Restart or re-stop? Countries reopen amid second-wave fears

Restart or re-stop? Countries reopen amid second-wave fears
Saint-Tronc Castelroc primary school director Sylvie Duquesnoy prepares a classroom to receive students on a voluntary basis in Marseille, southern France, Monday, May 11, 2020. France is beginning to reopen Monday after two months of virus confinement measures. Shops, hair salons and some other businesses are reopening Monday and French citizens no longer need a special permission form to leave the house. (AP Photo/Daniel Cole)

Plastic spacing barriers and millions of masks appeared on the streets of Europe's newly reopened cities Monday, as France and Belgium emerged from lockdowns, the Netherlands sent children back to school and Spain let people eat outdoors.

All faced the delicate balance of trying to restart battered economies without causing a second wave of coronavirus infections.

Fears of infection spikes in countries that eased their restrictions have been borne out over the past few days in Germany, where new clusters were linked to three slaughterhouses; in Wuhan, the Chinese city where the virus started; and in South Korea, where one nightclub customer was linked to 85 new cases.

Health officials in the U.S. will be watching closely in the coming days for any resurgence of the virus two weeks after states began gradually reopening.

Authorities have warned that the scourge could come back with a vengeance without widespread testing and tracing of infected people's contacts, and efforts to assemble contact-tracing teams are underway in Europe and the U.S.

While some countries such as Germany have established robust tracing abilities, other countries are far behind. Britain abandoned an initial effort in mid-March when the virus's rapid spread made it impossible. Now it is recruiting 18,000 people to do the legwork of tracking contacts.

Restart or re-stop? Countries reopen amid second-wave fears
People walk near the Eiffel Tower, in Paris, Monday, May 11, 2020. The French began leaving their homes and apartments for the first time in two months without permission slips as the country cautiously lifted its lockdown. Clothing stores, coiffures and other businesses large and small were reopening on Monday with strict precautions to keep the coronavirus at bay. (AP Photo/Christophe Ena)

Britain and other countries are also developing contact-tracing cellphone apps that can show whether someone has crossed paths with an infected person.

In the hardest-hit corner of the U.S., contact tracers in New York began online training Monday. A May 15 goal for reopening parts of the state hinges on the ability to track the spread of the virus.

Gov. Andrew Cuomo set a requirement of 30 contact tracers per 100,000 residents for areas to reopen. That translates to about 6,000 workers statewide performing what he described as a daunting task. Cuomo said contact tracing is "a logistical nightmare, never been done before."

Contract tracing across the rest of the U.S. is a patchwork of approaches and readiness levels.

In loosening up the country's lockdown, German authorities have spelled out a specific level of infection that could lead to the reimposition of restrictions in local areas. Other countries—and U.S. states—have been vague about what would be enough to trigger another clampdown.

Restart or re-stop? Countries reopen amid second-wave fears
People line up for a beer at a restaurant terrace in Prague, Czech Republic, Monday, May 11, 2020. Bars, restaurants, cafes offering outdoor seating started to serve their first consumers since March 14, as the Czech Republic is taking a step to normalcy amid the coronavirus pandemic by easing more restrictions adopted by the government to contain it. Interiors of the restaurants still remain closed. (AP Photo/Petr David Josek)

With Monday's partial reopening in France, c rowds formed at some Paris metro stations, but the city's notorious traffic jams were absent. Only half the stores on the Champs-Elysees were open.

Parisian hairdressers planned to charge a fee for the disposable protective gear they will have to give customers. Walk-ins will be a thing of the past, said Brigitte L'Hoste, manager of the Hair de Beauté salon.

"The face of beauty will change, meaning clients won't come here to relax. Clients will come because they need to," said Aurelie Bollini, a beautician at the salon. "They will come and aim at getting the maximum done in the shortest time possible."

Across the Atlantic, hair salons in Florida contended with tight regulations and pent-up demand as they reopened across much of the state, save for some hard-hit areas. The Fringe Salon in Naples was already booked for the entire week, its capacity limited by the social-distancing rules.

