This article is from the source 'nytimes' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.nytimes.com/2020/01/25/world/asia/coronavirus-crisis-china-response.html

The article has changed 32 times. There is an RSS feed of changes available.

Version 19 Version 20
Coronavirus Exposes Core Flaws, and Few Strengths, in China’s Governance Coronavirus Exposes Core Flaws, and Few Strengths, in China’s Governance
(8 days later)
It was the initial news reports that first suggested China’s political system might be getting in the way of its ability to confront the coronavirus outbreak.It was the initial news reports that first suggested China’s political system might be getting in the way of its ability to confront the coronavirus outbreak.
The outbreak seemed to already be a full-blown crisis, infecting dozens in China and even some abroad, by the time it became widely reported.The outbreak seemed to already be a full-blown crisis, infecting dozens in China and even some abroad, by the time it became widely reported.
This seeming delay was of a familiar pattern in China, one suggesting that local officials may have played down early warning signs or simply did not coordinate enough to see the problem’s scope.This seeming delay was of a familiar pattern in China, one suggesting that local officials may have played down early warning signs or simply did not coordinate enough to see the problem’s scope.
While outsiders might suspect an attempted cover-up as the cause, experts see something much more worrying: weaknesses at the very heart of the Chinese system.While outsiders might suspect an attempted cover-up as the cause, experts see something much more worrying: weaknesses at the very heart of the Chinese system.
Its rigidly hierarchical bureaucracy discourages local officials from raising bad news with central bosses whose help they might need. And it silos those officials off from one another, making it harder to see, much less manage, the full scope of spiraling crises.Its rigidly hierarchical bureaucracy discourages local officials from raising bad news with central bosses whose help they might need. And it silos those officials off from one another, making it harder to see, much less manage, the full scope of spiraling crises.
“That’s why you never really hear about problems emerging on a local scale in China,” said John Yasuda, who studies China’s approach to health crises at Indiana University. “By the time that we hear about it, and that the problem reaches the central government, it’s because it’s become a huge problem.”“That’s why you never really hear about problems emerging on a local scale in China,” said John Yasuda, who studies China’s approach to health crises at Indiana University. “By the time that we hear about it, and that the problem reaches the central government, it’s because it’s become a huge problem.”
While much remains unknown about the outbreak, a common theme is emerging.While much remains unknown about the outbreak, a common theme is emerging.
Any political system is better at solving some problems than others. But the coronavirus, like other health crises before it, is bringing out some of the deepest flaws and contradictions in a Chinese system that, for all its historic feats, remains a work in progress.Any political system is better at solving some problems than others. But the coronavirus, like other health crises before it, is bringing out some of the deepest flaws and contradictions in a Chinese system that, for all its historic feats, remains a work in progress.
Those flaws, which have long frustrated Chinese leaders, appear to have played a role in everything from the pace at which officials responded to the coronavirus outbreak, to China’s yearslong inability to address the health risks that experts have long warned could lead to an outbreak just like this one.Those flaws, which have long frustrated Chinese leaders, appear to have played a role in everything from the pace at which officials responded to the coronavirus outbreak, to China’s yearslong inability to address the health risks that experts have long warned could lead to an outbreak just like this one.
While the country is now mobilizing a nationwide response — one of the system’s strengths — the incident is already a lesson in the political weak points that can bring grave consequences for China and, as infections spread, the world.While the country is now mobilizing a nationwide response — one of the system’s strengths — the incident is already a lesson in the political weak points that can bring grave consequences for China and, as infections spread, the world.
“When you look at the coronavirus, it looks a lot like what happened with SARS. It involves a very similar template,” Mr. Yasuda said.“When you look at the coronavirus, it looks a lot like what happened with SARS. It involves a very similar template,” Mr. Yasuda said.
The SARS epidemic, which killed hundreds of people in 2002 and 2003, initially spread unchecked when local Chinese officials minimized early reports.The SARS epidemic, which killed hundreds of people in 2002 and 2003, initially spread unchecked when local Chinese officials minimized early reports.
Their fear was not public unrest, it later emerged, but getting in trouble with the party bosses who controlled their careers.Their fear was not public unrest, it later emerged, but getting in trouble with the party bosses who controlled their careers.
Guan Yi, a professor of infectious diseases in Hong Kong who helped identify SARS, has accused Chinese authorities of once more delaying action, including by obstructing his own efforts to investigate the outbreak.Guan Yi, a professor of infectious diseases in Hong Kong who helped identify SARS, has accused Chinese authorities of once more delaying action, including by obstructing his own efforts to investigate the outbreak.
