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Sweden’s distinctive Covid strategy nears an end as lockdown proposed

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Sweden’s coronavirus strategy has always stood out from the crowd. That distinctive approach is now coming to an end.

The government this week proposed an emergency law that would allow it to lock down large parts of society; the first recommended use of face masks came into force; and the authorities gave schools the option to close for pupils older than 13 — all changes to its strategy to combat the pandemic.

“I don’t think Sweden stands out [from the rest of the world] very much right now,” said Jonas Ludvigsson, professor of clinical epidemiology at Karolinska Institutet in Stockholm. “Most of the things that made Sweden different have changed — either in Sweden or elsewhere.”

There has been no public abandoning of its approach — which drew huge international attention for its lack of formal lockdown and use of face masks. Instead, there has been a gradual shift in various policies as the winter Covid-19 wave has hit Sweden far harder than health officials or politicians expected.

Sweden has reported more than 2,000 Covid-19 deaths in a month and 535 in the past eight days alone. This compares with 465 for the pandemic as a whole in neighbouring Norway, which has half the population. As Sweden’s King Carl XVI Gustaf said just before Christmas: “We have failed.”

Sweden’s King Carl XVI Gustaf updates the public about coronavirus on national television © AFP via Getty Images

Public confidence in Sweden’s government and various authorities has come under strain after multiple reports of ministers — including Prime Minister Stefan Löfven who has been criticised for Christmas shopping trips — appearing to breach their own guidelines on how to behave.

Dan Eliasson, head of the civil contingencies agency, resigned this week after visiting his daughter in the Canary Islands over Christmas despite authorities sending a country-wide text message just days earlier warning against all unnecessary travel.

“It’s a problem. What’s special in this country is that they trust people. I believe that the government hasn’t understood the seriousness of this disease,” said Claudia Hanson, senior lecturer in global public health at Karolinska. Mr Ludvigsson added: “I’m afraid it decreases the compliance with recommendations.”

Karin Tegmark Wisell, head of the microbiology department at the Swedish public health agency that has set much of the country’s policy, insisted that it was “a hallmark of the strategy that when the infection rate goes up that we adapt our response”.

She added that the conduct of ministers, MPs and officials such as Mr Eliasson was a “difficult question” that could affect trust in the individuals but also spark a wider societal debate about what was accepted or not.

Nonetheless, there is little doubt that Sweden’s approach has changed subtly in recent weeks. The centre-left government in Stockholm laid out an emergency law on Monday that is due to come into force on Sunday, giving it the power to close down shops, gyms and public transport among other things if deemed necessary.

Ms Hanson said the mystery with Sweden was why the government had been so reluctant to react, largely leaving policy to the public health agency. “They could have changed the law a long time ago. All countries had to bring in new laws to deal with the pandemic,” she added.

A healthcare worker disinfects an ambulance near Stockholm © Jonathan Nackstrand/AFP via Getty Images

Swedish health authorities also long held out against the use of face masks, arguing there was little evidence they helped cut infection rates and some concern that they could lead people to relax on more important measures such as keeping distance and hand hygiene. But as of Thursday, face masks are necessary in rush hour on public transport even if there will be no sanctions for not wearing them.

Upper secondary schools for 16-19 year-olds that have been closed since early December will remain so until at least January 24. This week the public health agency gave secondary schools for 13-16 year-olds the option to close if needed — but added that the default should be to remain open.

Mr Ludvigsson said it was not one-way traffic, with much of Europe moving towards Sweden’s position on some issues, not least the importance of keeping primary schools open when many nations closed them during the first coronavirus wave. He added that most countries had also switched their goal from defeating the virus to mitigating it, which had been Sweden’s official policy throughout.

That fits with the position Anders Tegnell, Sweden’s state epidemiologist, outlined to the Financial Times last month when he argued that Sweden and Europe were coming to a unified approach. “We are doing more and more the same thing,” he said.

Far from everyone is convinced that Sweden’s distinctive approach entirely explains its vastly higher death toll to its Nordic neighbours, which have similar population density and cultures. Many in Sweden point to Belgium, which has locked down twice but has far higher per capita Covid-19 deaths.

Mr Ludvigsson said more research was needed into why some countries were worse hit by the virus: “People have explained 100 per cent of a country’s success or failure based on its policies. But I’m sure there are other underlying factors that affect how the virus took hold in some places more than others.”



