Tested positive for COVID-19? Here’s what happens next – and why day 5 is crucial


Julian Elliott, Monash University

With cases of COVID-19 on the rise, many Australians are asking: what happens if I test positive? With no known cure and no vaccine, what are my treatment options?

Finding trusted answers amid the widespread coverage of questionable claims and dubious data on unproven treatments is not easy. The good news is there are clear guidelines and growing evidence on treatments that can have a dramatic effect on COVID-19.

Here’s a snapshot of how this knowledge and guidance is likely to apply to you, if you have mild, moderate or severe COVID-19.




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Testing positive and isolating at home

If you test positive, you must self-isolate at home. Your local public health service will contact you with advice and information about how long you’ll need to do so.

If you are like most people with COVID-19, you won’t need to go to a clinic or hospital, and can safely self-manage the illness at home. Even so, it’s important to connect with an appropriate health-care service (either by contacting a dedicated COVID-19 service or by calling your GP) for an initial assessment and continuing contact throughout your illness.

Initially, you may experience flu-like symptoms such as cough, sore throat, fever, aches, pains and headache. You might temporarily lose your sense of smell and taste; less common symptoms include nausea, vomiting and diarrhoea. Whatever your symptoms, you’ll need plenty of rest, fluids and paracetamol for aches, pains or fever.

Take particular note of how you’re feeling from day five onwards, as this is the time some people begin to deteriorate significantly. Around 20% of people fall into this category, with older people and those with pre-existing health conditions more likely to require hospitalisation. Watch out for intense fatigue, difficulty breathing or an overall deterioration in how you’re feeling.

If your symptoms worsen, you’ll need to contact your care provider, or if your symptoms are very serious (such as difficulty breathing), call 000 and ask for an ambulance, and don’t forget to tell them you have COVID-19.

What if things get worse still?

If you are taken to hospital, doctors will measure your oxygen levels and perform a chest X-ray and blood tests to determine whether you have pneumonia (infection in the lungs, which is a sign of moderate or severe COVID-19). If pneumonia, low oxygen levels or other signs of severe infection are detected, you’ll need to stay in hospital and will probably be given oxygen.

If this is the case, you’ll also be given a strong anti-inflammatory medicine called dexamethasone. This is a widely used, low-cost drug that was recently found to reduce the risk of dying from COVID-19 (by 15% for people on oxygen and by about a third for people on a ventilator). However, for people who are not on oxygen, dexamethasone may increase the risk of death — probably because inflammation is not such a big factor at that stage of disease — and the side-effects of dexamethasone would outweigh any potential benefit to those patients.




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For moderate or severe cases, doctors may also consider a newer antiviral medicine called remdesivir. Originally developed to treat Ebola, this drug has recently been shown to reduce the time to recover from more severe forms of COVID-19 — but not to reduce the risk of dying from the disease.




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If you become even more unwell, these treatments will continue but you may need more support for breathing, such as high-flow oxygen or a ventilator, and will likely be cared for in an intensive care unit.

Recovery

Your recovery depends on many factors, including your previous health and fitness, and how sick you became with COVID-19. The recovery phase is not yet fully understood, but we do know some people suffer prolonged symptoms, including fatigue, breathlessness, and joint and chest pains.




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As scientists continue to grapple with the complexities of understanding and treating this virus, we will have more questions than answers for some time yet.

Fortunately, Australia moved quickly at the start of the crisis to establish a National COVID-19 Clinical Evidence Taskforce. A collaboration of 29 peak national health organisations, the taskforce works around the clock to rapidly identify, evaluate and summarise global COVID-19 research findings. Each week, guideline panels with more than 200 experts use this evidence to review and update national “living guidelines” to inform consistent, high-quality patient care around the country.

