Hong Kong Rolls Out COVID Vaccine Passport, Paves Way For Mainland Doctors

HONG KONG — 

Hong Kong rolled out vaccine passports on Thursday requiring people aged 12 and above to have at least one COVID-19 jab, and paved the way for mainland China manpower to help bring a worsening outbreak under control.

Residents will have to show their vaccine record to access venues including supermarkets, shopping malls and restaurants, a major inconvenience in a city where malls link train stations to residences and office buildings.

Separately, city leader Carrie Lam used emergency powers granted under British colonial-era laws to exempt mainland Chinese staff and projects from any licensing or other legal requirements to operate in Hong Kong.

City authorities have asked their mainland Chinese counterparts for help to build additional isolation, treatment and testing facilities, and boost the workforce as Hong Kong’s health system is increasingly overwhelmed.

“Hong Kong’s healthcare system, manpower, anti-epidemic facilities and resources … will soon be insufficient to handle the huge number of newly confirmed cases detected every day,” the government said in a statement.

On Wednesday, Hong Kong reported a record 8,674 new COVID-19 infections as the global financial hub prepares for compulsory testing of its 7.4 million people – part of its “dynamic zero COVID” strategy similar to mainland China.

Allowing mainland doctors to practice in Hong Kong has been a controversial issue in the global financial hub, which for decades had some of the toughest licensing standards as a way to preserve excellence in its public health system.

The city last year passed a law allowing overseas-trained doctors to practice without taking a local licensing exam, in a move contested by many local doctors.

Hong Kong’s medical front lines have been weakened sharply by the latest outbreak, with some 1,200 medical staff infected as of Wednesday.

Authorities also tightened restrictions from Thursday in a city that already has some of the most stringent rules in the world. Residents will have to wear masks for all outdoor exercise and will not be allowed to remove them to eat or drink on public transport.

With bars, gyms and other businesses already closed and shopping malls deserted while many residents work from home, the government said on Tuesday schools would break early for summer and resume the new year in August.

Many in the city are growing fatigued with the situation, as most other major cities learn to live with the virus.

As the urgency grows, construction work has started on a facility on Lantau Island to build about 10,000 isolation units, while private hospitals will take in patients from public hospitals.

With the city’s testing, treatment and isolation capacity already stretched to the maximum, University of Hong Kong researchers predicted new infections could peak at 180,000 a day next month.

Race Excluded as White House Rolls Out Climate Justice Screening Tool

The Biden administration has released a screening tool to help identify disadvantaged communities long plagued by environmental hazards, but it won’t include race as a factor in deciding where to devote resources.

Administration officials told reporters Friday that excluding race will make projects less likely to draw legal challenges and will be easier to defend, even as they acknowledged that race has been a major factor in terms of who experiences environmental injustice.

The decision was harshly challenged by members of the environmental justice community.

“It’s a major disappointment and it’s a major flaw in trying to identify those communities that have been hit hardest by pollution,” said Robert Bullard, a professor of urban planning and environmental policy at Texas Southern University in Houston and a member of the White House Environmental Justice Advisory Council.

President Joe Biden has made combating climate change a priority of his administration and pledged in a sweeping executive order to “deliver environmental justice in communities all across America.” The order, signed his first week in office, sets a goal that the 40% of overall benefits from climate and environment investments would go to disadvantaged communities. The tool is a key component for carrying out that so-called Justice40 Initiative.

Brenda Mallory, chair of the White House’s Council on Environmental Quality, said the tool will help direct federal investments in climate, clean energy and environmental improvements to communities “that have been left out and left behind for far too long.”

Catherine Coleman Flowers, a member of the advisory council who served on a working group that gave the Biden administration recommendations for the tool, said she agrees with the move to exclude race as an indicator.

She said that this tool is a good start that hopefully will improve with time and that it’s better than creating a tool that includes race as a factor and then gets struck down by the Supreme Court. She said, “race is a factor, but race isn’t the only factor.”

“Being marginalized in other ways is a factor,” she said.

The screening tool uses 21 factors, including air pollution, health outcomes and economic status, to identify communities that are most vulnerable to environmental and economic injustice.

But the omission of race as a factor goes against a deep body of scientific research showing that race is the greatest determinant of who experiences environmental harm, environmental justice experts pointed out.

“This was a political decision,” said Sacoby Wilson, associate professor at the University of Maryland School of Public Health. “This was not a scientific decision or a data-driven decision.” Wilson has studied the distribution of environmental pollutants and helped develop mapping tools like the one the Council on Environmental Quality released Friday.

This isn’t the first such tool to exist in the United States, or even in the federal government. California, Maryland, Michigan and New Jersey have had tools like this for years. And the Environmental Protection Agency has a similar tool, EJ Screen. Many of those screening tools include some information about the racial makeup of communities along with environmental and health data.

The public has 60 days to use the tool and provide feedback on it. The Council on Environmental Quality also announced Friday that the National Academies of Sciences, Engineering and Medicine are working on launching a study of existing tools.