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Business

To Take a look at Covid Protocols, Cruise Traces Flip to Volunteer Guinea Pigs

Since March of last year, cruise ships carrying more than 250 people have been prohibited by the Centers for Disease Control and Prevention from sailing in U.S. waters. To start again, they need to follow a complex process that, in some cases, involves simulated cruises designed to test Covid-19 protocols. Hundreds of thousands of frustrated and restless cruise fans have lined up to be guinea pigs.

Jennifer Juenke is one of them.

“Ever since the C.D.C. shut down the cruise industry, we have been living through a complete nightmare,” said Ms. Juenke, one of more than 250,000 people who signed up for a test sailing with Royal Caribbean, a major cruise company. “It has been too long, and we are just raring to go.”

On Tuesday, Royal Caribbean became the first cruise line to receive approval from the C.D.C. to conduct simulated voyages, which are planned for its Freedom of the Seas ship starting from PortMiami in Florida in late June.

For some of the volunteers, it’s a way to offer support to the $150 billion industry, which has been decimated by the pandemic. For others it’s a chance to get a feel for what post-pandemic cruising will feel like. But for most who’ve raised their hands, it’s a way to sate their longing to get back on a boat after more than a year of being stuck onshore.

“The C.D.C. has been holding us all captive and I really can’t wait any longer, I can’t wait until July,” said Justin Marks, a 59-year-old retired Alabama resident, referring to one target date that has been floated for when ships might start sailing.

Mr. Marks, who has 12 cruises booked through 2022, is undeterred by the outbreaks onboard cruise ships at the start of the pandemic last year.

“I’m dying to be picked for the test cruise, mostly because I need to start cruising again for my sanity,” he said, “but also because I want to show the world how much safer a cruise ship is than any plane or hotel that has been allowed to operate throughout the whole pandemic.”

Exactly how the cruise lines will return to operations in the United States remains unclear. Earlier this month, the C.D.C. said it would allow cruise lines to skip test voyages if they attest that 98 percent of the crew and 95 percent of passengers on board a cruise are fully vaccinated.

Several major cruise companies have already announced Alaska sailings starting in late July, which will require all passengers to prove that they are vaccinated. But in Florida, the cruise lines’ biggest U.S. departure point, recently enacted state law bans businesses from requiring proof of immunizations from people seeking to use their services.

Florida officials have said they will not exempt the cruise lines. If cruise companies decide to sail with a mix of vaccinated and non-vaccinated passengers, they will have to carry out simulation cruises with volunteers to test health and safety protocols.

That has avid cruisers like Mark Zumo, 53, from Baton Rouge, La., eager to help out, even though, he said, he realizes the test cruises will not be like the real thing. (He had 20 cruises canceled during the pandemic and has already booked 25 between this August and December 2022.)

“A lot of people think it’s going to be a free holiday, but I realize that it won’t be,” he said. “It’s about testing Covid protocols and could mean being confined to your room for the entire cruise.”

“But I’m more than willing to do it,” he continued. “When you look at the devastation caused by the shutting down of the cruise industry, it reaches so far — from farmers to port workers to hotels and taxi cabs. I’ll do whatever I can to help get things running again.”

The simulated voyages must be between two to seven days in length with at least one overnight stay, according to C.D.C. guidelines. They are required to test embarkation and disembarkation procedures, medical evacuations, onboard activities such as meal service and entertainment, recreational activities like fitness classes and swimming, and shore excursions.

All volunteers will be issued with a written notice advising them about the risks of participating in health and safety protocols that are unproved and untested in the United States.

Most of the simulation cruise volunteers said they are fully vaccinated and do not have safety concerns about testing out health protocols for upcoming voyages. More than 66,000 people joined Royal Caribbean’s Facebook group “Volunteers of the Seas” to express interest in the initiative. “I feel safer on a cruise ship than I do in my grocery store,” Ms. Juenke said. “Cruises have restarted in Europe and it’s going fine.”

MSC, a global cruise line based in Geneva, Switzerland, was the first major cruise company to resume international sailings in Europe, which it started last August. It has relied on a stringent testing and contact tracing program to avoid large Covid outbreaks like the one on the Diamond Princess cruise ship in Japan last year where 700 people became infected with the disease and 14 people died.

“At the beginning we must appreciate that no one knew anything about the virus and how it behaved and was transmitted,” said Pierfrancesco Vago, the executive chairman of MSC Cruises and global chair of the Cruise Lines International Association (CLIA), the industry’s trade group.

“We have come so far from that moment in terms of scientific knowledge and technology,” he said.

