Hundreds of Hong Kong medical workers walked off their jobs on Monday, demanding the city close its border with China to reduce the coronavirus spreading -- with frontline staff threatening to follow in the coming days.
The financial hub has 15 confirmed cases of the disease, many of them brought over from the Chinese mainland where the epidemic began and has so far killed more than 360 people.
The action by non-essential medical staff comes as the city's pro-Beijing leadership resists completely sealing the border.
Authorities have argued that doing so would be discriminatory, economically damaging and go against advice from the World Health Organisation.
Instead, the city government has closed down some crossings and says arrivals from the mainland have dropped significantly.
But there is growing public anger in a city that maintains a deep historical mistrust of the mainland after the 2003 SARS outbreak -- which was initially covered up by Beijing -- killed nearly 300 Hong Kongers.
Thousands of members of a newly formed medical worker union voted to strike on Saturday unless their demand for the border to be closed was met, with the first group downing tools on Monday.
The first strikers are "non-essential" staff but the union has said frontline workers, including doctors and nurses, will walk out on Tuesday if their demands are not met.
Staff gathered outside hospitals across the city on Monday morning, handing white ribbons to colleagues encouraging them to join the strike action.
"If there is no full border closure, there won't be enough manpower, protective equipment, or isolation rooms, to combat the outbreak," Winnie Yu, chairwoman of the 9,000 member Hospital Authority Employees Alliance, told reporters.
Talks with the government broke down on Sunday after the union said city leader Carrie Lam had decided to not attend discussions in person.
The Hospital Authority, which employs some 75,000 people, said it sympathised with calls to lower the risk of new infections but was opposed to industrial action, saying patients would suffer.
It warned half of pre-booked operations would be cancelled or delayed by the strike.
Hong Kong's government criticised the industrial action, calling on workers to "reconsider their decision, continue to safeguard Hong Kong with their professionalism and together win the battle against the disease".
The virus outbreak comes at a politically precarious time for the city's pro-Beijing leaders who currently have record-low approval ratings after deploying the police to face down seven months of sometimes violent pro-democracy protests.
Animosity towards Beijing and mainlanders has also risen steeply in recent years in lockstep with Hong Kongers pushing for democracy.
Many in Hong Kong feel an increasingly authoritarian Beijing is clamping down on the city's freedoms.
And they also resent the economic pressures caused by the huge influx of mainland immigrants and day-trippers to the city, something that has helped ramp up prices of everything from pharmacy goods to retail rents and housing.
Anti-mainland sentiment has sometimes exploded into outright bigotry, especially online where insults and slurs abound.
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