Myanmar’s ‘maximum containment’ COVID plan pushed to brink as virus surges

[webfact]

Myanmar’s ‘maximum containment’ COVID plan pushed to brink as virus surges

By Shoon Naing

 

A woman passes a package to a man behind a makeshift barricade, blocking off a street to prevent the spread of the coronavirus disease (COVID-19) in Yangon, Myanmar, September 12, 2020. REUTERS/Shwe Paw Mya Tin/Files

 

YANGON (Reuters) - Myanmar has quarantined tens of thousands of people to prevent a coronavirus outbreak from overwhelming its fragile healthcare system but public health experts and doctors say the strategy is on the brink of collapse as infections surge.

 

The Southeast Asian nation is housing more than 45,000 people, including COVID-19 patients as well as those yet to be tested, their close contacts and returning migrant workers, in buildings from schools and monasteries to government offices and tower blocks, mostly run by volunteers.

 

Even those with no symptoms or mild symptoms are hospitalised or quarantined, part of an ambitious plan to stop the virus swamping a chronically underfunded health system.

 

But the "maximum containment” strategy pursued by Myanmar since its first cases were confirmed in March could backfire if overburdened facilities put people off quarantine altogether, public health expert Kyaw San Wai told Reuters.

 

"This strategy was implementable up to mid-August given Myanmar's low caseloads but as case numbers increased dramatically from late August, especially in Yangon, this approach quickly pushed both the health centres and quarantine centres to the brink,” he said.

 

Officials from the health ministry did not answer calls seeking comment.

 

After weeks without a local transmission, Myanmar reported an outbreak in the western Rakhine state in mid-August that has since spread across the country.

 

On Thursday, authorities reported 535 new infections and three deaths, making a total of 7,827 cases and 133 deaths.

 

While some other Asian countries have pursued a strict containment strategy, elsewhere only more serious cases have been treated in hospital while others isolate at home.

 

"In other countries, they let people stay home and hospitalise them only if they are in a serious condition,” said Dr Kaung Myat Soe, chief of a temporary hospital in the commercial capital of Yangon.

 

"In this country ... we worry about young children or old people becoming casualties so we isolate them."

 

The number of people quarantined has more than doubled from about 19,000 in August to more than 45,000 as of Sept. 21, according to Ministry of Health data.

 

After decades of neglect under military rule, Myanmar's health system has been ranked among the world’s weakest.

 

As of early this year, there were 330 intensive care beds for the 54 million population. The World Health Organization in 2018 put the number of doctors at 6.7 per 10,000 people.

 

Authorities are racing to build and requisition more facilities to accommodate the numbers. [L4N2GD1K8]

 

THREE NIGHTS IN HELL

Stories of facilities without electricity or water and positive patients forced to share rooms with untested people have been reported in the media.

 

"The rush to mobilise new sites mean that these new quarantine centres are under-equipped to handle the massive deluge of people, which in turn is starting to undermine the maximum quarantine strategy as people become less inclined to undergo the quarantine process,” said Kyaw San Wai.

 

A Yangon resident who asked not to be identified said during her stay in hospital with mild COVID symptoms she was not allowed to go to the bathroom. Instead, she and a roommate were supplied with plastic bags.

 

"My three nights and two days in hospital were hell,” said the woman, who then moved to a hotel.

 

Myanmar has a history of community mobilisation at times of crisis and government leader Aung San Suu Kyi has called on the public to get behind the effort to fight the virus.

 

People running quarantine centres in the Irrawaddy delta region told Reuters they depended on donations for items like food and protective equipment.

"Without the help of donors things would be terrible,” said Dr Ko Ko Lin, who volunteers at a centre.

 

(Reporting by Shoon Naing. Additional reporting by Thu Thu Aung and Poppy McPherson. Writing by Poppy McPherson)

 

-- © Copyright Reuters 2020-09-24

 

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[TheFreqFlyer]

Interestingly though, the government just the other day announced the quarantine for positive patients who exhibit mild symptoms would be cut down to 11 days, from 14, after having been at 21 days until Sep 7. More serious cases will still require a 21 day quarantine.

 

Thailand also seems to be very tough with it's 14 day quarantine at hospital. 

Both countries seem to be very authoritarian in their approach - but Thailand basically leaves most people alone since there is no forced testing, unlike what happened in Danang when all 2200 foreigners were rounded up and tested. In other words, if you are currently in Thailand there is a relatively high degree of freedom at present provided you aren't in a category where they consider you at risk and test you. 

[ukrules]

Putting the infected together in one large building ensures only one thing - that they all get maximum exposure to the virus from the other infected.

 

They should be isolated and attempt to keep the viral load down.

 

Breathing in fresh lungfuls of COVID laden air 24/7 for a week or more will do only one thing - it will make you more ill than you were the day before.

 

[scammed]

dumb and dumber.

heres how life is in sweden

https://www.youtube.com/watch?v=eI6M4ExbOgY

 

[GeorgeCross]

28 minutes ago, scammed said:

dumb and dumber.

heres how life is in sweden

https://www.youtube.com/watch?v=eI6M4ExbOgY

 

yeah, now they've killed off 5 times as many of their citizens as their neighbours! plus for extra points did just as much damage to their economy. 

 

meanwhile in other news.. here's the latest from their murderer in chief:

Quote

Sweden shifts towards lockdown measures: Chief scientist says he is now considering short 'chain-breaking' localised restrictions, amid spike of cases in Stockholm

https://www.dailymail.co.uk/news/article-8765787/Swedens-lockdown-free-coronavirus-response-risk-officials-mull-chain-breaking-measures.html

 

 

[scammed]

47 minutes ago, GeorgeCross said:

yeah, now they've killed off 5 times as many of their citizens as their neighbours! plus for extra points did just as much damage to their economy. 

 

meanwhile in other news.. here's the latest from their murderer in chief:

https://www.dailymail.co.uk/news/article-8765787/Swedens-lockdown-free-coronavirus-response-risk-officials-mull-chain-breaking-measures.html

 

 

if i remember well, the average death of those in sweden were about age 80, which incidentally is the average age of death

with or without covid.

so no, nobody murdered them beside age,

the usual culprit

https://www.statista.com/statistics/1107913/number-of-coronavirus-deaths-in-sweden-by-age-groups/

The underlying health problem is age. Out of all people who have died in Sweden and simultaneously been diagnosed as having Covid-19, in total 89 per cent are above 70 years.

https://www.ft.com/content/35e2f423-2736-4e98-858d-4d1e86a00ceb

 

 

Edited September 24, 2020 by scammed