The World Health Organisation has asked China for more detailed information about an outbreak of a respiratory illness and reported clusters of undiagnosed pneumonia in children.
Since mid-October, the WHO said northern China had reported an increase in influenza-like illnesses compared with the same period in the previous three years.
In recent days, local media in cities such as Xian in the northwest have posted videos online of hospitals crowded with parents and children waiting to be seen by medics.
The WHO has responded by making an official request to China for additional information as well as laboratory results from the reported outbreaks among children.
In the meantime it has recommended Chinese communities take preventative measures including getting vaccinated, wearing masks, keeping a distance from sick people, staying at home when ill and regular hand-washing.
Chinese authorities have attributed the spike to a cold snap – and to the lifting of COVID-19 restrictions and the circulation of known pathogens including respiratory syncytial virus (RSV) and influenza – as well as common bacterial infections that affect children, including mycoplasma pneumonia.
As temperatures plummeted in the Chinese capital of Beijing, located in the north of the country, the city “entered a high incidence season of respiratory infectious diseases”, Wang Quanyi, deputy director and chief epidemiological expert at the Beijing Center for Disease Control and Prevention, told state media on Wednesday.
The city “is currently showing a trend of multiple pathogens coexisting”, he added.
Hospitals ‘overwhelmed with sick children’
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On Wednesday, the WHO said groups including the Programme for Monitoring Emerging Diseases reported clusters of undiagnosed pneumonia in children in northern China.
The alert, based on a report by Taiwanese outlet FTV News, said children’s hospitals in Beijing and Liaoning, 500 miles apart, were “overwhelmed with sick children”.
“Many, many are hospitalised,” Mr Wei, a Beijing citizen, told FTV News. “They don’t cough and have no symptoms. They just have a high temperature (fever) and many develop pulmonary nodules.”
The WHO said it was unclear if these cases were associated with an overall increase in respiratory infections previously reported by Chinese authorities – or separate events.
The WHO said it received data from the Chinese Center for Disease Control and Prevention and the Beijing Children’s Hospital which indicated an “increase in outpatient consultations and hospital admissions of children due to mycoplasma pneumoniae pneumonia” since May.
The agency continued: “Some of these increases are earlier in the season than historically experienced, but not unexpected given the lifting of COVID-19 restrictions, as similarly experienced in other countries.
“No changes in the disease presentation were reported by the Chinese health authorities. Chinese authorities advised that there has been no detection of any unusual or novel pathogens or unusual clinical presentations, including in Beijing and Liaoning, but only the aforementioned general increase in respiratory illnesses due to multiple known pathogens.
“They further stated that the rise in respiratory illness has not resulted in patient loads exceeding hospital capacities.”
The WHO has also asked for further information about trends in the circulation of known pathogens and the burden on healthcare systems. It said it is in contact with clinicians and scientists.
The WHO’s office in China on Thursday described the action as a “routine” check.
An increase in incidence of respiratory disease was first disclosed during a news conference last week by Chinese officials from the National Health Commission.
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Jan 2021: Sky team stopped from investigating COVID origins
Both China and the WHO have previously faced questions about the transparency of reporting on the earliest COVID cases.
Three years on from when the cases were first detected in the central Chinese city of Wuhan in the latter months of 2019 – there is still debate about the origins of the coronavirus outbreak.
Hamas has said it has “submitted its positive response” to the latest proposal for a ceasefire in Gaza to mediators.
The proposal for a 60-day ceasefire was presented by US President Donald Trump, who has been pushing hard for a deal to end the fighting in Gaza, with Israeli Prime Minister Benjamin Netanyahu set to visit the White House next week to discuss a deal.
Mr Trump said Israel had agreed to his proposed ceasefire terms, and he urged Hamas to accept the deal as well.
Hamas’ “positive” response to the proposal had slightly different wording on three issues around humanitarian aid, the status of the Israeli Defence Forces inside Gaza and the language around guarantees beyond the 60-day ceasefire, a source with knowledge of the negotiations revealed.
