Thanks to COVID-19 fatigue amongst the population, such an effort very close to impossible.
Thanks to COVID-19 fatigue amongst the population, such an effort very close to impossible.
Still, cases keep popping up even without systematic testing. There are no deaths or even ICU cases but the virus keeps finding its way in. I believe that, like New Zealand, we are just postponing the inevitable.
New Zealand (and Australia) don't have cases, because every single traveler who enters those island nations is kept in hotel quarantine, and tested multiple times before being released only after the quarantine period ends. It isn't the same as testing people when they come in and letting them straight into the community if they test negative.
That said, with vaccines now being rolled out, it may well be that these countries managed to dodge the bullet. It's hard to see what was "inevitable" about Covid, except the dogma (still promoted by the WHO, when I last checked) that travel bans are bad.
If we knew back a year ago how bad things would get and are still getting, I believe such a lockdown for say a month could pass, otherwise not and there isn't a central authority that could enforce it. And saying it was to be expected doesn't make much sense, spread of predicted outcomes was basically between yet another flu to another spanish flu.
China had a few outbreaks (after Wuhan, obviously), but it responded to each one with quick restrictions on the affected location and mass testing of everyone in the region. That worked to contain these subsequent outbreaks.
As a result, China has been essentially CoVID-19-free for about a year now.
> if you believe their reporting the mass testing generally didn't find any cases at all
That's not true. Their mass testing typically picked up further cases, which were isolated:
* In the June 2020 Beijing outbreak, mass testing uncovered over 300 cases.[1]
* In the October 2020 Qingdao outbreak, 9 additional cases (beyond the original three) were caught by mass testing.[2] That suggests that this outbreak was detected early.
* In the October 2020 outbreak in Kashgar, over a hundred additional cases were detected through mass testing.[3]
And of course, there was a more widespread outbreak in December (still concentrated in the Northeast), which peaked at over 100 new cases a day nationwide, and which was stopped with widespread lockdowns and mass testing.
> Also, a lot of the information about the source of the outbreaks and their successful methods for eradicating Covid is really obvious propaganda.
I assume you're talking about the cold chain. I don't see how that's "obvious propaganda." There's good evidence from contact-tracing that some of the subsequent outbreaks originated in people who work in the cold chain. It may seem strange from an American or European point of view, because the cold chain is way less of a problem than the literally millions of infected people walking around in Europe and the US. But in a country with essentially zero community spread and strict quarantine at the border, much less common pathways become a concern. It only takes one person touching a contaminated package and then touching their eyes to set off a new epidemic.
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7445627/
Well, that's technically true. It just probably didn't come from the goods being handled like China claimed. In particular, formites and surface contamination of any kind don't seem to be a major source of transmission, and the Beijing outbreak they originally used this to explain seems to actually trace back to infected truckers travelling from somewhere in China with a previously-undetected outbreak that wasn't noticed before because locations outside Beijing didn't have the same level of testing. That is, they found it within their cold chain because that was where they were looking. This is also a lot more consistent with what we know about how Covid is transmitted.
When there are millions of infected people walking around breathing and coughing, then fomite transmission is not a major source of transmission. But it is a source of transmission, and it could become the dominant source of new introductions of the virus into the country if quarantine of travelers is good enough (to go to China, you generally have to get a negative PCR test before your flight, then quarantine for two weeks in a special hotel on arrival, and finally get another negative PCR test). That's not to say that cold chain was actually the source of the Beijing or the Qingdao outbreaks, but there's evidence that points in that direction. In other words, this isn't simply propaganda.
But the larger issue that we were originally discussing is the overall situation in China. There clearly has not been significant community transmission over the past year, showing that the strategy (sharp lockdowns followed by strict border quarantines and mass testing during localized outbreaks) has been effective.
One of those countries has been able to trace all cases in the last few months and makes extensive use of genomic sequencing. The leaks have all come out of hotel quarantine breaches. I believe that some Australian states that do not receive overseas travelers have not had a single case in months.
It may (or may not) not be feasible for bigger and non-island countries, although I suspect that the border closures will happen far more swiftly if there's another pandemic in our lifetimes.
The positive case is a security guard that works at quarantine hotels. Immediate and immense efforts have been put into place to contact trace as many contacts as possible, and to sequence the genome to understand the direct link between existing cases.
