Abu Dhabi, UAEFriday 3 April 2020

Coronavirus cases in Europe: everything you need to know about Covid-19 across the region

Since Covid-19 was first recorded in China, the disease has spread to every country in Europe

Governments around the globe continue to grapple with how to stop the spread of the novel coronavirus known as Covid-19.

Across Europe, home to more than 746 million people, countries have closed borders and schools, imposed travel restrictions and told non-essential employees to work from home.

British Prime Minister Boris Johnson has confirmed he has the disease and has isolated himself.

The epidemic has particularly ravaged Italy, Spain and France, which along with the UK have imposed strict nationwide lockdowns.

Since Covid-19 was detected in the Chinese province of Hubei in December, it has spread to more than 100 countries, infecting more than 1 million people in just over three months, of whom about 209,000 have recovered, and killing more than 51,000.

How many cases are in Europe and the UK?

How is each country managing the crisis?

Italy

Infected: 115,242

Deaths: 13,915

Recoveries: 18,278

  • ​​​​Italy has the second-most cases in the world behind only the US, and is the worst-affected country in Europe.
  • Central and southern regions are braced for a “tsunami” of cases, as the number of new infections slow in the Lombardy region, which has been worst hit by the outbreak.
  • The death toll of 969 on March 27 is the largest number in a single day that any country has recorded.
  • The military was called in to the city of Bergamo, north-east of Milan, to move corpses to neighbouring provinces when mortuaries and crematoriums were overwhelmed.
  • Student doctors’ final exams have been scrapped so that 10,000 of them can join the national health system that has been buckling under the vast number of cases and further hampered by figures revealing that thousands of medical workers have been infected.
  • The Vatican is conducting tests for coronavirus on the dozens of priests who live in the same residence as Pope Francis and making contingency plans to move those who have the disease diagnosed elsewhere, a source in the Holy See said on March 26.
  • Prime Minister Giuseppe Conte announced on March 16 that quarantine measures “must be extended” beyond their original deadlines.

A worker wears protective gear to spray disinfectant on Piazza Duomo in Milan.AFP
A worker wears protective gear to spray disinfectant on Piazza Duomo in Milan.AFP
  • The lockdown was imposed on March 8 in the red zones of the northern region, considered the centre of the crisis, which has reported two thirds of all deaths. It was extended nationally on March 12 when the whole country was declared a Covid-19 orange zone.
  • There are heavy restrictions on travel. People must remain housebound unless they have a valid reason to leave home.
  • Schools and universities, gyms, museums and cultural venues, nightclubs, cinemas, theatres, casinos and most other venues across the country are closed.
  • People may visit religious institutions but must stay a metre away from each other. Marriages, baptisms and funerals have been cancelled.

France

Landmarks in the French capital have been left deserted after the country was placed under lockdown. AFP
Landmarks in the French capital have been left deserted after the country was placed under lockdown. AFP

Infected: 59,929

Deaths: 4,503

Recoveries: 12,548

  • In a sombre address to the nation on March 16, French President Emmanuel Macron declared that “we are at war against an invisible and elusive enemy” as he dramatically increased restrictions on people’s movements to stem the rapidly spreading coronavirus.
  • A strict 15-day lockdown began on March 17 and was enforced by tens of thousands of police patrolling the streets.
  • Any proscribed journeys – those not for vital work, family reasons or medical appointments, to buy food and necessary groceries or, in some cases, to exercise – would be punishable with a warning, a fine or even immediate arrest.
  • The measures on the country’s 63.5 million residents reflected what Prime Minister Edouard Philippe said was growing alarm over the number of people in intensive care and earlier guidelines being flouted.
  • Authorities on the French Riviera began using a drone fitted with a loudspeaker to tell people to stay home.
  • All bars, restaurants, cafes, non-essential shops and businesses, cinemas and ski resorts closed on March 15, with creches, schools and universities following the next morning.
  • Food shops, chemists, banks, tobacconists and petrol stations are open. Religious buildings also remain open, although ceremonies should be postponed.
  • Sporting and cultural activities are prohibited, and public transport limited.
  • French voters had to decide whether to brave the outbreak to head to polling stations for the first round of local mayoral elections on March 15, but the second round was later postponed until June 21.
  • When people are not in their homes, they must comply with social distancing rules by keeping at least one metre apart, even when queuing.