But the source told Sky News: “Things are looking good.”
Image: A woman cries after her son was killed while on his way to an aid distribution centre. Pic: AP/Jehad Alshrafi
Hamas said it is “fully prepared to immediately enter into a round of negotiations regarding the mechanism for implementing this framework” without elaborating on what needed to be worked out in the proposal’s implementation.
The US said during the ceasefire it would “work with all parties to end the war”.
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A Hamas official said on condition of anonymity that the truce could start as early as next week.
Image: An Israeli army tank advances in the Gaza Strip, as seen from southern Israel. Pic: AP/Leo Correa
But he added that talks were needed first to establish how many Palestinian prisoners would be released in return for each freed Israeli hostage and to specify the amount of humanitarian aid that will be allowed to enter Gaza during the ceasefire.
He said negotiations on a permanent ceasefire and the full withdrawal of Israeli troops from Gaza in return for the release of the remaining hostages would start on the first day of the truce.
Hamas has been seeking guarantees that the 60-day ceasefire would lead to a total end to the nearly 21-month-old war, which caused previous rounds of negotiations to fail as Mr Netanyahu has insisted that Israel would continue fighting in Gaza to ensure the destruction of Hamas.
The Hamas official said that Mr Trump has guaranteed that the ceasefire will extend beyond 60 days if necessary to reach a peace deal, but there is no confirmation from the US of such a guarantee.
Speaking to journalists on Air Force One, Mr Trump welcomed Hamas’s “positive spirit” to the proposal, adding that there could be a ceasefire deal by next week.
Image: Palestinians dispersing away from tear gas fired at an aid distribution site in Gaza. Pic: AP
Image: A girl mourns the loss of her father, who was killed while heading to an aid distribution hub. Pic: AP/Jehad Alshrafi
Hamas also said it wants more aid to flow through the United Nations and other humanitarian agencies, which comes as the UN human rights officer said it recorded 613 Palestinians killed in Gaza within a month while trying to obtain aid.
Most of them were said to have been killed while trying to reach food distribution points by the controversial US- and Israeli-backed Gaza Humanitarian Foundation (GHF).
The spokeswoman for the UN human rights office, Ravina Shamdasani, said the agency was not able to attribute responsibility for the killings, but added that “it is clear that the Israeli military has shelled and shot at Palestinians trying to reach the distribution points” operated by GHF.
Image: Palestinians carry aid packages near the GHF distribution centre in Khan Younis. Pic: AP/Abdel Kareem Hana
Ms Shamdasani said that of the total tallied, 509 killings were “GHF-related”, meaning at or near its distribution sites.
The GHF accused the UN of taking its casualty figures “directly from the Hamas-controlled Gaza health ministry” and of trying “to falsely smear our effort”, which echoed statements to Sky News by the executive director of GHF, Johnnie Moore.
Since that phone call, Dr Bahbah has been living temporarily in Qatar where he is in direct contact with officials from Hamas. He has emerged as an important back-channel American negotiator. But how?
An inauguration party
I first met Dr Bahbah in January. It was the eve of President Trump’s inauguration and a group of Arab-Americans had thrown a party at a swanky restaurant in Washington DC’s Wharf district.
There was a sense of excitement. Arab-Americans were crediting themselves for having helped Trump over the line in the key swing state of Michigan.
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Image: Dr Bahbah negotiating with Hamas for the release of Edan Alexander
Despite traditionally being aligned with the Democrats, Arab-Americans had abandoned Joe Biden in large numbers because of his handling of the Gaza war.
I’d reported from Michigan weeks earlier and been struck by the overwhelming support for Trump. The vibe essentially was ‘it can’t get any worse – we may as well give Trump a shot’.
Mingling among diplomats from Middle Eastern countries, wealthy business owners and even the president of FIFA, I was introduced to an unassuming man in his late 60s.
