Clinics in the Austrian region of Salzburg have set up a special assessment team tasked with identifying Covid patients who have a higher chance of survival; the rest may soon have to take a back seat.

Amid a dramatic spike in Covid cases, medical personnel warn they may soon have to make the heart-wrenching choice of which patients get life-saving treatment and which ones will have to wait, Austrian media report. Intensive care units in the Salzburg region are packed, with the number of patients treated there setting a new grim record on Tuesday, reaching 33. The region ranks amid Austria’s hardest-hit, logging more than 1,500 new infections per 100,000 residents in a week. In an emotional plea for help to the local government, the head of Salzburg’s hospitals warned that soon clinics would likely not be able to guarantee the existing level of standards in terms of medical treatment. A representative for the city clinics likened the situation to “running into a wall.

The region’s governor, Wilfried Haslauer, announced on Tuesday that some of the Covid patients whose condition was no longer life-threatening would be transferred from hospitals to rehabilitation centers to make room for more serious cases.

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In neighboring Upper Austria, the situation is no better, with the number of deaths in intensive care units surpassing figures seen in all the previous Covid waves. Speaking to Austria’s Der Standard paper on condition of anonymity, healthcare workers there said they had free beds “because the infected are dying.

For the time being, the creation of a so-called ‘triage team’ in Salzburg hospitals is being described as a “precautionary measure.” The panel is made up of six people: one legal expert and five providers from various medical disciplines. If push comes to shove, they will be deciding which patients stand a chance and which treatments have little prospect of success.

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The EU’s drug regulator has backed the emergency use of Merck’s pill for the treatment for clinically vulnerable Covid-19 patients as cases surge across the continent.

On Friday, the European Medicines Agency (EMA) “issued advice” backing the emergency use of the drug developed by Merck in collaboration with Ridgeback Biotherapeutics, although it has not yet been authorized by national authorities.

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© Reuters / Piroschka van de Wouw
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In a statement, the drug regulator said the medicine called Lagevrio – also known as molnupiravir or MK 4482 – “can be used to treat adults with Covid-19 who do not require supplemental oxygen and who are at increased risk of developing severe Covid-19.

It said the treatment should be administered as soon as possible after Covid-19 is diagnosed and within five days of the start of symptoms. The medicine should be taken twice a day for a period of five days.

The EMA listed the potential side effects of the capsules, including mild or moderate diarrhea, nausea, dizziness and headache. The treatment is not recommended for pregnant women.

The watchdog announced earlier on Friday that it had begun reviewing Pfizer’s medicine Paxlovid for Covid-19 with the same goal “to support national authorities” who may decide on its early use prior to marketing authorization in light of rising cases and deaths in Europe.

On Friday, Austria announced it would enter a new nationwide lockdown from Monday and make vaccination mandatory, while Germany’s health authorities claimed the country had turned into “one big outbreak.”

Both Pfizer and Merck have requested approval for their coronavirus medicines from the US Food and Drug Administration, but it is unclear when it might be granted.

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An American nonprofit behind the US-funded bat virus research in China has denied sending virus samples from Laos – where the closest natural relative of SARS-CoV-2 was found – to Wuhan in response to new allegations.

“No work was ever conducted in Laos as a part of this collaborative research project,” EcoHealth Alliance – a group that conducted experiments on coronaviruses while receiving funding from the National Institutes of Health (NIH) – said in a series of tweets on Sunday, responding to media reports alleging that the group might have transported a potentially dangerous virus from Laos to the laboratory in Wuhan.

The group’s name surfaced in October when the NIH’s principal deputy director, Lawrence Tabak, revealed that EcoHealth Alliance did experiments on the viruses with the agency’s financial help. At the time, White House medical adviser Dr. Anthony Fauci stated that the viruses “were distant enough molecularly that no matter what you did to them, they could never, ever become SARS-CoV-2.”

EcoHealth Alliance has come under renewed scrutiny after emails obtained through a Freedom of Information request appeared to indicate that the group was discussing the possibility of collecting viral samples from bats in Laos and sending them to the Wuhan Institute of Virology. The emails were initially obtained by the White Coat Waste Project and sparked a flurry of reports over the weekend, including in the Spectator by British science writer Matt Ridley.