This pace of updating rigorous, trustworthy guidelines weekly is a world first. Whatever the global headlines or social media outrage of the day, Australian health workers will continue to have a single, accessible source of consistent, evidence-based guidance in a time of great uncertainty.The Conversation

Julian Elliott, Executive Director, National COVID-19 Clinical Evidence Taskforce, and Associate Professor, School of Public Health and Preventive Medicine, Monash University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Do I need a referral for a COVID-19 test? What happens if you test positive? Your coronavirus questions answered


Trent Yarwood, The University of Queensland

As COVID-19 cases surge in Victoria and NSW, authorities have again urged anyone with symptoms, including cough, fever, or sore throat, to get tested. Most results should be available within a few days and people should self-isolate while they’re awaiting results.

Victorian Premier Daniel Andrews said today Victoria recorded 275 new COVID-19 cases. Mask-wearing whenever outside the home will be mandatory for residents of metropolitan Melbourne and Mitchell Shire from Wednesday at 11:59pm.

NSW Premier Gladys Berejiklian said there were 20 new cases in NSW today, and urged residents to avoid crowded places, consider wearing a mask when physical distancing wasn’t possible, and minimise any non-essential travel.

Here are the most important things to know about testing.




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Do I need a referral to get a COVID-19 test?

For the vast majority of people, no — you don’t need a referral to get tested at dedicated public COVID-19 testing clinic.

However, you will need a pathology request form if you plan to get tested at a private pathology clinic.

COVID-19-testing clinics in NSW are listed here, and Victorian testing sites (including pop-up clinics) are listed here. The Victorian Department of Health and Human Services says on it website:

Please call ahead before visiting a testing site, unless you choose to be tested at a pop-up testing site.

Testing locations are listed on each state or territory’s health departments, including for Queensland, Western Australia, South Australia, Northern Territory and the Australian Capital Territory.

Start by seeing if there is a pop-up drive-through or walk-through clinic near you. Some public sector fever clinics have a booking system to reduce wait times but many of the pop-up testing drive-through sites will allow you just to show up in your car.

Do not walk unannounced into a private pathology clinic, hospital emergency department or into your GP’s surgery.

If you can’t get to a dedicated public COVID-19 testing clinic, call your GP and ask for a telehealth consult. The GP can organise a pathology request form to be sent electronically to a private pathology clinic and will advise you on how to get tested there.

While you’re waiting for your test results, it’s important to stay at home in case you are infectious.




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What happens if I test positive?

You will be notified if you’ve tested positive to COVID-19. If you were tested at a private clinic, you may receive a call from your GP who ordered the test, or from the public health team.

If you were tested at a public testing site like a drive-through clinic, a state government public health official will contact you. They will usually do the contact tracing at the same time.

Their job is to find out about anyone else you may have given the virus to while you’ve been infectious. They will usually ask where you’ve been and who you’ve seen in the last few days before you became ill.

There are national guidelines for management of coronavirus, but how they are implement is usually a state decision. Generally, the facility where you got the test will tell you how long you need to isolate for.

It’s important to ask as many questions as possible when you’re informed of your result.


The Conversation, CC BY-ND

How can I get tested? Is there a blood test?

Most tests will usually be done by a swab around the back of the throat and the nose. Some sites will either just swab your throat, or just your nose, but the gold standard at the moment is to swab both.

There’s also a new saliva test, which tests a sample you spit into a small container. It’s used in limited circumstances where it’s not possible to take a nasal swab, such as with young children resisting a swab.

The problem is saliva seems to have less of the virus in it than sputum (which is collected from the back of the nose and throat), so a saliva test result may not be as reliable.

There are currently two types of blood tests. One is an antibody test, which can measure whether you’ve already had the virus and recovered. But it’s not very useful because health authorities are more concerned about finding out who has the virus now, so they can do contact tracing.

Researchers from Monash University announced recently they’ve able to detect positive COVID-19 cases using blood samples in about 20 minutes, and identify whether someone has contracted the virus.

However, it’s very new research and likely won’t be rolled out on a large scale very soon. The researchers said last week they’re seeking commercial and government support to upscale production.

Despite problems with new types of tests, in a pandemic it’s important to research and trial novel testing methods that can help us fight the virus.

The most important thing you can do to help stop the spread is to try to maintain physical distancing as much as you can. Wash your hands frequently, and if you develop any symptoms — even very minor ones — err on the side of getting tested.