We got talking and shared stories of his birthplace and my adopted home for a few years – Jerusalem.
Image: Dr Bahbah and Trump
He told me that he still has the deed to his family’s 68 dunum (16 acre) Palestinian orchard.
With nostalgia, he explained how he still had his family’s UN food card which shows their allocated monthly rations from their time living in a refugee camp and in the Jerusalem’s old city.
Dr Bahnah left Jerusalem in 1976. He is now a US citizen but told me Jerusalem would always be home.
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Will Trump achieve a Gaza ceasefire?
He echoed the views I had heard in Michigan, where he had spent many months campaigning as the president of Arab-Americans for Trump.
He dismissed my scepticism that Trump would be any better than Biden for the Palestinians.
We exchanged numbers and agreed to meet for lunch a few weeks later.
A connection with Trump
Dr Bahbah invited two Arab-American friends to our lunch. Over burgers and coke, a block from the White House, we discussed their hopes for Gaza under Trump.
The three men repeated what I had heard on the campaign trail – that things couldn’t get any worse for the Palestinians than they were under Biden.
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Gaza deaths increase when aid sites open
Trump, they said, would use his pragmatism and transactional nature to create opportunities.
Dr Bahbah displayed to me his own initiative too. He revealed that he got a message to the Palestinian Authority President, Mahmoud Abbas, to suggest he ought to write a personal letter of congratulations to President Trump.
A letter from Ramallah was on the Oval Office desk on 6 November, a day after the election. It’s the sort of gesture Trump notices.
It was clear to me that the campaigning efforts and continued support of these three wealthy men had been recognised by the Trump administration.
They had become close to key figures in Trump’s team – connections that would, in time, pay off.
There were tensions along the way. When Trump announced he would “own Gaza”, Dr Bahbah was disillusioned.
“Arab-Americans for Trump firmly rejects President Donald J Trump’s suggestion to remove – voluntarily or forcibly – Palestinians in Gaza to Egypt and Jordan,” he said.
Image: Letter from Abbas to Trump. Pic: Bishara Bahbah
He then changed the name of his alliance, dropping Trump. It became Arab-Americans for Peace.
I wondered if the wheels were coming off this unlikely alliance.
Was he realising Trump couldn’t or wouldn’t solve the Palestinian issue? But Dr Bahbah maintained faith in the new president.
“I am worried, but at the same time, Trump might be testing the waters to determine what is acceptable…,” he told me in late February as the war dragged on.
“There is no alternative to the two-state solution.”
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He told me that he expected the president and his team to work on the rebuilding of Gaza and work to launch a process that would culminate in the establishment of a Palestinian state, side by side in peace with Israel.
It was, and remains, an expectation at odds with the Trump administration’s official policy.
The phone call
In late April, Dr Bahbah’s phone rang. The man at the other end of the line was Dr Ghazi Hamad, a senior member of Hamas.
Dr Bahbah and Dr Hamad had never met – they did not know each other.
But Hamas had identified Dr Bahbah as the Palestinian-American with the most influence in Trump’s administration.
Dr Hamad suggested that they could work together – to secure the release of all the hostages in return for a permanent ceasefire.
Hamas was already using the Qatari government as a conduit to the Americans but Dr Bahbah represented a second channel through which they hoped they could convince President Trump to increase pressure on Israel.
There is a thread of history which runs through this story. It was the widow of former Palestinian leader Yasser Arafat who passed Dr Bahbah’s number to Dr Hamad.
In the 1990s, Dr Bahbah was part of a Palestinian delegation to the multilateral peace talks.
He became close to Arafat but he had no experience of a negotiation as delicate and intractable as this.
The first step was to build trust. Dr Bahbah contacted Steve Witkoff, Trump’s Middle East envoy.
Witkoff and Bahbah had something in common – one a real-estate mogul, the other an academic, neither had any experience in diplomacy. It represented the perfect manifestation of Trump’s ‘outside the box’ methods.