Spain

A woman wearing a face mask and gloves touches a niche during the burial of a man who died of the new coronavirus in Madrid. AFP
A woman wearing a face mask and gloves touches a niche during the burial of a man who died of the new coronavirus in Madrid. AFP

Infected: 110,238

Deaths: 10,096

Recoveries: 26,743

  • The epidemic in Spain has spiralled into the second-worst in Europe, after Italy, and the third-worst in the world, behind the US. It now has more cases than China.
  • While health authorities have warned that the peak is days away, the death rate has been rising faster than anywhere else in recent days.
  • On March 14, Prime Minister Pedro Sanchez announced a state of emergency, introducing significant restrictions on movement through the country. Only trips to buy food, medicine or essential products, or those deemed to be justified, will be allowed.
  • More than a third of reported cases are in Madrid, with one news site reporting on March 16 that one person died from coronavirus every 16 minutes.
  • All hotels and other tourist accommodation were ordered to close by March 24 to “guarantee the containment of the pandemic”, and to limit the effect on medical centres. One hotel in Madrid has been converted to treat those with mild cases.

  • Crematorium services are running 24 hours a day and an ice rink is being turned into a morgue.

  • Spanish soldiers have found elderly patients abandoned and dead in retirement homes.

  • In a radio statement, the president of the region of Madrid, Isabel Diaz Ayuso, warned that eight in 10 people in the capital would be infected.

  • Other hotspots include Vitoria and Labastida in the Basque country, Catalonia and the Rioja region. One area in Castile and Leon is regarded as a high-transmission area.

Morgues in the Spanish capital have been overwhelmed by the outbreak of Covid-19. AFP
Morgues in the Spanish capital have been overwhelmed by the outbreak of Covid-19. AFP
  • Beleaguered hospitals are said to be struggling against a severe shortage of protective equipment, such as masks and gloves, and operating at near capacity.

  • Health Minister Salvador Illa announced on March 19 that the government would add 30,000 reinforcements to the medical system, which was later raised to 50,000, including recently retired physicians and trainee doctors.

  • Those who breach the lockdown face fines from €100 to €600,000, and a prison sentence. Police say that 49 people have been arrested.

  • Schools and all venues that carry out “public-facing” activities and services, except those that sell food or essential items, are closed. Restaurants may deliver meals to people’s homes.

  • Civil and religious ceremonies, and services in places of worship, including funerals, can go ahead but with no large crowds and those attending must stay one metre from each other.

Britain

British Prime Minister Boris Johnson is giving daily Covid-19 press briefings. Getty Images
British Prime Minister Boris Johnson is giving daily Covid-19 press briefings. Getty Images

Infected: 34,164

Deaths: 2,921

Recoveries: 191

  • Prime Minister Boris Johnson confirmed on Twitter that he has mild coronavirus symptoms and is self-isolating.

  • Health Secretary Matt Hancock also tested positive for the virus and was working from home. Chief medical officer Chris Whitty has gone into self-quarantine for seven days after exhibiting mild symptoms.

  • Britain has been placed on lockdown, with harsh new restrictions on daily life imposed by the government following similar measures in neighbouring countries.

  • Public gatherings of more than two people have been banned. British police have been using drones and roadblocks to enforce the social isolation rules.

  • Shops that do not sell groceries or essential health items have been ordered to close by Mr Johnson. Other areas including libraries, playgrounds and outdoor gyms, and places of worship, must close immediately.

  • The government has also stopped all social events including weddings, baptisms and other ceremonies, but funerals will be allowed. Parks will remain open for now so people can exercise once a day. Mr Johnson said the rules would be reviewed in April, with an aim of relaxing them if possible.