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Thousands protest against French Covid health pass rules

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French politics updates

Over 200,000 people marched in cities across France on Saturday in the biggest turnout of three consecutive weekends of protests, calling for an end to what they see as draconian rules forcing them to get vaccinated against their will.

They marched down the streets of Paris, Lyon, Marseille, and elsewhere, shouting “This is a health dictatorship!” and “No vaccination, no health pass!”, in protests that included a wide range of social and political movements. 

Staunch Communists marched with supporters of the far-right Rassemblement National party and some from the gilets jaunes movement against a new law making Covid-19 vaccination compulsory for healthcare workers and requiring a health pass for anyone wanting to enter public places such as restaurants, bars and high-speed trains.

“This is an experimental vaccine, we do not know what all of the side effects will be for ourselves or our children,” said Catherine Largo, a 42-year-old dental assistant, who is legally obliged to get vaccinated before the autumn but says she will refuse to do so.

The vaccines used in France have been extensively tested around the world and approved by the European and French medical authorities.

“I won’t be able to find other work, because what else would I do?” she said, as she arrived at one of four protests taking place in Paris on Saturday afternoon. “We should have the choice, we should have the liberty to choose.”

Although the final version of the law was watered down last weekend, a vocal minority of French citizens remain up in arms about the rules which they believe infringe on their personal liberties. But despite the pockets of angry opponents, the policy has so far proved successful at boosting vaccination rates and has been met with approval from the wider public.

Over 60 per cent of people are in favour of the health pass to enter public places and 70 per cent support compulsory vaccination for caregivers, according to an Ipsos-Sopra Steria poll conducted this month.

Anti-health pass campaigner François Asselineau has tested positive for Covid-19 © AFP via Getty Images

Around 204,000 people marched on the streets of France on Saturday, up from 161,000 a week before and 114,000 the week before that, according to estimates from the interior ministry.

One protester missing this week was François Asselineau, president of the pro-Frexit Popular Republican Union party and an ardent campaigner against the health pass, who was unable to attend the march in Paris after he tested positive for Covid-19 on Friday. 

The 2022 presidential candidate said he was suffering from “body aches, fever and a cough” in a video posted on his party’s website, but told his followers that he had obtained ivermectin and hydroxychloroquine as a treatment, both controversial drugs which scientists say have no proven benefit against Covid-19.

Macron announced the extended application of the health pass in the midst of a vaccination campaign that was losing momentum while the highly infectious Delta variant was spreading fast.

So far his decision to power ahead with the hardline vaccination strategy appears to have paid off. The number of first doses being administered per day has jumped back up to more than 350,000 after stagnating around 160,000 last month, according to data from the government compiled by Covidtracker.fr. 

France has overtaken the US in the proportion of its population that is fully vaccinated — 52 per cent against 50 per cent in the US and 56 per cent in the UK, according to Our World in Data.

Only 7 per cent of people admitted to hospital with Covid-19 in France between May 31 and July 11 had been fully vaccinated, according to data released by the French government this week.



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Turkey’s marine crisis: ‘death knells are ringing for Sea of Marmara’

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For a decade, marine biologist Nur Eda Topcu has fought to preserve delicate corals off the Istanbul coastline, which environmentalists say are threatened by the dumping of industrial waste, fuel and sewage.

Now she fears a new threat may hasten the end of the Sea of Marmara’s coral reefs. A gelatinous substance colloquially known as sea snot has in recent months choked aquatic life, blighted fishing and repelled swimmers.

Long brown streaks of the marine mucilage were still visible across the Marmara in late July, while the gooey foam sank below the surface settling on the rare corals. Scientists warn that the sea, whose mix of Mediterranean and Black Sea currents foster coral usually found at far deeper depths, itself is at risk.

“The death knells are ringing for the Marmara,” said Topcu after surfacing from a recent dive to clean the slime that coated normally fuchsia-hued corals off an Istanbul archipelago. “We can’t stop the mucilage. It’s smothering the gorgonians [and] infecting them with harmful bacteria.” She fears most of Marmara’s soft, red Paramuricea clavata, listed as a vulnerable species of coral, will perish this year.