On MSC European cruises, all guests receive antigen tests when they board and if they test positive, they are given an additional PCR test. Non-vaccinated guests boarding its cruises in Britain must also present proof of a PCR test taken 48 hours before they embark. Passengers are also tested mid-cruise after three or four days and are required to wear contact tracing bracelets so that they can be tracked down if someone they have come into contact with tests positive.

All passengers who test positive while on board are isolated until the ship returns to the port of embarkation or have the option to disembark at the next port of call if they need urgent medical attention. MSC said it had identified a handful of positive cases on board its ships since resuming operations last year, which were handled swiftly and effectively, but declined to provide the exact number of cases.

On Monday, four crew members on board Royal Caribbean’s newest ship, Odyssey of the Seas, tested positive for Covid-19 en route to the United States from Israel. The ship was not carrying passengers and the crew members were immediately isolated before disembarking in Spain, Royal Caribbean said.

Mr. Vago views MSC’s protocols — which run to 700 pages — as a model for the industry and after participating in a recent technical round table discussion between the C.D.C. and cruise industry representatives in Washington, he said he is optimistic that U.S. cruises will begin again this summer.

“People have been really affected psychologically by this pandemic and we understand how important and urgent it is for them to be able to get back out there and see a sunset and mingle,” Mr. Vago said.

After receiving brain surgery last year and working night shifts as a surgery technician at a hospital, Cristie Nino, of Salinas, Calif., said she is ready to volunteer on a test cruise.

“I think I would be the perfect person to go on one of these test cruises because I’m not scared,” she said. “I’ve been on the Covid floor, I’ve seen Covid patients, I’ve been through the toughest part.”

Cruise ships, she said, “have always been a cesspool for viruses, like planes, and I think there were risks at the height of the pandemic, but now with vaccines and health and safety measures I think they are ready to go again.”

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Health

Papua New Guinea (PNG) Covid-19 outbreak, vaccine marketing campaign

A health worker is preparing to test for Covid-19 coronavirus outside a makeshift clinic at a sports stadium in Port Moresby on April 1, 2021.

Gorethy Kenneth | AFP | Getty Images

Misinformation on social media is hindering Papua New Guinea’s vaccination efforts.

According to the PNG’s Covid-19 Response Controller, many people are reluctant to vaccinate as false information about the vaccines is spread even as coronavirus cases increase.

The country reported 1,730 cases and 12 deaths between March 29 and April 4, according to a joint report from the World Health Organization and the PNG’s national ministry of health.

Cases of infection rose again in February, and PNG has reported 7,839 cases so far, data from Johns Hopkins University showed. However, there is consensus that the actual number is much higher, which is masked by low testing capacity and other logistical difficulties.

“We have been lulled into a kind of complacency and false sense of security that we have overcome over this first wave that we feared,” David Manning, PNG’s Covid-19 National Pandemic Response Controller, told CNBC’s Will Koulouris .

Papua New Guinea is located north of Australia and is a heavily forested island country with fewer than 9 million people.

This, of course, is attributed to the hesitation of the vaccine, and you can attribute this to a lack of awareness.

David Manning

National Pandemic Response Controller, Papua New Guinea

The National Capital District, home of PNG’s capital, Port Moresby, has the most reported cases, followed by the western province, which is also where the rate of infection is increasing.

A combination of events – funerals, holidays, and school resumption – resulted in “continuous transmission of the virus,” William Pomat, director of the PNG Institute of Medical Research, told CNBC last week.

Vaccine hesitate

So-called “vaccine nationalism” has made it difficult for small developing countries like PNG to resort to gunfire to vaccinate their populations. Many of them rely on an international vaccination initiative called Covax, but vaccine supply for that program is facing delays from India, which is also struggling to stem an increase in home cases.

PNG ran a vaccination campaign last week using around 8,000 cans of AstraZeneca’s Covid-19 shots donated from neighboring Australia. More cans are expected from China and India in the coming weeks.

The island nation has vaccinated fewer than 600 people so far, which, according to Manning, is way behind schedule.

“Of course, this is attributed to the hesitation of the vaccine, and it can be attributed to a lack of awareness – basically information about whether the vaccine has any side effects and the fake news spread on social media,” he said, adding that vaccine skeptics exert comparatively less pressure in urban areas.

Combating misinformation

Manning said Facebook reached out to PNG and asked how the social network could help dispel some of the misinformation that was spread, but he failed to explain the details of that conversation.

