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China and the West have two very different approaches to Omicron

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The reason for the fast rise is the Omicron variant — and its extra contagious sub-variant, BA.2, which has already turn into dominant within the US, Europe and plenty of elements of the world.

On Sunday, the ruling Communist Social gathering introduced the deployment of hundreds of army personnel to the locked-down metropolis of Shanghai to help within the necessary screening of all 25 million inhabitants.

China’s well being authorities have repeatedly warned in regards to the potential for well being care programs to be overwhelmed if the virus spreads broadly within the inhabitants of 1.4 billion — particularly given the low vaccination price among the many aged — as they put in place their radical makes an attempt to stamp down infections.

In the meantime, within the US and Europe, leaders are discovering methods to work round Covid-19 because it strikes in the direction of changing into endemic. Lawmakers within the Senate agreed on a bipartisan $10 billion Covid support invoice this week that permits the Biden administration to buy extra vaccines, preserve testing capability and proceed ongoing analysis.

That transfer comes as firms and several other states strip again their final remaining guidelines; a masks requirement on planes and in airports is about to run out this month, and people main the nation’s response sound more and more reluctant to impose strict new guidelines within the close to future.

“Lockdown for lockdown’s sake would not make any sense,” Dr. Anthony Fauci, President Joe Biden’s chief medical adviser and the director of the Nationwide Institute of Allergy and Infectious Ailments, informed CNN final week.

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In England, the few remaining Covid-19 measures ended final week, with Prime Minister Boris Johnson encouraging Brits to be “cautious and thoughtful” in the event that they check optimistic however now not asking them to isolate.

So, which method is most acceptable? It isn’t a easy reply, based on consultants.

“Public well being may be very a lot a neighborhood factor,” Andy Pekosz, a virologist on the Johns Hopkins Faculty of Public Well being, informed CNN, with immunity charges dramatically completely different between international locations.

That additionally signifies that the spike of circumstances in China will not essentially be replicated elsewhere.

“I count on to see some resurgence (within the US), nevertheless it’s a really completely different image, even with the rise within the Omicron subvariant BA.2,” added Justin Lessler, an epidemiologist on the College of North Carolina’s Gillings Faculty of International Public Well being.

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Lessler stated that, given the speed of immunity within the inhabitants, a “delicate blip” is extra possible within the US than the dramatic spike seen in China.

YOU ASKED. WE ANSWERED.

Q: Do I would like a second booster shot?

A: Final week, the US Meals and Drug Administration (FDA) approved a second Covid-19 booster for some people — adults over 50, and sure individuals 12 and older who’re immunocompromised.

Getting a fourth dose of the vaccine is not “one thing that everybody must be getting proper now,” stated CNN medical analyst and emergency room doctor Dr. Leana Wen.

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“We all know that vaccination, plus that first booster, nonetheless shield you very properly together with in opposition to extreme illness,” she stated. However “some individuals might need to have an extra degree of safety; in the event you’re over 65, you probably have power medical situations and also you’re over 50, you might need to get that fourth dose.”

Wen pressured that “everyone who’s eligible” ought to get the primary booster shot, noting that many had not but accomplished so. Then, 4 months or extra after that dose, whenever you turn into eligible for one more, you might take into account whether or not you’d profit from the extra booster.

Ship your questions right here. Are you a well being care employee preventing Covid-19? Message us on WhatsApp in regards to the challenges you are going through: +1 347-322-0415.

READS OF THE WEEK

First human problem examine of Covid-19 yields precious insights about how we get sick

It takes only a tiny virus-laden droplet — in regards to the width of a human blood cell — to contaminate somebody with Covid-19.

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That is what was proven in a examine that intentionally contaminated wholesome volunteers with the SARS-CoV-2 virus. The findings of this analysis had been printed March 31 within the journal Nature Drugs.

Problem research are controversial as a result of they contain deliberately giving somebody a virus or different pathogen in an effort to examine its results on the human physique. Even with safeguards in place, there’s a component of threat, notably when finding out a brand new virus, writes Brenda Goodman.

However they’re additionally vastly precious for understanding the course of an an infection.

“Actually, there is not any different sort of examine the place you are able to do that, as a result of usually, sufferers solely come to your consideration if they’ve developed signs, and so that you miss all of these previous days when the an infection is brewing,” stated lead examine creator Dr. Christopher Chiu, an infectious illness doctor and immunologist at Imperial Faculty London.

