CNN reports that the first death due to coronavirus outside China has occurred:
The coronavirus outbreak has killed at least 305 people and infected more than 14,300 globally, as it continues to spread beyond China. One person outside mainland China, a man in the Philippines, has died.
There’s a useful summary of what is known about the virus at the New England Journal of Medicine.
The disease is spreading exponentially. That means that in two months there won’t be 14,300 more cases but many times that.
Meanwhile at South China Morning Post Andy Xie complains that the outbreak illustrates a failure of China’s system:
China is effectively in a lockdown. From big cities to little villages, almost every community is under quarantine to a varying degree, or at least faces some travel restrictions. There is little information on how long this will last. One thing for sure is that the government is willing to keep the country in lockdown until the virus outbreak comes under control. A government mobilisation on this scale is unprecedented.
This shows the awesome power of the China model. With government power at the centre of everything, it can mould society in a way not possible in any other large or even mid-sized country. It has grass-roots party cells to implement quarantine policies in every urban compound or village. Going anywhere in the country feels like going through an international airport; someone may pop out suddenly to measure your temperature.
China’s political system allows it to put down everything else to focus on one thing. The economy can take a back seat. If the lockdown lasts for four weeks, which is an optimistic assumption, the economic loss could be around 2 per cent of the gross domestic product. If the crisis lasts longer, the cost escalates proportionately.
While overwhelming government powers are an advantage in handling a national crisis, they are not so effective at preventing one. Since the virus began to surface in early December, developments have unfolded like a sequel to the 2003 severe acute respiratory syndrome crisis, as if nothing had changed in 17 years. It shows that the China model is a blunt instrument good at doing obvious and big things, but not so effective with complex issues at micro levels.
In my view when China emerges from “lockdown” should not be determined solely by China. If the mortality rate of the Wuhan coronavirus begins to reach that of, say, the Spanish flu, which also emerged from China, there should be serious reconsideration of China’s role in the global system.
We should take a planned approach based upon whatever data and science we have that can be applied. If we cut off dirt flights from China to the US, but they can bypass by going to Europe first and that means we dont screen properly, then we might be better off not stopping direct flights.
We were fortunate to be able to do that during the Ebola outbreak and we were able to resist the calls to shut everything down coming from people whose primary goal was not public welfare but to make the Obama admin look bad, among those Trump.
Steve
To my knowledge, one cannot bypass the travel restrictions by going to a 3rd country. The ban is on foreign nationals who have been in China in the last 14 days. I.e the restrictions is based on travel history – not origin of flight or nationality.
The only exceptions is for citizens and permanent residents – and they face a mandatory 14 day quarantine order.
It is difficult to say – but the peak in new cases should occur in the next couple of days. It was 9 days ago when the people and government really took steps to stop new infections.
One final thing – there will be changes in China once the crisis is over. This has been far more disruptive then SARS and the Chinese people won’t forget it for a long time to come.
Indeed. Depending on its scope it could reduce China’s GDP for 2020 considerably. I’ve read that 3-4% is already certain at this point.
“Exponentiallyâ€
Never extrapolate a trend when the human element intervenes.
Finally found the historical review, of sorts, I was looking for. Nick Bagley and his wife help a class 4years ago looking at the historical responses by countries to outbreaks of disease. The Chinese response has been pretty much the same as the response to other major diseases, except in this case people dont seem to believe people with Coronoa virus deserve to have it.
https://theincidentaleconomist.com/wordpress/contagion/
Some key points.
“Governments are typically unprepared, disorganized, and resistant to taking steps necessary to contain infectious diseases, especially in their early phases.
Local, state, federal, and global governing bodies are apt to point fingers at one another over who’s responsible for taking action. Clear lines of authority are lacking.
Calibrating the right governmental response is devilishly hard. Do too much and you squander public trust (Swine flu), do too little and people die unnecessarily (AIDS).
Public officials are reluctant to publicize infections for fear of devastating the economy.”
Elsewhere several people have noted what I think is the key learning point here. Novel, contagious, infectious diseases are the norm. It is not a question of IF we will have another Ebola or SARS or AIDS, it is just a matter of when. Even though we know that we have almost no existing infrastructure in place to deal with the problem when it inevitably occurs. Diseases which will cost us billions and we are not willing to spend even millions to be prepared.
Even worse, I had totally forgotten this, the Trump administration completely eliminated our pandemic response team. One of the things we learned during the Ebola crisis is that we had a light of bright people but no one to coordinate them and their efforts, so a team was developed. Now we have no such team. Even though we know that future pandemics are inevitable. Details at the linked Foreign Policy article.
https://foreignpolicy.com/2020/01/31/coronavirus-china-trump-united-states-public-health-emergency-response/
Oh well, maybe iIam panicking too much. Trump can always get advice from his HHS Secretary. After all he was a pharmaceutical lobbyist. That beats having anyone with real scientific knowledge or ability.
Steve