The Consequences of US COVID-19 Neglect

Published in Taiwan Times
(Taiwan) on 09 March 2020
by (link to originallink to original)
Translated from by Tyler Ruzicka. Edited by Patricia Simoni.
Americans lack awareness of the crisis surrounding COVID-19. They were concerned about the virus only after it had already taken hold, when the key opportunity to cut off the disease had been lost. Like other pro-China countries, the U.S. is certain to suffer heavy losses.

In the two months following the outbreak, the novel coronavirus from Wuhan, China, has continued to erupt throughout Europe and the Americas. In particular, the epidemic seems to be getting more and more severe across the Pacific Ocean in the United States. When outbreaks first appeared in China and parts of Asia, the United States did not immediately adopt any strict preventive or control measures, which led to outbreaks across the country, with more than 20 states reporting confirmed cases. It is worth noting that infections occurred onboard a Grand Princess cruise liner which is currently docked off of San Francisco. Like Japan's Diamond Princess cruise ship, it could cause wide-spread infection in neighboring countries and on U.S. soil, making the outbreak even more serious.

Simply in terms of medical technology and resources, the U.S. far surpasses many countries across the globe, and if it could have issued an early warning, taken strict preventive measures, and made thorough preparations, it should have been possible to effectively control the epidemic. But because President Donald Trump was overly self-confident, and had too much faith in the World Health Organization's statements that China could effectively control the epidemic, he did not pay attention to early warnings from American health and disease authorities, and instead reprimanded health officials for creating concern. Although the U.S. appointed the vice president as the commander of disease prevention efforts and committed $2.5 billion to epidemic defense systems, with the delay in initial preventative measures, these actions are somewhat insufficient. It’s like trying to put out a raging fire with a cup of water. This has led to only a small number of completed quarantines in the U.S., making it impossible to ascertain the true number of infections and therefore raise the public's awareness about the epidemic.*

Logically speaking, the U.S. Centers for Disease Control and Prevention should be the best in the world regarding prevention and cure of newly developing infectious diseases, both in terms of resources and expertise. Beyond the American president's neglect, with regard to a disease like COVID-19 for which there is still no vaccine and no specialized treatment or drug, the U.S. should seek to mobilize all of the experts and the country’s elite to develop a rapid screening reagent and research a vaccine. On the contrary, the U.S. did not make advance preparation for preventing an epidemic or plans for facing the serious possibility of disaster. Now, with community spread occurring, there is no way to trace the source of infection, and the U.S. can only act reactively to try to reduce harm and mitigate disaster.

The underlying cause is that the United States, along with Japan and Korea, are all looking forward to China's purchase of U.S. agricultural products through the first stage of trade agreements between China and the U.S. If they block off their borders, it would undoubtedly affect trade between the U.S. and China after the signing of the agreement. Especially with the approaching 2020 presidential election in the U.S. at the end of this year, President Trump needs to show off his track record in office. The hard won U.S.-China trade negotiations and U.S. gains in industrialization are the basis of Trump's political achievements. If the epidemic grows and causes U.S.-China trade to come to a standstill, or if early stringent control measures reduce American economic activity, it will seriously impact the growth of the U.S. economy this year, and will harm his chance of reelection.

This virus transcends borders and political positions, a fact that the U.S. overlooked in its concern and political analysis of the epidemic. If there is any gap or break in the defense system, the virus will inevitably scatter and spread unchecked, with no consideration for human feelings or politics. Factors like the WHO's downplaying of the virus' severity to spare China's reputation for political benefit led countries in Europe and the Americas to underestimate the effects of the virus on global human health. Japan and South Korea both strived to ease their relationships with China; Japan, to benefit both countries' economies and the Olympics, and South Korea, to stabilize the North Korean situation. In order to participate in China's "One Belt One Road" plan and promote domestic economic growth, Italy in Europe and Iran in the Middle East were unwilling to hastily cut off flights from China. This resulted in a large-scale flow of Chinese tourists and construction workers, turning these countries into their respective regions' biggest source of casualties, and even transforming them into regional centers of transmission.

In the future, when the number of new outbreaks and new confirmed cases per day in Europe and the Americas surpass China's, it will confirm China's assertion that it is not a source of infection. China cannot only use its improved epidemic situation as an excuse to return to work and renew production. It could, indeed, advocate for the adoption of isolation measures against countries with serious outbreaks like Japan, South Korea and the United States, turning the tables on the countries that once isolated China due to its spreading epidemic.