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The Conversation


Trent Yarwood, Infectious Diseases Physician, Senior Lecturer, James Cook University and, The University of Queensland

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Church in China to Risk Worshipping in Park


Evicted from one site and denied others, unregistered congregation resorts to open air.

LOS ANGELES, April 7 (CDN) — One of the largest unregistered Protestant churches in Beijing plans to risk arrest by worshipping in the open air this Sunday (April 10) after eviction from the restaurant where they have met for the past year.

The owner of the Old Story Club restaurant issued repeated requests for the Shouwang Church to find another worship venue, and authorities have pressured other prospective landlords to close their facilities to the 1,000-member congregation, sources said. Unwilling to subject themselves to the controls and restrictions of the official Three-Self Patriotic Movement (TSPM), the congregation has held three services each Sunday in the restaurant for more than a year.

Church members have said they are not opposed to the government and are not politically active, but they fear authorities could find their open-air worship threatening.

“Normal” (state-sanctioned) religious assembly outdoors is legal in China, and even unregistered church activity is usually tolerated if no more than 50 people gather, especially if the people are related and can cite the gathering as a family get-together, said a source in China who requested anonymity. Although the congregation technically risks arrest as an unregistered church, the primary danger is being viewed as politically active, the source said.

“For a larger group of Christians to meet in any ‘unregistered’ location led by an ‘unregistered’ leader is illegal,” he said. “The sensitivity of meeting in a park is not being illegal, but being so highly visible. Being ‘visible’ ends up giving an impression of being a political ‘protest.’”

The congregation believes China’s Department of Religious Affairs has overstepped its jurisdiction in issuing regulations limiting unregistered church activity, according to a statement church leaders issued this week.

“Out of respect for both the Chinese Constitution [whose Article 36 stipulates freedom of worship] and Christian conscience, we cannot actively endorse and submit to the regulations which bid us to cease all Sunday worship activities outside of [the] ‘Three-Self Patriotic Movement’ – the only state-sanctioned church,” according to the statement. “Of course, we still must follow the teachings of the Bible, which is for everyone to submit to and respect the governing authorities. We are willing to submit to the regulations with passivity and all the while shoulder all the consequences which . . . continuing to worship outside of what is sanctioned by these regulations will bring us.”

The church decided to resort to open-air worship after a prospective landlord backed out of a contractual agreement to allow the congregation to meet at the Xihua Business Hotel, the church said in its statement.

“They had signed another rental contract with another property facility and announced during the March 22 service that they were to move in two weeks,” the source said. “In spite of the fact that they had signed a formal contract, the new landlord suddenly called them on March 22 and refused to let them use the facility.”

The landlord offered various excuses for reneging on the contract, according to church leaders, and that disappointment came after 15 months of trying to obtain the key to another property the church had purchased.

“The space in Daheng New Epoch Technology building, which the church had spent over 27.5 million RMB [US$4.2 million] to purchase, has failed to hand the key over to the church for the past year and three months because of government intervention,” the church said in its statement. “For the past year, our church has not had a settled meeting place.”

Beginning as a house church in 1993, the Shouwang Church has been evicted from several rented locations. It also met outside after its last displacement in 2009. The congregation does not believe its calling is to split up into smaller units.

“For the past several years the church has been given a vision from God to be ‘the city on a hill,’” the source said. “Especially since 2009, when they officially began the church building purchase, they have been trying to become a more officially established status. At this point, they feel that they have not completed the journey in obedience to God.”

The number of Protestant house church Christians is estimated at between 45 and 60 million, according to Yu Jianrong, a professor at the Chinese Academy of Social Sciences Rural Development Institute. Yu and others have concluded that house churches are a positive influence on society, but the government is wary of such influence.

Yu estimated another 18 to 30 million people attend government-approved churches – potentially putting the number of Christians higher than that of Communist Party members, which number around 74 million.