Facebook launched a public awareness campaign in PNG this week to help users identify and combat health misinformation. It runs for five weeks and contains graphics and videos in several languages.

“For this campaign, we will continue to focus our efforts on addressing misinformation related to Covid-19 and vaccines to ensure Papuan New Guineans are able to verify their visibility to official public health resources,” said Mia Garlick , Facebook’s director of public order in Australia, New Zealand and the Pacific Islands said in a statement on Wednesday.

“This campaign complements a call we launched in Papua New Guinea last week
Provide tips to local users on how to prevent Covid-19, “Garlick added.

Stressed health infrastructure

The outbreak puts undue strain on PNG’s already poor health infrastructure.

International organizations like Medecins Sans Frontieres (MSF) have warned of an impending collapse. According to experts, many frontline health workers who are already few are falling ill with Covid-19.

“If you get sick, no one will stand – not only for Covid, but also for other diseases and so on,” said Pomat of the Institute of Medical Research.

He stated that Covid tests are only done for those who “might show up” (at the) a health facility if they show symptoms and those who volunteer to go inside. “

Even then, hospitals and medical facilities will run out of components needed to perform these tests.

As PNG works with its development partners, including Australia, to ensure the supply of more test kits and components, it has also introduced stricter social restrictions. For example, stores have been asked to deny entry to those who do not wear masks, while travel between provinces is strictly regulated.

Manning said the pandemic response needs to be tailored to PNG’s coastal communities as well as the highland region, where even in the best of times it is difficult to provide health, police or government services.

“So we have now shifted our focus from a national response to a provincial response and are working closely together with the provincial health authorities that are currently inundated with surges, “he said.

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Business

Papua New Guinea coronavirus circumstances spike, well being system on the brink

Australian officials carry boxes of about 8,000 starting doses of the AstraZeneca vaccine after arriving aboard a Royal Australian Air Force plane at Port Moresby International Airport on March 23, 2021, following the fragile healthcare system.

Andrew Kutan | AFP | Getty Images

The coronavirus crisis in Papua New Guinea continues to escalate as the Indo-Pacific nation seriously waits for vaccines to arrive.

In just one week – between March 22-28 – 1,786 new cases of Covid-19 and 13 deaths were reported, according to the latest report from the World Health Organization and National Ministry of Health from PNG.

The weekly joint report said the island nation reported a total of 5,349 cases and 49 deaths on March 28, 12:00 p.m. local time. It was the eighth week in a row of gains.

Papua New Guinea is a heavily forested nation of fewer than 9 million people, located about 160 km north of Australia at its closest point.

Prime Minister James Marape admitted last week that there is “rampant community broadcast”.

Health system as a “risk of collapse”

The situation on the ground in PNG is said to be dire, and international organizations such as Medecins Sans Frontieres (MSF) have warned of an impending collapse of the country’s overstretched health system.

“The health care system in PNG is threatened with collapse as the health facilities that manage COVID-19 are almost at full capacity and almost too congested to provide regular basic care,” said Doctors Without Borders.

The Pacific island nation has only about 500 doctors, fewer than 4,000 nurses, and fewer than 3,000 community health workers. This emerges from data shared by the Prime Minister during an address to Parliament last year. There are only about 5,000 beds in hospitals, he added.

Doctors Without Borders, who provide medical humanitarian aid in troubled countries, said more and more health care workers in PNG have tested positive for Covid-19 and have been forced to quarantine at home. The health facilities handling the outbreak are almost at full capacity, resulting in longer waiting times.

According to Kate Schuetze, a Pacific researcher at Amnesty International, PNG also has relatively poor health indicators.

Additional personal protective equipment, testing capacity and staff must be quickly considered to support the already strained healthcare system.

Ghulam Nabi

Interim Head of Mission for Papua New Guinea at MSF

“We already have a bad health system and then you also have a high level of comorbidities, which will also affect the Covid-19 crisis,” Schütze told CNBC on Wednesday. “So you have malaria in the country, you have multidrug-resistant tuberculosis, as well as a number of other diseases that could increase the effects of Covid-19.”

Large numbers of people also live in rural or remote communities where it is difficult to get the same health care as in urban centers like Port Moresby, the capital of Papua New Guinea, she added.

Stressed health system

According to the joint report by the WHO and the Ministry of Health, only 7,061 Covid tests were performed between March 22 and 28 – this means that 25.29% of these tests were positive.

Large-scale testing remains low in most of the country, and there is a shortage of test kits as well as logistical difficulties, the report said. This suggests that the actual number of infections across the country may be significantly higher than officially reported.