Restart or re-stop? Countries reopen amid second-wave fears
A worker cleans a window-shop in Seville, Spain, Monday, May 11, 2020. Roughly half of 47 million Spaniards are stepping into a softer version of the country's coronavirus strict confinement and are beginning to socialize, shop in small establishments and enjoy a meal or a coffee in restaurants and bars with outdoor seating. The hard-hit region around the Spanish capital, Madrid, and the economic powerhouse of Barcelona, in the northeastern Catalonia region, are among those territories that remain under stricter measures. (AP Photo/Miguel Morenatti)

"It's just pure chaos. Everybody's excited about getting their haircut," said owner Trish Boettcher. "People are just randomly calling who are not our regular clients."

In South Korea, the government clamped down again, halting school reopenings planned for this week and reimposing restrictions on nightclubs and bars. It is trying to track down 5,500 patrons of a Seoul nightlife district through credit-card transactions, cellphone records and security footage.

In China, Shanghai Disneyland reopened but with limited visitors who had to wear face masks and have their temperatures checked.

Roughly half of Spain's 47 million people shifted into looser restrictions, beginning to socialize, shop in small stores and sit outdoors at restaurants. Its biggest cities, Madrid and Barcelona, remained under lockdown.

Restart or re-stop? Countries reopen amid second-wave fears
People wear masks to protect against the coronavirus as they sit next to a protective plastic window in a restaurant in Bozen, Italy, Monday, May 11, 2020. The northern Italian province of South Tyrol is moving ahead of policies by the central government, reopening restaurants and shops closed during the coronavirus crisis earlier than planned by Rome. (AP Photo/Matthias Schrader)

Spanish hotels reopened with precautions—but also financial bleak prospects—because people aren't allowed to travel outside their provinces and few flights from overseas.

"Unfortunately this year's business is lost already. It's going to be catastrophic," said Manuel Domínguez, manager at Seville's Doña María Hotel.

British Prime Minister Boris Johnson announced a modest easing of the country's lockdown but urged citizens not to squander the progress made. Some people, however, were confused as the government shifted its slogan from "Stay at Home" to "Stay Alert." Scotland, Wales and Northern Ireland stuck with the old motto.

At the risk of more confusion, the British government did an about-face on masks Monday, telling people to cover their mouth and nose in stores and on buses and subways.

Restart or re-stop? Countries reopen amid second-wave fears
A young visitor, wearing face masks, waves at the Disneyland theme park in Shanghai as it reopened after the coronavirus closure, Monday, May 11, 2020. Visits will be limited initially and must be booked in advance, and the company said it will increase cleaning and require social distancing in lines for the various attractions.(AP Photo/Sam McNeil)

People in jobs that cannot be done at home "should be actively encouraged to go to work" this week, Johnson said. He also set a goal of June 1 to begin reopening schools and shops if Britain can control new infections. Johnson himself is the only world leader to suffer a serious bout of COVID-19.

At London's Waterloo train station, not everyone was convinced.

"I am nervous about going back, because I have a family and they have been isolating since the start. I feel like I am now putting them at risk," said Peter Osu, 45, who was returning to work at a construction site.

In the U.S., Trump administration officials spoke optimistically about a relatively quick economic rebound from the pandemic—but then announced that Vice President Mike Pence is "self-isolating" after an aide tested positive.

