Covid-19

Shanghai outbreak shows signs of waning as cases fall

The COVID-19 outbreak that has shut down most of Shanghai appears to be waning, with the number of new cases falling below 10,000 a day over the weekend.

Authorities have begun a limited easing of a citywide lockdown that has disrupted the lives of millions of residents and dealt at least a temporary blow to China’s economy. Many have been confined to their apartments for three weeks or more. They reported difficulty ordering food deliveries in the early days of the lockdown and higher prices for what they could get.

China’s largest city recorded about 7,000 cases a day on Saturday and Sunday, down from a peak of 27,605 nearly three weeks ago on April 13. Shanghai reported 32 deaths, raising the death toll to 454. Most of the victims have been elderly and many were unvaccinated.

Even as many other countries relax pandemic restrictions, the Chinese government has stuck to a “zero-COVID” approach that restricts travel, mass tests entire cities and sets up sprawling temporary facilities to try to isolate every infected person. Lockdowns start with buildings and neighborhoods but become citywide if the virus is spreading widely.

Many outside experts say it’s time for China to change course. Lockdowns helped buy critical time at the start of the pandemic but zero-COVID no longer makes sense from a public health perspective and imposes socioeconomic costs, said Richard Reithinger, the vice president for global health at RTI International in Washington, D.C.

“Continuing to enforce a zero-COVID-19 policy now, including a lockdown approach and restricting travel, is almost like pretending we have learned nothing over the past two years, now that effective treatment options and various vaccines are available,” he said.

But Chinese officials worry that a major outbreak could overwhelm the health care system and lead to more deaths, particularly among the unvaccinated elderly.

Authorities in Beijing have closed schools, carried out mass testing of more than 20 million people and imposed targeted lockdowns of buildings and neighborhoods to try to prevent what is still a small outbreak from reaching Shanghai proportions and necessitating a citywide lockdown.

The Chinese capital reported 50 new cases, bringing the total to 400 in the 11-day-old outbreak. Restaurants and gyms have been ordered shut for the May Day national holiday that runs through Wednesday. Major tourist sites in the city, including the Forbidden City and the Beijing Zoo, will close their indoor exhibition halls starting today.

Shanghai has recorded about 400,000 cases in China’s largest outbreak since the start of the pandemic.

Reithinger said a zero-COVID policy is a blanket strategy rather than one driven by epidemiological data. Rather than citywide lockdowns, China should focus on areas where there are clusters of cases, enforce social distancing and other prevention measures and redouble its vaccination efforts, particularly among the elderly, he said.

May holiday less traveled

Many Chinese marked a quiet May Day this year as the government’s “zero-COVID” approach restricts travel and enforces lockdowns in multiple cities. Millions remain restricted to their buildings or compounds in Shanghai, China’s largest city, under a lockdown that has only slightly eased.

Under an order announced the previous afternoon, all Beijing restaurants were closed to dine-in customers Sunday and can offer only takeout and delivery through the end of the national holiday on Wednesday. Parks and tourist attractions in the Chinese capital are limited to half capacity. The Universal Studios theme park, which opened last year, said it had shut down temporarily.

In Qianmen, the touristy neighborhood around the street that leads to the imposing gates of the former imperial palace, some people bought food from stalls and ate on outdoor benches. Wang Liying said sales at her noodle and stir-fry restaurant have plunged 98% during the holiday compared to last year.

“The remaining 2% is very little for us,” she said. “There is not much we can do with the pandemic.”

The virus situation varies across the vast nation of 1.4 billion people, but the Transport Ministry said last week that it expected 100 million trips to be taken from Saturday to Wednesday, which would be down 60% from last year. Many of those who are traveling are staying within their province as local governments discourage or restrict cross-border travel to try to keep out new infections.

China is sticking to a strict “zero-COVID” policy even as many other countries are easing restrictions and seeing if they can live with the virus. Much of Shanghai — a finance, manufacturing and shipping hub — remains locked down, disrupting people’s lives and dealing a blow to the economy. MDT/AP

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