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Dagestan: Coronavirus hotspot raises questions about the number of Russian Covid-19s

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Russian President Vladimir Putin holds a videoconference meeting with representatives from Dagestan.

More than two decades later, remote mountainous regions present a new challenge for the President of Russia, when the Covid-19 outbreak raised new questions about how Russia counts infections and deaths from the corona virus.

As of Tuesday, Dagestan had confirmed 3,553 Covid-19 cases and 32 deaths, ranked fifth out of 85 territories in official Russian federal statistics. But in an Instagram interview Sunday with a local journalist, the head of the republic’s health ministry gave a far higher number than Moscow, saying the total number of people infected with the corona and pneumonia virus that people got in Dagestan exceeds 13,000, with 657 people killed.

Asked by journalist Ruslan Kurbanov to explain why Covid-19 and pneumonia cases were counted separately, the health official, Dzhamaludin Gadzhiibragimov, replied that pneumonia patients were treated as if they had a virus, but not all cases were thought to originate from coronavirus due to lack of testing.

“Basically, the same [treatment] the methodology is used for both, “he said.” But because we don’t have laboratory test confirmations, statistics are being compiled in that way. “

As in other countries, frontline health workers in the region are the most vulnerable to deadly outbreaks. Between 40 and 50 health workers have died in Dagestan since the beginning of the pandemic, according to estimates from Gadzhiibragimov and head of the region’s mufti. Dagestan has a population of around 3 million people. According to the Russian health ministry, the region has 635 ICU beds and ventilators.

Doctors in the region have complained last week on social media about the lack of protective equipment, and some hospitals do not yet have room to care for their staff. A video of a nurse linked to an IV in a storage room in the city of Derbent went viral in early May.

Civil rights activist Ziyautdin Uvaisov, who is chairman of Patient Monitor, a non-profit organization that collects money to buy protective equipment for Dagestan doctors, told CNN that the health care system in the region is in very bad shape.

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“We have been talking about it since 2017 but unfortunately there is a habit of sweeping everything under the rug,” Uvaisov said.

He added that most doctors in his organization interacted by saying about half of their colleagues were sick because there was no one to replace them when the hospital ward overflowed.

Dagestan’s dire situation has put the republic in the spotlight of Russia’s top officials. On Monday, Putin took the unusual step of leading a special government session with Dagestan leaders.

“The situation in Dagestan is difficult and demands immediate action,” Putin said in a video conference, which ordered the military to build a 200-bed hospital to help ease a crowded emergency room.

Much of the Russian government’s response to the pandemic has been hampered by bureaucracy and mismanagement of regional funds. In poorer regions such as Dagestan, where the average monthly wage is twice as low as national, according to the Russian state statistics agency, dragging feet like that is one of the main reasons behind the severe outbreak.

The additional payment promised by Putin to compensate for the difficulties of front-line work is another complaint for health professionals.

“We have been working since the beginning of the pandemic and we are faithfully doing our job – now many of our colleagues [confined] inside a medical institution, fighting for their lives, “a paramedic from the city of Buinaksk in Dagestan said in a video posted by a local outlet.

“Only a few of us are left at the forefront. We have 151 employees, but only 41 receive payment. The others don’t get anything.”

Similar videos and open letters has appeared in at least 20 of 85 Russian regions in the past week, according to CNN calculations. In public outrage, health workers complained that they did not receive any additional payment or get a small portion of it, calculated on the basis of hours and even minutes spent working directly with Covid-19 patients.

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“If the government’s decision is initially declared clear, understandable, transparent and easy to control the principles and ways to bring this presidential payment [to health workers] “to work in special conditions, there will be fewer questions for the head doctors who work from morning to night, and to the governor as well,” Putin said on Tuesday.

The federal government changed the relevant regulations, removed the bureaucratic loophole which resulted in some doctors receiving less than 50 cents of additional salary, and promised to facilitate all payments that should be.

