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Can Europe tame the pandemic’s next wave?

Monday, 07 September 2020 19:27 Written by

Science's COVID-19 reporting is supported by the Pulitzer Center and the Heising-Simons Foundation.

"We’re at risk of gambling away our success,” virologist Christian Drosten warned in the German newspaper Die Zeit last month. His message referred to Germany, but it could have been addressed to all of Europe. After beating back COVID-19 in the spring, most of Europe is seeing a resurgence. Spain is reporting close to 10,000 cases a day, more than it had at the height of the outbreak in the spring. France is back to reporting thousands of cases a day. In Germany, numbers are still low, but rising steadily. The pandemic is affecting countries that saw few cases in the spring, such as Greece and Malta, but is also rebounding in places that suffered terribly, including the cities of Madrid and Barcelona.

Drosten, of the Charité University Hospital in Berlin, is one of many calling for renewed vigilance, and he and others are urging a new control strategy that trades blanket lockdowns for measures specifically targeting clusters of cases, which play a key role in spreading the coronavirus. “We successfully aborted the [first] wave and now we should make sure that no new wave builds,” says epidemiologist Christian Althaus of the University of Bern.


The rising case numbers today aren’t quite comparable to the peak in April because countries are now testing far more people on a daily basis. But the increase shows that Europe relaxed measures too early and too much, says virologist Ab Osterhaus of the University of Veterinary Medicine in Hanover, Germany. “The wrong message was given, basically: We have done a great job and now we can relax again.” Instead, Europe could have tried to emulate New Zealand by stopping community transmission completely and zealously guarding against reintroductions, says Devi Sridhar, a global health expert at the University of Edinburgh who has been advising the Scottish government. Scotland committed early on to pushing case numbers down to zero, but other countries did not, and now almost all are seeing a resurgence.Few dispute that Europe rose to the initial challenge. In Bergamo, the capital of Italy’s Lombardy region, crematoria were so overburdened in March that army trucks had to transport the dead to other cities—but on 24 May, Lombardy registered zero COVID-19 deaths for the first time. By early July, the European Union and the United Kingdom together averaged fewer than 5000 new cases per day, whereas the United States and Brazil (which together have roughly the same population) had 50,000 and 40,000, respectively. Europeans enjoyed a surprisingly normal summer, with northern Europeans flocking to Mediterranean beaches.

People’s willingness to stay alert and remember new rules wanes quickly, says Cornelia Betsch, a psychologist at the University of Erfurt who has been monitoring attitudes toward the pandemic in Germany. “And we have been going for a while now, and the end is not even clear.” Some countries saw workplace infections rise as people returned to their offices, says Gianfranco Spiteri, a public health expert at the European Centre for Disease Prevention and Control. But in many countries the resurgence is driven by “young people partying and basically people living their life back in a kind of normal way,” he says. Because new cases are younger, fewer of them die, but “it’s a matter of time before the elderly are affected,” Spiteri says. The reopening of schools across the continent may make matters worse.

As in the spring, every country has its own strategies for controlling the pandemic, leading to a sometimes confusing patchwork. Belgium has one of the strictest face mask policies, for instance, but Belgians crossing the Dutch border to shop in Maastricht can take off their masks. Even within countries, the rules can change at dizzying speed. Germany went from a mandatory 14-day quarantine for people arriving from countries considered risky to voluntary tests at the airport and other entry points, with no quarantine for those who tested negative. Next, it made the tests mandatory, then returned to mandatory quarantine with testing after 5 days. “What would be necessary is that we define one central policy in Europe,” Osterhaus says. “The problem is, who is going to do that?” The European Union has little power to coordinate health measures.

Yet countries are better prepared this time. Whereas the virus spread largely under the radar in February, widespread testing now reveals its movements. (Fewer than 3% of tests are positive in most European countries, a sign of a healthy testing capacity.) Face masks, not available or even recommended in the beginning, have become ubiquitous in most countries. More than a dozen EU countries have developed apps to help contact tracing efforts. Better treatments are saving lives.

Meanwhile, new insights into viral spread are leading to better targeted control measures. The emphasis on hand hygiene is gone because it has become clear that contaminated surfaces don’t play a large role. In the spring, some countries banned almost any outdoor activity, including jogging; now, the focus is on indoor activities. “We’ve learned outdoor hospitality is generally fine, nonessential shops are fine as long as people wear face coverings, public transport doesn’t seem that risky,” Sridhar says.

