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COVID-19

What needs to happen before European countries lift coronavirus restrictions?

With signs in some European countries that the coronavirus pandemic may have reached a plateau, governments are looking at how to lift lockdown restrictions on their crippled businesses and restless populations.

What needs to happen before European countries lift coronavirus restrictions?
AFP

But what are the conditions that countries should meet before they can start safely easing these strict measures and return to some kind of normalcy?

Don't act too quickly

Experts fear that governments will bow to economic and social pressure to lift their lockdowns prematurely, and warn that such a move could allow COVID-19 to return.

“Lifting the restrictions too quickly could lead to a deadly resurgence,” World Health Organization chief Tedros Adhanom Ghebreyesus has said.

Christian Brechot, Institut Pasteur president and former head of French national medical research institute INSERM, said we must be “very humble and very careful” with a virus that many nations have already underestimated.

“It's not clear with a pandemic of this scale how everything can miraculously return to normal,” Brechot told France Info radio.

European nations begin lifting

Despite such advice, in the hardest-hit continent Europe — where more than 78,000 people have died from the virus — several countries have already started partially lifting confinement measures.

Germany, which has seen new cases drop and was already less affected than some of its neighbours, appeared Monday to be moving towards lifting restrictions in stages.

Austria will allow small businesses to reopen after the Easter break, believing it has sufficiently flattened its infection curve.

Denmark will reopen daycare nurseries, kindergartens and primary schools from April 15, while the Czech Republic has already begun to gradually ease restrictions, including opening some shops.

The countries are following in the footsteps of China, which has loosened its unprecedented lockdown on the city of Wuhan, where the coronavirus emerged in December, after the strict measures appeared to have paid off.

'Very high plateau'

Elsewhere in Europe, however, there are fewer signs that restrictions will soon ease.

Britain passed the grim milestone of 10,000 deaths on the weekend while France is expected to extend its lockdown for at least several weeks.

France's national health service director Jerome Salomon said a slight decrease in intensive care admissions was a “pale ray of sunshine,” adding that “a very high plateau” seemed to be setting in.

The continent's hardest-hit countries Italy and Spain also seem to have reached such a high plateau, with their daily death rates gradually falling.

But after such a devastating period, neither country is letting down its guard — Italy has extended its confinement measures until May 3, while Spain has done the same until April 25. Ireland, Portugal and Belgium have also extended their measures.

Gradual relaxation from mid-May?

“It's not when we have arrived at a plateau that we should lift confinement measures which have helped avoid massive congestion in hospitals,” said Antoine Flahault, a specialist in public health and epidemiology at the University of Geneva.

It must only happen “when we see a decline,” he told broadcaster France 2.

Researcher Brechot said he “hopes that from mid-May we will be in a situation of deceleration” which will allow a “gradual relaxation” of restrictions.

Jean-Francois Delfraissy, who leads the coronavirus science council advising the French government, said “we are not going to go from black to white, but from black to grey, with continued confinement”.

“We can start to discuss post-confinement, but the essential and principal factor is to pursue strict confinement for several weeks.”

Three conditions

Delfraissy said there were several prerequisites for lifting confinement measures.

First, there would need to be an established decline in the number of COVID-19 cases in intensive care.

This would give exhausted health workers a badly needed respite and allow hospitals to restock equipment and supplies.

The transmission rate of COVID-19 — the number of people an infected individual infects in turn — would need to have dropped below one, compared to 3.3 people at the start of the outbreak.

And finally there would need to be a sufficient number of masks to protect the populace and tests to closely monitor the virus's spread. 

For example in France, screening capacity would need to increase from the current 30,000 tests a day to 100,000 or even 150,000 a day by the end of April, Delfraissy said.

Unknowns

Of course, these conditions are subject to much uncertainty, including the possible development an app that uses smartphones to trace the contacts of infected people.

Mobile operators have already been providing location data to health researchers in France and Germany.

Another major unknown is the effect that summer has on slowing COVID-19's spread in the northern hemisphere. 

Respiratory viruses are generally less prevalent in warmer months — flu season is in winter — but will the coronavirus be the same?

“If there is no summer brake, then it will be more complicated” to lift confinement measures, said epidemiologist Flahault.