Apart from declaring a state of emergency, the U.S. should increase current disease prevention measures, suspend all large-scale activities, call on the public to take steps to protect itself from the virus, and more. If there are shortages of disease prevention supplies or strategies, the U.S. should immediately mobilize people for research, development and production; it should cooperate with other countries, and make thorough preparations to adapt.

*Editor’s note: The World Health Organization declared COVID-19 to be a pandemic on March 11, two days after this article was originally published.


(社論) 美國輕忽武漢肺炎的後果

美國人對武漢肺炎缺乏危機感,被病毒攻陷後才緊張,但已失去切割的先機,與其他親中的國家一樣,重創是必然的。

在發生疫情兩個月後,源自於中國武漢的新冠狀肺炎在歐洲及美洲持續爆發,尤其遠在太平洋彼端的美國,疫情似乎有越來越嚴重的趨勢。原本在中國及亞洲有部分疫情出現時,美國並未立即採取嚴格防堵與控制措施,導致目前不論美東或是美西都有疫情發生,超過二十州有確診病例。值得注意的是,舊金山外海還有一艘郵輪至尊公主號發生感染,也可能如日本的鑽石公主號一樣,給美國鄰國及本土造成重大的感染事件,讓疫情更加嚴重。

其實就美國的醫療科技與資源而言,遠遠超過世界上許多國家,如果能夠早期預警,嚴加防範,做好準備,疫情應該能夠有效管控。但就是因為美國總統川普過於自信,也太相信世界衛生組織有關中國可以有效控制疫情的說法,導致美國衛生與疾病主管機關早已提出警告,美國川普不以為意,反而斥責衛生官員搗亂。在初期預防工作已經延遲情況下,美國雖任命副總統為防疫指揮官,並撥發二十五億美金投入疫情防制,但如杯水車薪,有所不足。導致美國現在完成檢疫人數不多,無法掌握實際感染人數,升高社會對疫情的警覺。

按理來說,美國的疾病管制局對於新興傳染病的防治,不論是人才或是資源來說,應該世界頂尖的。除了上述美國總統輕忽之外,對於武漢肺炎這種仍無疫苗及缺乏救治專門藥物的病毒,應該要動員全國的人才與菁英,發展快篩試劑,研發相關疫苗才是。美國反而在疫情防治上,並未針對發生災情嚴重性,先期預防及部署,導致現在造成社區感染後,已經無法追蹤出感染源,只能被動地尋求減災或降低傷害。

而其背後原因在於美國和日本及韓國的動機一樣,期待中國透過美中第一階段貿易協議,購買美國的農產品。如果採取境外阻絕的方式,勢必會影響中國與美國在簽訂協議後的貿易行為。尤其在美國總統大選即將在今年年底舉行,美國總統川普必須展示其任內政績,好不容易達成的美中貿易談判,以及美國在工業化的成果,都是川普政績的基礎,如果疫情擴大,造成美中貿易互動停滯,或因為及早嚴格管控,限縮美國經濟活動,此兩者對美國今年的經濟成長造成嚴重影響,衝擊美國總統川普的選情。

美國對於疫情的顧慮與政治考量,都忽略了病毒是超越國界與政治立場,只要有防疫空隙與漏洞,必然大肆流竄,毫無人情或政治考量。諸如世界衛生組織以政治利益顧全中國面子,將病毒嚴重性輕描淡寫,使歐美國家輕忽病毒的對世界人類健康的影響。日本為了兩國經濟與奧運的效益,南韓為了穩住北韓問題,努力和緩與中國關係;在歐洲的義大利及中東的伊朗,為加入中國一帶一路計畫,提升本國經濟發展,不敢貿然斷絕來自中國航班的結果,中國觀光客及建築工人大量流動,讓這些國家成為各個區域的最大受害者,甚至轉而成為區域的病毒傳播。

未來歐洲及美洲疫情及單日確診數會超越中國時,將會坐實中國所說非傳染源的說法。中國不僅可藉疫情和緩復工生產,還可以主張對境外疫情嚴重國家,如日本、韓國、美國等採取隔離措施,逆轉原先中國因為散播病毒疫情而遭世界孤立的情況。美國除了發布緊急狀況外,應該提升現有防疫作為,暫停各種大型活動,呼籲民眾採取自我防疫措施等。如果缺乏防疫戰略物資,則應該立即動員研發生產,與其他國家合作,做好因應的萬全準備。
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