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Doctors in China have described the chaos unfolding within hospitals as COVID-19 infections sweep the country.

Three health care professionals spoke anonymously to Sky News, painting a picture of emergency departments “packed” with patients, “ventilators and oxygen machines everywhere” and “not enough IV beds”.

Strict zero-COVID restrictions were lifted just three weeks ago in China and the virus has been spreading rapidly.

But assessing the scale of the impact is difficult because accurate case and death numbers are not being released and speaking out comes with huge risk.

Despite this, some doctors have spoken exclusively to Sky News and described just how much pressure the system is under.

One doctor in the northern city of Shenyang explained how “our emergency room (ER) is packed with patients, dozens of times busier than usual”.

“It is not easy for the elderly to get admitted” they said.

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“There aren’t enough ambulances. Ventilators and oxygen machines are everywhere in the ER.

“There are not enough IV beds. Before we had a doctor-patient ratio of 1:4 or 1:5, now it’s more like 1:10.”

They also described the high mortality rate being seen, contrary to the official numbers which state that just a tiny handful of people have died from the virus in the last few months.

A death from COVID in China is so narrowly defined that on a typical day the authorities will announce just one, two, three or even no deaths.

This is despite the fact an estimated 250 million people (18% of the population) have been infected with COVID in December alone, according to information leaked by sources close to the government.

What the doctor describes clearly disputes the official figures.

“This wave of COVID is lethal for the elderly, especially with underlying diseases and dysfunctions such as high blood pressure, diabetes and heart conditions,” the doctor said.

“For every 10 elderly patients with severe conditions admitted to the ER, around 50% die.”

A worker cleans up inside an ambulance outside an emergency department of a hospital, amid the coronavirus disease (COVID-19) outbreak, in Chengdu, Sichuan province, China December 27, 2022. REUTERS/Tingshu Wang
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Doctors told Sky News there have not been enough ambulances or hospital beds available

‘One person must stay on duty for days’

Another doctor in Beijing spoke about the huge pressures on hospital staff with so many patients arriving and many doctors and nurses also falling sick.

“There are not enough staff in the department as all the nurses have tested positive for COVID-19. Now one person must stay on duty for several days,” the doctor said.

“The majority, if not all, patients for follow-up visits and consultations either have COVID or have recovered from COVID.”

Read more:
China to issue tourist passports in move away from COVID rules

A third doctor spoke of extremely long waits for patients to be seen.

China announced on 7 December it would move to “optimise” its COVID response and has since dismantled almost all the rules and infrastructure that supported it, including removing quarantine and testing rules for international arrivals.

But it has left the 1.4 billion population exposed as there is limited herd immunity and large proportions of the elderly who are not fully vaccinated.

In addition, the healthcare system is under-resourced with not enough intensive care beds.

While the spread in Beijing is predicted to have peaked, it is expected that the countrywide peak will not come for another month or so and there are concerns about how smaller regional towns will cope.

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Israel receives hostage’s remains – as Turkey issues arrest warrants for 36 officials involved in the war

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Israel receives hostage's remains - as Turkey issues arrest warrants for 36 officials involved in the war

Israeli troops in Gaza have received the remains of another hostage.

They have now been taken to the National Institute for Forensic Medicine to be examined.

If it is confirmed that they belong to a hostage, this would mean there are five bodies left to be returned under the terms of a ceasefire that began on 10 October.

Israel has also released the bodies of 285 Palestinians – but this identification process is harder because DNA labs are not allowed in Gaza.

Last night’s transfer is a sign of progress in the fragile truce, but some of the remains handed over in recent weeks have not belonged to any of the missing hostages.

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October: Heavy machinery enters Gaza to clear rubble

At times, Israel has accused Hamas of violating the agreement – however, US President Donald Trump has previously acknowledged conditions on the ground in Gaza are difficult.

Meanwhile, UN officials have warned the levels of humanitarian aid flowing into the territory fall well short of what Palestinians require.

Deputy spokesperson Farhan Haqq said more than 200,000 metric tons of aid is positioned to move in – but only 37,000 tons has arrived so far.

