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Coronavirus patients in UK intensive care have 50% survival rate | World news

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The mortality rate for patients put in intensive care after being infected with Covid-19 is running at close to 50%, a report has revealed.

Data from the Intensive Care National Audit and Research Centre (ICNARC) showed that of 165 patients treated in critical care in England, Wales and Northern Ireland since the end of February, 79 died, while 86 survived and were discharged. The figures were taken from an audit of 775 people who have been or are in critical care with the disease, across 285 intensive care units. The remaining 610 patients continue to receive intensive care.

The high death rate raises questions about how effective critical care will be in saving the lives of people struck down by the disease. As a top priority, the NHS is opening field hospitals in London, Birmingham and Manchester, which will incorporate some of the biggest critical care units ever seen in Britain.

“The truth is that quite a lot of these individuals [in critical care] are going to die anyway and there is a fear that we are just ventilating them for the sake of it, for the sake of doing something for them, even though it won’t be effective. That’s a worry,” one doctor said.

The report also found that though the majority of those who have died from coronavirus across the UK were over 70, nine of the 79 who died in intensive care were aged between 16 and 49, as were 28 of the 86 who survived.

The audit suggested that men are at much higher risk from the virus – seven in ten of all ICU patients were male, while 30% of men in critical care were under 60, compared to just 15% of women. Excess weight also appears to be a significant risk factor; over 70% of patients were overweight, obese or clinically obese on the body mass index scale.


The grim statistics were made public as a Tory MP who works in the NHS said that frontline health service staff who had no symptoms of Covid-19 but who might still be infected should be included among those to be tested to prevent the crisis getting worse.

The former health minister Dan Poulter, who works as a psychiatrist in wards with many cases of the virus, says widespread testing could be a “game-changer” that would prevent staff who are asymptomatic carriers of the virus from passing it on to patients in hospital for other reasons.

Widespread testing of those who are self-isolating with mild symptoms would also allow them to get back to work if they tested negative.

Writing in the Observer, Poulter says: “NHS staff sickness levels are already high, and they are only going to increase as the Covid-19 outbreak intensifies.

“Many of us are also worried that we may be infected, yet asymptomatic (showing no symptoms) and therefore could be a potential risk to our patients, colleagues and families. That is the last thing that we would want, but we simply do not know.

“Widespread NHS staff testing would be a game-changer and would help NHS clinicians to both protect our patients and return to the front line faster.”

He says a lack of testing so far is causing medical staff to stay away from work with relatively minor symptoms which are probably not Covid-19 related, such as a sore throat, for fear they may have the virus. If they were to test negative they could return to work.

Michael Gove, the cabinet office minister, said on Friday that extra testing would be carried out on NHS staff from this weekend. But he made it clear that this would initially be directed only at key NHS staff and care workers who were self-isolating. Many doctors, nurses and other staff want it extended to all frontline staff.

Poulter suggests also that the government should be asking senior doctors for advice on how the pandemic will play out in hospitals, rather than relying only on experts who work away from the frontline.

“We have many such clinicians already in senior leadership roles in hospitals throughout the country,” he says. “It’s time to better utilise their knowledge and experience.”


How do I know if I have coronavirus and what happens next? – video explainer

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Coronavirus: What’s happening around the world on Sunday

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The latest:

  • Brazil’s coronavirus death toll surpasses 100,000.
  • India records nearly 64,000 new cases in the past 24 hours.
  • More than 2,700 active cases in Australia’s Victoria state have no known source.
  • U.K. records more than 1,000 new infections for 1st time since late June.

The United States has now recorded more than five million cases of COVID-19, with more than 162,000 deaths, since identifying its first confirmed case of the new respiratory illness in January, according to data from Johns Hopkins University.

Health officials believe the actual number is perhaps 10 times higher, or closer to 50 million, given testing limitations and the fact that as many as 40 per cent of all those who are infected have no symptoms.

New cases of infection in the U.S. caused by the novel coronavirus run at about 54,000 a day — and while that’s down from a peak of well over 70,000 last month, cases are rising in nearly 20 states.

Figures compiled this week show that five states — California, Texas, Florida, New York and Georgia — account for more than 40 per cent of infections.

