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Thursday, March 5, 2020

$30 checkup, without insurance? Walmart wants to make it happen

Venturing further into the health care arena, Walmart is testing out yet another concept in providing some forms of care whether customers are insured or not.
According to a KCRA report, Walmart is testing its new health center in Georgia, where customers can stop in to see a doctor for routine checkups as well as for ongoing treatment of chronic illnesses like diabetes and heart disease—even if they have no health coverage.

It’s not free, of course, but the costs are low at “Walmart Health”—and not just for the abovementioned services. The facility, which opened in January, also offers lab work, X-rays, dental care, behavioral health counseling, eye and hearing exams and other services—with the bill for an annual adult checkup just $30 without insurance. Eye exams are $45, while dental exams are $25. They can even get therapy sessions for $60.
There are two of these health centers; the first is in Dallas, Georgia, and opened back in September; this second one is located in Calhoun, Georgia. Walmart would like to wade into the health care market’s 15+ percent share of the national economy and hopes that such heath centers can do the job.
By starting in areas in which care is both expensive and hard to come by, Walmart hopes to make some inroads against conventional health insurance by providing primary care options to those who normally may have little or no access to care for chronic diseases (both areas have higher-than-normal rates) and fewer primary care physicians to go to (again, a circumstance haunting the regions around both new health centers).
According to KCRA, “Walmart believes it can fill that gap for its customers without health insurance, as well as those who have insurance plans with high deductibles and out-of-pocket costs.” And it thinks it can do so by easing its own doctors into the slots currently filled—when available—by patients’ current primary care providers.
It certainly won’t hurt the megachain’s retail side, with health care bringing in ready-made customers in the form of patients who can’t get—or can’t afford—care anywhere else. And the addition of medical, dental and therapist care, in addition to its already-established pharmacies and optical departments, signals not just a broader approach but also a more concentrated effort to enlarge the relationship it already has with its customers.
In doing so, it’s challenging not just Amazon’s efforts to provide health care, but also CVS and Walgreens clinics—and it thinks it can be profitable, because it’s not operating the same way as the current health care system. In addition, it has all those big-box stores and massive parking lots to take advantage of.
Walmart vice president of health and wellness transformation Marcus Osbore, speaking in an interview, explained that those who visit its clinics have not seen a primary care provider or dentist in a number of years, and that for many patients, this was their first opportunity to access mental health services.
https://www.benefitspro.com/2020/03/05/a-30-checkup-without-insurance-walmart-wants-to-make-it-happen/?slreturn=20200205214202

3 Who Attended Biogen Meeting in Boston Test Positive for Coronavirus

Three people who attended a meeting with Biogen employees in Boston last week have tested positive for the coronavirus, the company said Thursday.
Following a meeting with Biogen employees in Boston last week, a number of attendees reported varying degrees of flu-like symptoms. Some attendees have been confirmed with influenza and three attendees have tested positive for COVID-19 to date,” Biogen said in a statement. “At the present time, these individuals are doing well, improving and under the care of their healthcare providers.”
“Protecting our employees and our communities is our priority,” the company added.
Everyone who attended the meeting, whether they have symptoms or not, have been directed to work from home for the next two weeks, Biogen said. Anyone who feels sick is being advised to contact their healthcare provider.
The company said it will also be taking other precautionary measures, including restricting travel through the end of March.
Biogen is a 42-year-old biopharmaceutical company that has created treatments for diseases and conditions like Alzheimer’s and multiple sclerois. Its headquarters are in Cambridge.
3 Who Attended Biogen Meeting in Boston Test Positive for Coronavirus