“This is a continuous theme in central-local relations in China. You do not want to be the one to bring bad news,” said Vivienne Shue, a prominent China scholar at Oxford University.“This is a continuous theme in central-local relations in China. You do not want to be the one to bring bad news,” said Vivienne Shue, a prominent China scholar at Oxford University.
That gulf between central leaders in Beijing and local officials who run the country day-to-day, Ms. Shue said, is “the core conundrum in how that system works.”That gulf between central leaders in Beijing and local officials who run the country day-to-day, Ms. Shue said, is “the core conundrum in how that system works.”
It leads officials on both sides of the center-local divide “to do many counterproductive, irrational things,” she said, in their efforts to manage and manipulate one another.It leads officials on both sides of the center-local divide “to do many counterproductive, irrational things,” she said, in their efforts to manage and manipulate one another.
That has included holding back reports of potential crises, in the hopes of solving things without the bosses finding out.That has included holding back reports of potential crises, in the hopes of solving things without the bosses finding out.
At the same time, China’s quasi-imperial system leaves the top party bosses in Beijing with little direct power over what happens in the provinces — policy proclamations are sometimes ignored or defied — other than promoting or punishing subordinates.At the same time, China’s quasi-imperial system leaves the top party bosses in Beijing with little direct power over what happens in the provinces — policy proclamations are sometimes ignored or defied — other than promoting or punishing subordinates.
The two ends of the system are engaged in a constant push-pull dynamic, putting them occasionally at odds — particularly in moments of crisis, when each is looking to blame the other.The two ends of the system are engaged in a constant push-pull dynamic, putting them occasionally at odds — particularly in moments of crisis, when each is looking to blame the other.
This has been an issue throughout China’s modern history, Ms. Shue said, with power fluctuating between the center and the periphery. Xi Jinping, China’s current leader, has sought to centralize power, setting up Beijing-based working groups to exert more control outside the capital.This has been an issue throughout China’s modern history, Ms. Shue said, with power fluctuating between the center and the periphery. Xi Jinping, China’s current leader, has sought to centralize power, setting up Beijing-based working groups to exert more control outside the capital.
But the system’s underlying contradiction remains. Mr. Xi’s tightening grip may make local leaders all the more wary of releasing information that could invite his wrath.But the system’s underlying contradiction remains. Mr. Xi’s tightening grip may make local leaders all the more wary of releasing information that could invite his wrath.
As China modernizes, integrating its once-disparate provinces and cities, local mistakes can become national crises before Beijing is even aware that something has happened, as may have happened with the coronavirus outbreak.As China modernizes, integrating its once-disparate provinces and cities, local mistakes can become national crises before Beijing is even aware that something has happened, as may have happened with the coronavirus outbreak.
“As logistics and the distribution systems have expanded, you really see how the local and national have been linked together,” Mr. Yasuda said, referring to the hastening rate at which health, environmental and economic crises can now spread.“As logistics and the distribution systems have expanded, you really see how the local and national have been linked together,” Mr. Yasuda said, referring to the hastening rate at which health, environmental and economic crises can now spread.
That is not all downside. The central government has enormous capacity to mobilize in a crisis, as it is doing now, locking down several major cities to slow the disease’s spread.That is not all downside. The central government has enormous capacity to mobilize in a crisis, as it is doing now, locking down several major cities to slow the disease’s spread.
“Once a clear problem has emerged, it’s very good at diverting resources,” Mr. Yasuda said of China’s political system. “But it’s not good at dealing with emerging problems. So it’s built to be reactive instead of proactive.”“Once a clear problem has emerged, it’s very good at diverting resources,” Mr. Yasuda said of China’s political system. “But it’s not good at dealing with emerging problems. So it’s built to be reactive instead of proactive.”
In some ways, China’s system has been a source of strength.In some ways, China’s system has been a source of strength.
Party bosses set priorities, then reward the institutions and officials who best carry them out.Party bosses set priorities, then reward the institutions and officials who best carry them out.
Updated June 24, 2020 Updated June 30, 2020
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
And since the days of Mao Zedong, China has operated under a system known as fragmented authoritarianism, in which even the most local leaders have near-absolute authority over their remit.And since the days of Mao Zedong, China has operated under a system known as fragmented authoritarianism, in which even the most local leaders have near-absolute authority over their remit.