We expect these occaisonal breaches in quarantine, and as long as they remain occaisonal they are relatively cheap and easy to contain. Meanwhile restrictions continue to ease and life is almost as normal as you could want - and will certainly be even better once the vaccination program is in full swing.
Considering the insane profits pharmaceutical companies are currently recording, the issue has more to do with these companies favoring their benefits to the detriment of the general population which should come as no surprise to anyone having experience dealing with a pharma company.
The issue is particularly prevalent in Europe because as usual, apart from some grand posturing in the media, Europe will do nothing to fight back.
Which, as Eliezer notes, is part of the problem. That together with flexible delivery schedules in agreements mean that companies have little extra resources and incentives to invest in fast vaccine production.
For more discussion, see https://marginalrevolution.com/marginalrevolution/2021/02/ma...
This country was in this together. For better or for worse. Closing the borders of states was never an option.
I wonder if that's really the case. A year ago I'd say the same for Australia. Yet most Australian states closed their borders at some point as a response to local cases spiking. (I agree it's less practical in the US, but I do wonder about the legality)
How many road cross into CA? How many open fields? You’d need an army of hundreds of thousands to ensure nobody crosses.
Plus, most of the infrastructure is there for the agricultural inspection stations. Just use it to stop human disease instead of plant disease.
And interestingly there are only 16 agricultural stations for all of California. They are only in place at major highways.
https://en.wikipedia.org/wiki/California_Border_Protection_S...
And if I kind of zoom into Google maps I count 36 crossing between the Oregon/California border just between the Pacific ocean and I-5. Sure, a lot of those are probably logging roads and such, but that's just a 60 mile stretch.
Locking down the borders completely would just have been impossible. You would be suddendly in need of nurses and doctors. Sometimes, more than 50% of the personal in bordering hospitals are cross-border commuters [2]. Yes, you could discuss on how Switzerland is taking advantage of "cheap" labor from neighboring countries, but it does not change the fact that for Switzerland, closing completely the borders (with 14 days isolation) is just an impossible task.
[1] https://www.bfs.admin.ch/bfs/en/home/statistics/work-income/... [2] https://www.swissinfo.ch/fre/fran%C3%A7ais-et-italiens-dans-...
South Korea, North Korea, Finland, Vietnam, several central American countries and others. Even China fits the bill. Not sure how frequent traffic across Thai borders are, but my impression is that SE Asian countries are not very well integrated.
This is a case of "you make your own luck".
The UK has presumably been lucky more often, but we have never had the opportunity to observe it.
If there were a major ongoing epidemic in China, it would be impossible to hide. Hospitals would be under the same sort of pressure that they are in Europe and the US. People would have family members and friends who got sick or who died. That's not happening. China is simply too tightly connected to the rest of the world to keep things like this a secret. In December 2019, the existence of the outbreak in Wuhan was known around the world within days of the first patient test results coming back.
Even Western media began grudgingly admitting several months ago the virus was essentially gone from China. For example, German/French public radio did a pretty interesting documentary on post-CoVID-19 Wuhan. The first scene is in a packed discotheque:
* German: https://youtu.be/LmsI7lc2_Vg
* French: https://youtu.be/OyHt7-KmK7Y
* English subtitles: https://youtu.be/DEOyhN2-kPs
Yep, that's how censorship works.
I'm sure you won't see too many people talking about Tiananmen Square on Chinese social media either, but that doesn't mean it didn't happen.
Are we really going to pretend that the Chinese government hasn't been heavily censoring information which makes them look bad?
Early on in the pandemic, the Chinese covid death counts started to skyrocket, and activists within the country were using Github to make sure this information did not get 404'd. The same day these activists were dissapeared, the skyrocketing "official" chinese covid death count immediately went down to "0", where it has remained ever since. When using Google to browse the death counts by country, you can't even look at the death counts for China, the button is disabled.
https://www.hrw.org/news/2020/04/27/china-free-covid-19-acti...
China doesn't have the power to censor Western expats on Twitter, or the millions of live conversations going on at any given moment between people inside China and people outside. This view of China, that it's a black box that information can't escape out of, is simply not reality.
Yes, they do, directly and indirectly.
Directly: Li-Meng Yan, the Chinese virologist who blew the whistle on covid in December 2019, but the Chinese government covered that up. She defected to the US, and published a research paper critical of the Chinese government, and Twitter banned her account.