DOJ Launches a National Nursing Home Initiative

U.S. Attorney Peter G. Strasser of the Eastern District of Louisiana joined Attorney General William P. Barr on March 3, 2020 to announce the Department of Justice’s National Nursing Home Initiative, which will coordinate and enhance civil and criminal efforts to pursue nursing homes that provide grossly substandard care to their residents.
This initiative is focusing on some of the worst nursing homes around the country and the Department has already initiated investigations into approximately thirty individual nursing facilities in nine states as part of this effort.
“Millions of seniors count on nursing homes to provide them with quality care, and to treat them with dignity and respect when they are most vulnerable,” said Attorney General William P. Barr.  “Yet, all too often, we have found nursing home owners or operators who put profits over patients, leading to instances of gross abuse and neglect. This national initiative will bring to justice those owners and operators who have profited at the expense of their residents, and help to ensure residents receive the care to which they are entitled.”
“As the population of our nation ages, more and more American families rely on nursing homes to provide quality care to their loved ones,” said U.S. Attorney Peter G. Strasser.  “Sadly, however, the instances of physical, psychological, or financial neglect have become more common.   The implementation of The National Nursing Home Initiative provides another tool to ensure the welfare of our elderly family members that we have entrusted to the care of nursing homes.  The ultimate goal of this worthy initiative is to root out those nursing homes that prey on both their elderly residents as well as the family of those residents.”
“The mission of the FBI is to protect the rights of all Americans, especially those who cannot protect themselves,” said Bryan A. Vorndran, FBI New Orleans Special Agent in Charge. “People housed in nursing homes rely on the support, attention, and care of the nursing home staff to fulfill their basic needs.  Too often, we hear of situations of abuse by nursing home personnel to a family member or friend residing in an assisted living facility.  We urge Americans to report this abuse and mistreatment, so we can bring justice to those who seek to defraud or abuse the most vulnerable members of our community.”
The department considers a number of factors in identifying the most problematic nursing homes.  For example, the department looks for nursing homes that consistently fail to provide adequate nursing staff to care for their residents, fail to adhere to basic protocols of hygiene and infection control, fail to provide their residents with enough food to eat so that they become emaciated and weak, withhold pain medication, or use physical or chemical restraints to restrain or otherwise sedate their residents.  These care failures cause residents to suffer in pain and to be exposed to the great indignities.  Care failures cause residents to develop pressure sores down to the bone, to lie in their own waste for hours, to starve because they cannot reach the food on their trays and to remain unwashed for weeks at a time.  Nursing homes that provide grossly substandard care also force vulnerable elderly residents who cannot leave the facilities to live in filthy and dangerous conditions where there are leaks in the roofs, mold is found growing and rodents found living in residents’ rooms.  These are some of the actions and the inactions that the department intends to pursue.
The National Nursing Home Initiative reflects the department’s larger strategy and commitment to protecting our nation’s seniors, coordinated by the department’s Elder Justice Initiative in conjunction with the U.S. Attorneys’ Offices.  The Elder Justice Initiative and the U.S. Attorneys’ Offices are essential to the department’s investigative and enforcement efforts against nursing homes and other long-term care entities that deliver grossly substandard care to Medicare and Medicaid beneficiaries.  The Initiative and the U.S. Attorneys’ Offices also support the efforts of state and local prosecutors, law enforcement, and other elder justice professionals to combat elder abuse, neglect and financial exploitation, with the development of training, resources, and information.  Learn more about the Justice Department’s Elder Justice Initiative at http://www.justice.gov/elderjustice/.
https://www.justice.gov/usao-edla/pr/department-justice-launches-national-nursing-home-initiative

As India coronavirus cases spike, experts daunted by prospect of South Asia spread

India has ramped up the screening of travelers to keep the coronavirus at bay but a flurry of new cases has experts warning that it may be hard to contain a spread in densely populated South Asia with its generally poor medical infrastructure.
India, Pakistan and Bangladesh are home to some 1.7 billion people, or more than a fifth of the world’s population, but their over-stretched health systems could struggle to handle the type of intensive care required for coronavirus patients.
On top of that, a prevalence of existing health problems such as diabetes could spell trouble while the sort of sweeping restrictions China has imposed to stifle the virus would be hugely difficult in South Asia’s more unruly cities.
“The way Indian society is structured, the kind of lockdown that many countries including China and Japan have instituted, is pretty much impossible even under good circumstances,” said Vivekanand Jha, executive director of the George Institute for Public Health, in New Delhi.
India’s total confirmed coronavirus rose to 29 on Wednesday, from six early this week.
The coronavirus, which emerged in China late last year, has infected more than 95,000 people globally, and killed more than 3,200, most of them in China.
Some health experts fear that even with the recent spike in cases, India’s actual tally could be much bigger.
“There is a strong possibility that the number of cases in India is much higher than what has been detected,” Arunkumar G., director of the Manipal Institute of Virology, said, citing a virus incubation of up to two weeks.
Fears were fanned this week when India’s health minister disclosed that 16 foreign tourists who have tested positive had been touring since mid-February.
Last week, U.S. intelligence sources told Reuters that India’s available countermeasures and the potential for the virus to spread its dense population was a focus of serious concern.

