By Dennis Thompson
HealthDay Reporter

FRIDAY, March 27, 2020 (HealthDay Information) — Vietnam. South Korea. Taiwan.

All 3 international locations are positioned uncomfortably close to China, the original epicenter of the coronavirus pandemic which is now swept across the planet.

But they also have one other factor in popular: They have just about every managed to include their COVID-19 infections, avoiding the new coronavirus from reaching epidemic proportions in their borders.

How did they did so could supply classes to the United States and in other places, specialists say.

Reacting early was vital.

South Korea, Taiwan and Vietnam just about every regarded the novel coronavirus as a risk from the outset, and aggressively analyzed suspected cases and tracked possible new infections, community well being specialists mentioned.

“Getting cases and isolating them so they are not transmitting forward — which is the experimented with and accurate way of controlling an infectious ailment outbreak, and when you evaluate what was finished in many Asian international locations, you will uncover that at its main,” mentioned Dr. Amesh Adalja, a senior scholar with the Johns Hopkins Heart for Health Security in Baltimore.

The initial cases of what is now called COVID-19 appeared in Wuhan, China, in early to mid-December, joined to a dwell animal and seafood industry situated up coming to a significant train station.

Most of the planet took a watch-and-hold out technique, but not Vietnam, mentioned Ravina Kullar, an infectious illnesses researcher and epidemiologist with Professional Stewardship Inc. in Newport Seaside, Calif.

“They in fact started out getting ready for this on Dec. 31. They have been screening on Dec. 31,” Kullar mentioned. “They have been proactive, and that I imagine is a vital to avoiding epidemics. They have been overly careful, and that definitely benefited the nation.”

Vietnamese authorities officials also started web hosting press conferences at least after a day, where by they supplied truthful and forthright info about the status of the coronavirus.

“They have been extremely open up and truthful with the citizens of Vietnam, and that definitely served them perfectly,” Kullar mentioned.

There have been just 153 confirmed cases in Vietnam, which has a population of much more than 96 million, in accordance to Johns Hopkins coronavirus monitoring.


A deficiency of screening in other international locations has led to the popular implementation of authoritarian measures like lockdowns to prevent the distribute of coronavirus, Adalja famous.

“If you really don’t have the diagnostic screening capability, there may be a inclination to use extremely blunt instruments like shelter-in-spot orders, for the reason that you really don’t know where by the cases are and where by they are not,” Adalja mentioned.

South Korea initiated a method of affected person “cell phone booths” to enable people get speedily and safely and securely analyzed for COVID-19, Kullar mentioned.

“A single particular person at a time can enter one side of this glass-walled booth, they seize a handset, and they are related with a clinic employee standing on the other side of the glass,” Kullar mentioned.

Utilizing a pair of rubber gloves established into the wall, the well being treatment employee can swab the affected person with no most likely exposing on their own to the virus, Kullar mentioned.

“The clinic is in a position to tell the affected person their outcomes in seven minutes. We really don’t have something like that at all,” Kullar mentioned. “They had this speedily put in spot in most hospitals to get sufferers swabbed in a way where by you really don’t have immediate get in touch with with a well being treatment employee.”

A nation of fifty million, South Korea presently has 9,241 confirmed cases of COVID-19. Even though cases proceed to climb there, they have finished so with a substantially much more gradual slope in March immediately after a steep spike in February.

South Korea, Vietnam and Taiwan all realized classes from the 2003 SARS epidemic and constructed up their community well being infrastructure to be in a position to straight away react to future crises, specialists mentioned.

Just eighty one miles from mainland China, Taiwan had each and every motive to turn out to be a hotbed of COVID-19 action. There is certainly a frequent and regular circulation of population between the island and China.

But there only have been 252 confirmed cases amid the island’s 23 million citizens.

As with Vietnam, Taiwan started screening travellers traveling in from Wuhan as early as Dec. 31, in accordance to the Asia Times.

The island expanded its screening in a 7 days to consist of any one who a short while ago traveled to possibly Wuhan or the Hubei province in which the metropolis is situated.


Taiwan also instituted border controls, quarantine orders and university closures, and established up a command center for rapid interaction between local governments and their citizens.

Though the United States skipped its likelihood to head off a COVID-19 epidemic, and is perfectly on its way to getting to be the pandemic’s new epicenter, these classes drawn from other international locations could nevertheless be utilized to enable take care of infections in the months and yrs forward, Adalja and Kullar mentioned.

Community well being measures like rapid screening and get in touch with tracing need to be in spot and all set to go by the time states get started to elevate their lockdowns, Adalja mentioned.

“There is heading to be a level where by we have to get started thinking about how we go forward into a up coming phase of the reaction, and that will be locating cases and isolating them,” Adalja mentioned. “As section of that, we will need to have diagnostic screening with any luck , at the level of treatment to be in a position to discover all those sufferers. We skipped the early possibility to do this, but we do have the capacity to do that now as we go into a unique phase of the reaction.”

The experience in Taiwan and South Korea exhibit that democracies can react proficiently to an epidemic, Kullar famous. And China, with its totalitarian regime, has witnessed no new cases of local distribute in virtually a 7 days.

A different illustration, and a European one at that, is Germany. Though the nation has the world’s fifth-maximum quantity of confirmed cases (43,646), there only have been 239 deaths.

Kullar cited the German well being treatment method as the motive why people are surviving the virus, in unique the country’s nursing corps.

“They have thirteen nurses per one,000 people, which is some of the maximum than any of the other seriously impacted COVID-19 international locations,” Kullar mentioned. “The bigger quantity of nurses exhibit that nurses are the spine of the hospitals, specially in ICU treatment. They have produced positive to definitely focus in on affected person management and survival.”

WebMD Information from HealthDay


Resources: Amesh Adalja, M.D., senior scholar, Johns Hopkins Heart for Health Security, Baltimore Ravina Kullar, Pharm.D., M.P.H., infectious illnesses researcher and epidemiologist, Professional Stewardship Inc., Newport Seaside, Calif.

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