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The emails shared between EcoHealth Alliance and its US government funders reportedly reveal that the scientists discussed collecting viral samples from bats in eight countries, including in Laos, between 2016 and 2019, and toyed with the idea of transporting them to Wuhan – apparently, to avoid red tape. One email from 2016 cited by the Spectator reportedly reads: “All samples collected would be tested at the Wuhan Institute of Virology.”

Laos is the birthplace of at least one virus that seems to be very close to SARS-Cov-2. A bat viral strain called Banal-52 discovered in Laos in September shares 96.8% of its genome with the virus behind the Covid-19 pandemic

On Sunday, EcoHealth Alliance claimed that the emails cited by Ridley “do not show… that we were sampling bats in Laos and sending the results to Wuhan.”

The group acknowledged, however, that it requested NIH permission to work in Southeast Asian countries, including Laos, and that permission was granted. 

However, the nonprofit claimed it ended and focused on China instead.

The response was not satisfactory for Ridley, who is also the co-author of a book on the origins of Covid-19, and he has demanded evidence showing that his report was not “fully accurate.”

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French luxury giant Dior has taken down a controversial photograph that had been criticized in China for “smearing Asian women” by pandering to Western stereotypes while “distorting Chinese culture.”

The photo, which was part of the brand’s ‘Lady Dior’ exhibition in Shanghai, depicts an Asian model wearing a traditional dress and clutching a Dior handbag. It came under fire this week from Chinese media outlets for featuring “spooky eyes, [a] gloomy face and Qing Dynasty-styled nail armor.”

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Although Dior has not released a statement regarding the controversy, it confirmed to fashion trade publication Business of Fashion that the photo had been removed from the exhibition. The brand has also reportedly taken the photo off Chinese social media platform Weibo.

The image, which was shot by Chinese photographer Chen Man, had drawn both media ire and public outrage. However, there were apparently no calls for a boycott of the brand.

In an editorial on Monday titled “Is This the Asian Woman in Dior’s Eyes?”, the Beijing Daily paper had noted that the image makes Chinese consumers uncomfortable. The publication criticized Man for “playing up to the brands, or the aesthetic tastes of the Western world.”

For years, Asian women have always appeared with small eyes and freckles from the Western perspective, but the Chinese way to appreciate art and beauty can’t be distorted by that.

Warning that both the brand and the photographer had “gone too far,” the China Women’s News paper ran an editorial on Wednesday that claimed it “indicated their intention of uglifying Chinese women and distorting Chinese culture.”

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“Again, from… Dior’s ghost-style picture, which makes the public feel uncomfortable, it’s easy to see some Western brands’ ‘pride and prejudice’ in their aesthetics and culture,” said the newspaper, which is run by the All-China Women’s Federation.

Meanwhile, the Global Times noted that the “lingering controversy could pose a delicate situation” for Dior and other global brands – for whom China’s “massive” luxury market was one of the biggest sources of revenue. The paper said that the Chinese public had become “increasingly sensitive” toward the depiction and treatment of Chinese people and culture by foreign companies.

While pointing out that Chinese social media users had demanded the company and photographer explain their intention, a number of media outlets also highlighted how some netizens had praised the photo as a departure from typical standards of beauty in the country, often characterized by “fair skin and large eyes.”

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After vowing to retaliate against Lithuania’s move to allow Taiwan open a “representative office” in Vilnius, Beijing has announced it is downgrading diplomatic relations with the Baltic state.

In a statement on Sunday, the Chinese foreign ministry said that China’s diplomatic relations with Lithuania will be formally lowered to the level of charge d’affaires, while blasting Vilnius for setting a “bad international precedent” by giving the island the green light to open its mission in the Lithuanian capital.

The ministry went on to accuse Vilnius of undermining the One China principle and the principle of neutrality in bilateral relations, explaining its decision to demote relations by citing the need to “safeguard its sovereignty and the basic norms of international relations.”