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HEALTH

Chlamydia capital: Is Norway really the land of sexually transmitted diseases?

Norway has developed quite a reputation as the land of sexually transmitted diseases (STDs) in recent years. But is that perception fair?

Chlamydia capital: Is Norway really the land of sexually transmitted diseases?

After moving to Norway, you’ll quickly find out that the country’s reputation for high STD rates is a common topic of discussion.

Social media platforms are filled with debates and humorous takes on Norway’s STD statistics, often highlighting the country’s struggle with infections like chlamydia and gonorrhoea.

READ MORE: What you should know about dating in Norway

On the other hand, marketing campaigns have also taken notice of this reputation.

A relatively recent example involves 7-Eleven running a campaign which greeted visitors with the slogan, “Welcome to Norway! The Land of Chlamydia.”

The campaign “jokingly” advised tourists to protect themselves against the locals by purchasing condoms, a message aligned with (what seem to be) recurring annual news headlines that report record-high STD cases.

But is Norway really plagued by STDs to such an extent that it stands out in the Nordics and Europe? Or have things been blown out of proportion?

The numbers

Norway’s reputation isn’t without basis, as recent statistics and developments suggest that STD rates in the country are indeed alarming.

However, the rise in STD cases is not unique to Norway; it reflects a broader trend observed across the Nordic countries, much of Europe, and the United States.

Over the past five years, the rates of gonorrhea have more than doubled in Denmark, Norway, Sweden, Finland, and Iceland, according to NHWStat, the shared website for the Nordic Medico-Statistical Committee (NOMESCO) and the Nordic Social Statistical Committee (NOSOSCO).

Chlamydia remains the most prevalent STD in these regions.

In Norway alone, over 25,000 cases of genital chlamydia infections are diagnosed annually, primarily affecting sexually active individuals under the age of 25.

Reports indicate that the incidence rates of gonorrhoea, chlamydia, and syphilis have significantly increased, particularly among the youth.

A hookup culture?

Cultural factors contribute to this health crisis. Norway is often described as having a hookup culture rather than a traditional dating scene.

This cultural backdrop, combined with what some describe as a tendency for inconsistent condom use or general dislike of condoms, has likely contributed to the spread of STDs.

The 20-29 age group is particularly affected, with young women, and men who have sex with men, being at the highest risk.

As Marit Voltersvik, an infection control supervisor in Bergen, told broadcaster TV 2, the situation is dire in both Oslo and Bergen, with health authorities struggling to control the infection rates.

To be fair, it should be noted that some recent surveys point to an improvement when it comes to condom attitudes among young people in Norway.

‘When people consume alcohol here, they just go wild’

An international citizen who came to Norway as a student in their 20s and ended up contracting chlamydia during their student years shared their experience with The Local (under the condition of anonymity).

They said that they didn’t know Norway had a reputation for high rates of STDs at the time.

“Norway is a pretty small country, so one would think people would be a bit more careful here. And I mean local Norwegians, not foreigners. But apparently, the size (of the country) doesn’t matter,” they said.

READ MORE: How to have a fulfilling social life in Norway without breaking the bank

The Norwegian dating scene is quite laid back, and not a lot of thinking goes on about the potential risks related to STDs, our source said.

“At the time, I hooked up with fellow students from my school, co-workers from my part-time job, and Tinder, of course. Most of my one-night stands were local Norwegians, though. The girls want to have fun and don’t think about the consequences. Neither do boys,” they said.

“I think the main thing is that Norway has a lot of students. Everyone is studying something, and that creates a bit of a party environment, with good and bad things. Plus, when people consume alcohol here, they just go wild. Do things they would never do sober.”

However, they acknowledged that the responsibility goes both ways.

“The night when I got chlamydia, the Norwegian partner I was with told me they might have had something. We just ran out of condoms, but it didn’t matter at that time.”

And how did they feel about getting chlamydia and the process of treating it in Norway?

“Well, it wasn’t pleasant. I got chlamydia from one partner and had to tell three other partners to go and get tested. That was pretty embarrassing…

“Testing and treatment were pretty okay, though. One has two options: go to a student place for STD treatment or a local hospital. I tried both. They ask you a few questions, and then you leave a urine sample and/or get a genital check. That’s followed by some meds that you get,” they said.

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