The government-commissioned study by Yu and associates suggested that officials should seek to integrate house churches and no longer regard them as enemies of the state. The study employed a combination of interviews, field surveys and policy reviews to gather information on house churches in several provinces from October 2007 to November 2008.

Yu’s team found that most house or “family” churches fit into one of three broad categories: traditional house churches, open house churches or urban emerging churches. Traditional house churches were generally smaller, family-based churches, meeting in relative secrecy. Though not a Christian himself, Yu attended some of these meetings and noted that the focus was not on democracy or human rights but rather on spiritual life and community.

The “open” house churches were less secretive and had more members, sometimes advertising their services and holding public gatherings, he found. Urban emerging churches functioned openly but independently of TSPM churches. In some provinces such as Wenzhou, these churches had constructed their own buildings and operated without interference from local officials.

While some house churches actively seek registration with authorities to avoid arrests and harassment, they would like the option of registering outside the government-approved TSPM structure, as they disagree with TSPM beliefs and controls. Many unregistered evangelical Protestant groups refuse to register with TSPM due to theological differences, fear of adverse consequences if they reveal names and addresses of church leaders or members or fear that it will control sermon content.

Report from Compass Direct News
http://www.compassdirect.org

Christians in Middle East Fear Violence from Anti-Quran Protests


Those in the West who provoke Muslim extremists are not the ones who will suffer, they say.

ISTANBUL, October 5 (CDN) — Christians across the Middle East said they will be the ones to suffer if a group of anti-Islamic protestors in the United States goes through with its plans to publicly tear up or otherwise desecrate the Quran.

They roundly condemned the proposed actions as political stunts that are unwise, unnecessary and unchristian.

“This kind of negative propaganda is very harmful to our situation in Muslim countries,” said Atef Samy, assistant pastor for networking at Kasr El Dobara, the largest Protestant congregation in Egypt. “It generates uncontrollable anger among the people around us and gives the impression that all Christians feel this way about Islam.”

Samy said U.S. Christians who are protesting Islam need to think about the results of their “irrational actions.” The desecration, he said, will lead to protests and will incite people to commit anti-Christian violence.

“How do they expect Muslims to react?” he said. “And has anybody thought how we will pay for their actions or even their words?”

Tomorrow and Thursday (Oct. 6 and 7), political activist Randall Terry will host “Hear Muhammad Speak!” a series of demonstrations across the United States that he said are meant to “ignite national and world-wide debate/dialogue/education on the anti-Semitic, anti-Christian, and at times violent message of the Quran.” During these protests, Terry plans to tear out pages from the Quran and encourage others to do the same.

He has said he is conducting the protest because he wants to focus attention also on the Hadith and the Sunnah, the recorded sayings and actions of Muhammad that Muslims use to guide their lives. Terry said these religious documents call “for the murder, beheadings, etc. of Christians and Jews, and the suppression of religious freedom.”

Known for his incendiary political approach, Terry is founder of Operation Rescue, an anti-abortion rights group. After stepping down from Operation Rescue, he publicly supported the actions of Scott Roeder, who murdered a Kansas physician who performed late-term abortions. Terry also arranged to have a protestor present an aborted fetus to then-presidential candidate Bill Clinton at the 1992 Democratic National Convention.

On this year’s anniversary of the Sept. 11 terrorist attacks, Terry stood outside the White House and denounced Islam as one of five other protestors ripped out pages from the Quran and threw them into a plastic trash bag, which along with Florida Pastor Terry Jones’ planned (though ultimately cancelled) Quran-burning provoked isolated attacks across the Islamic world that left at least 19 dead.

Terry is part of a seemingly growing tide of people destroying or threatening to destroy the Quran as an act of protest against Islam or “Islamic extremism.”

 

Objections

Terry has said that he wants to “highlight the suffering of Christians inflicted by Muslims” and to call on Islamic leaders “to stop persecuting and killing Christians and Jews, and well as ‘apostates’ who leave Islam.”

But Christian leaders in the Middle East said protests in which the Quran is desecrated have the opposite effect. They are bracing themselves for more attacks. Protestors in the West can speak freely – about free speech, among other things – but it’s Christians in the Middle East who will be doing the dying, they said.