There isn’t any ‘magic second’ to elevate Covid-19 restrictions, researchers say

Pandemic hospitalization charges are at new lows within the US, with all 50 states having lifted masks necessities as of March 25. However is there a price to lifting restrictions and attempting to return to a pre-pandemic regular?

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In a brand new examine, researchers predict that the lifting of masking and social distancing restrictions in March 2022 might result in resurgences of Covid-19 deaths in most states, primarily based on projections from a simulation mannequin.

Printed Friday within the Journal of the American Medical Affiliation Well being Discussion board, the examine additionally discovered that delaying lifting restrictions wouldn’t stop surges in deaths for these states, concluding that there isn’t a “magic second” to elevate restrictions, Tasnim Ahmed experiences.

The researchers simulated lifting restrictions at completely different instances within the 12 months and predicted the variety of deaths that will comply with utilizing present estimates for an infection and vaccination charges, whereas accounting for variations in threat between age teams.

“There may be possible no quantity of extra ready time in any state after which eradicating [Covid-19 restrictions] won’t result in an increase in morbidity and mortality,” the examine says.

How the following variant might emerge

The place Omicron got here from continues to be a thriller: How did a variant that appeared so completely different from all its older cousins seem so abruptly? Find out how to clarify its jumble of mutations, a lot of which had hardly ever been seen in variants of curiosity?

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Michael Nedelan experiences how the virus we sneeze or cough out could also be ever so barely completely different from the one we had been contaminated with. It is because viruses mutate — particularly when their genetic code is manufactured from RNA, a detailed cousin of our DNA.

In a briefing in March, Dr. Mike Ryan, government director of World Well being Group’s well being emergencies program, stated: “Because the virus reproduces itself, there are errors in reproducing its code.”

Viruses change on a regular basis, usually in ways in which damage their possibilities at survival. However now and again, these mutations can work out within the virus’ favor.

TOP TIP

Must you preserve carrying a masks on flights?

The rule requiring masks on planes, in airports and on different technique of public transportation is about to run out within the US this month.

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Specialists are cut up over whether or not that is a good suggestion. Linsey Marr, an professional in transmission of infectious illness through aerosols, informed CNN final week that dropping the masks mandate is affordable with the caveat that it is smart “so long as circumstances stay low.”

However you might determine to maintain overlaying up whenever you’re touring — and the time you spend within the air is value factoring in.

“I feel I shall actually proceed utilizing a masks for my very own safety, particularly if I am going lengthy haul,” stated Dr. Richard Dawood, a London-based journey well being specialist.

TODAY’S PODCAST

Why do now we have such robust emotional connections to music? Nicely, the reply lies in our brains. On this episode, CNN’s Chief Medical Correspondent Dr. Sanjay Gupta talks to Professor Assal Habibi, a pianist and neuroscientist, in regards to the mind science of music. Hear right here.
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Central banks urged to keep pace with ‘game changer’ AI

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Central banks urged to keep pace with ‘game changer’ AI

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Iowa floodwaters breach levees as even more rain dumps onto parts of the Midwest

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Iowa floodwaters breach levees as even more rain dumps onto parts of the Midwest

A tornado is seen near Cedar Rapids, Iowa, on Tuesday. More severe weather was forecast to move into the region, potentially bringing large hail, damaging winds and tornadoes in parts of western Iowa and eastern Nebraska, according to the National Weather Service.

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Nick Rohlman/The Gazette/AP

DES MOINES, Iowa — Tornado warnings, flash flooding and large hail added insult to injury for people in the Midwest already contending with heat, humidity and intense flooding after days of rain.

The National Weather Service on Tuesday afternoon and evening issued multiple tornado warnings in parts of Iowa and Nebraska as local TV news meteorologists showed photos of large hail and spoke of very heavy rain.

Earlier on Tuesday, floodwaters breached levees in Iowa, creating dangerous conditions that prompted evacuations.

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A vast swath of lands from eastern Nebraska and South Dakota to Iowa and Minnesota has been under siege from flooding from torrential rains since last week, while also being hit with a scorching heat wave. Up to 18 inches of rain have fallen in some areas, and some rivers rose to record levels. Hundreds of people were rescued, homes were damaged and at least two people died after driving in flooded areas.

Onlookers take in the catastrophic damage to the Rapidan Dam site in Rapidan, Minn., on Monday. Debris blocked the dam, forcing the heavily backed up waters of the Blue Earth River to reroute along the bank nearest the Dam Store.

