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‘Tsunami’ of COVID-19 Cases around World Raises Testing and Quarantine Fears

A pop-up vaccination center set-up in Faelledparken in Copenhagen, Denmark, September 11, 2021. Reuters
A pop-up vaccination center set-up in Faelledparken in Copenhagen, Denmark, September 11, 2021. Reuters
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‘Tsunami’ of COVID-19 Cases around World Raises Testing and Quarantine Fears

A pop-up vaccination center set-up in Faelledparken in Copenhagen, Denmark, September 11, 2021. Reuters
A pop-up vaccination center set-up in Faelledparken in Copenhagen, Denmark, September 11, 2021. Reuters

Global COVID-19 infections hit a record high over the past seven-day period, Reuters data showed on Wednesday, as the Omicron variant raced out of control, keeping workers at home and overwhelming testing centers.

Almost 900,000 cases were detected on average each day around the world between Dec. 22 and 28, with myriad countries posting new all-time highs in the previous 24 hours, including the United States, Australia, many in Europe and Bolivia.

Almost two years after China first alerted the World Health Organization (WHO) to a cluster of "viral pneumonia" cases of unknown origin in the city of Wuhan, the regularly mutating coronavirus is still wreaking havoc, forcing numerous governments to rethink quarantine and test rules.

Although studies have suggested Omicron is less deadly than some previous variants, the huge numbers of people testing positive mean that hospitals in some countries might soon be overwhelmed, while businesses might struggle to carry on because of workers having to quarantine.

"Delta and Omicron are now twin threats driving up cases to record numbers, leading to spikes in hospitalization and deaths," WHO director-general Tedros Adhanom Ghebreyesus told a news briefing.

"I am highly concerned that Omicron, being highly transmissible and spreading at the same time as Delta, is leading to a tsunami of cases."

French Health Minister Olivier Veran told lawmakers France was seeing a "dizzying" rise in cases, with 208,000 reported in the space of 24 hours - a national and European record.

'Gear change' needed

Britain, Italy, Spain, Portugal, Greece, Cyprus and Malta all registered record numbers of new cases on Tuesday, while the seven-day average number of new daily cases in the United States hit a record 258,312, according to a Reuters tally on Wednesday. The previous peak was 250,141, registered last January.

Hundreds of flights have been canceled across the United States each day since Christmas as airline staff test positive for the coronavirus. The US Centers for Disease Control and Prevention (CDC) said it was monitoring 86 cruise ships that have reported COVID-19 cases.

Despite the surge in coronavirus infections, deaths and hospitalizations are comparatively low, CDC director Rochelle Walensky said on Wednesday.

While the current seven day daily average of cases is about 240,400 per day, up 60 percent over the previous week, the hospitalization rate for the same period is up just 14 percent to about 9,000 per day over the same period. Deaths were down about seven percent to 1,100 per day, Walensky added.

British Prime Minister Boris Johnson said 90% of patients ending up in intensive care had not received booster vaccines, which medical experts say is the best protection against Omicron.

Australia registered almost 18,300 new cases, eclipsing Tuesday's previous pandemic high of around 11,300.

In Spain, demand for free testing kits from the Madrid regional government far outstripped supply, with long queues forming outside pharmacies.

Early data from Britain, South Africa and Denmark suggests the risk of hospitalization from Omicron is lower than from Delta, the WHO said in its latest epidemiological report.

However, the WHO's top emergencies expert, Mike Ryan, said it was too soon to draw definitive conclusions because Omicron was so far circulating largely among younger, less vulnerable age groups.

'I just want to go home'

A number of governments were also increasingly worried by the huge numbers being forced into self-isolation because they had been in contact with a coronavirus sufferer.

"We just can't have everybody just being taken out of circulation because they just happen to be at a particular place at a particular time," Australian Prime Minister Scott Morrison told reporters.

Spain reduced the isolation period for people who have tested positive for COVID-19 to seven days from 10, the health ministry said, even as new infections hit record highs.

Italy was expected to relax some quarantine rules, worried about grinding to a halt because of the number in precautionary self-isolation. Cases there doubled within a day to 78,313 on Wednesday.

However, China stuck to its policy of zero tolerance, keeping 13 million people in Xian, capital of central Shaanxi province, under rigid lockdown for a seventh day as 151 new cases were reported on Tuesday, albeit none with Omicron so far.

"I just want to go home," said a 32-year-old mechanic who was in the city on business last week when it was effectively shut off from the outside world.

The surge in cases coincides with many countries' New Year holidays, normally a period of parties and travel. Some countries, such as Italy, have canceled public celebrations, while authorities in Japan urged residents to keep New Year gatherings small.

"The highest risk is meeting people without taking adequate measures to prevent infection," said Norio Ohmagari, director of the Disease Control and Prevention Center.

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How Likely Is the Use of Nuclear Weapons by Russia?

This photograph taken at a forensic expert center in an undisclosed location in Ukraine on November 24, 2024, shows parts of a missile that were collected for examination at the impact site in the town of Dnipro following an attack on November 21. (Photo by Roman PILIPEY / AFP)
This photograph taken at a forensic expert center in an undisclosed location in Ukraine on November 24, 2024, shows parts of a missile that were collected for examination at the impact site in the town of Dnipro following an attack on November 21. (Photo by Roman PILIPEY / AFP)
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How Likely Is the Use of Nuclear Weapons by Russia?