As the isolation wards in hospitals filled up, PNG turned a sports complex into a temporary field hospital for Covid-19 patients.

MSF said Friday that it is helping local health services by providing staff and cartridges to analyze samples from polymerase chain reaction tests, which are often used to detect the coronavirus. According to Doctors Without Borders, almost 40% of people tested in any of the health facilities have Covid-19. The organization expects more cases in the coming weeks.

MSF also said it only has enough trial cartridges to last up to two weeks.

“Additional personal protective equipment, testing capacity and human resources must be seen as swift to support the already strained healthcare system,” Ghulam Nabi, MSF interim head of mission for Papua New Guinea, said in a statement.

He added that MSF urges organizations in the region to act quickly and mobilize to increase their support for the Pacific nation.

Access to vaccines and tackle misinformation

PNG launched its vaccination campaign this week with the 8,000 doses of AstraZeneca’s Covid-19 shots donated by Australia.

Of the country Prime Minister Marape reportedly received his first dose on Tuesday.

Growing vaccine nationalism around the world is making it difficult for small developing countries like PNG to gain access to shots to vaccinate their populations.

Many of them rely on a global vaccination initiative called Covax, which aims to ensure an equitable distribution of shots in less affluent countries. It is jointly managed by the WHO, Gavi – the Vaccine Alliance and the Coalition for Epidemic Preparedness Innovations.

According to Amnesty Schuetze, one of the challenges with the Covax facility is that not enough countries are donating enough money, resources or vaccines to ensure fairer distribution.

PNG is slated to receive around 588,000 doses of vaccine from Covax by June.

For its part, Australia has reportedly asked the European Union to distribute 1 million doses of AstraZeneca’s vaccine to PNG. It was in the beginning contracted to go to Australia. Reuters reported last week that the EU has not yet responded to this request.

Canberra has also reportedly asked the US, Japan and India – the other members of the informal Quad Alliance – to help PNG.

Meanwhile, vaccine skepticism and the spread of misinformation complicate matters in the island nation. Opposition leader Belden Namah reportedly urged the government to suspend the launch of the AstraZeneca vaccine as it would expose citizens to potentially serious harm.

The PNG government needs to do more to educate and educate the public about vaccines and health treatments for Covid-19, Amnestys Schuetze said.

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Health

CDC requires airways to gather contact data on vacationers from DRC, Guinea

The Centers for Disease Control and Prevention require airlines to collect contact information for all passengers from Guinea and the Democratic Republic of the Congo in two separate Ebola outbreaks in African countries.

As of Thursday, airlines will have to collect and submit contact information to the CDC for all US travelers who have been to the Democratic Republic of the Congo or Guinea in the 21 days prior to their arrival in the US, the CDC said on Tuesday. On Friday, the CDC announced that it would serve travelers from both countries through six US airports in New York, Chicago, Atlanta, the District of Columbia, Newark and Los Angeles.

The risk of Ebola spreading to the US is “extremely small,” the CDC said last week, but health officials are preparing their public health response protocols to ensure the disease does not get into the country.

“For timely public health follow-up care, health officials must have immediate access to accurate and complete contact information for travelers when they arrive in the US,” said CDC Director Dr. Rochelle Walensky in a statement. “Any delay in contacting an exposed person can increase the likelihood of the disease spreading.”

Airlines must collect the names, addresses of travelers in the United States, primary contact phone numbers, secondary or emergency contact phone numbers, and email addresses, the CDC said in a statement. It is “the minimal amount of information needed to reliably locate travelers,” added the CDC.

Information provided by travelers is “checked by US government officials upon arrival to ensure that it is correct and complete,” the CDC said. The agency noted that a February 2020 CDC rule empowered the CDC to impose such a requirement on airlines.

“Air travel has the potential to get people, some of whom may have been exposed to a communicable disease, anywhere in the world in less than 24 hours,” said the CDC. “In certain situations, public health officials may need to track travelers who have arrived from a country where an outbreak is occurring, such as the Ebola outbreaks in the Democratic Republic of the Congo and Guinea.”

The World Health Organization is responding to two Ebola outbreaks, one in the West African nation of Guinea and one in the Democratic Republic of the Congo in central Africa. Dr. Mike Ryan, executive director of the WHO’s health emergencies program, said Monday that 13 cases of Ebola have been confirmed in Guinea, four of which were deemed likely.

The cases in Guinea currently appear to be contained in the remote regions of N’Zerekore and Gueckedou in southern Guinea, Ryan said. He added that 99% of around 500 identified people who have been exposed to the virus are being tracked. More than 1,100 people have been vaccinated against Ebola since its recurrence last month, he added.