In a special meeting held by Putin on Monday, officials acknowledged the situation in Dagestan was more serious than reflected in official statistics. Russian Health Minister Mikhail Murashko said that 7,000 people had been hospitalized. In a video conference on Monday, Republican Head Mufti Ahmad Abdulaev told Putin many Covid-19 deaths were not recorded because people died in their homes without ever being taken to the hospital and buried according to local traditions – and without an autopsy that could confirm the cause of death.

Vladimir Vasilyev, head of the republic, linked the level of infection in part with the Dagestan tradition, which involved mass gatherings to mark important events such as weddings and funerals as well as unwillingness to delay Friday prayers in the early stages of the outbreak. He also discussed the difference in numbers between pneumonia and coronavirus.

“We are not hiding anything,” Vasilyev said, citing high respiratory-related mortality rates in 2018 and 2019, before coronavirus. “But here it is [is] it’s not so easy to distinguish the two. “

In mid-April, the streets of the regional capital Makhachkala were still busy with people. The independent outlet of Meduza was explained in a report last week how a wedding of 500 people in one of the small towns of Dagestan became one of the first coronavirus hotspots at the end of March. However, some Dagestani refute speculation that their tradition is one of the causes of increasing infections; Uvaisov, a local activist, cited mistrust of the local authorities and the health care system because it prompted some to ignore warnings.

The Kremlin has promised to help Dagestan with additional resources to help him fight the pandemic, including more test kits because the republic is still testing at a daily rate twice the recommended, according to federal health and welfare agency Rospotrebnadzor. The agency’s head, Anna Popova, told Putin that Dagestan maintained “a very fragile balance,” because the authorities were worried that the Eid holiday and mass Muslim celebrations could trigger a new outbreak.

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Victims of Russia’s overall coronavirus virus remain low with 2,837 deaths reported on Tuesday and the death rate is 7.4 lower than the global average, according to Deputy Prime Minister Tatiana Golikova. The method of calculating the country has been investigated by observers who show that deaths are often ascribed to other causes.

Russian demographers and epidemiologists hope that national statistics for all-cause deaths in April, which are expected to be released by authorities in late May, will help to get a clearer picture of the number of pandemic victims in Russia – both for deaths from coronavirus that may missed and for people who cannot get medical help for other conditions because the hospital is overwhelmed.

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Who is Paulo Bento, the Portuguese coach from South Korea who coached Cruzeiro?

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The coach commanded the Portuguese national team at the 2014 World Cup in Brazil and left the South Korean national team after being eliminated in Qatar.

Portuguese coach Paulo Bento qualified South Korea for the playoffs of the World Cup, something the team had not achieved since 2010, when the South Korean team reached the 1/8 finals of this championship. But 4-1 rout against Brazil as a result, shortened the path of the Asian team, as well as put an end to the work of Paulo Sousa in the national team.

Paulo Bento started his career as a coach with the youth team of Sporting Clube Portugal in 2004. At the club, he commanded the youth team for two seasons, winning the junior national tournament in his first year. Incidentally, the coach took over the first team shortly after he announced his retirement as a player.

Given his prominence in the youth categories, Paulo was chosen to replace José Peseiro, who was eliminated in European competition, in the professional team of Sporting CP for the 2005 season./2006.

Professionally, Bento was runner-up for four seasons in a row in the Portuguese Championship. Despite this, the coach won two Portuguese Cups and two Candido de Oliveira Super Cups. On November 6, 2009, the coach resigned.

Having distinguished himself at Sporting, Paulo Bento was announced as Portugal’s coach on 21 September 2010 after the World Cup in South Africa, where the then-champion Spain was selected in the round of 16.

Gettyimages

In qualifying, the coach managed to show good results in the first games, plus, of course, take Portugal to the semi-finals of Euro 2012, taking off from Spain on penalties. Having stood out in competitions, the coach extended the contract until Euro 2016.