‘ALL INITIATIVES’

India’s government says it has screened more than one million travelers, boosted its testing capabilities and set up isolation wards in all major cities with international airports.
But 450 million of India’s 1.3 billion people are estimated to be migrants, with vast numbers packing its rail and road systems daily meaning controlling any spread would be a huge challenge.
India’s high number of diabetics – 77 million – and high rates of problems like kidney disease could lead to higher morbidity, or protracted treatment, experts said.
“One particular risk of India is the co-existence of other non-communicable disease epidemics,” Dr Rajib Dasgupta, who is a professor of community health at the Jawaharlal Nehru University in New Delhi.
Prime Minister Narendra Modi’s government says it is confident of its ability to arrest the spread of the virus.
“Coronavirus is a challenge, but the government of India has taken all initiatives to ensure that it is stopped,” said D.V. Sadananda Gowda, minister of chemicals, who oversees the pharmaceuticals sector.
Neighboring Pakistan has found five coronavirus cases. A top health official was gloomy about the prospects of tackling a major outbreak.
“We don’t have human resources, we don’t have the required inventory, we don’t have a capacity to cope with a big emergency with the given resources,” Shahid Malik, secretary general of the Pakistan Medical Association, told Reuters.
Bangladesh has not confirmed any cases of the coronavirus but five Bangladeshi workers have tested positive in Singapore.

Bangladesh’s health ministry said more than 300,000 people have been screened at airports and other border entry points.
But one passenger was not impressed by what he considered lax screening upon arrival in the capital, Dhaka.
“Many of us could skip the screening. Just imagine what would happen if someone infected with the virus enters. It’ll be a total disaster,” Farid Yamin, a Bangladeshi working in Singapore, told Reuters.
https://www.reuters.com/article/us-health-coronavirus-southasia/as-india-coronavirus-cases-spike-experts-daunted-by-prospect-of-south-asia-spread-idUSKBN20S0WR

South Korea declares new ‘special care zone’ as coronavirus spreads

South Korea declared a “special care zone” on Thursday around a second city hit hard by the coronavirus and the U.S. military confirmed two new cases among relatives of its troops in the country, which is battling the biggest outbreak outside China.
Australia and Japan have joined the list of almost 100 nations now limiting arrivals of people from South Korea, which reported 760 coronavirus cases on Thursday for a total of 6,088.
Japanese Prime Minister Shinzo Abe said Japan will suspend existing visas for visitors from China and South Korea and quarantine them for two weeks in response to the widening outbreak of the flu-like virus.
The measures will go into effect on March 9.
Following the announcement, the South Korean Foreign Ministry summoned a Japanese diplomat to “hear Japan’s explanations regarding its announcement,” Yonhap news agency reported, citing a ministry official.
The South Korean government declared a “special care zone” around Gyeongsan, a city of about 275,000 people 250 km (150 miles) southeast of Seoul, promising extra resources such as face masks.
Gyeongsan has seen a spike in cases in recent days, many of them linked to a fringe Christian group at the center of South Korea’s outbreak. Similar zones have been declared around the neighboring city of Daegu and Cheongdo County.
About 75% of all cases in South Korea are in and around Daegu, its fourth-largest city, according to the Korea Centers for Disease Control and Prevention (KCDC).
“Every day is sad and tough like a war. But our Daegu citizens are showing surprise wisdom and courage,” Daegu Mayor Kwon Young-jin told reporters on Thursday.
About 2,120 patients were waiting for hospital beds in Daegu, city officials said. Dozens of newly commissioned military nurses were due to begin work in the city on Thursday, according to the health ministry.
The KCDC reported five more deaths from the virus, bringing the total to 37. The virus surfaced in China late last year and has infected more than 95,300 people and killed almost 3,300 worldwide, mostly in China, according to a Reuters tally.
South Korea also said it was banning the export of face masks, and would step up their production and ration them to limit individual purchases to two a week, in an attempt to ease shortages and curb hoarding.
People have flocked to supermarkets, pharmacies and online distributors to snap up masks and other supplies, with hundreds lining up at some stores every morning.