  • Mr Johnson insisted that the UK could “turn the tide” against the coronavirus by June if it abides by social isolation measures.
  • He has come under fire for declining to take part in an EU scheme to source critical ventilators to treat Covid-19 because the UK is "no longer a member" and is "making out its own efforts".
  • UK Chancellor Rishi Sunak has pledged £350 billion (US$434.14bn/Dh1.59 trillion) to protect the economy and the Bank of England has lowered interest rates to a record low of 0.1 per cent.
  • London has been the UK city worst hit by the outbreak so far.
  • Prince Charles, heir to the British throne, has tested positive for the virus and is self-isolating with his wife Camilla.
  • More than 170,000 people volunteered to help the country's health service in a single night.
  • Schools and universities closed with effect from March 20.
  • More vulnerable groups in Britain, such as people over the age of 70 or those with underlying chronic health conditions, have been told to avoid social contact for 12 weeks.
  • The government says it is now in the phase to delay the disease as well as trying to contain it.
  • Households where an occupant has symptoms of Covid-19 have been advised to isolate themselves for 14 days.

  • The government advises “social distancing”.
  • Internationally, the UK has pledged £91 million to the global response tackling Covid-19 and has committed up to £150m to the International Monetary Fund’s “Catastrophe Containment and Relief Trust”.
  • The UK's Interior Ministry faces a legal challenge over suspected outbreaks of the virus in its migrant detention centres.

Germany

German Chancellor Angela Merkel was tested for coronavirus after her doctor tested positive for the virus. Reuters
German Chancellor Angela Merkel was tested for coronavirus after her doctor tested positive for the virus. Reuters

Infected: 84,600

Deaths: 1,097

Recoveries: 21,400

  • The German government has repeatedly urged people to socially distance themselves from each other but resisted implementing tighter measures such as a curfew that would force the country’s 83 million residents to stay at home.
  • Many Germans had been snubbing the calls, gathering in groups, queuing for ice-creams and holding “corona parties” in their houses or outside.
  • On March 22, in a televised address, Mrs Merkel expanded curbs on social interaction, banning groups of more than two people from gathering, except for families. Soon afterwards, her office announced that the Chancellor would be self-isolating because a doctor who had treated her a few days earlier had tested positive for Covid-19.
  • On March 18, in what was her first televised address to the nation in more than 14 years in power, Mrs Merkel said the country was facing its greatest challenge since the Second World War. “This is serious. And we must take it seriously.”
  • Scientists around the world are at a loss to understand why the death rate is significantly lower in Germany than other countries, despite the high number of confirmed cases. Its fatality rate is 0.3 per cent compared to about 8 per cent in Italy.
  • The low death rate has given rise to hopes that Germany might be doing something right that other countries can follow, as well as accusations from the Italian far-Right that the Germans are covering something up.
  • Experts say that the country is only at an early stage of the outbreak, those who have been infected are predominantly of a young age with no underlying conditions, ventilators in ICUs are in abundant supply, and an unusually high number of tests (160,000 a week) are being carried out for early detection.
  • The Robert Koch Institute for public health said that up to 10 million Germans could contract coronavirus in the coming months if social contact was not reduced.
  • The small Bavarian town of Mittereich became the first to go into complete lockdown on March 19.
  • The federal government on March 16 agreed on a widespread set of measures with 16 states, advising residents to work from home where possible, banning large events and religious services, closing schools, daycare centres, recreational facilities and many shops.

  • Essential shops, such as grocery stores, banks, pharmacies and petrol stations remain open, and restaurants can serve customers inside during particular hours, with restrictions on distancing and numbers, and sell takeaway meals from 3pm.

How is this affecting travel?

No easy question to answer. A mind boggling array of travel restrictions has been implemented in recent days and weeks by countries around the globe in an attempt to curb the spread of Covid-19.

The measures are constantly changing and any nation may further limit travel without notice.

The EU suspended all non-essential travel to the bloc for non-EU citizens for 30 days from March 17. Citizens of EU countries are allowed to return home, but some jurisdictions require them to self-isolate for 14 days.

