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Medicine

Why Taiwan's Coronavirus Response Is Among The Best Globally (cnn.com) 157

Why does Taiwan have less than 400 confirmed cases of Covid-19? Taiwan's experience with the 2003 SARS outbreak "helped many parts of the region react faster to the current coronavirus outbreak and take the danger more seriously than in other parts of the world," reports CNN, "both at a governmental and societal level, with border controls and the wearing of face masks quickly becoming routine as early as January in many areas."

Their article also notes that Taiwan "has a world-class health care system, with universal coverage," which drew praise in new report published in the Journal of the American Medical Association: "Taiwan rapidly produced and implemented a list of at least 124 action items in the past five weeks to protect public health," report co-author Jason Wang, a Taiwanese doctor and associate professor of pediatrics at Stanford Medicine, said in a statement. "The policies and actions go beyond border control because they recognized that that wasn't enough." This was while other countries were still debating whether to take action. In a study conducted in January, Johns Hopkins University said Taiwan was one of the most at-risk areas outside of mainland China -- owing to its close proximity, ties and transport links.

Among those early decisive measures was the decision to ban travel from many parts of China, stop cruise ships docking at the island's ports, and introduce strict punishments for anyone found breaching home quarantine orders. In addition, Taiwanese officials also moved to ramp up domestic face-mask production to ensure the local supply, rolled out island-wide testing for coronavirus -- including re-testing people who had previously unexplained pneumonia -- and announced new punishments for spreading disinformation about the virus.

"Given the continual spread of Covid-19 around the world, understanding the action items that were implemented quickly in Taiwan, and the effectiveness of these actions in preventing a large-scale epidemic, may be instructive for other countries," Wang and his co-authors wrote.... Taiwan is in such a strong position now that, after weeks of banning the export of face masks in order to ensure the domestic supply, the government said Wednesday that it would donate 10 million masks to the United States, Italy, Spain and nine other European countries, as well as smaller nations who have diplomatic ties with the island.

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Why Taiwan's Coronavirus Response Is Among The Best Globally

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  • by JudeanPeople'sFront ( 729601 ) on Sunday April 05, 2020 @06:02AM (#59910000)
    From the very beginning the Taiwanese acted as if the virus was a serious threat. They ignored the soothing lies from China and WHO (headed by a Chinese puppet). I wish the rest of the World acted the same.
    • From the very beginning the Taiwanese acted as if the virus was a serious threat. They ignored the soothing lies from China and WHO (headed by a Chinese puppet). I wish the rest of the World acted the same.

      ~JudeanPeople'sFront

      How does one reconcile the lie that China hid a cluster it reported 2019-Jan31 to W.H.O. and soothed others with it? Hiding the lie was soothing? Not hiding the lie was agitation? What date is "from the very beginning" and do you have a citation other than The Lancet's article girding NPR and Vox reportage? The article written by academics with claims no other advance of this pathogen has corroborated?

    • by CaffeinatedBacon ( 5363221 ) on Sunday April 05, 2020 @07:10AM (#59910100)

      From the very beginning the Taiwanese acted as if the virus was a serious threat. They ignored the soothing lies from China and WHO (headed by a Chinese puppet). I wish the rest of the World acted the same.

      If only Trump was smarter than the WHO puppets, America could have been saved.

      I remember it as if it were yesterday.

      Mid January, Democrats were all arguing for lockdowns and border closures. Republicans were telling everyone to shelter in place. Close all non essential businesses! Spare no expense! The rallying cries of Fox. Every citizen was united as one demanding social distancing, facemasks and testing.
      And there was Trump, skilled mastermind that he was. Knew all the experts were wrong. Knew not to trust the CDC & WHO. Knew in his heart it was a pandemic. Way before anyone else did.

      But he caved. The mighty Trump had stood up to impeachment. Stood up to daily ridicule at the press briefings. But he was as powerless as a small child now, standing in front of the WHO puppetmaster.

      The WHO puppetmaster through sheer force of will beat back the onslaught of Trump, all the Democracts, all the Repubicans and every single American expert. And passionate non expert alike. And forced America to not take the threat seriously.
      I'm not sure how much a WHO puppetmaster is paid, but it's Yuan well spent.

      All hail the WHO puppetmaster. Singlehandedly bringing the once mighty USA to its knees.

  • by lkcl ( 517947 ) <lkcl@lkcl.net> on Sunday April 05, 2020 @06:33AM (#59910046) Homepage

    i commented on this before, from first-hand experience, having lived there for 3 years. sadly, people decided that it should be "voted down" to zero. reality-denial at its best, unfortunately. perhaps now that this is *about* taiwan and i *lived there*...
    https://slashdot.org/comments.... [slashdot.org]

    basically, yes, they are much more responsive, and have had numerous incidents (swine flu) which put everyone into "this is just routine" mode as well as having procedures that got activated immediately. where all other politicians were going "nono, no need to panic, everybody, it's not happening it's not happening it's not happening", trying to play down reality, taiwan just "got on with it".

    they're not living in fear. there is no lockdown. 100% of people wear masks when travelling on buses, trains, taxis and other forms of public transport. cafes and restaurants do temperature skin spot-checks, courtesy of a smiling assistant at the door.

    (aside: it also helps that the temperatures there had already begun to climb to the point where the virus is very quickly non-viable. summer last year it reached 43 Centigrade).

