Singapore—Singapore has approved the use of the anti-viral drug remdesivir to treat seriously ill coronavirus patients, authorities said Wednesday, becoming the latest country to do so.
The United States authorized the emergency use of remdesivir in hospitals at the start of May, followed by Japan and South Korea, while Europe has been considering following suit.
It has been granted conditional approval in Singapore for treatment of some adult virus patients, such as those who require intensive breathing support, the country’s health products regulator said.
The regulator, the Health Sciences Authority, said it had “expedited the review of remdesivir given the urgent public health need during the COVID-19 pandemic”.
As a condition for the approval, the authority requires US-based Gilead Sciences, which developed the drug, to collect safety data and monitor its use.
Singapore initially kept the virus in check with a strict regime of testing and contact tracing, only for serious outbreaks to emerge later in dormitories housing low-paid foreign workers.
The city-state now has the highest recorded number of infections in Southeast Asia with nearly 39,000 cases, mostly among foreign workers. The death toll stands at 25.
This developed as the World Bank warned Tuesday global economic growth could rebound next year — but the number of people living in extreme poverty is expected to remain unchanged after a huge surge this year due to the coronavirus pandemic.
The projection came after the Washington-based development lender said Monday the pandemic could drive between 70 and 100 million people into extreme poverty in 2020 as the global economy faces its worst recession in 80 years.
Before the pandemic, extreme poverty — defined as living on $1.90 (P95) per day — had been decreasing.
The bank expects growth to rebound by 4 percent in 2021.
But the countries with the highest shares of the world’s extremely poor are not projected to grow faster than their population, meaning that extreme poverty will remain at the elevated 2020 levels through 2021.
“Nigeria, India and the Democratic Republic of Congo — 3 countries which we project are home to more than a third of the world’s poor — are predicted to have per-capita growth rates in real GDP of –0.8 percent, 2.1 percent, and 0.3 percent, respectively,” the World Bank said in a blog.
“With population growth rates of 2.6 percent, 1.0 percent, and 3.1 percent, this is hardly enough for sustainable decreases in the poverty headcount.”
The bank warned “South Asia may see a larger increase in the number of poor as a result of COVID-19,” particularly in India. Of the 176 million people expected to be pushed below the $3.20 per day poverty line, two-thirds are in South Asia.
Elsewhere, Europe’s most powerful countries urged the European Union to better prepare for the next pandemic after chaotic responses to the coronavirus, as Moscow emerged from lockdown despite Russia still being in the grip of a surging epidemic.
There should be a “common European approach” to challenges like COVID-19 in future, leaders including French President Emmanuel Macron and German Chancellor Angela Merkel wrote in a letter and policy paper to the European Union’s top official.
Europe has been the hardest-hit continent with nearly 185,000 people killed, and the leaders said a lack of coordination had left nations short of crucial medical equipment when the coronavirus arrived.
Worldwide, COVID-19 deaths have passed 407,000, with more than seven million infections.
The United States recorded 819 deaths in the past 24 hours, bringing its own grisly toll to more than 111,000 out of 1.9 million cases — leaving it the country hardest hit by the pandemic in terms of both the number of fatalities and the number of cases.
And the crisis continued to escalate in Latin America, which by late Tuesday had almost 1.4 million cases and nearly 70,000 deaths.
Brazil’s health ministry cited figures late Tuesday indicating the death toll had risen by 1,272 to over 38,400 killed by the virus — the third highest toll in the world after the US and Britain.
Far-right President Jair Bolsonaro’s government had stopped publishing the total number of virus deaths on Friday, saying it was adopting new methodology.
However, the government was forced into a U-turn by a Supreme Court ruling on Monday that it must return to the old format, which government critics said is more transparent.
On Tuesday Peru, second only to Brazil as the region’s worst-hit country, announced it had passed 200,000 cases of the virus, adding more than 4,000 cases in a single day.
In Nicaragua, at least eight public health doctors were sacked for criticizing the lack of a serious response to the crisis from the government of President Daniel Ortega, an independent medical body said.
Nicaragua has been criticized for an almost complete absence of measures to contain the virus.
Despite Europe’s dire record, most countries on the continent continued to exit their punishing lockdowns on Tuesday, with Cyprus welcoming its first tourist flights in almost three months and French officials announcing the Eiffel Tower will reopen on June 25.
Residents of the Moscow flocked to parks after officials lifted restrictions in place since March 30, even though 8,595 new cases were registered in Russia on Tuesday and the death toll passed 6,000.
“It’s nice out and there are a lot of people on the streets,” said marketing manager Olga Ivanova, walking in the Russian capital. “It’s a beautiful day, in every sense of the word.”
Russia has the third-highest number of confirmed infections in the world after the United States and Brazil, but officials say this is due to a huge testing campaign and point to a relatively low mortality rate.
However, critics say the death rate is being under-reported and accuse officials of rushing to lift restrictions for political reasons.
In further signs that a new normal is taking hold in Europe, officials in Spain said mask-wearing in public would be compulsory until an effective treatment or vaccine can be found.
Britain, which on Tuesday announced its death toll had passed 50,000, has imposed a two-week quarantine for anyone coming into the country, British nationals included.
The World Health Organization has warned that complacency is the biggest threat in countries where the pandemic seems to have abated.
Globally, it does not appear to be abating at all: the WHO said a record number of new coronavirus cases were recorded worldwide on Monday, the majority of them in South Asia and the Americas.
Underlining the warning, deaths, and infections continue to climb sharply in India even as the government lifted some curbs after a 10-week lockdown.
Authorities in the capital Delhi warned on Tuesday that cases in the city could shoot up almost 20 times to more than 500,000 in the coming weeks.
The disease emerged in China late last year before sweeping the globe, subjecting billions to some form of lockdown that paralysed economies.
Those restrictions prevented 3.1 million deaths in 11 European countries alone, according to an Imperial College London study published on Monday.