“This message of hate antagonizes Muslims and promotes hatred,” said Samia Sidhom, a Christian and managing editor of the Cairo-based newspaper Watani. “Thus churches and Christians become targets of counter-hate and violence. Islam is in no way chastised, nor Christianity exalted. Only hate is strengthened. Churches and Christians here find they need to defend themselves against the allegations of being hateful and against the hate and violence directed at them.”

Martin Accad, a Lebanese Christian and director of the Institute of Middle East Studies at Arab Baptist Theological Seminary in Beirut, agreed with Sidhom.

“We are held guilty by association by extremist Muslims, even though the vast majority of Muslims will be able to dissociate between crazy American right-wingers and true followers of Jesus,” he said.

Leaders in the Arabic-speaking Christian world said Terry’s protests and others like it do nothing positive. Such provocations won’t make violent Muslim extremists re-examine their beliefs or go away.

“Islam will not disappear because we call it names,” said Samy, of the Egyptian Protestant church. “So we must witness to our belief in Jesus without aggressively attacking the others.”

Accad, a specialist in Christian-Muslim relations and also associate professor of Islamic Studies at Fuller Theological Seminary, said positive engagement is the best approach for Christians to take toward Islam.

“Visit their places of worship and get to know them, and invite them to yours,” Accad said. “Educate your own congregation about Islam in a balanced way. Engage in transformational partnerships with moderate Muslim leaders who are working towards a more peaceful world.”

The element of the protests that most baffled Christians living in the Muslim world was that burning or tearing another religion’s book seemed so unchristian, they said.

“In what way can burning or ripping the Quran serve Christianity or Christians?” Sidhom of Watani said. “It is not an action fit for a servant of Christianity. It merely expresses hate and sends out a message of extreme hostility to Islam.”

Accad called publicly desecrating the Quran an act of “sheer moral and ethical absurdity.”

“These are not acts committed by followers of a Jesus ethic,” Accad said. “They will affect the image of Christianity as badly as the destruction of the World Trade Center affected the image of Islam.”

Accad added, “Since when do followers of Jesus rip an eye for an eye and a tooth for a tooth?”

Such protests also defeat the purposes of churches in Islamic nations, Christians said. H. Ramdani, a church leader in Algeria, said Christians must strive to build bridges with Muslims in order to proclaim Christ.

“It’s destroying what we are doing and what we are planning to do,” he said of the protests. “People refuse to hear the gospel, but they ask the reason for the event. Muslims are more radical and sometimes they are brutal.”

At press time Compass was unable to reach Terry by phone or e-mail for a reply to the Middle Eastern Christians’ complaints about the planned protests, but after he staged a Sept. 11 Quran-tearing event he released a statement expressing “great sadness” over the deaths that followed while denying that it was right for Muslims to react violently to such protests.

“Such logic is like saying that a woman who is abused by her boyfriend or husband is guilty of bringing violence on herself because she said or did something that irritated him,” Terry stated.

In the weeks leading up to the anniversary of the Sept. 11 attack, Terry Jones, leader of a small congregation in Gainesville, Fla., made his mark in the media by threatening to burn a stack of Qurans in protest of Islam. At the last minute, after wide condemnation from around the world, Jones stated that he felt “God is telling us to stop” and backed out of the protest.

Despite Jones’ retreat, protestors unaffiliated with him burned Qurans in New York and Tennessee, and demonstrations swept across the Muslim world. In the relatively isolated attacks that ensued, protestors set fire to a Christian school and various government buildings, burning the school and the other structures to the ground. In Kashmir, 17 people were killed in Islamic assaults, and two protestors were killed in demonstrations in Afghanistan.

Report from Compass Direct News

Two Iranian Christian Women Acquitted of all Charges


Young converts previously held in prison for Christian activities have fled country.

ISTANBUL, May 27 (CDN) — Nearly five months after releasing them from prison, an Iranian court has acquitted two women of all charges related to being Christians and engaging in Christian activities.

