Check passenger temperature at Lviv International Airport, Ukraine
A new coronavirus is raging in Europe and America, with fewer diagnoses in china, where officials say the peak has passed. The epidemic seems to have been successfully controlled, and China`s practice has been confirmed by the World Health Organization, saying it is worth learning from other countries.
However, doctors and disease experts told The British Broadcasting Corporation Chinese that China`s severe blockade and isolation measures did effectively reduce the number of confirmed diseases, but were reluctant to make a decision on the effectiveness of the "city closure" measures, and expressed concern about whether the virus would return as a result of the "city.
The experts also said that it is not easy for most countries to emulate the chinese-style "large-scale siege ", which involves economic 、 social and human rights issues in addition to the lack of chinese regime execution, and therefore does not apply everywhere.
China`s new coronavirus epidemic continues to spread, China`s mainland social media appeared a large number of short films about the epidemic. Some had been arrested for not wearing a mask, others had been instructed by the relevant authorities for issuing information about the outbreak, and others had locked suspected cases at home.
Is there a counter-attack
On march 16,86587 confirmed cases outside china exceeded the number of cases in china.
China`s diagnosis has declined in recent weeks, while the number of Europe and America cases considered slow to respond has increased on a large scale, which seems to indicate that the blockade and isolation measures adopted in January this year in China, where the outbreak occurred, have been effective.
Nevertheless, the medical community still seems to question the effectiveness of quot;& quot; measures in Wuhan, China.
China`s January 23 policy of banning entry and exit from Wuhan has slowed domestic transmission by only three to five days, as the blockade has been too late and many cases have been diagnosed in other cities, according to a study published on March 6 in the famous American academic journal Science (Science).
According to Robert Dingwall (Robert Dingwall), a professor of public health at the University of Nottingham Trent in the United Kingdom ," it is too early to conclude on the validity of the City ."
The virus may still have life-cycle characteristics, he explained to The British Broadcasting Corporation in chinese, not eliminating the virus, imposing intensive isolation, sealing the city, and perhaps stopping the spread of the virus, but "the virus remains in the population unless effective vaccine, are created ".
Dingwall said he was still watching how china`s government would judge when the city would be lifted and how it would be dealt with if the epidemic were to be repeated ." Do you want to seal it again? "
Wuhan after Fengcheng
He also stressed that the re-establishment of the city will have a greater impact on society and economic.
Gestin (Lawrence Gostin), a global public health expert at Georgetown University in the United States, also said it was necessary for States to remain sceptical about the embargo policy. "China has a very special political system that allows it to comply citizen with stringent measures, but these countries` controls and surveillance are not suitable for other countries ," he told the media. "
Dr. Sandra Chisek (Sandra Ciesek) of the Institute of Medical Virology, University of Frankfurt, noted that it was too early to judge the effectiveness of any measure.
Italy, she said, is also sealed, but the effectiveness is still open to question, but also must consider its degree of implementation, such as strict or not.
Experts emphasize the importance of segregation more than city closures. Chisek says that many people who have become ill but are not detected for signs of illness are contagious, which perpetuates the entire infection chain (chain of infection) and explains the importance of isolating patients to control the speed of transmission.
Her e-mail message to The British Broadcasting Corporation said that the outbreak of the new crown virus has a lot to learn from ," such as information transparency, international cooperation, and a timely response to control the spread of the epidemic. "
Can China Model Replicate
Many scholars believe that China`s harsh approach to the epidemic does not apply to other countries or cities.
The Philippines` renowned medical program host, Otolaryngology physician Freddy Gomez (Freddie Gomez), believes that sealing the city is the most important step to curb the further spread of the epidemic. But extreme measures such as China`s harsh forced isolation or complete blockade of cities are hard to accept in other countries, such as the Philippines.
He stressed that China`s epidemic prevention measures need careful inspection, the implementation of "closed city" to reduce the number of patients diagnosed, can be referred to, but if there are "official surprise visits, neighborhood surveillance, monopoly information dissemination and other measures, are violated human rights "..
"The basic humanity and dignity should not be deprive .", even if the desired epidemic is achieved ," Gomez told The British Broadcasting Corporation in Chinese
He also stressed that the task of government at this time is to be a leader who can trust and maintain the well-being of the population.
authorities Philippines has declared Manila closed, closing shopping malls in addition to banks and medical, and livelihood stores, as well as banning domestic flights and even curfews to prevent people from going out to social gatherings.
"Nobody should be punished or harassment ." for warning the public about the disease ," Gomez said
Li Wenliang, a Chinese ophthalmologist who is seen as the new crown pneumonia & quot; whistle blower & quot;, has been officially punished for issuing warnings social app the Chinese social media. He died of pneumonia on february 7th.
What can be learned from China?
Mr. Gomez added that China`s important measures include expanding testing capabilities, temporarily converting stadiums into isolation facilities, and providing specific clinics to patients with mild illness to avoid overstretched hospitals and setting hotels as isolation sites, all of which are worthy of reference.
Some gymnasiums in wuhan, china, were used as large isolation centers during the outbreak, separating patients with mild illness from their families.
Chen Sheng, Department of Infectious Diseases and Public Health, City University of Hong Kong, believes that "City closure" does slow the spread of the virus, but also emphasizes that complete closure of cities can cause many economic and social problems and is not applicable to every city.
He believes that what countries can government learn from wuhan`s epidemic prevention experience is that comprehensive measures must be developed before the city is sealed, such as appropriate isolation procedures and medical facilities, how to isolate diagnosed and healthy people, and how to separate the diagnosis of asymptomatic, mild and severe patients, which requires a large number of volunteers and adequate medical facilities.
Chen Sheng stressed :" the most important thing, the people and government must cooperate, when these conditions are met, the closure of the city will be effective, otherwise the closure of the city will only lead to more problems. "
National state of emergency issued by Spain on 15 March
Epidemic prevention with Chinese characteristics
China`s government has the capacity and resources to impose city closures and mandatory segregation of confirmed cases, but such an approach would have an impact on the legitimacy of national governance, Dingwall said.
"Looking around the world, only a few government 、 military police have authority ." as powerful as China ," he said
Taking into account the importance of measures for society as a whole, such as the direct impact of closed markets on food supply, he said to The British Broadcasting Corporation in chinese that the chinese government response was slow.
In mid-february, hong kongers stranded in hubei told the media that local drug shortages were badly needed.
Hard-line measures to stop the epidemic, but also to take into account people`s livelihood and personal freedom, this is like a Libra that will never be balanced. For most democratic government,, it is hard to impose tough and tough preventive measures like china, and for temporary hospitals to emerge in a short period of time with a single warning.
Gomes suggests learning from south korea, singapore and TW than from china`sline tactics. Effective local government to curb the spread of the epidemic, such as targeted isolation measures and immediate travel ban.
In particular, he noted the country`s anti-epidemic policy, saying that screening was widespread, reducing the burden on hospitals and reducing the risk of infection among health-care workers, and that special applications were being developed to track cases and ensure that they were kept away from the public in order to prevent an increase in the number of diagnoses.
