China's largest city of Shanghai is ordering mass testing Friday on all 1.3 million residents of its downtown Yangpu district and confining them to their homes at least until results are known, the Associated Press (AP) reported. The demand is an echo of measures ordered over the summer that led to a two-month lockdown of the entire city of 25 million that devastated the local economy, prompting food shortages and rare confrontations between residents and the authorities. At the start of the lockdown, authorities said they would last just days but then kept extending the deadline. China has shown no sign of backing away from its hardline "zero-COVID" policy since a major congress of the ruling Communist Party that concluded this week by awarding authoritarian leader Xi Jinping a third five-year term in power and packed top bodies with his loyalists. Strict measures have been imposed across the country, from Shanghai in the east to Tibet far to the west, where anti-lockdown protests have also been reported. Many Chinese had hoped for a relaxation of the strict anti-COVID-19 protocols, which remain in place even while the rest of the world has opened up. China's borders remain largely closed and arrivals must undergo a 10-day quarantine at a designated space. Despite its costs, and the World Health Organization calling it unsustainable, China credits the strategy with keeping case numbers and deaths at a fraction of those in other countries, although Beijing's figures have frequently been questioned. China on Friday reported a 1,337 new cases — most of them asymptomatic — and no new deaths. Shanghai reported 11 asymptomatic cases and Tibet had one confirmed case with symptoms and five asymptomatic cases. China says it has recorded a total of 258,660 cases and 5,226 deaths since the pandemic was first detected in the central city of Wuhan in late 2019. In a sign China's tough measures will be maintained in the long term, Shanghai plans to build a permanent quarantine center on an island in the Huangpu River that divides the financial hub, according to the business magazine Caixin. The 1.6-billion-yuan ($221 million) project on Fuxing Island will expand existing facilities to create 3,009 isolation rooms and 3,250 beds, with construction expected to be completed in six months, Caixin said. China's domestically developed vaccines are considered relatively ineffective and it has refused to approve foreign brands such as Pfizer, Moderna, AstraZeneca and J&J. Still, China wants more people to get booster shots before it relaxes its restrictions. As of mid-October, 90% of Chinese were fully vaccinated and 57% had received a booster shot. China has relied on domestically developed vaccines, primarily two inactivated vaccines that have proven effective in preventing death and serious disease but less so than the Pfizer and Moderna vaccines at stopping the spread of the disease. Chinese authorities also have not mandated vaccination — entering an office building or other public places requires a negative COVID-19 test, not proof of vaccination. And the country's strict "zero-COVID" approach means that only a small proportion of the population has been infected and built immunity that way, compared to other places. As a result, it's unclear how widely COVID-19 would spread if travel warnings and quarantine mandates were lifted. Until then, a hodgepodge of regulations and restrictions will remain in place across the country of 1.4 billion. In Tibet's second-largest city of Shigatse, authorities announced that "normal living and production order" would resume from Friday. Meanwhile, authorities on Wednesday ordered the lockdown of 900,000 people in Wuhan for at least five days. In remote Qinghai province, the urban districts of Xining city have been locked down since last Friday. In Beijing, Universal Studios has closed its hotels and attractions "to comply with pandemic prevention and control." — Agencies