 

Instead, public health experts increasingly argue for targeting clusters of cases and superspreading events. Some studies estimate that 10% of patients cause 80% of all infections, whereas most don’t infect anybody at all. Drosten has urged that contact tracers spend more time finding the source of a new case—along with that person’s contacts—than the new case’s contacts; after all, the patient may not infect anybody else, but is likely to have caught the virus as part of a cluster, Drosten says.

Adam Kucharski, a disease modeler at the London School of Hygiene & Tropical Medicine, agrees. “Looking backwards can actually give you a disproportionate benefit in terms of identifying infections,” he says. In a recent preprint, Kucharski and his colleagues estimated that “backward contact tracing” could prevent twice as many infections as tracing contacts forward alone. Experience in South Korea, where clusters at churches drove the epidemic early on, confirmed the value of this approach, says University of Florida biostatistician Natalie Dean.

Drosten also calls for a new approach in case health authorities are overwhelmed again: Only quarantining people who were in a potential superspreading situation with a newly identified case, but doing so immediately and then testing them after 5 days. That way, he says, contact tracers would spend their time in the best possible way and superspreading events could be quickly contained. (The public could help by making a short list every day of any potential cluster situations they were in.)

Putting more effort into finding clusters should also help epidemiologists understand where and how they emerge, says Hitoshi Oshitani of Tohoku University in Japan—which may have changed since the spring. “We’ve seen a massive change in the social structure and interactions of populations … from the start of the pandemic,” Kucharski says. The conditions that spread the virus then “won’t necessarily be the same ones that are creating the risk now.” In Germany, for instance, many large outbreaks early in the pandemic occurred in long-term care facilities. Now, clusters are increasingly reported from workplaces.

More-targeted measures probably won’t be enough to keep the virus from resurging, Althaus says. “A point will be reached again where stricter measures have to be taken,” he says. But rather than complete lockdowns, he assumes they will be more like the lighter version applied in Sweden, which encouraged people to work from home and banned large gatherings while keeping shops and restaurants open. Scotland recently closed pubs and restaurants in Aberdeen for more than 2 weeks after a cluster of cases emerged; it asked inhabitants not to travel more than 8 kilometers outside the city and visitors to stay away. But schools remained open.

Compared with the United States, Europe has one advantage as it faces its first pandemic winter: Control measures aren’t nearly as controversial. Protests against masks and social distancing broke out in many European cities in August, but they represented a small minority of the population, Betsch says. In Germany, support for control measures declined somewhat after infections peaked in spring, but a large majority still backs them, Betsch says. And with case numbers back on the rise, she says, “We can already see acceptance numbers go up again.”

The coronavirus comeback

The number of new COVID-19 cases soared this past month in France and Spain. Tiny Malta, mostly spared in the spring, is seeing a sharp rise as well, while cases are increasing more slowly in Germany and many other European countries.

]>0200040006000800010,000Mar.Apr.MayJun.Jul.Aug.02000400060008000Mar.Apr.MayJun.Jul.Aug.New cases per dayGermanyNew cases per day0-20002000400060008000Mar.Apr.MayJun.Jul.Aug.New cases per dayFrance020406080Mar.Apr.MayJun.Jul.Aug.New cases per dayMaltaSpain
GRAPHIC: X. LIU/SCIENCE; DATA: WORLD HEALTH ORGANIZATION CORONAVIRUS DISEASE DASHBOARD

London Stock Exchange vs EU: Refinitiv battle reveals unease over power of modern stock markets

Saturday, 29 August 2020 01:35 Written by

LSE is one of the six great powers in the world of stock exchanges. BCFC

Johannes Petry, University of Warwick

Relations between London and Brussels have been better. While Brexit dominates the headlines, another cross-channel development has recently captured the attention of financial institutions. It concerns the the London Stock Exchange’s proposed US$27 billion (£21 billion) acquisition of US financial company Refinitiv, into which the European Commission is carrying out an in-depth anti-trust investigation.

With a ruling due in October, the commission is likely to reject the deal in its current form. To win approval, the LSE recently declared it was selling either the whole of Borsa Italiana or its bond-trading platform, MTS.