A sign urging people to practice social distancing is seen outside a bar during the 80th Annual Sturgis Motorcycle Rally in Sturgis, S.D., on Sunday. (Michael Ciaglo/Getty Images)

On Saturday, U.S. President Donald Trump signed executive actions bypassing Congress to defer payroll taxes for some Americans and extend unemployment benefits after talks on a new coronavirus rescue package collapsed.

Trump accused Democrats of loading up their rescue bill with priorities unrelated to the coronavirus. “We’ve had it,” he said Saturday at a news conference at his country club in Bedminster, N.J.

Trump said the payroll tax cut would apply to those earning less than $100,000 a year. Extra aid for the unemployed will total $400 a week, a cut from the $600 that just expired.

He also signed a memorandum holding off student loan payments and an executive order extending the freeze on evictions.

What’s happening with coronavirus in Canada

As of 5 p.m. ET on Sunday, Canada had 119,451 confirmed and presumptive coronavirus cases. Provinces and territories listed 103,728 of those as recovered or resolved. A CBC News tally of deaths based on provincial reports, regional health information and CBC’s reporting stood at 9,017.

Ontario reported its sixth-straight day of fewer than 100 new cases of COVID-19. There were 70 new cases of the novel coronavirus Saturday and one virus-related death.

In Quebec, the government plans to have students return to classrooms at the end of the month, but some parents want schools to offer an option for online learning.

People wearing face masks attend a mass remember the victims of the explosion in Beirut on Sunday in Montreal. (Graham Hughes/The Canadian Press)

Manitoba reported 35 new cases on Sunday, bringing the total number of active cases in the province to 182 — the highest since the beginning of the pandemic. 

Meanwhile, Saskatchewan reported 15 new cases, Newfoundland and Labrador saw no new cases over the weekend, and Nova Scotia hasn’t seen a new case in a week. Both N.L. and N.S. have one active case each.

Here’s what’s happening around the world

According to Johns Hopkins University, the global total of confirmed coronavirus cases tops 19.7 million and more than 728,000 people have died. The United States has had the most cases, with more than 5 million, followed by Brazil with more than 3 million and India with more than 2.1 million.

In Europe, Greek authorities have announced a record daily number of 203 new coronavirus cases. Beginning Monday and ending Aug. 31, everyone must wear a mask in all retail places, as well as all modes of transport other than private cars, the government has decided. People attending church must also do so, though priests are not required to wear masks in church.

Britain recorded more than 1,000 new coronavirus infections in a day for the first time since late June. Britain has seen a gradual rise in coronavirus infections since it began lifting lockdown restrictions in mid-June. The government has put the next stage of reopening, which had been due to take effect Aug. 1, on hold for at least two weeks.

A cyclist carrying an ad displaying advice on how to slow the spread COVID-19 rides through the streets of Halifax, U.K., on Sunday. (Oli Scarff/AFP via Getty Images)

In Asia-Pacific, the premier of Australia’s Victoria state said more than 2,700 active cases have no known source and remain the primary concern of health authorities. Premier Daniel Andrews said confirmed cases also include almost 1,000 health-care workers. The city of Melbourne has been under tough restrictions since a week ago, including an overnight curfew and mandatory wearing of masks, but officials won’t see the results of their efforts for another one to two weeks.

The Indian Medical Association said 196 doctors have died of COVID-19 so far and, in an open letter to Prime Minister Narendra Modi, requested adequate care for physicians and their families. The Health Ministry on Sunday recorded nearly 64,000 new coronavirus cases in the past 24 hours for a total of 2,153,010. At least 628,747 patients are still undergoing treatment. India also recorded 861 fatalities, driving the death toll to 43,379.

A health worker wearing personal protective equipment performs a COVID-19 test on a person in New Delhi on Sunday. (Money Sharma/AFP via Getty Images)

In the Americas, Brazil has surpassed a grim milestone — 100,000 deaths from COVID-19. And five months after the first reported case, the country is showing no signs of crushing the disease.

The country of 210 million people has been reporting an average of more than 1,000 daily deaths from the pandemic since late May, and 905 were recorded in the latest 24-hour period to put Brazil above 100,000. The Health Ministry also said there have been a total of 3,012,412 confirmed infections. The totals are second only to the United States. And experts believe both numbers are severe undercounts due to insufficient testing.