Earlier on Friday, hundreds of mourners attended the military funeral of an Israeli-American soldier whose body was returned on Sunday.

Omer Neutra was an Israeli-American soldier. Pic: AP
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Omer Neutra was an Israeli-American soldier. Pic: AP

Captain Omer Neutra was 21 when he was killed by Hamas militants who then took his body into Gaza following the October 7th attacks.

Admiral Brad Cooper, who heads up US Central Command, said during the service: “He is the son of two nations.

“He embodied the best of both the United States and Israel. Uniquely, he has firmly cemented his place in history as the hero of two countries.”

His mother Orna addressed her son’s coffin – and said: “We are all left with the vast space between who you were to us and to the world in your life and what you were yet to become. And with the mission to fill that gap with the light and goodness that you are.”

Read more world news:
Controversial DNA pioneer dies
Trump marks year since election

IDF troops carry the coffin of hostage Omer Neutra. Pic: AP
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IDF troops carry the coffin of hostage Omer Neutra. Pic: AP

In other developments, Turkish prosecutors have issued arrest warrants for Prime Minister Benjamin Netanyahu and 36 other Israeli officials on charges of carrying out “genocide” in Gaza.

They have been accused of crimes against humanity – but the move is highly symbolic since these officials were unlikely to enter Turkey.

Foreign minister Gideon Saar dismissed the warrants, and said: “Israel firmly rejects, with contempt, the latest PR stunt by the tyrant Erdogan.”

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Putin’s right-hand man made him look weak – it may have cost him his seat at Kremlin’s top table

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Putin's right-hand man made him look weak - it may have cost him his seat at Kremlin's top table

In Soviet times, Western observers would scrutinise video footage of state occasions, like military parades on Red Square, to try to learn more about Kremlin hierarchy.

Who was positioned closest to the leader? What did the body language say? Which officials were in and out of favour?

In some ways, not much has changed.

The footage present-day Kremlinologists are currently pouring over is from Wednesday’s landmark meeting of Russia’s Security Council, in which Vladimir Putin told his top officials to start drafting proposals for a possible nuclear weapons test.

It was an important moment. Not one you’d expect a trusted lieutenant to miss. But Sergei Lavrov, Russia’s veteran foreign minister, was conspicuously absent – the only permanent member of the Council not present.

According to the Russian business daily, Kommersant, his absence was “coordinated”.

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US President Donald Trump meets with Russia's President Vladimir Putin in Alaska. Pic: AP
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US President Donald Trump meets with Russia’s President Vladimir Putin in Alaska. Pic: AP

Sergey Lavrov and Marco Rubio in Alaska. Pic: AP
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Sergey Lavrov and Marco Rubio in Alaska. Pic: AP

That episode alone would have been enough to raise eyebrows.

But coupled with the selection of a more junior official to lead the Russian delegation at the upcoming G20 summit (a role Lavrov has filled in recent years) – well, that’s when questions get asked, namely: Has Moscow’s top diplomat been sidelined?

The question has grown loud enough to force the Kremlin into a denial, but it’s done little to quell speculation that Lavrov has fallen out of favour.

Russian foreign minister Sergei Lavrov. File pic: Reuters
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Russian foreign minister Sergei Lavrov. File pic: Reuters

Rumours of a rift have been mounting since Donald Trump called off a planned summit with Putin in Budapest last month, following a phone call between Lavrov and US secretary of state Marco Rubio.

According to the Financial Times, it was Lavrov’s uncompromising stance that prompted the White House to put the summit on ice.

Conversations I had with diplomatic sources here at the time revealed a belief that Lavrov had either dropped the ball or gone off-script. Whether it was by accident or by design, his diplomacy (or lack of it) torpedoed the summit and seemingly set back a US-Russia rapprochement.

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September: Anyone downing aircraft in Russian airspace will ‘regret it’

That would’ve angered Putin, who is keen to engage with Washington, not only on Ukraine but on other issues, like nuclear arms control.

More importantly, perhaps, it made the Russian president appear weak – unable to control his foreign minister. And Putin is not a man who likes to be undermined.

Football fans will be familiar with Sir Alex Ferguson’s golden rule of management: Never let a player grow bigger than the club. Putin operates in a similar fashion. Loyalty is valued extremely highly.

