chinas provinces should start building temporary covid 19 hospitals authorities - China's provinces should start building temporary Covid-19 hospitals: Authorities

BEIJING (BLOOMBERG) – China’s provinces should set up at least two to three temporary hospitals each to treat Covid-19 patients, Beijing said Tuesday (March 22), a potential sign the country is anticipating an increase in cases as it battles an Omicron outbreak and ponders how to exit its isolationist virus strategy.

The order from the National Health Commission came after China updated its Covid-19 treatment guidelines last week to reserve actual hospitals for those with severe Covid-19 conditions.

Patients with mild or no symptoms will now be sent to the makeshift facilities to isolate so as to avoid overwhelming the medical system.

China still isolates all cases, regardless of severity, as part of its Covid Zero policy – an approach that has kept deaths low but is now being challenged as more contagious variants emerge and the rest of the world opens up.

The country has 31 provinces and territories, meaning at least 62 temporary sites could be constructed, a mammoth undertaking.

Some 33 makeshift hospitals have already been built, or are currently under construction, providing 35,000 beds, Jiao Yahui, an official with National Health Commission, said at a briefing Tuesday.

Local governments are required to come up with plans to ensure the facilities can be put to use within two days when needed.

China first started building temporary facilities at the start of the pandemic, when they famously constructed two makeshift hospitals in the original epicentre, Wuhan, in 10 days.

The hospitals are typically made with prefab-style buildings that in some cases resemble shipping containers, and thousands of workers are brought in to construct them quickly.

In Wuhan, they were key to the eventual containment of the outbreak there, stifling community transmission by removing the source. Around 95 per cent of the cases in China’s current outbreak have mild symptoms or are asymptomatic, which would mean significant pressure on the under-resourced permanent medical system if cases were to swell.

The country of 1.4 billion saw 4,594 new locally-acquired infections on Tuesday, low by global standards but the most significant outbreak China has seen since the Wuhan days.

China would see a “colossal outbreak” with as many as 630,000 new infections a day if it were to remove restrictions like border curbs, compulsory quarantines and mandatory isolation of cases, like countries from the US to Singapore have done, modelling by Peking University in November showed.

China should stick to the zero-tolerance approach, with not “one iota of relaxation” said Professor Liang Wannian, a seasoned epidemiologist who has overseen China’s Covid response since the beginning of the pandemic and was recently sent to Hong Kong to guide efforts to contain its worst ever outbreak.

The remarks, made to the state-run Xinhua news agency, came as Hong Kong moves to ease some incoming travel curbs and laid out a timeline for relaxing internal social-distancing rules.