Separately, Ryan said eight cases, including four deaths, have been confirmed in the Democratic Republic of the Congo. No new cases have been reported there since Feb.22, Ryan said.

In contrast to the highly infectious coronavirus, which can be transmitted by people without symptoms, it is believed that Ebola spreads mainly through people who are already visibly ill. The virus spreads through direct contact with the blood or body fluids of people who are sick or who have died of the disease, according to the U.S. Centers for Disease Control and Prevention.

Ebola has an average death rate of 50% which, according to the WHO, can vary depending on the outbreak.

The recurrence of Ebola in Guinea and the Democratic Republic of the Congo has hit global health professionals particularly hard, as these countries are home to the two worst Ebola outbreaks in history. The outbreak in the Democratic Republic of the Congo, declared in June, lasted nearly two years. At the time of the end, there were a total of 3,481 cases and 2,299 deaths, according to WHO.

The notorious Ebola outbreak in West Africa began in Guinea in 2014 before spreading across land borders to Sierra Leone and Liberia, according to WHO. By the end of 2016, there were more than 28,000 cases, including over 11,000 deaths, according to the WHO.

During the Ebola outbreak in West Africa, the US CDC confirmed 11 cases of Ebola in the US, mostly among medical professionals who had traveled to Africa to help with the response.

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World News

Blasts Hit Army Barracks in Equatorial Guinea, With Many Feared Useless

A series of explosions rocked the city of Bata in the central African nation of Equatorial Guinea on Sunday, killing at least 20 people.

Reuters news agency quoted a local television broadcaster, TVGE, as saying that at least 20 people had been killed. A local news agency, TVGE, said hospitals reported up to 400 injuries.

The cause of the explosions, which were reported to have occurred near a military barracks in the west coast oil producing nation, was not immediately apparent.

The country’s Ministry of Health and Welfare declared a health emergency and said many were missing under the rubble. The video shows scenes of people digging for victims while thick smoke billowed across the rubble-strewn landscape. Others fled through the streets, some with suitcases and children in hand, under a dark sky.

The ministry said rescue workers took the injured to at least three hospitals in the city. Officials appealed for blood donations. Pickups were loaded with survivors, reported Reuters, and drove in front of a hospital – where some saw victims lying on the ground.

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World News

Guinea Declares Ebola Outbreak With at Least three Deaths

Guinea is battling a new Ebola outbreak, West African nation health officials said on Sunday, with at least three deaths in a region that was previously the starting point for the worst epidemic of all time.

The three deceased – two women and one man – were among seven people who developed symptoms such as diarrhea, vomiting and bleeding after attending a nurse’s funeral in the southeastern part of the country on Feb.1, the Ministry of Health said in a statement With.

Officials confirmed an epidemic on Sunday after a laboratory found the virus in the first three samples tested by the patients.

“The government assures people that all measures are being taken to contain this epidemic as soon as possible,” the Guinean Ministry of Health said in a Facebook post on Sunday, adding that people are reporting more symptoms to health authorities, and hygiene and prevention should respect dimensions. It also said it would expedite the delivery of vaccines to the area and open a center to deal with established cases.

Guinea had not seen an Ebola case since 2016 when it came to an end to an epidemic that began in its southeastern region in 2014. This deadliest outbreak to date spread to neighboring Liberia and Sierra Leone, eventually infecting more than 28,000 people in 10 countries, killing more than 11,000.

The resurgence comes as West Africa is still grappling with the coronavirus pandemic and after the Democratic Republic of the Congo also found new cases of Ebola three months after health officials said they wiped out the most recent outbreak in the Congo.

Dr. Mashidiso Moeti, regional director of the World Health Organization for Africa, said on Twitter on Sunday that she was “very concerned” about the reports from Guinea and that the agency was “stepping up preparedness and response efforts for this possible resurgence”.

The Ebola virus spreads through contact with body fluids or secretions from an infected or recently deceased person and causes a hemorrhagic fever with an average death rate of about half, although two vaccines are now available for it.

“We will quickly deploy vital resources to help Guinea,” said Drs. Georges Alfred Ki-Zerbo, a representative of the World Health Organization, told the Agence France-Presse news agency, adding that the group was in contact with the maker of a vaccine to dispense doses to control the outbreak.

“The arsenal is stronger now and we will use this to contain this situation as soon as possible,” said Dr. Ki-zerbo.

Anna Holland contributed to the reporting.