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However, after losing to Albania in qualifying for Euro 2016, the coach could not resist and was fired in September 2014. The unsuccessful campaign at the World Cup of the same year in Brazil also affected.

After the Portugal national team, Paulo Bento returned to Brazil in May 2016, but this time to coach the Cruzeiro club. With a contract until December 2017, the coach made his debut in the second round of the Brasileirão the same year.

Paulo Bento Cruzeiro Brazilian Championship in Sao Paulo 05062016Washington Alves/Light Press/Cruzeiro

However, Bento only lasted 17 matches in power with six wins, three draws and eight losses, leaving the team in second-to-last place in the tournament.

On 11 August 2016, the coach was announced as the new commander of Olympiacos, Greece, where he remained until 6 March 2017, winning the Greek title. Following this, Paulo Bento was announced as Chongqing Dangdai of China leading the team for only 15 matches.

20221124 Paulo BentoGetty Images

On August 16, 2018, Paulo Bento was announced as the new coach of South Korea following the departure of Shin Tae-yong, who lost in the group stage of the 2018 World Cup.

As part of the South Korean national team, the coach has 55 wins, 12 draws and eight losses, having won the East Asian Cup title and classified the team at the 2022 World Cup in Qatar. After being knocked out against Brazil in the 1/8 finals, the Portuguese announced his retirement from the national team.

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Pioli ‘pulls’ Leao by the ears and says the Portuguese ‘must make a dash’

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Pioli 'pulls' Leao by the ears and says the Portuguese 'must make a dash'

FROMTefano Pioli, Milan coach, gave an interview on the Italian radio program Sky Calcio Club on Sunday in which he talked about Rafael Leao’s participation in the 2022 Mundial, a test in which the Portuguese striker was a replacement for Fernando Santos. ‘, indicating that he has been talking to his player over the past few days.

“If we talk? They have an obligation to call me at the end of the game. He is happy because Portugal is doing well. It is clear that he would like to play more. I can take advantage of this for a contract extension,” said Pioli, who also spoke about the Portuguese’s renewal process.

“He is fine with us and management and Rafael are talking. We are waiting for good news,” the Transalpine coach fired.

Looking at his player’s short playing time at this 2022 World Cup, Pioli admitted that Rafael Leau would like to have more playing time for the national team, but hinted that the Portuguese striker is not unhappy.

“If he plays a little? It’s hard to judge because Portugal has a very high quality team. Rafael is happy because Portugal is having a good World Cup, but there is a lot of quality and competitiveness in the attacking sector of the Portuguese team. “, – stressed the coach of the Italian, who also left a small warning to Rafael Leau.

“When you see him in training, you immediately understand that he has incredible potential. He has technique and speed that few others have. Over the course of a period, he had to develop and adapt to the reality at Milan, where the pressure is different from what he is. he was in Lille. It took time, but his potential to become a great player was always there. But he still needs to make the leap to become a champion because he can be even more decisive in the opponent’s zone,” he stressed.

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“If you think about Rafael from two years ago, he has made tremendous progress. He’s missing a few things, but he’s smart and approachable. I can give him all the ideas he wants, but his talent must be left free. should improve his heading, given his physique,” he concluded.

Read also: Spaniards say Carlo Ancelotti is “in love” with Rafael Leao

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Portugal, nuts and the Portuguese consumer: a successful trilogy

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Portugal, nuts and the Portuguese consumer: a successful trilogy

Nuts have become part of a limited group of Portuguese agri-food sectors that manage to achieve much-desired food self-sufficiency. In the case of almonds it is 170% and in the case of chestnuts it is 116% in relation to the national consumption.

The value of Portuguese agricultural production in 2021 was 9.6 billion euros, representing a growth rate of 14.6% compared to 2020, and therefore it is fair to say that dried fruits today, with a production of 80,000 tons and exports reaching 100 million euros contributed. to this success.

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