KCDC Deputy Director Kwon Jun-wook advised all South Koreans to stay home and avoid “any gatherings, especially those that take place in enclosed places with many people such as religious events”.
He also advised employers in Asia’s fourth-largest economy, highlighted by tech giants like Samsung Electronics Co Ltd, to allow staff to work from home.

‘DEEPLY REGRETTABLE’

U.S. Forces Korea (USFK) reported two new cases, for a total of six among soldiers, employees or people related to the roughly 28,500 U.S. troops stationed in South Korea.
Despite the new cases, USFK had resumed sending troops to bases in Daegu and surrounding areas, according to the military newspaper Stars and Stripes.
It said commanders believed the bases were protected from the outside population, and troop rotations were needed to maintain readiness in the face of threats from nuclear-armed North Korea.
Australia’s ban on the arrival of foreigners from South Korea is a blow to Seoul’s efforts to prevent the United States from imposing such restrictions.
“It is a deeply regrettable step, and we will closely consult Australian authorities for a swift revocation of the measure and to minimize inconvenience for our citizens,” Foreign Ministry spokesman Kim In-chul told reporters.
South Korean officials met the U.S. ambassador in Seoul on Wednesday to urge the United States not to limit travel. Similar talks would be held on Friday with diplomats from other nations, the Foreign Ministry said.
According to the U.S. State Department, anyone with a fever of 100.4 Fahrenheit (38 Celsius) is already banned from boarding direct flights from South Korea to the United States.
Korean Air Lines said it would screen all departing passengers for high temperatures and reject those deemed a risk.
South Korea also sent three “rapid response” teams to Vietnam on Thursday to help more than 270 citizens quarantined there over coronavirus concerns, the Foreign Ministry said.
https://www.reuters.com/article/us-health-coronavirus-southkorea-toll/south-korea-declares-new-special-care-zone-as-coronavirus-spreads-idUSKBN20S04O

U.S. will be able to test 400,000 people for coronavirus by week’s end: officials

U.S. health officials said on Thursday they expect to be able to get enough coronavirus tests to public laboratories this week to test about 400,000 people, and acknowledged the challenge for doctors seeking to get patients screened for the disease.
Officials expect to ship additional test kits to cover between 1.5 and 1.7 million people by the end of next week, U.S. Health and Human Services Secretary Alex Azar told reporters.
“Right now, it is a challenge if you are a doctor wanting to get somebody tested,” Azar said, following a briefing with lawmakers, adding that physicians could only reach out to a limited network of public health labs.
“That experience will get better over the next week, week and a half, two weeks. But do not be surprised if you hear concerns of doctors saying: ‘I have a patient. I don’t know how to get this done,’” Azar told reporters.
The private contractor that makes the test used by the Centers for Disease Control and Prevention (CDC) for public labs – privately held Integrated DNA Technologies Inc, or IDT – is seeking to get its test to hospitals and other labs for wider use in the coming days.
Separately, other HHS officials offered a lower expected rate of mortality from the coronavirus than that estimated by the World Health Organizations, saying it was hard to quantify because many people with the disease do not experience severe enough symptoms to get tested.