Why does the EU care about the LSE’s acquisition of a US financial data company? And why would the LSE sell the Italian stock exchange to quell these concerns? The answer lies in the fact that stock exchanges have transformed fundamentally over the last 25 years, as I demonstrated in a recent paper. This has largely gone unnoticed and public perception clings to an outdated understanding of what exchanges are.

How exchanges changed

Stock exchanges are often still viewed as quasi-public marketplaces – icons embedded within nation states and crucial for national economic development. But they have in fact become powerful global corporations which actively shape the development of capital markets around the world – with important implications for investors, companies and states.

As an article in The Banker put it a few years ago: “Until the 1980s, exchanges would … have been recognisable to a merchant who was trading in the 14th century – the time of their inception.”

Exchanges used to be non-profit organisations, controlled by their members, with little agency of their own. They usually monopolised trading in their area, and were physical trading locations, such as the Chicago Mercantile Exchange, pictured below.

Open out-cry trading on the Chicago Mercantile Exchange
The traditional exchange: open out-cry trading on the Chicago Mercantile Exchange. Baron Visuals, CC BY-SA

This has changed in various ways. Financial liberalisation reforms such as the EU Investment Services Directive (1993) created competition between exchanges. No longer monopolies but a marketplace for marketplaces, they were forced to modernise and become more efficient and customer-focused.

Most demutualised and converted into listed companies. As one exchange official noted, they were now independent actors “fully in charge of their own destiny”. At the same time, they also became profit-driven companies.

The shift towards globalisation also meant more cross-border financial integration. Alongside the growing competitive pressures, there were opportunities to scale up, acquire competitors and venture into new markets. From Chicago to Singapore, futures exchanges started buying stock exchanges and vice versa, plus trading venues for bonds, carbon emissions and commodities. Former NYSE CEO John Thain had once observed that “every country has an army, a flag and an exchange”, but now exchanges were forming huge organisations spanning the globe.

Finally, exchanges turned from physical trading locations into financial technology companies. Face-to-face interaction on trading floors was gradually superseded by electronic markets. The manager of one exchange noted in an interview: “We are of course known as a US exchange but that’s only about 10% of our revenue.” Digitisation had fundamentally changed the game as market technology, data and indices increasingly drove exchanges’ profit.

The transformation of exchanges, 1980-2018

A graph showing how exchanges have changed.
Johannes Petry

Exchanges are now actively creating, regulating and shaping markets around the world. They control the very infrastructure of global finance - data, indices, financial products, trading platforms and clearing, essentially deciding how markets work for companies, investors and states.

Why LSE-Refinitiv matters

A hierarchy has also emerged, with LSE one of a handful of global players that now dominate capital markets, along with CME, ICE, Cboe, Nasdaq and Deutsche Börse. These groups run the largest, most prestigious and profitable markets, and own the most important products, indices and technological know-how. While there are over 100 exchanges worldwide, these six companies account for over 50% of industry profits, and trading in stocks, futures and options.

LSE is now a central node in global and, importantly, European capital markets. It owns FTSE Russell, one of the leading index providers that steer investments by deciding which companies and countries are included in the indices tracked by global investors - essentially acting as a gatekeeper for global finance.

LSE owns LCH Clearnet, the world’s largest clearing house. Clearing houses act as middle men (or

countries’ refinancing operations as some government bonds were no longer deemed safe.

LSE also owns several European trading platforms for stocks, bonds, derivatives and exchange-traded funds – including Borsa Italiana and with it the MTS platform. As Bloomberg recently noted, MTS is a critical piece of European bond-market infrastructure with average daily trading volumes exceeding €100 billion (£90 billion). It is a key venue for trading Italian and other European countries’ government debt. Refinitiv (previously the financial unit of Thomson Reuters) owns Tradeweb, an even larger bond-trading platform.

Together with the MTS bond trading platform, FTSE Russell’s bond indices and LCH collateral rules, LSE’s acquisition of Refinitiv would have created a quasi-monopoly in the European government-bonds trading infrastructure. With European sovereign debt already highly politicised in recent negotiations on the EU’s coronavirus recovery fund, an institution with the power to shape this market that will probably be outside of the EU’s regulatory reach come December is hardly acceptable for EU regulators. The EU already blocked a proposed merger between LSE and Deutsche Börse in 2017 for similar reasons.

