Embarrassment for Trump after Mocking Opponent for Wearing Mask

Published in UDN
(Taiwan) on 2 October 2020
by Dr. Zhang Fa-xun (link to originallink to original)
Translated from by Jennifer Sampson. Edited by Helaine Schweitzer.
President Donald Trump’s COVID-19 diagnosis stunned the world.

Ever since March, when the novel coronavirus pandemic exploded in the U.S., Trump has consistently tried to play down its threat. Even after more than 200,000 people died, he maintained that the pandemic would get under control and the economy would restart.

In fact, not only was Trump ridiculously incorrect, but his impaired health has thrown the U.S., and the world, into crisis.

Trump is a 74-year-old male with a body mass index above 30, a level that extends into obesity. Of the three risk factors that can affect the severity of a coronavirus infection, his age and weight are the most worrying. He was screened for the virus because an aide recently tested positive. In Trump’s case, the virus is likely still in the incubation period, and symptoms may appear in a few days. After British Prime Minister Boris Johnson tested positive for COVID-19, he initially isolated at his residence but was hospitalized after three days.

Although the rate of severe coronavirus infections is 20%, that number increases to 40% among older people, and obesity increases that risk at least 1 1/2 times. Therefore, the risk of Trump experiencing a severe infection is as high as 60%. As soon as lung inflammation occurs, he will have to be hospitalized for treatment and will not be able to remain at the White House. Half of the coronavirus patients who are hospitalized with severe symptoms are admitted to intensive care because of near respiratory failure. Thus, the probability that Trump will be admitted to intensive care, and even intubated, is as high as 30%.*

What is most worrying is that the mortality rate of severely ill coronavirus patients in intensive care might be as high as 50%; the probability that Trump dies of the disease is therefore at least 15%. Although Trump looks healthy, he unexpectedly underwent a hospital examination last November; other chronic diseases would increase his risk of severe illness and death.

Even if Trump is not seriously affected by the disease, he will still at least need to quarantine for two weeks, a huge factor that will affect the presidential election, which is one month away. If he needs to be hospitalized, and even intubated, there will be a problem as to who assumes his responsibilities, throwing the already chaotic nation into further upheaval and making pandemic prevention even more difficult.

Trump’s diagnosis is a painful footnote to America’s failure in preventing the pandemic. Trump’s underestimation of the virus and scorn for science was central to that failure. East Asia’s experience has shown that by quarantining and wearing masks, the general population can effectively prevent a pandemic. Trump’s rejection of these preventive measures, and his mockery of election opponent Joe Biden for wearing a mask, caused people to shake their heads in dismay.

On the surface, Trump professes that he did not want people to panic with regard to the virus. However, he himself is terrified, as evidenced by the fact he has taken hydroxychloroquine and flown into a rage if people approach too closely. Yet to advance his campaign, he still traveled and held large campaign events. Many Americans have followed his lead by not taking the pandemic seriously, which has caused unnecessary casualties. Trump has only himself to blame for getting infected.

The fact that even the president is infected proves the U.S. must change its prevention strategy. Trump has been repeatedly tested for the virus, and there has been frequent discussion about the country’s testing capacity. However, if no one wears a mask after being tested and does not socially distance, thousands of tests are useless. The lesson for Americans from this pandemic is that no matter how rich and powerful your county is or how advanced your medicine, sacrificing individual freedoms for collective safety remains the key to preventing the virus.

America’s COVID-19 prevention measures and related political struggles are ridiculous and absurd. If the U.S. doesn’t use Trump’s illness as an opportunity to reflect on what is wrong with the country, making America “great again,” as Trump boasts, will be nearly impossible.

*Editor’s note: President Trump was transferred to Walter Reed National Military Medical Center on Oct. 3.



笑對手戴口罩 川普糗了

美國總統川普確診新冠疾病,震驚國際。

打從今年三月,美國爆發新冠疫情以來,川普一直試圖淡化病毒的威脅,甚至在死了廿萬人以後,依然認定疫情就要獲得控制,經濟大可重啟。

事實證明,川普不只錯得離譜,還可能因為健康受損,而讓美國,甚至全球局勢,陷入危機。

川普是男性,今年七十四歲,且身體質量指數超過卅,已達肥胖程度,等於有三個新冠重症的危險因子,其中又以後兩者最令人憂心。川普乃因最近有幕僚確診而接受篩檢,很可能目前尚處於潛伏期,或許幾天後才會出現症狀。英國首相強生確診後,一開始也留在官邸隔離,但三天後就住院了。

新冠重症比率約兩成,但老年人升高到四成,而肥胖又增加至少一倍半的危險性。因此川普演變成重症新冠疾病的機率高達六成,一旦出現肺炎症狀,就必須住院治療,無法再留在白宮。住院的新冠重症病患,有一半人會因呼吸瀕臨衰竭而住進加護病房。因此,川普住進加護病房,甚至被插管的機率高達三成。

最讓人擔心的是,住進加護病房的新冠重症患者,死亡率可能高達一半,因此,川普因新冠疾病而死亡的機率至少是一成半。川普雖然看起來健康,但去年十一月曾突然到醫院接受檢查,若有其他慢性疾病,等於又增添額外重症與死亡風險。

川普染疫,即使最後身體沒大礙,至少須隔離兩周,為一個月後的總統選舉帶來重大變數。如果必須住院,甚至插管,就會衍生職務代理問題,讓國事蜩螗的美國更加動盪,防疫更加困難。

川普的確診,乃美國防疫一敗塗地的慘痛註腳,關鍵就在於川普小看病毒,又鄙視科學。東亞經驗早已顯示,確實檢疫隔離與全民戴口罩,就能有效防杜疫情,但川普帶頭否定這些防疫措施,甚至嘲笑對手拜登愛戴口罩,令人搖頭。

川普表面上要大家別怕病毒,自己卻是怕得要命,才會自行吃奎寧,並且一有人靠他太近,就勃然大怒。川普甚至為了提振選情,到處舉辦大型造勢。這些錯誤示範,讓不少美國人跟著輕忽疫情,造成無謂傷亡,如今川普染疫,等於咎由自取。

連總統都染疫,證明美國現今採用的防疫策略,必須改弦更張。川普有一陣子反覆檢測病毒,而全國檢測量能也一再被討論,但檢測以後如果依然不戴口罩、不保持社交距離,檢測一千次也沒用。新冠疫情帶給美國人的啟示應是:國家再富強,醫藥再發達,防疫成功的千古關鍵因素,依然是暫時犧牲個人自由,才能換取集體安全。

美國新冠防疫與相關政治鬥爭實已離譜又荒謬,如果不能藉此反省整個國家出了什麼問題,川普誇口要「讓美國再度偉大」,比登天還難。

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