The best estimate of the overall mortality rate from the novel coronavirus lies somewhere between 0.1% and 1%, U.S. Assistant Secretary for Health Brett Giroir said.
The WHO this week said about 3.4% of confirmed cases of COVID-19 have died.
https://www.reuters.com/article/us-health-coronavirus-usa-risk/u-s-will-be-able-to-test-400000-people-for-coronavirus-by-weeks-end-officials-idUSKBN20S22M

Before coronavirus, China bungled swine epidemic with secrecy

When the deadly virus was first discovered in China, authorities told the people in the know to keep quiet or else. Fearing reprisal from Beijing, local officials failed to order tests to confirm outbreaks and didn’t properly warn the public as the pathogen spread death around the country.
All this happened long before China’s coronavirus outbreak, which has claimed more than 3,000 lives worldwide in less than three months. For the past 19 months, secrecy has hobbled the nation’s response to African swine fever, an epidemic that has killed millions of pigs. A Reuters examination has found that swine fever’s swift spread was made possible by China’s systemic under-reporting of outbreaks. And even today, bureaucratic secrecy and perverse policy incentives continue undermining Chinese efforts to defeat one of the worst livestock epidemics in modern history.
Beijing’s secretive early handling of the coronavirus epidemic has troubling similarities to its missteps in containing African swine fever, but with the far higher stakes of a human infection. After the coronavirus was found in December 2019 in Wuhan, the capital of Hubei province, local and national officials were slow to sound the alarm and take actions disease experts say are needed to contain deadly outbreaks. Beijing continues to gag negative news and online postings about the disease, along with criticism of the government’s response.
With swine fever, Beijing set a tone of furtiveness across government and industry by denying or downplaying the severity of a disease that the meat industry estimates has shrunk China’s 440-million-hog herd by more than half. The epidemic has taken a quarter of the world’s hogs off the market, hurt livelihoods, caused meat prices to spike globally and pushed food inflation to an eight-year high.
Cover-ups across China – coupled with underfinancing of relief for devastated pig farmers and weak enforcement of restrictions on pork transport and slaughter – have enabled the spread of the livestock virus to the point where it now threatens pig farmers worldwide, according to veterinarians, industry analysts and hog producers. Since the China outbreak, African swine fever has broken out in 10 countries in Asia.
The vacuum of credible information has made it impossible for farmers, industry and government to tell how and why the disease spread so quickly, making preventive measures difficult, said Wayne Johnson, a Beijing-based veterinarian who runs Enable Ag-Tech Consulting.
“To get it under control, you have to know where it is,” Johnson said.
China’s Ministry of Agriculture and Rural Affairs said in a statement to Reuters that it has repeatedly communicated to all regions the importance of timely and accurate reporting of African swine fever outbreaks and had zero tolerance for hiding and delaying the reporting of cases.
Interviews with farmers, industry analysts and major suppliers to China’s pork sector indicate otherwise. More than a dozen Chinese farmers told Reuters they reported disease outbreaks to local authorities that never made it into Beijing’s official statistics. Those infections are going unreported to central authorities in part because counties lack the cash to follow a separate requirement from Beijing to compensate farmers for pigs killed to control the disease.
Local officials have also avoided reporting outbreaks out of fear of the political consequences. And they have routinely refused to test pigs for the virus when mass deaths are reported, according to interviews with farmers and executives at corporate producers.
A farmer surnamed Zhao, who raises a herd in Henan province, said local officials told him as much when they resisted recording the outbreak he reported on his farm, which wiped out his herd.
“‘We haven’t had a single case of African swine fever. If I report it, we have a case,’” Zhao recalled an official telling him. The local officials could not be reached for comment and a fax seeking comment went unanswered.
When the coronavirus hit, Chinese authorities reacted with a push to reassure the public that all was well. The first reported death from the virus, also known as SARS-CoV-2, came on Jan. 9 – a 61-year-old man in Wuhan. In the following days, Chinese authorities said that the virus was under control and not widely transmissible.
The assurances came despite a lack of reliable data and testing capacity in Wuhan. Testing kits for the disease were not distributed to some of Wuhan’s hospitals until about Jan. 20, an official at the Hubei Provincial Centre for Disease Control and Prevention (Hubei CDC) told Reuters. Before then, samples had to be sent to a laboratory in Beijing for testing, a process that took three to five days to get results, according to Wuhan health authorities.
During that gap, city hospitals reduced the number of people under medical observation from 739 to 82, according to data from Wuhan health authorities compiled by Reuters, and no new cases were reported inside China.
China’s top leadership has dramatically ramped up the public-health response since its early missteps. Beijing built new hospitals in days to treat the sick and launched an unprecedented blockade of the disease epicenter on Jan. 23, first quarantining Wuhan’s 11 million residents at home, then suspending transport in all major cities of Hubei province, home to about 60 million people.
Still, the initial attempts to tightly control information left many people unaware of the risks and unable to take precautions that might have prevented infection – and the suppressing of news and commentary continues today. Wuhan authorities reprimanded eight people they accused of spreading “illegal and false” information about the disease. One of them, 34-year-old doctor Li Wenliang, later died from coronavirus, triggering an angry backlash on social media.
Some critical posts were allowed during a brief and unusual period of online openness in late January. But Beijing’s censors – the Cyberspace Administration of China (CAC) – have since cracked down on posts about Li and other information that authorities deem negative, according to CAC censorship orders sent to online news outlets and seen by Reuters. One CAC notice ordered online outlets to guard against “harmful information.” Another ordered them not to “push any negative story.”
The CAC did not respond to a request for comment sent by fax.