With the threat of LSE’s market dominance averted, the EU might allow the LSE-Refinitiv deal to go through after all. But what this episode demonstrates is that as crucial building blocks of global finance, exchanges have become important counterparts to states. What they own and what decisions they make have become matters of international political importance – and has added an extra layer of complexity for governments trying to set the rules for global finance.The Conversation

Johannes Petry, ESRC Doctoral Research Fellow in International Political Economy, University of Warwick

This article is republished from The Conversation under a Creative Commons license. Read the original article.

U.K. Black Lives Matter Protesters Remove Statue of Slave Trader and Throw It in River

Monday, 08 June 2020 08:23 Written by

Another racist memorial has been destroyed, but this time, by the hands of protesters.

Black Lives Matter demonstrators in England have removed a 100-plus-year-old statue commemorating a slave trader. The crowd in Bristol used ropes to remove the bronze statue of Edward Colton from its base. Protesters then dragged it to the River Avon and chucked it in the water, where it quickly sunk.

 
 

Wowwwww they knelt on the neck of the slave trader Colston’s statue for 8 minutes for George Floyd and then they threw Colston into the river. The Middle Passage slave trader. Drowned.

1. Bristol, you’re not fucking around
2. Everything is EVERYTHING https://twitter.com/boringdystopian/status/1269643323532292096 

 

The statue had been a fixture in Bristol since 1895, as a tribute to Colton, who traded approximately 84,000 African men, women, and children to the Caribbean and North America. Since a number of petitions demanding the statue be dismantled were unsuccessful, the demonstrators decided to take matters it into their own hands.

Other statues honoring racist figures are in the process of being removed following the ongoing nationwide protests. Virginia Gov. Ralph Northam is expected to take down one of Richmond's controversial memorials of Confederate Gen. Robert E. Lee. Birmingham, Alabama Mayor Randall Woodfin has also removed the 115-year-old Confederate Soldiers & Sailors Monument.

Heroin Worth £8.5 Million Stashed In Fruit And Nut Boxes At Heathrow Airport

Thursday, 28 May 2020 11:43 Written by
 
Heroin worth £8.5 million has been found inside boxes of fruit and nuts which were seized at Heathrow Airport.
 

Heroin

Heroin Worth £8.5 Million Stashed In Fruit And Nut Boxes At Heathrow Airport

Heroin with a street value of more than £8.5million has been found hidden inside boxes of fruit and nuts at Heathrow Airport, London, UK.

According to UK Border Force immigration officers, they found about 170kg of heroin hidden in envelopes that were concealed in the walls of a consignment of 630 boxes on the 21st of May and arrested two men, aged 36 and 51 as suspects.
 
The two men were arrested near Bradford on suspicion of importing class A drugs.

According to authorities, the suspects are still under investigation.

Minister for Immigration Compliance and the Court, Chris Philp said: ‘This substantial seizure was the largest class A drugs detection so far this year by Border Force at Heathrow'.

Nigerian Man and woman jailed for 19 years for child abuse, sexual abuse and cruelty to a child

Saturday, 16 May 2020 15:11 Written by

A Rochdale man has been jailed for 15 years for a string of child abuse and sexual assault counts after appearing at Manchester Minshull Street Crown Court today (Friday 15 May), whilst a woman living at the same address has been jailed for four years for her role in the crimes.

In July 2018, police were made aware that a young girl had reported being abused by Shola Ogundare, 49, and Olwafunmilayo Emmanuel, 35.

An investigation was launched and officers established that the girl had been physically and sexually abused by Ogundare and physically abused by Emmanuel. Enquiries also established that a young boy had been physically abused by Ogundare and Emmanuel.

Ogundare and Emmanuel were arrested and taken into police custody for questioning. They were subsequently charged and pleaded not guilty.

Following a one-week trial, a jury found Ogundare guilty of attempted rape of a child, sexual assault by penetration of a child, sexual assault by touching of a child, causing a child to watch a sexual act, cruelty to a person under 16 and four counts of assault. Emmanuel was found guilty of four counts of cruelty to a person under 16, and sentenced to four years in prison.

Detective Constable Russell Clarke, of GMP’s Rochdale district, said: “First and foremost I would like to commend the victims for their strength in seeking help and disclosing what had happened to them. Both children have demonstrated incredible courage throughout our investigation and this trial, especially considering their age.