But Witkoff was sceptical of Dr Bahbah’s proposal at first. Could he really have any success at securing agreement between Israel and Hamas? A gesture to build trust was necessary.
Bahbah claims he told his new Hamas contact that they needed to prove to the Trump administration that they were serious about negotiating.
Within weeks a remarkable moment more than convinced Dr Bahbah and Witkoff that this new Hamas back-channel could be vitally important.
We were told at the time that his release was a result of a direct deal between Hamas and the US.
Israel was not involved and the deal was described by Hamas as a “good faith” gesture. Dr Bahbah sees it as his deal.
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Doctors on the frontline
Direct talks took place between Dr Bahbah and five Hamas officials in Doha who would then convey messages back to at least 17 other Hamas leadership figures in both Gaza and Cairo.
Dr Bahbah in turn conveyed Hamas messages back to Witkoff who was not directly involved in the Hamas talks.
A Qatari source told me that Dr Bahbah was “very involved” in the negotiations.
But publicly, the White House has sought to downplay his role, with an official telling Axios in May that “he was involved but tangentially”.
The Israeli government was unaware of his involvement until their own spies discovered the backchannel discussion about the release of Alexander.
Since that April phone call, Dr Bahbah has remained in the Qatari capital, with trips to Cairo, trying to help secure a final agreement.
He is taking no payment from anyone for his work.
As he told me when we first met back in January: “If I can do something to help to end this war and secure a future for the Palestinian people, I will.”
It is one of the most notorious and secret places in Iran.
Somewhere foreign journalists are never allowed to visit or film. The prison where dissidents and critics of Iran’s government disappear – some never to be seen again.
But we went there today, invited by Iranian authorities eager to show the damage done there by Israel.
Evin Prison was hit by Israeli airstrikes the day before a ceasefire ended a 12-day war with Iran. The damage is much greater than thought at the time.
We walked through what’s left of its gates, now a mass of rubble and twisted metal, among just a handful of foreign news media allowed in.
A few hundred yards in, we were shown a building Iranians say was the prison’s hospital.
Behind iron bars, every one of the building’s windows had been blown in. Medical equipment and hospital beds had been ripped apart and shredded.
Image: Debris scattered across what Iran says was the prison hospital
It felt eerie being somewhere normally shut off to the outside world.
On the hill above us, untouched by the airstrikes, the buildings where inmates are incarcerated in reportedly horrific conditions, ominous watch towers silhouetted against the sky.
Evin felt rundown and neglected. There was something ineffably sad and oppressive about the atmosphere as we wandered through the compound.
The Iranians had their reasons to bring us here. The authorities say at least 71 people were killed in the air strikes, some of them inmates, but also visiting family members.
Image: Authorities say this building was the visitor centre
Iran says this is evidence that Israel was not just targeting military or nuclear sites but civilian locations too.
But the press visit highlighted the prison’s notoriety too.
Iran’s critics and human rights groups say Evin is synonymous with the brutal oppression of political prisoners and opponents, and its practice of hostage diplomacy too.
British dual nationals, including Nazanin Zaghari-Ratcliffe were held here for years before being released in 2022 in exchange for concessions from the UK.
Image: Inmates are held in building on a hill above, which has been untouched by airstrikes
Interviewed about the Israeli airstrikes at the time, Ms Zaghari-Ratcliffe showed only characteristic empathy with her former fellow inmates. Trapped in their cells, she said they must have been terrified.
The Israelis have not fully explained why they put Evin on their target list, but on the same day, the Israeli military said it was “attacking regime targets and government repression bodies in the heart of Tehran”.
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The locus of their strikes were the prison’s two entrances. If they were trying to enable a jailbreak, they failed. No one is reported to have escaped, several inmates are thought to have died.
The breaches the Israeli missiles made in the jail’s perimeter are being closed again quickly. We filmed as a team of masons worked to shut off the outside world again, brick by brick.