Iranians Maryam Rostampour and Marzieh Amirizadeh Esmaeilabad were arrested on March 5, 2009 and detained on charges of “acting against state security,” “taking part in illegal gatherings” and “apostasy” (leaving Islam) under Iran’s Revolutionary Court system.

After nearly eight months, on Nov. 18, 2009 authorities released them conditionally.

Although the court hearing their case originally set April 13 as their trial date, Compass was unable to confirm on what date the two women were acquitted, nor the conditions of their acquittal.

Senior Iranian judges and officials repeatedly intimidated the two women and pressured them to recant their faith, according to a press statement by Elam Ministries last week.

“They were warned that any future Christian activity in Iran will be seriously dealt with,” according to the statement.

Elam Ministries said the two women had fled Iran on Saturday (May 22) to an undisclosed location and were recovering.

Another Iranian convert who was forced to flee his country under similar circumstances years ago told Compass that he believed the intense lobbying efforts to release and acquit the women brought the government to an unspoken “standoff” with Christian rights groups outside the country.

“I think the court just made a political decision, ‘We will let you go, but we will not allow you to stay in the country,’” said the Iranian Christian, who requested anonymity. “That’s a pretty old-fashioned procedure they have – ‘We will let you go if you leave the country. You can have your faith, but not here.’”

In general, when Iranian authorities arrest Christians, they release them on bail within a few weeks and keep their case files open, thus applying soft pressure while allowing them to continue living in Iran. In cases where the government wants to remove Christians from the country because of their Christian activities, authorities have handed the Christians their passports and documents and told them to leave.

Iran’s government views all Christian activities as foreign intervention and thus a threat to national security. The two women’s families had hired a private lawyer.

Since their release, the young converts to Christianity had been waiting for a trial date and decision from an Iranian court to decide their fate as Christians living their faith. During this time, sources said that authorities watched them closely and that the two women were under “pressure” and received threatening phone calls.

“The government would not want them to stay in the country as heroes,” said the Iranian Christian. “It would be better for the government if they left Iran and didn’t become a positive example for the rest of the Christian community in Iran. Otherwise they would create a precedent of [Christians] who have not denied their faith, who have been acquitted and still live as Christians inside the country.”

The two women thanked Christians who have been praying for them, according to Elam.

“We hope to eventually share some of what the Lord allowed us to go through to highlight the need and the opportunity for the church in Iran, but right now we will take time to pray and seek the Lord for His will,” said Rostampour, according to Elam’s press statement.

Iran’s Constitution gives Christians “protected” religious minority status, but in practice they face substantial societal discrimination, according to the U.S. Department of State’s International Religious Freedom Report 2009.

An article mandating death for apostates in accordance with sharia (Islamic law) reportedly has been stricken from a draft penal code, but experts on Iran say The Council of Guardians and Iran’s Supreme Leader still have the final say on who receives capital punishment for leaving Islam.

Report from Compass Direct News

European Court Rules Against Turkey’s Religion ID


Designation on identification cards used to discriminate on basis of religion.

ISTANBUL, February 5 (CDN) — A European court on Tuesday (Feb. 2) ordered Turkey to remove the religious affiliation section from citizens’ identification cards, calling the practice a violation of human rights.

Religious minorities and in particular Christian converts in Turkey have faced discrimination because of the mandatory religion declaration on their identification cards, which was enforced until 2006. Since then, citizens are allowed to leave the “Religion” section of their IDs blank.

The ruling by the European Court of Human Rights (ECHR) “is a good thing,” said Zekai Tanyar, president of the Turkish Protestant Alliance, citing prejudices against Christian converts.

“[Religion on the ID] can cost people their jobs,” he said. “It has been known to affect whether they get a job or not, how people look at them, whether they are accepted for a post or an application of some sort. Therefore I think [the ruling] is a good and appropriate thing.”

Tanyar said the same principles would apply in the case of Muslims living in a country that had prejudices against Muslims. For converts in Turkey having to state their religion on their ID cards, “in practice, and in people’s experience, it has been negative.” 