Eda Eryalçın Topçu (right), Marine biologist at Istanbul University, and Serço Ekşiyan, of the Deniz Yaşamını Koruma Derneği (Marine Life Conservation Society) during a research dive in the Marmara Sea south of Istanbul
Nur Eda Topcu, right, and Serco Eksiyan, of the Marine Life Conservation Centre, during a research dive © Bradley Secker/FT

A thick layer of marine mucilage known also as ‘sea snot’ covers the surface of the Marmara Sea
A thick layer of marine mucilage covers the surface of the sea © Bradley Secker/FT

Factories have nearly doubled the deluge of wastewater they discharge into Turkey’s seas in recent years, according to official statistics. The 50,000 tankers that sail through the Marmara each year illegally dump waste and fuel, according to one municipal monitor. Almost two-thirds of the nation’s industry, including an oil refinery, carmakers, chemical plants and power stations, is concentrated in the region.

Most wastewater from Istanbul, Turkey’s largest city, is only treated to remove solids, then pumped to the bottom of the sea. “We use it as our cesspool,” said Levent Artuz, a hydrobiologist at the Marmara Environmental Monitoring Project and author of a new book A Recent History of the Polluting of the Sea of Marmara.

The situation was not helped by the fact that sea temperatures had climbed by an average two degrees Celsius in the Marmara since the start of this century as pollution trapped heat, he said. A state project that diverted the Ergene River, one of Europe’s most toxic waterways, to the Marmara last year was “the tipping point”.

“The essential problem isn’t mucilage. That’s just a link in the chain of decades of degradation,” Artuz said. “We have zero chance of recovering the Sea of Marmara as it was. What we have to do now is figure out how to prevent the Marmara from harming us.”

Sea snot and pollution can be seen in the Marmara Sea
Long brown streaks of the marine mucilage seen across the Marmara Sea in late July © Bradley Secker/FT

The borders of the Marmara Sea, which has been heavily affected by the ‘sea snot’
Scientists and fishermen say the current flare-up is unprecedented © Bradley Secker/FT

In recent years, marine life has died in mass mortality events, and there have been infestations of jellyfish and algal blooms such as red tides and mucilage.

But scientists and fishermen say the current flare-up is unprecedented. Phytoplankton is flourishing because of nutrient-rich sewage and fertiliser from agricultural runoff while overfishing has wiped out populations of small fish and crustaceans that would consume the algae.

Gone are the mackerel, tuna, swordfish and other seafood that Istanbul was known for. This year’s haul was down 90 per cent from 2020 as mucilage clogged and dragged off nets, said Erdogan Kartal, the head of Istanbul’s fishing co-operative. “Even if we could supply fish markets, customers aren’t buying out of disgust.”

Recep Tayyip Erdogan, Turkey’s president, has vowed to crack down on polluters and “save our seas from this scourge of mucilage”. Thousands of cubic metres of the sea snot had been vacuumed up, the country’s environment minister said. In early July, he pronounced the Marmara “cleaner and bluer” than before.

Turkey is the only G20 country that has not ratified the Paris accords on climate change, and grassroots movements to protect the environment are often viewed as provocateurs by the government.

Authorities have refused to register a new Green party eager to fight climate change. Scientists also say that a planned shipping canal from the Black Sea to the Marmara could deplete oxygen in the Marmara and promote hydrogen sulphur gas that would envelop Istanbul with the stench of rotten eggs. Erdogan’s transportation minister argues that the cleaner water coming through from the Black Sea would improve the quality of the Marmara.

Along the way, there have been successes for Topcu and members of Istanbul’s Marine Life Conservation Society (MLCS). They secured protected status for the tiny outcrop of Neandros this April, stopping boats from dropping anchors or trawling for fish near its corals. They spent two summers transplanting fan-like yellow sea whips to Neandros after a nearby colony of the golden Eunicella cavolini was buried in debris from a government construction project.

“We carried them like a heart or kidney for transplant, keeping them in cold water and in the dark to prevent shock,” said Serco Eskiyan of the MLCS. It took more than 100 dives to harvest and replant 300 corals 30 metres down.

Eda Eryalçın Topçu (left), Marine biologist at Istanbul University, preparing her equipment prior to a research dive next to Tavsan Adasi
Topcu, left, prepares her research equipment before diving in the Sea of Marmara © Bradley Secker/FT

Eda Eryalçın Topçu, Marine biologist at Istanbul University, shows a photo from a research dive next to Tavsan Adasi, in the Marmara Sea south of Istanbul, after repeatedly applying good bacteria to the coral, to combat the ‘sea snot’ which continues to kill the sea bed ecosystem
A photo from a dive. Sea snot continues to kill the seabed ecosystem, clogging corals © Bradley Secker/FT

But Eskiyan, who has dived the waters off the islands since the 1970s and knows the area “like the rooms in my house”, was unable to locate the transplants in July, blinded by the sea snot that reduced visibility to a metre or two. “It looks like a different planet,” said Topcu.