Indirectly: How likely do you think it would be for the chinese government to renew an expats visa if they were doing activist work like the chinese activists who got dissapeared for reporting covid deaths on Github? They didn't even let a WHO investigation team into their country for almost a year
The first pneumonia patients in Wuhan got their test results showing a suspected SARS-related coronavirus on 27 December 2019. The local authorities put out an alert on 30 December, which was instantly noticed by people around the world who track emerging infectious diseases. In other words, health professionals around the world knew about the Wuhan outbreak within 3 days of the first suspicious test results.
I don't think you realize the sheer volume of communication between people in China and the outside world. Many millions of everyday people are in regular contact across the border. There are many millions more people with VPNs who say whatever they want on Western social media. Even Chinese social media is way too active for the government to thoroughly monitor. Almost anything major that happens in China nowadays is known about outside China pretty much instantly. The idea that there's been a massive epidemic underway in China over the past year and that the government has been able to keep that information from leaking to the outside world is utterly implausible.
> They didn't even let a WHO investigation team into their country for almost a year
Which WHO investigation? The WHO visited on 20 January 2020, just three weeks after the outbreak was identified.[1] Months later, for political reasons, the Australian PM started demanding an "investigation." China didn't like the accusatory nature of the Australian demands, and it took months to negotiate a process that all sides considered reasonable. But the WHO was in Wuhan long before Australia began demanding a different sort of investigation.
1. https://www.who.int/china/news/detail/22-01-2020-field-visit...
https://www.reuters.com/article/us-health-coronavirus-who-ch... https://www.nbcnews.com/health/health-news/how-china-blocked...
Second of all, you should take the claims of Western media about China with more than a grain of salt. The WHO team that went a year later wasn't blocked from entering. A few team members began traveling to China before their visas were approved. The data wasn't "sanitized." One team member said he wanted to see additional data. The newspapers trumpeted that, claiming that China had hidden everything. Other members of the WHO team then criticized the newspapers, saying that they had been given extensive access to the data they wanted.
One of the reasons New York, London and Brussels have been hit so hard is that they are global hubs in the world transport and financial power networks.
Now multiply that across 170 countries some too poor to do what Singapore did.
If every country had locked down like NZ, we would have just had a series of lockdowns and flare ups and more lockdowns. It certainly would have kept the case numbers much lower but can you imagine the fatigue after going through your 12th lockdown?
Compared to that, having to lock down every couple of months for a week or two doesn’t seem anywhere near as bad. Oh, and we wouldn’t have 130,000 dead in the UK and 500,000+ dead in the USA!
To put your numbers in perspective, in a population of 330mio with life expectancy 70-75y (USA numbers), every year around 4mio people die for some reason or another. Not saying covid is not a problem, but these numbers don't really support the claim.
A quick check shows the U.K. death toll increased by 15% in 2020 (600,000 in 2019, 690,000 in 2020). That was WITH the lockdowns in place.
40,000 people died of Covid in January 2021 alone as a result of the government's ineffective response leading up to Christmas.
Compare that to New Zealand’s 26 total Covid deaths, or South Korea’s 1,669 total Covid deaths.
I think my numbers support my claims perfectly well.
No they don't. Unless you have a way to create and investigate a parallel universe where you can put your thesis to a test, but I assume you don't.
Is this a joke?
Once out, you're dealing with about 200 countries divided in tens of thousands of localities and hundreds of thousands of politicians with their own goals and beliefs. So, not doable.
No, it's even worse than that. Signs of covid have been found in Europe dating back to October 2019, before anyone in China knew that this existed.
Besides, western countries didn't take the virus seriously in the beginning at all. Even a month after the Wuhan lockdown, the Dutch didn't take much action, while Trump said it's just the cold. The attitude was basically: it's only a disaster in China, outside China it's not serious.
Your comment is on point. I'm certain that many European countries benefitted from the escalation in Italy and pictures of army trucks filled with body bags. From then on, most took the virus a lot more serious.
'It's only a disaster in X, in our country it's not serious' has been a recurring theme and it's one of the things that makes me bearish going forward.
I've always been skeptical of this; test enough samples and you will get positives. More careful and systematic analysis is required on this one.
It wasn't October 2019, actually Italy had September 2019! A few countries had it back-identified before official Wuhan ones. France had December. Its very well possible that Covid originated elsewhere, but that's another topic.
That's not how our global economy works.