“Abuse of this kind often has a long-lasting impact on victims but I sincerely hope that they can move forward with their lives – free from the fear of being abused.

“Ogundare subjected these children to a prolonged campaign of abuse. Under the pretence of punishment, he sexually abused one of the victims to satisfy his most repulsive desires. Throughout this investigation, he has shown no remorse and the things he has said to try to evade justice have been beyond comprehension.

“Emmanuel also subjected the children to physical abuse and has also shown no remorse. She has repeatedly defended Ogundare and tried to discredit the victims.

“I hope today’s result sends a clear message to members of the public and offenders alike that police officers will do everything in their power to see justice done.”

Greater Manchester is nationally recognised as a model of good practice in terms of support services available to victims.

Nigerian Woman Dies of Coronavirus In UK After Working As A Nurse For 40 Years (Photos)

Tuesday, 12 May 2020 18:56 Written by

A Nigerian woman who has worked as a nurse for the past 40 years in the UK has died of the dreaded coronavirus.

 
Eyitolami Olaolorun
Eyitolami Olaolorun
 
A Nigerian mother-of-four who worked as a nurse in the UK has died of coronavirus complications. It was gathered that the 60-year-old woman identified as Eyitolami Olaolorun devoted her life to terminally-ill children.
 
According to Dailymail, Eyitolami Olaolorun had been a nurse for 40 years, most recently working at Wellington Hospital, a private centre in St John’s Wood, caring for young patients who were critically or terminally ill.
 
Ms Olaolorun, 60, also worked for the NHS at various hospitals and raised her four children by herself, having arrived in the UK from Nigeria almost 20 years ago after splitting with her husband.
 
Her daughter has encouraged the public to keep to the government’s original rule of staying home to save lives.
 
Oyinkansola Honey Iloba described her mother, who died on April 16, as ‘selfless and ‘an exceptional woman’.
 
“She didn’t see her patients as just someone she was looking after, they were family,” the 32-year-old said.
 
“There’s a picture of one of her patients on her wall. He’s pretty much our adopted younger brother because of how she saw him. She would spend Christmas with us and then spend it with her patients too, and always remembered birthdays.
 
“She raised all four of us by herself. We’re all graduates, we’re all doing well. That’s all because of her, she sacrificed everything for us.”
 
On Sunday, Prime Minister Boris Johnson relaxed the Government’s ‘stay home, protect the NHS, save lives’ slogan to instead tell people to ‘stay alert, control the virus, save lives’.
 
After the death of her mother, Mrs Iloba said: “Stay home. When it hits home, you realise how dangerous the situation is. You realise, yes, the NHS are heroes but let’s not put their lives at risk as well.
 
“Let’s not be selfish in our expectations of the NHS by going out, irrespective of what Mr Johnson has said, let’s not go out and think we’re immune to anything – we’re not.
 
“By going out you’re putting doctors’ and nurses’ lives at risk and they have families … families who care for them, families who love them and families who want them to survive this pandemic. You just need to stay home.”
 
 
Ms Olaolorun started showing symptoms of COVID-19 in late March and was taken to hospital before being put onto a ventilator on April 6.
 
“I called her and she was crying,” Mrs Iloba said.
 
“I realised something was wrong and got my sister who is a doctor to call the hospital… they explained she would be put on a ventilator and sedated.
 
“She must have been told already but she was trying not to tell us so that we wouldn’t be worried.
 
“We called her back in a four-way call on WhatsApp – She said ‘I’ll see you guys later they’re just wheeling me off’ we said ‘alright I’ll see you soon’ and that was the last thing we said to her.”
 
Ms Olaolorun was put on a ventilator before being moved from Ealing Hospital to Charing Cross Hospital, where she died ten days later.
 
Ms Olaolorun’s children have made a GoFundMe page and foundation in their mother’s name to help young people in Nigeria to access higher education.
 

COVID-19: WHO issues fresh warning to European countries

Wednesday, 08 April 2020 17:32 Written by

The World Health Organisation (WHO) has warned governments of European countries not to lift their lockdown and social distancing orders too soon.

WHO’s Europe Regional Director Hans Kluge issued the warning on Wednesday at a news conference in Copenhagen, Capital of Denmark.