Onlookers take in the catastrophic damage to the Rapidan Dam site in Rapidan, Minn., on Monday. Debris blocked the dam, forcing the heavily backed up waters of the Blue Earth River to reroute along the bank nearest the Dam Store.

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The sheriff’s office in Monona County, near the Nebraska border, said the Little Sioux River breached levees in several areas. In neighboring Woodbury County, the sheriff’s office posted drone video on Facebook showing the river overflowing the levee and flooding land in rural Smithland. No injuries were immediately reported.

Patrick Prorok, emergency management coordinator in Monona County, described waking people at about 4 a.m. in Rodney, a town of about 45 people, to recommend evacuation. Later Tuesday morning, the water hadn’t yet washed into the community.

“People up the hill are saying it is coming our way,” Prorok said.

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Rachel Morsching sits Tuesday on the flooded porch of her father Dean Roemhildt's home in Waterville., Minn. Waters from the nearby Tetonka and Sakatah lakes have encroached on the town amid recent heavy rains.

Rachel Morsching sits Tuesday on the flooded porch of her father Dean Roemhildt’s home in Waterville., Minn. Waters from the nearby Tetonka and Sakatah lakes have encroached on the town amid recent heavy rains.

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As new areas were flooding Tuesday, some cities and towns were cleaning up after the waters receded while others downstream were piling sandbags and taking other measures to protect against the oncoming swelled currents. Some normal, unassuming tributaries ballooned into rushing rivers, damaging homes, buildings and bridges.

“Normally, this river is barely a trickle,” 71-year-old Hank Howley said as she watched the Big Sioux’s waters gush over a broken and partially sunken rail bridge in North Sioux City, South Dakota, on Monday. “Really, you could just walk across it most days.”

South Dakota state geologist Tim Cowman said that the five major rivers in the state’s southeastern corner have crested and are dropping, albeit slowly. The last of those rivers to crest, the James, did so early Tuesday.

Heavy rains in recent days have submerged farmland near Vermillion, S.D., on Tuesday. Flooding has devastated communities in several states across the Midwest.

Heavy rains in recent days have submerged farmland near Vermillion, S.D., on Tuesday. Flooding has devastated communities in several states across the Midwest.

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In a residential development along McCook Lake in North Sioux City, the devastation became clear Tuesday as floodwaters began to recede from Monday, exposing collapsed streets, utility poles and trees. Some homes had been washed off their foundations.

“Currently, there is no water, sewer, gas or electrical service in this area,” Union County Emergency Management said in a Facebook post.

President Biden approved a major disaster declaration for affected counties in Iowa on Monday, a move that paves the way for federal aid to be granted.

To the south in Sioux City and Woodbury County, Iowa, officials responded to residents’ complaints that they had received little warning of the flooding and its severity. Sioux City Fire Marshal Mark Aesoph said at a news conference Tuesday that rivers crested higher than predicted.

“Even if we would have known about this two weeks ago, there was nothing we could do at this point. We cannot extend the entire length of our levee,” Aesoph said. “It’s impossible.”

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Water had spilled over the Big Sioux River levee, and Aesoph estimated hundreds of homes likely have some internal water damage.

Homes on the south side of Spencer, Iowa, near the Little Sioux River are unlivable as water has reached the main floor, resident Ben Thomas said. A lot of people in town are facing a “double whammy,” with homes and businesses affected.

Officials in Woodbury County said around a dozen bridges over the Little Sioux River had been topped by flood water, and each would need to be inspected to see if they can reopen to traffic.

Forever Wildlife Lodge and Clinic, a nonprofit animal rescue, in northwest Iowa has answered over 200 calls since the flooding started, said licensed wildlife rehabilitator Amanda Hase.

Hase described the flooding as “catastrophic” for Iowa wildlife, which are getting washed out of dens, injured by debris and separated from each other. She and other rehabilitators are responding to calls about all kinds of species, from fawns and groundhogs to bunnies and eaglets.

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“I’ve never seen it this bad before, ever,” she said.

Floodwaters rush over a collapsed railroad bridge over the Big Sioux River near North Sioux City, S.D., on Monday.

Floodwaters rush over a collapsed railroad bridge over the Big Sioux River near North Sioux City, S.D., on Monday.

