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Opinion | China Has an Extraordinary Covid-19 Dilemma

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Opinion | China Has an Extraordinary Covid-19 Dilemma

Is it thinkable now? This week, my colleague Paul Krugman wrote that the protests had been an indication that “China misplaced the Covid warfare,” emphasizing that, regardless of appearances early within the pandemic, democracies now appear to have undoubtedly outperformed autocracies, and calling on Chinese language leaders to acknowledge the error of their methods and alter course. In The Guardian, Yu Jie wrote that “zero Covid can’t proceed,” with reopening “the one approach to quell public anger.” However personally, I might guess solely on a lot smaller-scale changes, of the type that had already been floated by Beijing within the weeks earlier than the protests started.

That’s as a result of one of the best mannequin of what may transpire in a very opened-up China is Hong Kong’s expertise with Omicron. By mid-February 2022, there had been a reported whole of simply over 200 deaths within the metropolis for the reason that starting of the pandemic. By mid-April, it was over 9,000. And whereas a way more aggressive mainland marketing campaign to ship mRNA vaccines to older folks might reduce the demise toll, the expertise of different nations largely credited with doing all the things proper means that even best-case exits from the emergency part of the pandemic could be fairly messy.

Take into account the expertise in Japan, one of many world’s most celebrated pandemic success tales. Covid deaths there are 70 % increased this calendar 12 months than they had been within the first two years of the pandemic mixed. In Iceland, one other often-cited success story, 5 instances as many individuals have died from Covid in 2022 as within the first two years of the pandemic. In Australia, it’s six instances as many. This previous January, Taiwan had registered beneath 1,000 deaths; right now that determine is over 14,000. In keeping with The Economist’s gold commonplace tracker, New Zealand is now the one nation on the earth with detrimental extra mortality throughout the entire span of the pandemic — which means that the nation has had fewer deaths since 2020 than would have been anticipated in a world with out SARS-CoV-2. And but even there, the final 12 months has upended some narratives: As lately as January 2022, solely 52 New Zealanders had died from Covid; right now the determine is above 2,000, greater than 40 instances as excessive.

In every of those nations, speedy will increase in Covid mortality this 12 months come from very low and presumably unsustainable baselines, besides, they inform a putting story. Mitigation measures mattered, significantly till the arrival of vaccines, when vaccination mattered much more. However in any explicit nation the dream of truly defeating the pandemic outright — and even holding it at bay lengthy sufficient to completely defend the inhabitants by means of common vaccination — was no match for the illness itself. Finally, each nation obtained it.

Or nearly each nation. All through the pandemic, many worldwide observers questioned the reliability of official Chinese language information concerning the toll of the pandemic. However given the worldwide context, that information stays fairly astonishing, even correcting for its unreliability: In January, China reported slightly below 5,000 whole Covid deaths. In the present day that determine is simply over 5,000. A nation of 1.4 billion registered barely 500 official deaths over the course of the 12 months during which their pandemic coverage started to crumble. In whole, over three years, the nation has reported just one.6 million official infections, and whereas that’s absolutely a gross underestimate, it means that solely about one-tenth of 1 % of the nation has ever gotten sick with Covid. In the US, a bigger share of our inhabitants has died from it — nearing 1.1 million deaths in whole.

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That isn’t in any respect to recommend that China’s everlasting lockdowns are a greater mannequin, or that any of the world’s main nations would or ought to wish to commerce locations with China. However the binary distinction between the approaches will not be as illuminating as it could appear.

In the US, the place folks generally say “lockdowns” and imply “masks mandates” and “faculty closures” or generally simply “widespread testing,” even comparatively gentle mitigation measures have grown politically and socially poisonous. However the obvious instruments to restrict ongoing unfold usually are not particularly obtrusive: investments in air high quality and higher office security requirements, paid sick depart, aggressive rollout of these nasal vaccines and an emphasis on the vulnerability of the nation’s older folks, who make up about 90 percent of its distressingly high ongoing deaths. In China, pandemic coverage solely grew to become considerably extra restrictive than it was in the US and Britain in the summertime of 2021, in line with a “stringency index” calculated by the College of Oxford’s authorities response tracker, and the nation faces powerful decisions no longer due to how efficient these restrictions have been however due to unrelated issues in vaccine rollout and efficacy.

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Mercury Direct 2024 Horoscope: What’s in Store for You From April 25 to May 15

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Mercury Direct 2024 Horoscope: What’s in Store for You From April 25 to May 15



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Some patients who see female doctors could live longer, study suggests: ‘Higher empathy’

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Some patients who see female doctors could live longer, study suggests: ‘Higher empathy’

Patients who are treated by a female physician could live longer and have a reduced risk of hospitalization, new research has found.

These benefits were seen more in female patients compared to males, according to the study, which was published in the peer-reviewed journal Annals of Internal Medicine.

