Re:CDC declined to test new coronavirus patient for days, Ca...
by lifthrasiir on Thursday February 27, 2020 @02:36PM
(#22436912)
As a fellow South Korean, I should point out that the case of SK is very unique and probably can't be reproduced.
1. SK used to be under a dictatorship (until 1987 democratization) and as a result its administrative power is still far-reaching.
When the Shincheonji (SCJ hereafter) church in Daegu was revealed to be a very problematic cohort, essentially every SCJ follower in Daegu was contacted for check-up, to the point that some hiding SCJ follower was tracked via police power (!). Not that SCJ's behavior is acceptable, but SK government has too much information to track individuals when deemed necessary. It is really a lucky coincidence that the current government doesn't try to do too much bad thing with that power.
2. Unlike other countries, many, if not most, infections in SK can be readily tracked to a single cohort (SCJ followers) and that makes the containment look still viable.
Okay, I actually disagree as the prevalent (and secretive) nature of the SCJ makes the containment impossible at this stage. I believe the SK government knows that too but continues the containment as a last resort (that is, better than not trying at all). Combined with strong administrative power and pretty stable diagnostic capacity, this "last" resort can be extended much further. It is not necessarily a bad thing though because a big pile of data resulting from lots of tests will be useful later anyway.
3. There is no other incentive for countries to test every (pseudo)patient.
It is now clear that only some---mostly already vulnerable---COVID-19 patients develop severe symptoms and most can be recovered without too much hassle. Sending every patient to the hospital is a significant burden to the domestic medical system and eventually only severe patients would have to be sent. Having this information, countries can skip the investigative phase (in this case, thankfully done by China and SK) and simply execute the eventual strategy.
The eventual strategy also has a side effect of the smaller number of reported patients. It would be a conspiracy theory that this is a motivating factor for most other countries, but it is compelling as a side effect of what they have to eventually do anyway. WHO had to accept Japan's absurd claim that the "international conveyance" is not a part of Japan because they needed Japan to at least report proper numbers. I don't think Japan is in the unique position in this regard. Even SK would be doing the same unless SK is between two highly impacted countries...
1. SK used to be under a dictatorship (until 1987 democratization) and as a result its administrative power is still far-reaching.
When the Shincheonji (SCJ hereafter) church in Daegu was revealed to be a very problematic cohort, essentially every SCJ follower in Daegu was contacted for check-up, to the point that some hiding SCJ follower was tracked via police power (!). Not that SCJ's behavior is acceptable, but SK government has too much information to track individuals when deemed necessary. It is really a lucky coincidence that the current government doesn't try to do too much bad thing with that power.
2. Unlike other countries, many, if not most, infections in SK can be readily tracked to a single cohort (SCJ followers) and that makes the containment look still viable.
Okay, I actually disagree as the prevalent (and secretive) nature of the SCJ makes the containment impossible at this stage. I believe the SK government knows that too but continues the containment as a last resort (that is, better than not trying at all). Combined with strong administrative power and pretty stable diagnostic capacity, this "last" resort can be extended much further. It is not necessarily a bad thing though because a big pile of data resulting from lots of tests will be useful later anyway.
3. There is no other incentive for countries to test every (pseudo)patient.
It is now clear that only some---mostly already vulnerable---COVID-19 patients develop severe symptoms and most can be recovered without too much hassle. Sending every patient to the hospital is a significant burden to the domestic medical system and eventually only severe patients would have to be sent. Having this information, countries can skip the investigative phase (in this case, thankfully done by China and SK) and simply execute the eventual strategy.
The eventual strategy also has a side effect of the smaller number of reported patients. It would be a conspiracy theory that this is a motivating factor for most other countries, but it is compelling as a side effect of what they have to eventually do anyway. WHO had to accept Japan's absurd claim that the "international conveyance" is not a part of Japan because they needed Japan to at least report proper numbers. I don't think Japan is in the unique position in this regard. Even SK would be doing the same unless SK is between two highly impacted countries...