Globally, reported COVID-19 cases continue to double every five days, with today over
600 cases confirmed in Korea and over 130 in Italy.
The situation now appears to be much worse than South Korea in Iran, with reporting today of a rapid increase in deaths, with
Iran's Health Ministry confirming 8 deaths. This, together with the 2 cases identified in Canada and Lebanon that were recent travellers to Iran suggests that the 43 cases they have confirmed are just the tip of a large iceberg.
The irreconcilable Iran numbers suggest that Iran is having great trouble in just locating active cases, let alone tracing contacts. Also uninspiring is
Iran's response to the increase in deaths. Supreme leader Ayatollah Khamenei denounced "negative propaganda", and the government warned of punishment for "fake clips" on social media. In contrast to the denouncements, schools have been closed in 14 provinces from today and the Mayor of Tehran has foreshadowed quarantining the city of case numbers rise. In response, Turkey, Pakistan, and Afghanistan have all
closed their borders to Iran.
Afghanistan today reported three suspected cases in Herat, which lies close to the Iranian border. All three recently returned from Qom, the pilgrimage centre from where the Iran outbreak is believed to have spread. The challenges of dealing with an outbreak there are as nightmarish as you could imagine.
On the Africa front, a recent study in the Lancet looked at travel between each province of China and each country in Africa, factoring in case rates by province, the African destinations of travellers from China, and a couple of indicators of countries' ability to respond to epidemics. Among their conclusions...
Egypt, Algeria, South Africa, Ethiopia, and Nigeria [are] estimated to be at highest risk [of importation of cases]... Flight bans implemented by some African airline companies serving China might alter future risk through a different repartition of the flow of travel; however, these bans are not expected to prevent importations. Not all connections between Africa and China have been cut—the main transporters continue to fly between the two (eg, Ethiopian Airlines, the largest carrier in Africa, operating almost half of the flights from Africa to China, together with all Chinese airline companies, and others). Previous and current evidence indicates that realistic travel restrictions would have a limited effect in containing the epidemic and would delay the risk that the outbreak extends to new countries by only a few weeks.
Various updates to countries' entry restrictions in the
Timatic COVID-19 page. More countries have restricted travel from Hong Kong, Taiwan and Macao particularly in the Pacific. Israel and Bahrain have restricted travellers from Thailand and Singapore (Bahrain has also stopped travellers from Iran and Korea). The most restrictive award goes to the Comoros Islands, which is not accepting travellers from any Country with confirmed cases, which would include Australia.