“Among older adults hospitalized for a medical condition, mortality and readmission rates were lower for patients treated by female physicians than those cared for by male physicians — and the benefit of receiving treatment from female physicians was greater for female patients than for male patients,” lead study author Dr. Yusuke Tsugawa, associate professor-in-residence of medicine in the division of general internal medicine at the David Geffen School of Medicine at UCLA, told Fox News Digital.

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The study included 700,000 Medicare beneficiaries 65 years of age and older who had been hospitalized between 2016 and 2019. 

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The mortality rate was 8.15% for female patients treated by female physicians — compared to 8.38% for those treated by male physicians, according to a press release from UCLA Health.

Patients who are treated by a female physician could live longer and have a reduced risk of hospitalization, new research found. (iStock)

Dr. Shana Johnson, a physical medicine and rehabilitation physician in Scottsdale, Arizona, who was not involved in the research, noted that the findings are “clinically significant,” as the difference translates to an additional 1,053 female patient deaths.

Male patients also had lower mortality rates when treated by female physicians, but the difference was smaller.

Why the difference?

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the study but called the findings “fascinating.”

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“Women tend to have a higher empathy quotient, which can impact patient care and diagnosis and treatment directly,” he told Fox News Digital. 

“There has been a patriarchy in medicine for a long time, and there still may be some residual discounting of women’s health issues or [doctors] seeing them as emotionally based,” Siegel added.

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There is a “growing awareness” that doctors are more sensitive to health issues when they can relate directly to their patients, the doctor noted.

“This applies to screening, diagnosis and treatment,” he said. 

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Female doctor with male patient

“Women tend to have a higher empathy quotient, which can impact patient care and diagnosis and treatment directly,” one doctor old Fox News Digital.  (iStock)

The findings were not surprising to the researchers, they said.

“Previous studies have shown that female patients treated by a female physician (versus female patients treated by a male physician) are less likely to experience underappreciation in symptom/illness severity assessment and communication challenges,” study co-author Atsushi Miyawaki, M.D., PhD, senior assistant professor in the Department of Health Services Research at the University of Tokyo, told Fox News Digital.

“Also, female physicians may help alleviate embarrassment, discomfort and sociocultural taboos during sensitive examinations and conversations [with] female patients,” he said.

“Mortality and readmission rates were lower for patients treated by female physicians than those cared for by male physicians.”

Other research has shown that female physicians are more likely to “adhere to clinical guidelines” and spend more time listening to patients compared to their male counterparts, which are “indicators of high-quality care,” added Tsugawa.

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Johnson agreed, pointing out that prior studies have found male physicians may underestimate pain, gastrointestinal symptoms and heart symptoms when experienced by women. 

Female doctor with female patient

There is a “growing awareness” that doctors are more sensitive to health issues when they can relate directly to their patients, one medical professional said. (iStock)

“For instance, if a male and a female presented to the emergency room with upper stomach pain, the male would be checked for a heart attack and given medication for an upset stomach,” she told Fox News Digital.

“The woman, however, may only be given medication for an upset stomach.”

Study limitations

The study had some limitations, the researchers acknowledged.

“Due to limited clinical information available in our data, we could not identify the specific mechanisms underlying better outcomes for female patients treated by female physicians,” Tsugawa told Fox News Digital.

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More research is needed to better understand the differences between female and male physicians, the researchers said. (iStock)

Miyawaki also noted that the study focused on older patients admitted to hospitals for medical conditions.

“Hence, our findings may not be generalizable to younger patients, commercially insured patients, those treated by other specialists or patients receiving care in an outpatient setting,” he told Fox News Digital.

“Individuals may focus on the importance of the doctor-patient relationship rather than on whether to choose a female doctor.”

More research is needed to better understand the differences between female and male physicians, Tsugawa said. 

“Those include guideline concordance and communication style, which lead to better patient outcomes for female physicians.”

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Johnson also noted that while the study is of “good quality,” there are “inherent limitations to the study design.”

She said, “With a retrospective review, unmeasured factors can affect and skew the results. The findings do align with other research in the area, however.”

doctor listens to patient

The research suggests that increasing the number of female physicians could benefit women’s health overall, one of the study authors said. (iStock)

At the society level, Miyawaki said, the research suggests that increasing the number of female physicians could benefit women’s health.

“At the individual level, patient-physician interactions, rather than physician gender itself, are important for patient outcomes, our study suggests,” he said. 

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“Thus, individuals may focus on the importance of the doctor-patient relationship rather than on whether to choose a female doctor.”

Tsugawa agreed, noting, “It is important to consider multiple factors about physicians, such as their clinical experience and training, your prior experiences with them, and their communication style, rather than focusing solely on the physician’s sex.”

For more Health articles, visit www.foxnews.com/health.

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These Two Sisters Walked Off 373 Lbs – Here’s How Walking Poles Helped Them Succeed 

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These Two Sisters Walked Off 373 Lbs – Here’s How Walking Poles Helped Them Succeed 



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