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The Lithuanian flag (FILE PHOTO) © REUTERS/Ints Kalnins
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“The Lithuanian government must bear all the consequences arising from this,” the ministry said, while calling on Vilnius to “correct its mistakes immediately.”

“No matter how the ‘Taiwan independence’ forces distort facts and reverse black and white, they cannot change the historical fact that the mainland and Taiwan belong to the same China,” the ministry asserted.

The move comes just two days after Beijing went on a verbal offensive against the Baltic country, warning that pushback for its cozying up to Taiwan would be imminent. “As to what necessary measures China will take, you may wait and see,” it said at the time.

Lithuania and China have been embroiled in a diplomatic row and have not maintained relations at ambassadorial level since September. After the Baltic state revealed that it would be opening a de facto Taiwanese embassy, China withdrew its ambassador from the country in August. Vilnius followed suit the following month.

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Extinction Rebellion has targeted Colombian diplomatic missions across several EU countries, including France and Italy, demanding that the nation address deforestation, coal mining, and indigenous peoples’ rights.

The hard-line climate activist group staged simultaneous protests outside several of Colombia’s diplomatic missions on Tuesday, calling on Bogota to protect biodiversity and stop deforestation. It also urged the country’s government to take action against the El Descanso open-pit coal mine, which is said to be threatening the Yukpa indigenous people.

The French branch of the activist group targeted the Colombian Embassy in Paris, vandalizing its entrance. Footage from the scene shows activists dousing the mission’s entrance in black paint, while plastering placards over its walls.

XR members then chanted slogans, lighting flares that emitted thick pink and black smoke. At least one activist was seen bathing in fake blood.

Another protest held outside Colombia’s consulate in Milan, Italy, saw that mission vandalized too. The building’s entrance was covered in fake blood, with a pile of a black substance, which looked like charcoal or coal, left by its doors.

Demonstrations also took place outside Colombia’s missions in Germany’s capital, Berlin, as well as in Madrid, Spain. Those protests appeared to be more civil, with activists rallying outside of the missions without vandalizing them.

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Scientists in Sweden claim that a single protein in the blood could predict the onset of Type 2 diabetes nearly 20 years in advance. The breakthrough potentially affects hundreds of millions of people worldwide.

Diabetes is the world’s ninth-leading cause of death, and affects nearly half a billion people worldwide, according to the World Health Organisation (WHO). The vast majority of diabetes patients suffer from Type 2 diabetes, a condition that can lead to blindness, kidney failure, heart attacks, strokes, and lower limb amputation. Cases of diabetes quadrupled worldwide between 1980 and 2014, with unhealthy diets and lack of exercise blamed for the rise.

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However, researchers at Lund University in Malmo, Sweden claim that elevated levels of a certain protein – follistatin – in the blood can predict the onset of Type 2 diabetes regardless of a person’s age, weight, diet or activity level. In a study published last week, the scientists wrote that high levels of follistatin can predict the condition up to 19 years before symptoms appear.

To discover the link between follistatin and diabetes, the researchers tracked 5,300 people from Sweden, Italy, and the UK for between four and 19 years. Follistatin helps break down body fat, while simultaneously leading to an increase in fat in the liver. This buildup can cause fatty liver disease and Type 2 diabetes.

“This study shows that follistatin has the potential to become an important biomarker to predict future Type 2 diabetes, and it also brings us one step closer to the understanding of the mechanisms behind the disease,” Dr. Yang De Marinis, associate professor at Lund University and lead author of the study, told a university newsletter. De Marinis added that the next step for her team would be to help develop an AI-based diagnostic tool that could analyze a patient’s blood sample and use their follistatin levels – and other biomarkers – to calculate their “risk score” for Type 2 diabetes.

As follistatin levels rise in response to food intake and activity levels, the same advice for prevention of diabetes still applies. “Balanced meals, eat[ing] healthy and regular exercise are important to decrease the risk of developing Type 2 diabetes,” De Marinis told StudyFinds.

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Slovakia has become the latest European country to implement lockdown restrictions on people who haven’t had the Covid vaccine, as it seeks to prevent a resurgence in infections and hospital admissions over the winter.