This photograph taken at a forensic expert center in an undisclosed location in Ukraine on November 24, 2024, shows parts of a missile that were collected for examination at the impact site in the town of Dnipro following an attack on November 21. (Photo by Roman PILIPEY / AFP)
This photograph taken at a forensic expert center in an undisclosed location in Ukraine on November 24, 2024, shows parts of a missile that were collected for examination at the impact site in the town of Dnipro following an attack on November 21. (Photo by Roman PILIPEY / AFP)

On 24 February 2022, in a televised speech heralding the Russian invasion of Ukraine, President Vladimir Putin issued what was interpreted as a threat to use nuclear weapons against NATO countries should they interfere.

“Russia will respond immediately,” he said, “and the consequences will be such as you have never seen in your entire history.”

Then on 27 February 2022, Putin ordered Russia to move nuclear forces to a “special mode of combat duty’, which has a significant meaning in terms of the protocols to launch nuclear weapons from Russia.”

Dr. Patricia Lewis, director of the International Security program at Chatham House, wrote in a report that according to Russian nuclear weapons experts, Russia’s command and control system cannot transmit launch orders in peacetime, so increasing the status to “combat” allows a launch order to go through and be put into effect.

She said Putin made stronger nuclear threats in September 2022, following months of violent conflict and gains made by a Ukrainian counterattack.

“He indicated a stretch in Russian nuclear doctrine, lowering the threshold for nuclear weapons use from an existential threat to Russia to a threat to its territorial integrity,” Lewis wrote.

In November 2022, according to much later reports, the US and allies detected manoeuvres that suggested Russian nuclear forces were being mobilized.

Lewis said that after a flurry of diplomatic activity, China’s President Xi Jinping stepped in to calm the situation and speak against the use of nuclear weapons.

In September 2024, Putin announced an update of the 2020 Russian nuclear doctrine. The update was published on 19 November 2024 and formally reduced the threshold for nuclear weapons use.

According to Lewis, the 2020 doctrine said that Russia could use nuclear weapons “in response to the use of nuclear and other types of weapons of mass destruction against it and/or its allies, as well as in the event of aggression against the Russian Federation with the use of conventional weapons when the very existence of the state is in jeopardy.”

On 21 November 2024, Russia attacked Dnipro in Ukraine using a new ballistic missile for the first time.

She said Putin announced the missile as the ‘Oreshnik’, which is understood to be a nuclear-capable, intermediate-range ballistic missile which has a theoretical range of below 5,500km.

Lewis added that Russia has fired conventionally armed nuclear-capable missiles at Ukraine throughout the war, but the Oreshnik is much faster and harder to defend against, and suggests an escalatory intent by Russia.

Nuclear Response During Cold War

In her report, Lewis said that nuclear weapons deterrence was developed in the Cold War primarily on the basis of what was called ‘mutually assured destruction’ (MAD).

The idea behind MAD is that the horror and destruction from nuclear weapons is enough to deter aggressive action and war, she added.

But the application of deterrence theory to post-cold war realities is far more complicated in the era of cyberattacks and AI, which could interfere with the command and control of nuclear weapons.

In light of these risks, presidents Biden and Xi issued a joint statement from the 2024 G20 summit affirming the need to maintain human control over the decision to use nuclear weapons.

The US and Russia exchange information on their strategic, long-range nuclear missiles under the New START agreement – a treaty to reduce and monitor nuclear weapons between the two countries which is set to expire in February 2026.

But, Lewis said, with the US decision to exit the Intermediate Nuclear Forces (INF) Treaty in 2019, there are no longer any agreements between the US and Russia regulating the number or the deployment of ground-launched nuclear missiles with a range of 500-5,500 km.

She said short-range nuclear weapons were withdrawn and put in storage as a result of the 1991 Presidential Nuclear Initiatives but are not subject to any legal restraints.

The 10th NPT Review Conference was held in 2022 in New York. The issue of nuclear weapons threats and the targeting of nuclear power stations in Ukraine were central to the debate.

Lewis noted that a document was carefully crafted to finely balance concerns about the three pillars of the treaty – non-proliferation, nuclear disarmament and the peaceful uses of nuclear energy. But Russia withdrew its agreement on the last day of the conference, scuppering progress.

“It was believed that if Russia were to use nuclear weapons it would likely be in Ukraine, using short range, lower yield ‘battlefield’ nuclear weapons,” she said, adding that Russia is thought to have more than 1,000 in reserve.

“These would have to be taken from storage and either connected to missiles, placed in bombers, or as shell in artillery,” Lewis wrote.

Increasingly the rhetoric from Russia suggests nuclear threats are a more direct threat to NATO – not only Ukraine – and could refer to longer range, higher yield nuclear weapons.

For example in his 21 September 2022 speech, Putin accused NATO states of nuclear blackmail, referring to alleged “statements made by some high-ranking representatives of the leading NATO countries on the possibility and admissibility of using weapons of mass destruction – nuclear weapons – against Russia.”

Putin added: “In the event of a threat to the territorial integrity of our country and to defend Russia and our people, we will certainly make use of all weapon systems available to us. This is not a bluff.”

There have been no expressed nuclear weapons threats from NATO states.

NATO does rely on nuclear weapons as a form of deterrence and has recently committed to significantly strengthen its longer-term deterrence and defence posture in response to Russia’s invasion of Ukraine.

The current UK Labor government has repeatedly reiterated its commitment to British nuclear weapons – including before the July 2024 election, according to Lewis.

Therefore, she said, any movement to ready and deploy Russian nuclear weapons would be seen and monitored by US and others’ satellites, which can see through cloud cover and at night – as indeed appears to have happened in late 2022.

Lewis concluded that depending on other intelligence and analysis – and the failure of all diplomatic attempts to dissuade Russia – NATO countries may decide to intervene to prevent launch by bombing storage sites and missile deployment sites in advance.