The ECHR ruling came after a Turkish Muslim national filed a petition challenging that his identification card stated his religion as “Alevi” and not Muslim. Alevis practice a form of Shia Islam that is different from that of the Sunni Muslim majority.

The court found in a 6-to-1 vote that any mention of religion on an identity card violated human rights. The country was found to be in violation of the European Convention of Human Rights – to which Turkey is a signatory – specifically Article 9, which deals with freedom of religion and belief; Article 6, which is related to due process; and Article 12, which prohibits discrimination.

The presence of the “religion” box on the Turkish national identification card obliges individuals to disclose, against their will, information concerning an aspect of their personal convictions, the court ruled.

Although the government argued that indication of religion on identity cards did not compel Turks to disclose their religious convictions, the ECHR found that the state was making assessments of the applicant’s faith, thus breaching its duty of neutrality and impartiality.

In a statement on the verdict this week, Turkish Prime Minister Recep Tayyip Erdogan said that the ruling was in line with the government’s intentions.

“I don’t see the ECHR decision as abnormal,” he said, according to Turkish daily Taraf. “It’s not very important if it is removed.” 

The ECHR is independent of the European Union, which Turkey seeks to join. The rulings of the ECHR are binding for members of the Council of Europe, of which Turkey is a member, and must be implemented.

A Step in the Right Direction

Human rights lawyers welcomed the decision of the ECHR, saying it is a small step in the direction of democracy and secularism in Turkey.

“It is related to the general freedom of religion in our country,” said human rights lawyer Orhan Kemal Cengiz. “They assume everyone is Muslim and automatically write this on your ID card, so this is a good reminder that, first of all, everyone is not Muslim in this country, and second, that being a Muslim is not an indispensible part of being Turkish.”

The lawyer said the judgment would have positive implications for religious minorities in Turkey who are subject to intolerance from the majority Muslim population. 

In 2000 Turkey’s neighbor Greece, a majority Christian Orthodox country, lifted the religion section from national IDs in order to adhere to European human rights standards and conventions, causing tumult among nationals.

“In Turkey, Greece or whatever European country, racism or intolerance or xenophobia are not rare occurrences if [religion] is written on your card, and if you are a minority group it makes you open to racist, xenophobic or other intolerant behaviors,” said Cengiz. “There might be times that the [religious] declaration might be very dangerous.”

International Implications

It is not yet known what, if any, effect the ECHR decision could have on the rest of the Middle East.

Because of its history, economic power and strategic location, Turkey is seen as a leader in the region. Like Turkey, many Middle Eastern countries have a place for religious affiliation on their identification cards. Unlike Turkey, listing religious affiliation is mandatory in most of these countries and almost impossible to change, even under court order.

According to Human Rights Watch (HRW), religious identification is used as a tool to deny jobs and even basic rights or services to religious minorities in many Middle Eastern countries.

“It’s a serious problem from a human rights point of view,” said Joe Stork, deputy director for the Middle East and North Africa for HRW, an international human rights organization. “It’s especially problematic when that requirement becomes a basis for discrimination.”

Stork said the identification cards shouldn’t have a listing for religion at all. He said the European decision may eventually be used in legal arguments in Middle Eastern courts, but it will be a long time before change is realized.

“It’s not like the Egyptian government is going to wake up in the morning and say, ‘Gee, let’s do that,’” Stork said.

Egypt in particular is notorious for using religion on IDs to systematically discriminate against Coptic Christians and converts to Christianity. While it takes a day to change one’s religion from Christianity to Islam on their ID, the reverse is virtually impossible. 

Report from Compass Direct News 

Unprecedented Christmas Gathering Held in Vietnam


With permission little and late, organizers work by faith to accommodate crowds.

HO CHI MINH CITY, December 14 (CDN) — On Friday evening (Dec. 11), history was made in communist Vietnam.

Christian sources reported that some 40,000 people gathered in a hastily constructed venue in Ho Chi Minh City to worship God, celebrate Christmas, and hear a gospel message – an event of unprecedented magnitude in Vietnam.