The UK was initially warning against all non-essential travel but as of March 23 advised all Britons abroad who are usually based in the UK to return home immediately, and, for the moment, is exempt from the ban. Brussels has told individual nations to enforce the closures or adjust movement rules to suit themselves.

Across the region, train, cross-border bus and ferry companies are running on a reduced service; while some ports are open, passengers are generally not allowed to disembark for travel or tourism reasons.

Within the bloc, some countries have introduced even tighter measures. Austria, for example, has banned all travellers, irrespective of citizenship, from Italy, Switzerland and Liechtenstein. Croatia says that anyone coming in from Italy must go into a government quarantine facility at their own expense for 14 days, while travellers from certain other countries, including Spain, must self-isolate.

International transport links from France are increasingly restricted and border checks are being enforced with Italy, Spain and Germany. Germany has also introduced border controls with Austria, Denmark, France, Luxembourg and Switzerland, and expanded air restrictions to flights from those countries as well as Italy and Spain. There are strict travel restrictions on flights to and from Italy, with only one airport in each region open and temperature checks for those arriving; Alitalia passengers are required to wear their own face masks when the one-metre rule cannot be applied.

The US is refusing entry to non-citizens from all European countries, including the UK and Ireland. In Bolivia, all flights to and from Europe have ceased, while Morocco has suspended flights from Italy, Germany, France and Spain. Travellers to Japan from the 26 members of the Schengen zone, Britain and Ireland, must go into self-quarantine in facilities approved by the authorities there.

Any foreign traveller who has been in France, Germany, Italy or Spain within 14 days may not enter Singapore, though the country’s residents and passport holders may do so as long as they quarantine at home for two weeks. The Thai authorities are insisting that anyone flying in from a list of countries, including Italy and Iran, has proof of travel insurance with at least $100,000 in cover and must produce a health certificate confirming a negative test result for Covid-19.

How is this affecting the region?

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‘You are at war’: Doctor on the frontline of Italy's Covid-19 outbreak says the country's health system has been overwhelmed

Germany's Angela Merkel in quarantine after her doctor tests positive for virus

What is the coronavirus and how is it spread?

Coronaviruses are a large family of viruses which may cause illness in animals or humans. Covid-19 is only the most recently discovered strain.

In humans, seven coronaviruses are known to cause respiratory infections, including the common cold and more severe diseases such as Middle East respiratory syndrome (Mers) – first recorded in Saudi Arabia in 2012 – and severe acute respiratory syndrome (Sars) which swept through southern China and Hong Kong in 2002 and 2003.

Covid-19 has affected far more people.

But it is far less deadly, with a mortality rate which is believed to be around 3.5 per cent, according to an estimate by the World Health Organisation, compared with about 10 per cent in Sars and 34 per cent in Mers.

The most common symptoms of Covid-19 are fever, tiredness and a dry cough. Some patients may have aches and pains, nasal congestion, sore throat or diarrhoea and, rarely, a runny nose.

Read more: What to do if you think you have coronavirus?

The elderly, and those with underlying medical problems such as high blood pressure, heart problems or diabetes, are more likely to develop serious illness.

According to a doctor who fought the outbreak in Wuhan, high blood pressure is a major risk factor. Out of a group of 170 patients who died in January in Wuhan – in the first wave of casualties caused by the pathogen – about half had hypertension.

A study of 44,000 patients by the Chinese Centres of Disease Control found only 0.2 per cent of children and teenagers died, compared with almost 15 per cent of people above the age of 80.

How does this compare to the global picture?

The highest death toll outside of Europe is in United States where there has been more than 5,600 deaths, 1,400 of them in New York state.

China has recorded more than 3,000 deaths, followed by and Iran, where about 3,000 have succumbed to the virus.

The outlook in the Gulf in terms of suffering caused by the virus is much lower than that witnessed elsewhere in the world.

Experts have put that down to countermeasures taken early on in the crisis, unlike a country like Iran, which was accused of underplaying the crisis and not taking the appropriate restrictive measures to prevent the virus spreading far and overwhelming the country’s health system.

New daily cases:

Daily death toll:

Updated: April 3, 2020 02:14 AM

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