Vietnam is fighting Covid without pitting economic growth against public health

‘The motto for the first phase was that if we stay alive, the question of wealth and the economy can come later. Ordinary people did suffer, such as the gig economy workers: whenever I order a Grabcar (a south-east Asian version of Uber) these days, the vehicle that arrives is always newer and more expensive that what I’m used to; as a driver explained, those who used to pick me up in their cheaper cars have had to sell them to stay afloat, leaving only those with deeper pockets left in the market.

‘But now the government has shifted its anti-Covid strategy towards the economy. The tactics for the second wave are more sophisticated. Contact tracing is still prompt and aggressive but lockdown and isolation are more selective; international flights have been opened for foreign workers, such as engineers from South Korea’s LG, who are needed to keep the economy functioning.’

Read here (The Guardian, Oct 20, 2020)

Dying in a leadership vacuum: NEJM editorial

‘Covid-19 has created a crisis throughout the world. This crisis has produced a test of leadership. With no good options to combat a novel pathogen, countries were forced to make hard choices about how to respond. Here in the United States, our leaders have failed that test. They have taken a crisis and turned it into a tragedy.

‘The magnitude of this failure is astonishing. According to the Johns Hopkins Center for Systems Science and Engineering,1 the United States leads the world in Covid-19 cases and in deaths due to the disease, far exceeding the numbers in much larger countries, such as China. The death rate in this country is more than double that of Canada, exceeds that of Japan, a country with a vulnerable and elderly population, by a factor of almost 50, and even dwarfs the rates in lower-middle-income countries, such as Vietnam, by a factor of almost 2000. Covid-19 is an overwhelming challenge, and many factors contribute to its severity. But the one we can control is how we behave. And in the United States we have consistently behaved poorly.’

Read here (New England Journal of Medicine, Oct 8, 2020)

Vietnam let down its guard, and cases surged

It’s a familiar story in Asia: Vietnam seemed like a miracle, where months went by without a single coronavirus death or even local transmission. 

 

The economy reopened, travel restarted and residents began leaving their masks at home. But over the weekend, the country announced that the virus was lurking after all — and spreading. Experts do not know the source. 

 

It followed a pattern in places that seemed to have done everything right: Japan, China, Australia and South Korea all recorded spikes on Wednesday. And the mystery is worrying medical experts and residents alike. 

 

Details: Shortly after a 57-year-old man from Danang tested positive, clusters emerged in five hospitals. By Wednesday, the virus had spread north to Hanoi, south to Ho Chi Minh City, to two provinces in the country’s center and even the remote Central Highlands. 

 

Quotable: “In my opinion, this outbreak is more dangerous than the previous one because it is happening at the same time in many places,” said the dean of public health at Quang Trung University.

Read here (New York Times, June 29, 2020)

The hunt for the origins of SARS-CoV-2 will look beyond China: The virus may have been born in South-East Asia

‘John Bell, a professor of medicine at the University of Oxford, says everyone thought there would be a flood of cases in Vietnam because the country is right across the border from China. Yet Vietnam has reported only 300 in a population of 100m, and no deaths. The country did not have a great lockdown either, he adds. Nobody could work out what was going on.

‘One explanation, he suggests, is that Vietnam’s population is not as immunologically “naive” as has been assumed. The circulation of other sars-like viruses could have conferred a generalised immunity to such pathogens.’

Read here (The Economist, July 22, 2020)

How has Vietnam, a developing nation in South-East Asia, done so well to combat coronavirus?

Key points: Despite sharing a border with China, Vietnam has reported less than 300 cases. Experts believe that Vietnamese coronavirus caseload statistics are accurate. Success has been attributed to aggressive testing, contact tracing and public messaging

Read here (ABC News, May 13, 2020)

Vietnam winning new war against invisible enemy

‘While much more resource constrained, some key features of Vietnam’s response are similar to other much lauded East Asian responses, with its infection rates significantly lower than even Taiwan’s. For many other developing countries struggling to cope with the Covid-19 pandemic, key aspects of its response are very relevant.’

Read here (IPS News, April 14, 2020)