A generation ago, the Marmara’s rich fauna included seahorses, poisonous scorpionfish and great white sharks, now all gone, though Eskiyan still occasionally confronts a rare angular roughshark when he hunts for “ghost nets” abandoned by industrial fishing boats that choke the corals. The MLCS has collected 32,000 square metres of the meshing since 2015.

“I have faith in the sea’s ability to renew itself from the damage people do. But now I question how much longer it can fight back,” Topcu said.



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Ransomware attacks rise despite US call for clampdown on cybercriminals

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Ransomware updates

In mid-June, US president Joe Biden held talks with his Russian counterpart Vladimir Putin to discuss a recent scourge of cyber attacks against the US, including by Russian-based criminal ransomware hackers. 

Biden has said he told Putin in no uncertain terms that “certain critical infrastructure should be off limits to cyber attack — period”. Nevertheless, data show that ransomware attacks continue apace, including in sectors such as healthcare and education. It is unclear whether Biden will take further action in light of this. 

Ransomware, which usually involves hackers seizing an organisation’s data or computer systems and only releasing access if a ransom is paid, has long plagued businesses large and small. The first known ransomware virus, PC Cyborg, was recorded in 1989, with victims infected via floppy disk and told to send a $189 cheque to an address in Panama.

Today, these financially motivated hacks are far more sophisticated — and are proliferating fast. Attacks have quadrupled during the pandemic, SonicWall data show, partly because the shift to remote working has left staff more vulnerable than if they were connecting to more secure corporate networks. 

Chart showing that ransomware attempts reached an unprecedented level in 2021

Additionally, hackers have swapped demanding cheques for requesting hard-to-track cryptocurrencies, meaning that as the price of bitcoin has risen during the past year, the business of ransomware has become all the more lucrative. It is also easier to launch attacks with little to no technical knowhow, given the growing market for “ransomware-as-a-service”, where hackers maintain their ransomware code but rent it out to others and take a cut of any extortion payouts. 

While known attacks have reached unprecedented levels, the story of what we do not know — given that there are few rules around disclosure — may be far worse. Earlier this week, Bryan Vorndran, assistant director of the FBI Cyber Division and other cyber agency officials called for mandatory reporting rules around attacks, so that accurate data can be gathered and analysed by the US government.

Chart showing the median size of companies targeted by ransomware (number of employees)

Small businesses with little spare resources have tended to be the hardest hit by ransomware attackers. But the matter was thrust into the spotlight earlier this year after several audacious attacks on critical infrastructure such as the Colonial Pipeline, which led to fuel shortages for several days on the US east coast, the Irish health system and Brazilian meat supplier JBS. All of these attacks were believed to originate from Russia-based ransomware hackers, although the US government has accused Chinese state-backed groups of also orchestrating attacks.

The number of ransomware gangs stretches into the dozens and continues to proliferate as the economics remain so profitable. Vorndran said the FBI tracked 100 gangs, using an algorithm to rank them and the effect that each has on the economy. The largest one rakes in an estimated $200m a year in revenues, he said.

Chart showing that ransomware demands can often be negotiated down

To help victims fight the gangs, a cottage industry for “ransomware negotiators” has emerged. These middlemen are tasked by victims with haggling down the ransom payments. As go-betweens, they also collect data on attacks, learning the playbooks of various groups in order to best know how to speak to them. 

According to data from Coveware, the average ransom payment has fallen in the second quarter to $136,576, from more than $200,000 in the first quarter, amid an emergence of smaller ransomware groups. But in the majority of attacks — about 80 per cent — hackers are using the newer tactic of threatening to leak data as extra leverage in extorting victims. About half of these “leak threat” victims paid out in the second quarter, Coveware said.

Chart showing publically reported ransomware attacks on US healthcare, public, state or local government and schools, by month

Unfortunately, the negotiators’ services continue to be in high demand. According to data on reported attacks collated by Recorded Future, in the US there have been 10 attacks on healthcare, nine on schools and 10 on public state and local government groups during June and July this year. Despite Biden urging Putin last month to crack down on the criminal groups and warning against attacks on 16 critical entities, attacks on many of these key sectors have continued.

“The volume of targeted attacks on government organisations and enterprises that impact civilians, countries and the global economy will not end without a change in approach,” said Bill Conner, the chief executive of SonicWall.



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