Slovakian Prime Minister Eduard Heger announced the new measures in a press conference on Thursday, declaring a “lockdown for the unvaccinated” after the country reported a record number of new cases.

The new restrictions in Slovakia, which come into effect on Monday, will require people to have been vaccinated or have recovered from Covid in the past six months to enter restaurants, non-essential shops, or public events.

In the past few days, the European nation has seen record numbers of new infections, including over 8,000 on Tuesday, with hospitals running out of space to treat Covid patients.

Slovakia has one of the lowest rates of vaccination in the European Union, with over 50% of individuals still not jabbed. The country of around 5.5 million has so far only inoculated 2.5 million people against the virus.

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(FILE PHOTO) © REUTERS/David W Cerny
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Earlier this week, Austria became the first nation to impose restrictions on unvaccinated individuals, as it sought to limit pressure on hospitals and emergency care units. The move came into effect at midnight on Monday for anyone aged 12 and older who has not received their Covid vaccine or recently recovered from the virus.

The German state of Bavaria and the Czech Republic followed Austria in restricting access for unvaccinated individuals. Only people who can show proof of vaccination or that they have recently recovered from Covid will be allowed to enter public spaces, such as restaurants and shops. 

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French President Emmanuel Macron has dismissed the possibility of locking down unvaccinated people in France, claiming the move would not be necessary because of the success of the Covid-19 ‘health pass’.

Speaking to La Voix du Nord newspaper in an interview published on Thursday, Macron said there was no need for France to follow Austria’s lead by locking down its unvaccinated citizens. 

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A security guard checks vaccination certificates outside a business in Athens, Greece, November 6, 2021.
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“Those countries locking down the non-vaccinated are those which have not put in place the [health] pass. Therefore, this step is not necessary in France,” Macron claimed.

The president’s health pass, which was the target of much criticism when it was introduced, requires people to provide proof of vaccination or a recent negative test before undertaking certain normal activities.  

The ‘Pass Sanitaire’ is required if citizens wish to go to restaurants, cafes, cultural venues, or cinemas. It’s also required to take long-distance trains, among other activities. 

Austria has led the way by starting a partial lockdown of the unvaccinated amid a surge in Covid-19 cases. The Czech Republic will follow suit next week, while Germany decided on Thursday to introduce similar measures in areas where Covid incident rates exceed the threshold.

Earlier in November, Macron made the continued use of the Covid health pass for over 65s dependent on getting a booster jab. 

Some 20,366 new infections were registered in the last 24-hour recording period. Case numbers have risen steeply in recent weeks. 

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Germany has been plunged into a “nationwide state of emergency” because of its current high level of Covid infections, acting health minister Jens Spahn has said. He also refused to rule out further lockdowns.

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FILE PHOTO © Reuters / Kai Pfaffenbach
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The situation is serious, the dynamic is unbroken,” Spahn told a press conference Friday.

The incidence has increased fivefold in four weeks. We see sadly high values in the death rate. We are in a national emergency.”

Spahn refused to rule out the possibility of another lockdown, saying that, in such a drastic health situation, “we can’t rule anything out.”

The head of the Robert Koch Institute (RKI), Lothar Wieler, added to the gloomy picture by saying that “all of Germany is one big outbreak,” with an estimated half a million active Covid cases in the country – and numbers rising. For the third day in a row, more than 50,000 cases have been registered in the country, while the death toll in Germany since the start of the pandemic is above 98,700, according to figures compiled by the RKI.

Wieler added that, with many hospitals already overwhelmed, more should be done to tackle the spread of the virus. Besides obvious measures such as vaccination and wearing masks, he also suggested closing poorly ventilated bars.

On Thursday, lawmakers in the Bundestag approved new measures in the fight against coronavirus, including requirements to prove vaccination status, a negative test, or proof of recovery from infection before employees can access communal workspaces or use public transport. The measures will have to be passed by the upper house before they can take effect.

Neighboring Austria announced on Friday that it would enter full lockdown as of Monday, November 22.

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