UNREPORTED OUTBREAKS

Beijing had years to prepare for African swine fever. Veterinarians have frequently warned Chinese authorities of the risks since the disease started spreading through the Caucasus region in 2007.
Pigs infected by the virus initially suffer high fever, loss of appetite and diarrhea. Then their skin turns red as internal hemorrhaging starts and their organs swell, leading to death in as little as a week.
With no vaccine or cure available for the disease, experts recommend that infected pigs and others housed in the same barn are culled, with the carcasses either burned or buried to prevent further infection. Farms, equipment and vehicles that could be contaminated need to be thoroughly cleaned and disinfected.
The first case in China was discovered on Aug. 1, 2018, on a farm near Shenyang, in the northeastern province of Liaoning. Just two weeks later, the virus was found more than 1,000 kilometers to the south in pigs bought by the country’s top pork processor, WH Group(0288.HK), from another northeastern province, Heilongjiang. It took Beijing another two weeks to block pig exports from the whole region, and that and other transport restrictions were poorly enforced, said Johnson and other industry experts. WH Group declined to comment.
One factor behind the epidemic: Chinese consumers prefer fresh pork – straight from the slaughterhouse, rather than chilled. This means hundreds of thousands of live pigs are moved long distances every day to supply processors in major cities. That mass movement spread the disease relentlessly.
Over the first four months of the outbreak, Beijing reported swine-fever cases almost daily as the virus spread from the northeast down through central China, west into Sichuan, and to the huge province of Guangdong by year-end. Veterinarians believe the virus spread quickly because it can survive for weeks on dirty farm equipment or livestock trucks.
And yet gaps in counting and tracking the pig disease have been routine across China. Reuters found a striking absence of reported outbreaks in some of the nation’s most productive pork regions.
For instance, almost none of the reported outbreaks have come from the major hog-raising provinces of Hebei, Shandong and Henan. The three contiguous northern provinces were the source of some 20% of the 700 million pigs China slaughtered in 2017. Many came from backyard farms, which make up a large part of China’s industry and have proven fertile breeding grounds for the disease. Yet each of the three provinces has reported just a single case of African swine fever, despite widespread anecdotal reports of outbreaks there that industry sources believe killed millions of pigs.
Neither Shandong nor Henan authorities responded to requests for comment. Hebei’s department of agriculture said it had “strictly reported and verified the epidemic” and that the disease situation was currently “stable.”
Six Henan farmers told Reuters they reported outbreaks during late 2018 and the first half of 2019. In some cases, local authorities helped deal with dead pigs, they said, but never tested for the virus.
That’s what happened when Wang Shuxi, a farmer in Henan’s Gushi County, lost more than 400 pigs in March 2019. Wang said he had no doubt that his pigs had African swine fever, even though authorities never tested them – and he couldn’t test them himself, because Beijing did not permit the commercial sale of disease test kits at the time.
His pigs showed telltale symptoms of the disease.