Lavrov meets with his Iranian counterpart Mohammad Javad Zarif in 2015. Pic: Reuters
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Lavrov meets with his Iranian counterpart Mohammad Javad Zarif in 2015. Pic: Reuters

North Korea's Kim Jong Un and Lavrov meet in Pyongyang in 2023. Pic: AP
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North Korea’s Kim Jong Un and Lavrov meet in Pyongyang in 2023. Pic: AP

Lavrov and Chinese counterpart Wang Yi meet in Indonesia in 2022. Pic: Reuters
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Lavrov and Chinese counterpart Wang Yi meet in Indonesia in 2022. Pic: Reuters

If Lavrov has indeed been sidelined, it would be a very significant moment indeed. The 75-year-old has been the face of Russian diplomacy for more than two decades and effectively Putin’s right-hand man for most of the Kremlin leader’s rule.

Known for his abrasive style and acerbic putdowns, Lavrov has also been a vociferous cheerleader for Russia’s invasion of Ukraine.

At the Putin-Trump summit in Alaska, he arrived wearing a jumper emblazoned with the initials “CCCP”, the Russian letters for USSR. The apparent message: Ukraine still belongs to Moscow.

And in the melee that immediately followed the presidents’ press statements at the summit, I remember racing over to Lavrov as he was leaving and yelling a question to him through the line of security guards.

He didn’t even turn. Instead, he just shouted back: “Who are you?”

It was typical of a diplomatic heavyweight, who’s known for not pulling his punches. But has that uncompromising approach finally taken its toll?

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COP’s potential for change limited not by who turned up, but by the elephants not in the room

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COP's potential for change limited not by who turned up, but by the elephants not in the room

The COP climate summit in Belem opened with a diplomatic double-whammy.

The Prince of Wales and Sir Keir Starmer reaffirmed the UK’s commitment to fighting climate change and urged the rest of the world to do so, too.

But as the tropical rain beat down on the tarpaulin roof of this temporary summit venue, it’s hard not to feel the air going out of the process.

The Prince of Wales is passionate about fighting climate change. Pic: Reuters
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The Prince of Wales is passionate about fighting climate change. Pic: Reuters

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COP30: India’s climate refugees

Sir Keir and Prince William’s presence doesn’t make up for the geopolitical weight of the elephants not in the room.

The leaders of China, the US and India – the world’s three largest contributors to climate change – are no-shows.

Donald Trump’s highly-publicised decision to withdraw America from the UN climate talks is a blow.

Before Mr Trump, America – the world’s largest economy, largest oil and gas producer, and major market for renewable energy – had serious deal-making power here.

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Having formally withdrawn, there is no US delegation.

And, as far as I can tell, any US broadcasters either, so for Americans, this meeting may as well not be happening at all.

Pic: Reuters
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Pic: Reuters

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Cop out: Is net zero dead?

Without the US, things will be harder.

But does that mean the process is doomed?

The leaders of China and India may be absent but they’ve sent high-level delegations.

Read more on COP 30:
Is net zero dead?

Why is COP 30 controversial?

China is represented by vice-premier Ding Xuexiang, the country’s most high-ranking politician after President Xi himself.

And, while China and India might not be big on eco-messaging, between them they are busy driving the most rapid shift away from fossil fuels towards wind, solar and nuclear power the world has ever seen.

What’s more, the real work at these summits isn’t done by heads of state, but experienced sherpas, some of whom have trodden the nylon carpeted corridors of COP for 30 years.

The Prince of Wales with Prime Minister Keir Starmer. Pic: PA
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The Prince of Wales with Prime Minister Keir Starmer. Pic: PA

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Prince takes a tumble on Brazil beach

It’s reasonable to ask what they’ve achieved in all that time.

The commitments of the Paris agreement of a decade ago have been missed by a wide margin.

The world is about to blow past 1.5 degrees of warming and almost certainly exceed two degrees as well.

But when the Paris deal was signed, the trajectory was for four degrees of warming.

There are good COPs and bad COPs, but the world is undoubtedly a safer place now than it would have been without them.

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