(11-24-2020, 10:08 AM)Goose Wrote: (11-24-2020, 08:51 AM)Farm93 Wrote: To break it down, it essentially will ask how can we be more like New Zealand, Australia, Thailand, Vietnam, Japan, South Korea and Taiwan and less like Brazil and Mexico for the NEXT global pandemic?
Goodness I hope they don't approach it that way. While I think it will be useful to look at the approaches used in areas that were relatively successful in containing the epidemic, it is abundantly clear IMHO that the approaches used in these nations would be largely ineffective in the USA. New Zealand, Australia, and Taiwan are islands that are relatively easily isolated from outside infections. They also have much smaller populations than the USA. Thailand, Vietnam, Japan, and South Korea are relatively homogeneous culturally so obtaining compliance is much easier than in the USA. Thailand, Vietnam, and South Korea also have governments that have frequently used major force to control the population.
I believe that we need to first look very hard at what will work here in the USA to prevent us from getting in a situation where we have community spread in many places. We have avoided previous pandemics by doing this, but in fact we were aided by the type of disease and some very good luck. We need to greatly beef up our capability to do this. This will include plans to safely repatriate US travelers when epidemics start in other nations. It may involve considerable inconvenience to travelers, but we are going to need the capability. We have too many people and too many points of entry to just ignore the issue. Once it gets going inside the USA, controlling it isn't ever going to be easy.
We also need to improve our local health departments ability to respond to outbreaks and control them early. IMHO the public needs to be educated to the idea that public health enforcement exists and will be used! We have the legal mechanisms in place because we previously used them to deal with localized epidemics. Our current politicians seem to believe that the population will simply revolt if they try to enforce isolation/quarantine. That has to change. The public has to know that these steps will be taken and will be enforced. In all the nations you cited as better examples (except Japan), that is the case. The local tracking and tracing capability needs to be maintained adequately to handle an outbreak, but that is pointless if there is no enforcement. We are experiencing that right now and have been for months.
The third arm of the changes we need was outlined by Tony Fauci in his conversation with the Dean of the medical school. We need to develop the capability to create antivirals "on demand" to attack things like COVID-19 early on. The "warp speed" effort to develop a vaccine is great, but this type of effort will always take many months because you have to vaccinate a large percentage of the population to gain an effect. In the meantime, you can't have people dying in large numbers. The only way to avoid lockdowns is to treat the disease successfully. We are getting there with COVID-19.
https://www.medpagetoday.com/infectiousd...definition
However, right now things like this take too long. We need more "generic" methodologies that deliver an effective treatment in weeks or at most two months. Is this easy? No. Can it be done? Probably. We are on the edge of being able to do it. Make it a priority and it will happen. This is the type of approach that the public will like, because they don't have to do anything but fund it. No loss of freedoms or annoying isolation requirements. Money will be made as well. What's not to like? As a side benefit, we may actually cure the common cold.
Goose -
The USA is an island in terms of this pandemic. At least as much as Canada and definitely more than Norway or Germany. Those that initially delivered the virus to the USA in December-February came via airplane. Just like they did in Australia, New Zealand.
I don't know what the government will discover, but rest assured POTUS46's government will not just assume our citizens are too selfish or too diverse to get better results next time.
The connective tissue between the Asia Pac nations is far, far greater than you apparently understand. And each of them has far more travel to and from China then we had pre-COVID. A major reason they did better is because they took the painful lessons of SARS and MERS and had plans in place for something like COVID-19.
Brazil and Mexico had COVID-19 deniers in office, and they too have paid a steep price.
It won't be hard to connect this all up.
Brazil, Mexico BAD RESULTS - Don't do those things. Deny the problem, resist testing
Asia Pacific Region GOOD RESULTS - Do those things. Prepare, take decisive action, never trust China's word, etc.
In the end it will be a bit like earthquake, hurricane, or a brush fire.
You hope they don't happen, but you know they will.
You hope the officials in charge will identify the hazard quickly, but your community plans need to go beyond one leader calling the shots.
You know your citizens may prefer to ignore the problem, but through awareness and preparation you can expect better results when it happens.
Those countries that are great can do those tasks to protect their citizens from known threats.
Those that aren't great often look at others and say it can't happen here because (insert excuse).
I will opt for the greatness, exceptionalism path. :)