  • Restart or re-stop? Countries reopen amid second-wave fears
    A man gets a hair cut at a hairdressing salon in Sevres, outside Paris, Monday, May 11, 2020. The French began leaving their homes and apartments for the first time in two months without permission slips as the country cautiously lifted its lockdown. Clothing stores, coiffures and other businesses large and small were reopening on Monday with strict precautions to keep the coronavirus at bay. (AP Photo/Christophe Ena)
  • Restart or re-stop? Countries reopen amid second-wave fears
    Visitors look at artwork at the Illusion museum Monday, May 11, 2020 in Paris. The French began leaving their homes and apartments Monday for the first time in two months without permission slips as the country began cautiously lifting its virus lockdown. Small museums are allowed to reopen Monday if respecting the protective measures. (AP Photo/Rafael Yaghobzadeh)
  • Restart or re-stop? Countries reopen amid second-wave fears
    9th grade students listen to instructions at an elementary school in Prague, Czech Republic, Monday, May 11, 2020. At elementary schools, those students who are preparing for an entrance exam at high schools can return to schools in voluntary classes no bigger than 15 as the Czech Republic is taking a step to normalcy amid the coronavirus pandemic by easing more restrictions adopted by the government to contain it. (AP Photo/Petr David Josek)
  • Restart or re-stop? Countries reopen amid second-wave fears
    A soldier takes the body temperature of residents as they queue for free rice provided by the government for those whose livelihoods are affected by the new coronavirus outbreak, at the Central Jakarta Military District Command, in Jakarta, Indonesia, Monday, May 11, 2020. (AP Photo/Achmad Ibrahim)
  • Restart or re-stop? Countries reopen amid second-wave fears
    People wearing face masks to help curb the spread of the coronavirus ride an escalator into a subway station in Tokyo Monday, May 11, 2020. Japan has extended a state of emergency until the end of May. (AP Photo/Eugene Hoshiko)
  • Restart or re-stop? Countries reopen amid second-wave fears
    Health officials wearing protective gear prepare to spray disinfectant to help reduce the spread the new coronavirus ahead of school reopening in a cafeteria at a high school in Seoul, South Korea, Monday, May 11, 2020. (AP Photo/Lee Jin-man)
  • Restart or re-stop? Countries reopen amid second-wave fears
    Two people sit in a terrace bar in Seville, Spain, Monday, May 11, 2020. Roughly half of 47 million Spaniards are stepping into a softer version of the country's coronavirus strict confinement and are beginning to socialize, shop in small establishments and enjoy a meal or a coffee in restaurants and bars with outdoor seating. The hard-hit region around the Spanish capital, Madrid, and the economic powerhouse of Barcelona, in the northeastern Catalonia region, are among those territories that remain under stricter measures. (AP Photo/Miguel Morenatti)
  • Restart or re-stop? Countries reopen amid second-wave fears
    People exercise in a fitness studio in Cologne, Germany, Monday, May 11, 2020 . In German federal state North Rhine Westphalia first gyms have reopened after coronavirus lockdown. (Marius Becker/dpa via AP)
  • Restart or re-stop? Countries reopen amid second-wave fears
    A homeless man sleeps on sidewalk in downtown Johannesburg, South Africa, Monday, May 11, 2020. (AP Photo/Themba Hadebe)
  • Restart or re-stop? Countries reopen amid second-wave fears
    A Sri Lankan railway worker in hazmat suit travels in a train coach in Colombo, Sri Lanka, Monday, May 11, 2020. Sri Lanka's government asked state and private sector workers to resume work Monday after a nearly two-month coronavirus lockdown. (AP Photo/Eranga Jayawardena)

The U.S. has seen 1.3 million confirmed infections and about 80,000 deaths, the most in the world by far, according to a tally by Johns Hopkins University. Worldwide, 4 million people have been reported infected and more than 280,000 have died, over 150,000 of them in Europe. Health experts believe all those numbers understate the true toll of the outbreak.

Dr. Christopher Murray, director of the University of Washington institute that has created a widely cited model projecting the course of the outbreak, said state reopening efforts will result in more cases and deaths, noting they are going up more than expected in Illinois, Arizona, Florida and California.

India reported its biggest daily increase in cases Monday even as it prepared to resume train service.

In South Africa, authorities in Cape Town and the surrounding province considered reimposing restrictions because the area has become a hotspot accounting for about half the country's 200 virus deaths.

© 2020 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.

Citation: Restart or re-stop? Countries reopen amid second-wave fears (2020, May 11) retrieved 26 April 2024 from https://medicalxpress.com/news/2020-05-restart-re-stop-countries-reopen-second-wave.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Follow the latest news on the coronavirus (COVID-19) outbreak

 shares

Feedback to editors