A popular Vietnamese Christian website and other reports indicated up to 8,000 people responded to the gospel message indicating a desire to follow Christ.

For the last two years, authorities surprisingly granted permission to unregistered house churches in Ho Chi Minh City to hold public Christmas rallies, and last year more than 10,000 people participated in one in Tao Dan Stadium.

This year visionary house church leaders approached the government in October and asked for a sports stadium seating 30,000; they were refused. Authorities offered a sports venue holding only 3,000, located 13 kilometers (eight miles) out of the city. This was unacceptable to the organizers. They pressed for another stadium in the city holding about 15,000, and officials gave them a verbal promise that they could have it.

The verbal promise did not translate into the written permission that is critical in the country – church leaders say such promises are empty until “we have the permission paper in our hand.” Christian leaders believed event planning had to proceed without permission and sent out invitations far and wide – only to have authorities deny the stadium they had promised.

Led by Pastor Ho Tan Khoa, chairman of a large fellowship of house church organizations, organizers were forced to look for alternatives. They found a large open field in the Go Vap district of the city. When permission was still not granted five days before the planned event, several church leaders literally camped for three days outside city hall, pressing for an answer.

Authorities, who often work to sabotage united action among Christians, tried urgently to find ways to talk the leaders out of going ahead, promising future concessions if they would cancel the event. Organizers stood firm. Ultimately they told the deputy mayor that refusal to grant permission at that point would have far-ranging, negative ramifications in Vietnam as well as internationally.

Finally, at the close of business on Dec. 9, just 48 hours before the scheduled event, officials granted permission that required clearance all the way to Hanoi. But the permission was only for 3,000 people, and many more had been invited.

Organizers had less than two days to turn a vacant field into something that would accommodate a stadium-size crowd. They had to bring in ample electricity, construct a giant stage, rent 20,000 chairs, and set up the sound and lighting. The extremely short time frame caused contractors to double the prices they would have charged with ample time.

Organizers also rented hundreds of busses to bring Christians and their non-Christian friends from provinces near the city. Thousands of students sacrificed classes to help with last-minute preparations and to join the celebration.

Just after noon on Friday (Dec. 11), word came that police had stopped busses carrying 300 Steing minority people from the west to the event scheduled for that day. Organizers, fearing all busses would be stopped, put out an emergency worldwide prayer request.

Christian sources said that authorities either did not or could not stop busses from other directions, and that by evening the venue became the biggest “bus station” in all of Vietnam. By 6 p.m. the venue was full to capacity, and at least 2,000 had to be turned away.

Christians described the event, entitled, “With Our Whole Hearts,” in superlative terms. For house churches, large gatherings are both very rare and very special, and for many this was their first glimpse of the strength of Vietnam’s growing Christian movement. Thousands of Christians joined a choir of more 1,000 singers in loud and joyful praise.

Sources said that the main speaker, the Rev. Duong Thanh Lam, head of the Assemblies of God house churches “preached with anointing” and people responding to his gospel invitation poured to the front of the stage “like a waterfall.” With space in front of the stage insufficient, the sources said, many others in their seats also indicated their desire to receive Christ.

Organizers along with many participants were overwhelmed with emotion and gratitude as the event closed. People spontaneously hugged each other and cried, “Lord, bring revival to all of Vietnam!” Other comments included, “Beyond our fondest imagination,” and, “Nothing could stop the hand of the Lord.”

The event raised more than 60 million dong (US$3,280) for a charity helping needy children. People were quite surprised to read a positive article on the event in the state-controlled press, which often vilifies Christians.

House churches in the north were hopeful that they could hold a similar event. Organizers in Hanoi have heard encouraging reports that they will get permission to use the national My Dinh sports stadium for a Christmas celebration, though they do not have it in hand. Sources said they have sent out invitations across a broad area to an event scheduled for Dec. 20.

Friday’s event also made history in that it was streamed live on the Vietnamese website www.hoithanh.com and viewed by thousands more in Vietnam and by Vietnamese people around the world.

Report from Compass Direct News