    • 43 Centigrade (e.g. 109 Fahrenheit for us Americans ) might be enough to kill the virus, but won't most buildings have Air conditioning?
      • Yes they do, which they set to about 28C, maybe 26C if your feeling rich. A lot of them also only use their AC at night while sleeping.

    • 2019 was a bad year for the pigs in China. The African Swine flu took out a lot of pigs,
      roughly 1/4 of the world population of all pigs. The financial loss is said to be around $141 billion.
      For those who might be interesting, here is one of the links:

      https://www.nytimes.com/2020/01/01/opinion/china-swine-fever.html

      Pork price went double to triple the usual price, it was a reminder of how important flu detection and prevention.
      So when COVID appeared, there was a lot of hardware and people in the field to fin

    • The negative response to your comments is IMO the pro-China comment brigade here. They are a not insignificant bunch, and you'll see it in action if you pay attention to how some comments are rated in light of China's official policy stances.

      Taiwan's excellent example has been suppressed by WHO as well, who is deeply loyal to China's policies.

  • I like the sound of that!

    Lock him up! Lock him up!

  • After something similar sweeps over them every decade or so, they just went into the lockdown routine, and it was certainly easier for their politicians to simply say "ya know the drill, masks on everyone!" than to try to convince your population that yes, this time we have to do it too, not just the far east.

    • by Rei ( 128717 )

      The problem in the west wasn't a resistant population - it was resistant governments, fearing that pointing out the self-obvious (and well-researched) fact that masks help against respiratory diseases would do more harm than good, in terms of causing hoarding.

      In the words of the immortal knight... [tenor.com]

  • Universal coverage has nothing to do with it. Almost all western European countries have higher per capita death rates from covid-19 than the US. Universal coverage did not help. The US also has more ICU beds per capita than most western European countries.

    What actually is important is early medical policy decisions. One could argue that to the extent such decisions are decentralized, diversity of decision can point to what is right and what is wrong. That is better than a single wrong central policy
  • seen this before (Score:5, Interesting)

    by acdc_rules ( 519822 ) on Sunday April 05, 2020 @08:58AM (#59910216)
    just read an interesting workshop article... here's a nugget: "China’s capacity to effectively prevent and contain future infectious disease outbreaks remains uncertain. Prevention and control programs are still troubled by problems in agenda-setting, policy making, and implementation which, in turn, can be attributed to its political system. A healthier China therefore demands some fundamental changes in the political system." https://www.ncbi.nlm.nih.gov/b... [nih.gov] BTW, this is about the 2002-2003 SARS epidemic. So essentially, no change in 20 years. How they have been dealing with this might even be worse than before. Taiwan must have learned something from their experiences in the past unlike the rest of the globe. i don't think it is any coincidence that Taiwan is not exactly friendly with China, and they have a best case outcome.
  • by rsilvergun ( 571051 ) on Sunday April 05, 2020 @10:11AM (#59910428)
    but I'm wary of this becoming the 'new normal'. e.g. every couple years we all have to go out in masks and an extra 1-3% die while the economy nose dives from folks avoiding crowds.

    Epidemiologists know what needs to be done to stop this. They've been shouting it to anyone who'd listen, which sadly was only other epidemiologists.

    Spend several billion on general purpose vaccine research [youtube.com]. Regulate human and animal interaction more (no, bat soup didn't cause the virus, but the poor sanitary conditions of the web markets might have, and China isn't the only country with Wet Markets). Universal Healthcare so folks can go to the doctor when they're sick before they get everybody else sick. More national stock piles, even if medical supply companies don't like it [threadreaderapp.com]. And stop using "Just in Time" business models with hospitals. They need more capacity.

    Doing the above would require a sea change in national and perhaps global politics. It would mean pulling back from decades of Austerity and raising taxes on the wealthy [nytimes.com]. That means changing who we vote for and how we vote [theguardian.com].
    • The fact we may react to similar pandemics in the future is what worries me the most in this situation. The metaphor isn't perfect but it reminds me of how we heavily suppressed forest fires from spreading for many years...until we found out that was only building us up to a bigger problem.

      Nearly a decade ago now my father had a stem cell transplant to treat a lymphoma. Basically, they inject you with such a heavy dose of chemo it destroys your entire immune system - everything. The only reason people
      • it's too far gone at this point. There's no going back to normal. Plus, the older folks still run the show (Baby Boomers outnumber Gen X & Millennials combined) and if they start dropping like flies expect them to demand action.

        That said, there's no reason our economy has to collapse. We just need to get money into the hands of the unemployed for about 6 months. We've got plenty of food, shelter, etc to go around. But we have to be willing to hand it out while everybody honkers down and waits for a
    • but I'm wary of this becoming the 'new normal'. e.g. every couple years we all have to go out in masks and an extra 1-3% die while the economy nose dives from folks avoiding crowds.

      An expert at a panel at UCSF was asked about this a few weeks ago, whether this was going to be the new normal that every decade or so we have another pandemic. Her response was that this isn't the new normal, it's the old, old normal. This is a battle we've been fighting for a million years. It's never going to end.

      That was all she said. I'll add that it seems likely that we'll get better at creating vaccines quickly.

  • #VerifyAndTrust
  • Preliminary investigations conducted by the Chinese authorities have found no clear evidence of human-to-human transmission of the novel #coronavirus (2019-nCoV) identified in #Wuhan, #China. pic.twitter.com/Fnl5P877VG

    Unlike US, Taiwan refused to blindly believe WHO;

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