“The whole body went red,” he said. He injected the animals with an anti-fever medication to no avail. “At the start, they didn’t eat, and even after injections, it kept returning,” he said. “If you can’t cure it, you know it’s swine fever.”
Provincial and county governments had strong incentives to avoid verifying and reporting outbreaks because of Beijing’s rules on compensating farmers, said Huang Yanzhong, specialist in health governance with the Council on Foreign Relations in New York.
Under an African swine fever contingency plan drawn up in 2015, Beijing ordered the culling of all pigs on farms where the disease is found and on every farm within a three-kilometer radius. The central government raised compensation from 800 yuan ($115) to 1,200 yuan for every pig culled in 2018. Beijing typically promised to provide between 40% and 80% of the money, depending on the province. Localities would fund the rest.
In April 2019, the national agriculture ministry said the central government had allocated 630 million yuan to cull 1.01 million pigs to contain the disease. But that money either wasn’t sufficient or regularly did not get paid out, farmers told Reuters. None of about a dozen farmers who told Reuters they tried to report outbreaks said they had received the promised 1,200 yuan for each pig.
Many got nothing. Wang, the Gushi County farmer, said that almost a year after his pigs died, he has received no recompense. Gushi County officials could not be reached for comment.
Many farmers, eager to salvage value from their herds, have resorted to sending their pigs to slaughter at the first sign of illness – thereby thrusting the virus into the human food supply. The swine fever virus does not threaten people. But its presence in meat – where it can survive for weeks – creates a cycle of infection because many backyard farmers feed pigs with restaurant scraps that include pork.
Garbage feeding caused 23 outbreaks in 2018, Huang Baoxu, deputy director of the China Animal Health and Epidemiology Center, told reporters at a briefing in November that year. His remarks were a rare instance where the central government revealed findings about the spread of the hog virus. The center declined to comment for this story.
Farmers visiting slaughterhouses dealing in sick pigs also likely picked up the virus on their trucks or equipment, spreading it back to their farms, Johnson said.
In the southern province of Guangxi, the disease raged through the spring of 2019 and early summer, several farmers told Reuters last year. Bobai County was hit hard.
A Bobai farmer surnamed Huang said she lost almost 500 pigs during April and May. She said she tried to report the diseased pigs to the local government but was ignored. The official she spoke to by phone never came to her farm. He told Huang that her pigs could not be saved – but that they didn’t have African swine fever. His advice, she said: “hurry and sell the pigs while they could be sold.”
Huang said she sold more than 30 pigs that she believed had the virus. They looked healthy when she sold them, she said. Others sold obviously sick pigs at very low prices. “Traders took all the pigs, including the sick ones – as long as they could walk to the trucks,” she said.
Huang buried her dead pigs daily for weeks on a relative’s land. Others simply dumped their dead pigs on the roadside or in the mountains, she said. The government provided no help.
Eventually, in late May, Bobai County reported one pig dead from the disease, official statistics show.
Authorities in Guangxi did not respond to a request for comment, and officials in Bobai county’s agriculture bureau could not be reached.
Beijing’s agriculture ministry said in a statement that it had issued an August 2019 order requiring punishments in situations where localities failed to report outbreaks. The ministry said it meted out unspecified discipline to more than 600 local personnel for what it called failures to manage the disease that were uncovered in its investigations of problem areas.
The practice of processing infected hogs has persisted despite new rules from Beijing in July that required slaughterhouses to test all batches of pigs for the virus. The agriculture ministry said in January that 5% of the more than 2,000 samples taken from slaughterhouses in November tested positive for the disease.
An Australian study in September found 48% of meat products confiscated from Asian travelers arriving at its ports and airports contained the virus.
“It showed there’s an awful lot of unrevealed infection not being reported to the authorities,” said Trevor Drew, director of the Australian Animal Health Laboratory.
Slideshow (8 Images)
One such information gap is at the top of the industry – China’s large corporate pig producers. They have also been hit hard by the disease, despite taking more extensive measures than backyard farms to disinfect trucks and require workers to change clothes and shower before and after shifts.