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Further to the east in Humboldt, Iowa, a record crest of 16.5 feet was expected Wednesday at the west fork of the Des Moines River. Amid high temperatures and humidity, nearly 68,000 sandbags have been laid, according to county emergency manager Kyle Bissell.

Bissell told reporters Tuesday that there was no water on the streets yet, but flooding had begun in some backyards and was reaching up to foundations. Humboldt is home to nearly 5,000 residents.

More severe weather was forecast to move into the region Tuesday, potentially bringing large hail, damaging winds and even a brief tornado or two in parts of western Iowa and eastern Nebraska, according to the National Weather Service. Showers and storms were also possible in parts of South Dakota and Minnesota, the agency said.

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In Michigan, more than 150,000 homes and businesses were without power Tuesday morning after severe thunderstorms barreled through, less than a week after storms left thousands in the dark for days in suburban Detroit.

The weather service also predicted more than two dozen points of major flooding in southern Minnesota, eastern South Dakota and northern Iowa, and flood warnings are expected to continue into the week.

Many streams, especially with additional rainfall, may not crest until later this week as the floodwaters slowly drain down a web of rivers to the Missouri and Mississippi. The Missouri will crest at Omaha on Thursday, said Kevin Low, a weather service hydrologist.

North of Des Moines, Iowa, the lake above the Saylorville Dam was absorbing river surge and expected to largely protect the metro area from flooding, according to the Polk County Emergency Management Agency. The U.S. Army Corps of Engineers projected Tuesday that water levels at Saylorville Lake will rise by more than 30 feet by the Fourth of July.

Jared Gerlock (left) and his son, Robbie, carry a bin of water-logged stuffed animals out of the flood-damaged basement of their home on East Second Street in Spencer, Iowa, on Tuesday. Officials said about 40% of properties in the city were affected after the Little Sioux River flooded.

Jared Gerlock (left) and his son, Robbie, carry a bin of water-logged stuffed animals out of the flood-damaged basement of their home on East Second Street in Spencer, Iowa, on Tuesday. Officials said about 40% of properties in the city were affected after the Little Sioux River flooded.

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Outside Mankato, Minnesota, the local sheriff’s office said Monday that there was a “partial failure” of the western support structure for the Rapidan Dam on the Blue Earth River after the dam became plugged with debris. Flowing water eroded the western bank, rushed around the dam and washed out an electrical substation, causing about 600 power outages.

Eric Weller, emergency management director for the Blue Earth County sheriff, said the bank would likely erode more, but he didn’t expect the concrete dam itself to fail. The two homes downstream were evacuated.

Minnesota Gov. Tim Walz on Tuesday cautioned against rebuilding too fast, instead emphasizing more sustainable repairs that could prevent or mitigate future flooding.

“Nature doesn’t care whether you believe in climate change or not,” Walz said. “The insurance companies sure believe in it. The actuarials sure believe in it, and we do.”

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WikiLeaks gadfly: the Julian Assange saga

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WikiLeaks gadfly: the Julian Assange saga

Julian Assange had already been ruffling feathers for several years when, in 2010, the Australian hacker and publisher released leaked footage of a US helicopter crew gunning down unarmed Iraqis on a Baghdad street.

The video, dubbed Collateral Murder, was among thousands of classified US military documents that the WikiLeaks website published at the time. As much as any, it put its founder on a collision course with America that only this week — 14 years later — is reaching some form of resolution.

Assange this week walked free from Belmarsh high-security prison in London, where he has been incarcerated since 2019, fighting extradition to the US on espionage charges.

He was on his way by plane to the US-controlled Northern Mariana Islands in the Pacific where, in return for a sentence of time served, he will plead guilty to one charge of conspiracy to obtain and disseminate classified information. Other charges relating to the publication of the material have been dropped.

Assange will then be free to return to his native Australia, without whose patience and diplomatic support some allies believe he might never have seen this day.

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A screen grab taken from the X account of WikiLeaks of Julian Assange following his release from prison © @WikiLeaks/PA Wire

“It’s debatable whether this is a victory for freedom or not,” said Vaughan Smith, founder of the Frontline Club, the group for journalists in Paddington where Assange stayed in the months that he was first polarising global opinion.

At the time, supporters saw him as a fearless warrior for press freedom, exposing double standards at the heart of power. Detractors were forming a different view: they saw a dangerous gadfly, disclosing information regardless of the consequences.

Smith, who has remained a loyal friend, said that whichever way you look at it, Assange has been through a terrible ordeal.

