barred from public amenities and spaces. read more

    “I don’t mind being infected, but I fear you can’t help but stop me from moving freely,” another Weibo user said.

    Even Chinese-controlled Hong Kong is moving to scrap its controversial COVID-19 hotel quarantine policy for all arrivals, more than 2 1/2 years after it was first implemented, and just weeks ahead of a major Communist Party congress in Beijing next month when President Xi Jinping is expected to secure a precedent-breaking third term as China’s leader. read more

    Macau is also planning to reopen its borders to mainland tour groups in November, the Chinese special administrative region surprised with an announcement on Saturday. read more

    “The people must trust the state, but the state must also trust the understanding of the people,” Hu said.

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    Reporting by Ryan Woo; Editing by Toby Chopra and Stephen Coates

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  • U.S. Supreme Court takes up Texas abortion case, lets ban remain

    U.S. Supreme Court takes up Texas abortion case, lets ban remain

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    Oct 22 (Reuters) – The U.S. Supreme Court on Friday agreed to hear on Nov. 1 a challenge to a Texas law that imposes a near-total ban on the procedure and lets private citizens enforce it – a case that could dramatically curtail abortion access in the United States if the justices endorse the measure’s unique design.

    The justices took up requests by President Joe Biden’s administration and abortion providers to immediately review their challenges to the law. The court, which on Sept. 1 allowed the law to go into effect, declined to act on the Justice Department’s request to immediately block enforcement of the measure.

    The court will consider whether the law’s unusual private-enforcement structure prevents federal courts from intervening to strike it down and whether the federal government is even allowed to sue the state to try to block it.

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    The measure bans abortion after about six weeks of pregnancy, a point when many women do not yet realize they are pregnant. It makes an exception for a documented medical emergency but not for cases of rape or incest.

    Liberal Justice Sotomayor dissented from the court’s deferral of a decision on whether to block enforcement of the law while the litigation continues. Sotomayor said the law’s novel design has suspended nearly all abortions in Texas, the second most populous U.S. state, with about 29 million people.

    “The state’s gambit has worked. The impact is catastrophic,” Sotomayor wrote.

    The Texas dispute is the second major abortion case that the court, which has a 6-3 conservative majority, has scheduled for the coming months, with arguments set for Dec. 1 over the legality of a restrictive Mississippi abortion law.

    The Texas and Mississippi measures are among a series of Republican-backed laws passed at the state level limiting abortion rights – coming at a time when abortion opponents are hoping that the Supreme Court will overturn the landmark 1973 Roe v. Wade that legalized the procedure nationwide.

    Mississippi has asked the justices to overturn Roe v. Wade, and the Texas attorney general on Thursday signaled that he also would like to see that ruling fall.

    Lower courts already have blocked Mississippi’s law banning abortions starting at 15 weeks of pregnancy.

    The Texas measure takes enforcement out of the hands of state officials, instead enabling private citizens to sue anyone who performs or assists a woman in getting an abortion after cardiac activity is detected in the embryo. That feature has helped shield the law from being immediately blocked as it made it more difficult to directly sue the state.

    Individual citizens can be awarded a minimum of $10,000 for bringing successful lawsuits under the law. Critics have said this provision lets people act as anti-abortion bounty hunters, a characterization its proponents reject.

    Nancy Northup, president of the Center for Reproductive Rights, which is representing the abortion providers, said Friday’s decision to hear their case “brings us one step closer to the restoration of Texans’ constitutional rights and an end to the havoc and heartache of this ban.”

    Alexis McGill Johnson, president of healthcare and abortion provider Planned Parenthood, said it is “devastating” that the justices did not immediately block a law that already has had a “catastrophic impact” after being in effect nearly two months.

    “Patients who have the means have fled the state, traveling hundreds of miles to access basic care, and those without means have been forced to carry pregnancies against their will,” she added.

    Kimberlyn Schwartz, a spokesperson for the Texas Right to Life anti-abortion group, praised the court’s action, saying it “will continue to save an estimated 100 babies per day, and because the justices will actually discuss whether these lawsuits are valid in the first place.”

    The Supreme Court only rarely decides to hear cases before lower courts have ruled, indicating that the justices have deemed the Texas matter of high public importance and requiring immediate review.

    The Justice Department filed its lawsuit in September challenging the Texas law, arguing that it is unconstitutional and explicitly designed to evade judicial review.

    Rulings in Texas and Mississippi cases are due by the end of next June, but could come sooner.

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    Reporting by Andrew Chung in New York; Editing by Will Dunham

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