Kluge noted that seven of the top 10 most affected countries around the globe are in Europe and remains at the center of the pandemic, NAN reports.

According to him, “As of today, Europe remains very much at the center of the pandemic, on one hand, we have reason to be optimistic and on the other, to be very concerned.

“Some good progress is being made in Spain, Germany, Austria, the Netherlands, and Switzerland.”

Kluge, however, expressed worry about the rising number of cases in countries such as Turkey, Israel, Sweden, Finland, and Ukraine.

 

He explained that there is still a long way to go, adding that it is not yet the moment to relax the tough social distancing restrictions that helped halt the spread of the virus in other places.

‘Infected nurse: I’m glad COVID-19 didn’t kill me’

Sunday, 05 April 2020 10:42 Written by

 May Toba, a Nigerian based in the United States is a nurse and a mother of two. She is a grateful survivor of the dreaded COVID-19. She shared her story with DORCAS EGEDE.

People who are able to go to the hospital on time stand a better chance of surviving, but the thing is that they are asking people to self-quarantine because since it’s a virus, it will run its course and go by itself. Where it becomes complicated for many people is when they now have underlying illnesses like diabetes, asthma, cardiac problems, and pneumonia. I am diabetic, that’s what made mine worse.”

Those were the opening lines of May Toba, a United States-based nurse, mother of two and visibly elated survivor of the Coronavirus, as she relived her wrestle and recovery from the rampaging virus.

It all started with a bit of temperature, she recalled.

“I was having a bit of temperature; I own a thermometer, so I checked myself and found that it was 38.4. Usually, temperature is supposed to be between 35 and 37.5. I checked the first day, took paracetamol; I kept monitoring it daily and it kept increasing.

“The next day, I decided to go shopping with my son. I didn’t isolate because, to be honest, I was in denial that it could be Coronavirus. I thought it was common cold and general body weakness. By this time, people in London were panic-buying. Everybody was rushing to buy tissues and other things. So, I went shopping with my son, so that if London shuts down over the weekend, we would have food at home.

“I live in South-East London, so as we got to Woolich, I was short of breath and also couldn’t walk long distance without stopping to sit somewhere.

When we got home, I asked my son to offload the things we bought, that I needed to go to the hospital because I was having signs of COVID-19.

I drove down to the hospital where I work. I work in Accident and Emergency and we are the front-liners. Everything comes through our doors.

“On getting there, my colleague said to me: ‘May, you should know better. These are flu-like symptoms. Why don’t you just stay at home for seven days instead of coming to the hospital?’ I told her I wasn’t feeling right at all and that if I was, I wouldn’t come to the hospital.

“Being that I work in the hospital, they rushed me straight, took my samples, and did all my blood tests and x-rays. The COVID-19 test takes 48 hours before the result comes out. They started diagnosing it through the patient’s x-ray. When they do your chest x-ray, they can see from your lungs if there’s fluid in the lungs.

They detected fluid in my lungs and saw that it had started collapsing already. The doctor immediately told me that he’s going to intubate me and place me on a ventilator to allow my lungs rest. I agreed and was injected. That was the last I knew of what happened until four days later.

“According to my colleagues, I was incubated and sent to ICU. I woke up four days later and was told the water in my lungs had already dried up and the blood test had become better. They did another swab and it was negative, that’s how I was discharged.

Please can you trace how you got infected?

“On the 13th, I worked with COVID-19 people. My matron and I were trying to see if it was on that shift I contracted it. I still think it was that shift; because that day, we had about five COVID-19 patients and we weren’t properly dressed at the time, because the WHO hadn’t told us what to wear.

It was the week I was sick that they now decoded that anybody attending to patients with any form of respiratory illness should gown up.

“I would say my symptoms took five days to show because I worked on the 13th and was admitted at the hospital on the 19th. But, you never can tell with this virus. I could have contracted it on the train on my way to work; it could have been brought home from school by any of my children. But I’m grateful to God that he didn’t allow COVID-19 kill me while trying to save others.

Did you get your children tested?

“They didn’t have to be tested because they don’t have any underlying illness and they have not shown symptoms. The government said there is no need for them to be tested. Sadly, a 13-year-old died in London yesterday and he didn’t have any underlying illness. He’s the youngest that has died in London so far. Every day, the death toll is keeps rising.”

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