Facing allegations of rape in Sweden, which he denied, he spent seven years holed up in the Ecuadorean embassy in London, attracting support outside the gates from a diverse crew of celebrities including Pamela Anderson, Lady Gaga and the former Greek finance minister Yanis Varoufakis.

Once the Ecuadoreans had tired of him, he was arrested and sent to Belmarsh. “It’s pretty sobering the way he has been made to suffer,” said Smith.   

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WikiLeaks founder Julian Assange, second left, and Frontline Club founder Vaughan Smith, second from right, attend a press conference at the Frontline Club in London on January 17 2011
Julian Assange, second left, and Frontline Club founder Vaughan Smith, second from right, attend a press conference at the Frontline Club in London on January 17 2011. Smith says of Assange: ‘He doesn’t necessarily fit in’ © Ben Stansall/AFP/Getty Images

Collateral Murder was published in 2010 alongside a trove of classified US military documents relating to the Iraq and Afghan wars. These were obtained from Chelsea Manning, the former US army intelligence analyst, who served seven years of a 35 year sentence for her part in the saga.   

Shot from an Apache helicopter gunship, the footage exposed casual rules of engagement by US troops, along with a loose relationship with the truth on the part of commanders who had portrayed victims of the 2007 incident as armed.

It was one explosive element in a huge data dump that was highly damaging to the reputation of the US military. Two of the 11 civilians killed were employees of the Reuters news agency.

At first the information from WikiLeaks was published in careful collaboration with The Guardian, New York Times, Der Spiegel, El País and Le Monde newspapers, redacted to protect the identities of sources and personnel involved.

But later — after Assange had fallen out with some of the newspapers he had worked with, and a German hacker had accessed the files — WikiLeaks released the raw documents en masse, along with more than 250,000 US diplomatic cables.

Alan Rusbridger, former editor of The Guardian, said the advent of WikiLeaks, which started life in 2006 exposing corruption in Kenya, marked the beginning of a “new era of transparency”.

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At the same time, journalists are enduring a sustained backlash as western intelligence agencies come down hard on anyone touching classified information.

“The stuff on Iraq and Afghanistan needed to come out,” Rusbridger said. The diplomatic cables were less impactful, he argued, in part because many of them made for “sensible” reading: “It does make you reconsider why all this stuff has to be so secret.”

For the Americans, some of the less-than-diplomatic language used in the cables damaged relations with allies.

Worse, they claimed, it brought sources who were exposed into harm’s way.

At the time of Assange’s indictment in 2019, John Demers, the then-top justice department national security official, said: “No responsible actor, journalist or otherwise, would purposely publish the names of individuals he or she knew to be confidential human sources in war zones, exposing them to the gravest of dangers.”

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Julian Assange speaks to media and supporters from a balcony at the Ecuadorian embassy in London in May 2017
Julian Assange speaks to media and supporters from a balcony at the Ecuadorean embassy in London in May 2017 © Luke MacGregor/Bloomberg

Assange first honed his skills as a teenage hacker in Australia where he also had his first brush with the law. Smith said some of Assange’s later problems were the result of being “different”.

His character, as well as his work, has divided opinion.

“He doesn’t necessarily fit in. From time to time, people who are different have something to say, and humans are inclined to turn on them,” Smith said. The rape allegations, which have passed the point at which they can be prosecuted under Swedish law, had “diminished him and poisoned him in the public eye”, he added.

Others who met Assange along the way were less generous. One described him as “a mercurial guy — sometimes he would behave like a CEO, strategic and efficient. Other times he would be like a badly behaved child.”

UK district judge Michael Snow, who convicted Assange in 2019 for jumping bail in 2012, described him as “a narcissist who cannot get beyond his own selfish interests”.

Even in confinement, Assange remained a potent force, playing a tumultuous role in the 2016 US elections when WikiLeaks released a tranche of emails from the Democratic party. Federal prosecutors said these were originally stolen by Russian intelligence operatives.

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Donald Trump, at first a fan, eventually turned on him too.  

Assange’s treatment during the extradition process in the UK has also proved controversial. For champions of press freedom, it has shown the UK in a poor light, pandering to US interests.

Nick Vamos, an expert in extradition law, disagrees. He suggested that a High Court decision this year to allow Assange to appeal may have been instrumental in securing his release.

“Our extradition laws are generous in terms of allowing people to argue different points,” he said. “That is ultimately what has brought everyone to the negotiating table.”

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