None of China’s top publicly traded producers have publicly announced any swine fever outbreak, but executives of major hog producers acknowledged in interviews with Reuters that their herds were hit by the disease.
Thai conglomerate C.P. Pokphand(0043.HK) , one of China’s leading pig producers, has had swine-fever outbreaks on farms in Liaoning, Shandong, Henan and Jiangsu provinces, Bai Shanlin, chief executive of China operations, told Reuters in a rare admission by a listed firm. Executives at three other listed companies, also among China’s top pig producers, acknowledged outbreaks at several farms but declined to be identified.
None of the outbreaks that these large companies have confirmed to Reuters were reported by Beijing, according to a Reuters review of the agriculture ministry’s data on outbreaks.
By August 2019, a year after the first case was found in China, pork prices had passed a record set back in 2016. And they were still climbing rapidly. With a crucial national celebration approaching in October – the 70th anniversary of the founding of the People’s Republic – China’s top leaders took note. Pork is a staple of Chinese cuisine, and rising meat production has been among the many signature achievements in the Communist Party’s decades-long drive to bring prosperity to China.
In a video conference that month with officials from all 34 provinces and regions, Vice Premier Hu Chunhua issued a warning: Sufficient pork was vital to people’s lives and the country’s stability. He called for the urgent recovery of the herd as a key “political task.”
A raft of new production policies and incentives emerged from Beijing. And as the provinces rallied to replenish the nation’s herd, reports of African swine fever grew even more rare. Disease outbreaks reported by the agriculture ministry have tailed off since August. In January, Agriculture Minister Han Changfu said the situation has stabilized.
The government’s statistics are rife with contradictions, however. The ministry has reported 163 outbreaks of African swine fever since August 2018 and said 1.19 million pigs have been culled, a fraction of 1% of China’s total herd. Separate ministry data tracking the herd monthly show that, by September 2019, the herd had shrunk by 41% from the prior year.
These official estimates of the decline are far too low, three major industry suppliers told Reuters.
“It’s at least 60%,” said Johan de Schepper, managing director of Dutch feed ingredients firm Agrifirm International. His assessment, based on sales to about 100 large pig producers, echoed those of others in the industry.
The virus is still killing pigs nationwide and the herd may still be shrinking, say farmers and industry suppliers. “Half of the herd was gone before this winter, and I think half of the rest will be gone by the end of the season,” said Johnson, the veterinarian, citing conversations with clients from across China.
The problem: Some areas were hit with a second wave of the disease.
Henan province is among them, farmers told Reuters. Last year, about 60% of Henan’s herd was wiped out, mainly in the densely farmed areas in the south and west of the province, analysts at Guotai Junan Securities wrote in an internal memo seen by Reuters. Recently, the memo noted, the virus has moved through east Henan, taking out another 20%.
The vicious disease ruined Zhao, the farmer in central China’s Henan province. The virus struck in October, causing high fever, internal bleeding, vomiting and diarrhea in his pigs. Just two survived. The other 196 died in a week.
When Zhao tried to report the outbreak to the county veterinary authority, he said, officials strongly encouraged him to keep quiet. A local official reminded him of the national mandate to cull all pigs within three kilometers of an infected farm. That could spell disaster for his neighbors if Zhao spoke up.
“If it’s found to be African swine fever, people nearby will have to stop raising pigs,” Zhao recalled a local official telling him. Zhao decided against filing a report to protect his neighbors, he told Reuters on a recent visit to his farm.
Further up the political hierarchy, the deputy governor of Henan province was quoted by the provincial agriculture bureau as saying in December that Henan had been free of the disease for 14 months, after a single reported case in September 2018. The provincial government did not respond to requests for comment.
The disinformation game continues. Zhao says that when county officials came by his farm in January, they recorded that he still had 180 pigs. In fact, he said, he had just the two hogs that survived the October outbreak.
“The country is being kept in the dark,” he said.
https://www.reuters.com/article/us-swinefever-china-epidemic-specialrepo/special-report-before-coronavirus-china-bungled-swine-epidemic-with-secrecy-idUSKBN20S189