The Archbishop of the City of Rio de Janeiro Dom Orani Joao Tempesta wearing a mask during a mass to honour victims COVID-19 at the Christ the Redeemer statue on Sunday. (Andre Coelho/Getty Images)

In Africa, South Africa’s number of confirmed coronavirus deaths has surpassed 10,000. The Health Department said the country with the world’s fifth-largest caseload now has 553,188 cases and 10,210 deaths.

South Africa makes up more than half the infections on the African continent, where the total number of cases this past week surpassed one million. Experts say the actual number of cases is several times that amount, given the shortage of testing materials and people can have the virus without symptoms.



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Virtual Preparation Allows Miss Nicaragua Amid Pandemic | World News

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MANAGUA, Nicaragua (AP) — For four months, everything was virtual: the modeling and speech classes, the make-up courses and the emotional support session via videoconference. And when eight contestants vying to be Miss Nicaragua did finally start in-person practices, they did so with masks covering their faces.

“We managed to organize the event under the pandemic with masks, social distancing and little money, (but) with talent and creativity,” said Karen Celebertti, who has been running the pageant for two decades in Nicaragua.

On Saturday night, 23-year-old Ana Marcelo, an agroindustrial engineer from Estelí, was crowned Miss Nicaragua in front of a limited audience (two people per contestant spaced safely) plus a production crew of 85. The masks were off the contestants, but the judges wore them and were spaced at a safe distance.

There were portable handwashing stations and doctors taking temperatures.

Celebertti, herself a former local beauty queen, said they had to “reinvent” themselves to pull it off. The novel coronavirus arrived in March just days after they had selected the contestants. It was delayed from May to August to develop protocols that would allow them to compete safely.

“We had trials and classes through Zoom, supervised by me from home,” Celebertti said. “The girls had a speech coach, an image consultant and stylists online who taught them how to do their hair and put on makeup alone. There was no other option.”

In July, they had their first in-person practices, walks down the runway wearing masks. “Each session was supervised by doctors and no one got infected,” she said.

Unlike the massive religious and sporting events allowed and even promoted by the government during the pandemic, the pageant decided to do without the usual boisterous audience cheering their support for the women.

“Some criticized me for doing this event, but we were very careful to be able to do it,” Celebertti said. “The truth is that the people need to see some good news, be entertained.”

Copyright 2020 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Lebanon information minister quits in first cabinet resignation | Beirut explosion

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Lebanon’s information minister, Manal Abdel Samad, has quit in the first government resignation since an explosion in the port of Beirut killed more than 150 people and destroyed swathes of the capital.

“After the enormous Beirut catastrophe, I announce my resignation from government,” she said on Sunday in a statement , apologising to the Lebanese public for failing them.

The head of Lebanon’s Maronite church called on the entire government to step down over the explosion, widely seen as proof of the rot at the core of the state.

Lebanese protesters enraged by the blast vowed to rally again after a night of street clashes in which they stormed several ministries.

The Maronite patriarch Bechara Boutros al-Rahi joined the chorus of people pressing the prime minister Hassan Diab’s cabinet to step down over the explosion which he said could be “described as a crime against humanity”.

“It is not enough for a lawmaker to resign here, or a minister to resign there,” Rai said in a Sunday sermon. “It is necessary, out of sensitivity to the feelings of the Lebanese and the immense responsibility required, for the entire government to resign, because it is incapable of moving the country forward.”

The Lebanese Maronite patriarch Bechara Boutros al-Rahi
The Lebanese Maronite patriarch Bechara Boutros al-Rahi asked the cabinet to step down. Photograph: Reuters

He echoed calls by Diab for early parliamentary polls – a long-standing demand of a protest movement that began in October, asking for the removal of a political class deemed inept and corrupt. At least six lawmakers have quit since the explosion.

The Maronite patriarch also joined world leaders, international organisations and the Lebanese public in pressing for an international inquiry into the explosion, which, authorities say, was triggered by a fire in a port warehouse where a huge shipment of hazardous ammonium nitrate had languished for years.

The Lebanese president, Michel Aoun, rejected calls on Friday for an international investigation which, he said, would “dilute the truth”.

Under pressure from the public and foreign partners who are exasperated by the Lebanese leadership’s inability to enact reforms, Diab’s government is looking increasingly unstable.

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