That has led to a culture of what Elizabeth J. Perry, a Harvard University scholar, has called “guerrilla governance,” in which results take precedence over procedure or accountability, and in which it is all leaders for themselves.That has led to a culture of what Elizabeth J. Perry, a Harvard University scholar, has called “guerrilla governance,” in which results take precedence over procedure or accountability, and in which it is all leaders for themselves.
This approach is seen as crucial in having enabled China to lift hundreds of millions of citizens out of poverty and turn itself from global backwater into world power.This approach is seen as crucial in having enabled China to lift hundreds of millions of citizens out of poverty and turn itself from global backwater into world power.
But it can be disastrous when it comes to managing health and environmental issues.But it can be disastrous when it comes to managing health and environmental issues.
Disease and pollution don’t respect provincial or municipal borders. And because of the way they spread, it often takes a unified, nationwide policy to prevent or stop them — something for which guerrilla governance is ill-suited.Disease and pollution don’t respect provincial or municipal borders. And because of the way they spread, it often takes a unified, nationwide policy to prevent or stop them — something for which guerrilla governance is ill-suited.
“It’s very difficult to come together to create a clear actionable plan,” Mr. Yasuda said, adding that, for any health or environmental regulation to work, “you want it to be standardized, you want it to be transparent, you want it to be accountable.”“It’s very difficult to come together to create a clear actionable plan,” Mr. Yasuda said, adding that, for any health or environmental regulation to work, “you want it to be standardized, you want it to be transparent, you want it to be accountable.”
But China’s system de-emphasizes those concerns, sometimes to disastrous effect.But China’s system de-emphasizes those concerns, sometimes to disastrous effect.
In the mid-2000s, Beijing demanded a drastic increase in milk production. When factory farms were unable to meet their targets, officials conscripted vast numbers of rural farmers. Some of the farmers, struggling to meet their quotas, watered down their milk, then added an industrial chemical known as melamine to fool quality sensors. The tainted milk poisoned thousands of infants.In the mid-2000s, Beijing demanded a drastic increase in milk production. When factory farms were unable to meet their targets, officials conscripted vast numbers of rural farmers. Some of the farmers, struggling to meet their quotas, watered down their milk, then added an industrial chemical known as melamine to fool quality sensors. The tainted milk poisoned thousands of infants.
Experts fear a similar regulatory failure may have enabled the coronavirus outbreak: the longstanding inability to clean up so-called wet markets, which are stuffed with livestock living and dead, domesticated and wild. Though the outbreak’s cause is still being studied, Wuhan’s wet market is considered a prime suspect.Experts fear a similar regulatory failure may have enabled the coronavirus outbreak: the longstanding inability to clean up so-called wet markets, which are stuffed with livestock living and dead, domesticated and wild. Though the outbreak’s cause is still being studied, Wuhan’s wet market is considered a prime suspect.
The markets have long been considered a major threat to public health, particularly as a vector for transmitting diseases from animals to humans. And they are a lesson in the perils of patchwork, decentralized regulations like China’s: While some markets are more carefully policed than others, all it takes is one to cause an outbreak.The markets have long been considered a major threat to public health, particularly as a vector for transmitting diseases from animals to humans. And they are a lesson in the perils of patchwork, decentralized regulations like China’s: While some markets are more carefully policed than others, all it takes is one to cause an outbreak.
In another echo of the tainted milk scandal, top-down political priorities provide an incentive to look the other way. Taking down the markets, which are popular, would risk a public outcry. Local officials had every reason to fear that their bosses, who have not made the markets a priority, would punish them for causing trouble.In another echo of the tainted milk scandal, top-down political priorities provide an incentive to look the other way. Taking down the markets, which are popular, would risk a public outcry. Local officials had every reason to fear that their bosses, who have not made the markets a priority, would punish them for causing trouble.
A foundational mission of any political system is to align its leaders’ incentives with the needs and desires of the wider public.A foundational mission of any political system is to align its leaders’ incentives with the needs and desires of the wider public.
Democracies seek to do this through “the competition of interests,” Ms. Shue said, on the belief that inviting everyone to participate will naturally pull the system toward the common good. This system, like any, has flaws, for example by handing more power to those with more money.Democracies seek to do this through “the competition of interests,” Ms. Shue said, on the belief that inviting everyone to participate will naturally pull the system toward the common good. This system, like any, has flaws, for example by handing more power to those with more money.
Within China, Ms. Shue added, the common good “is seen as something that should be designed from above, like a watch being engineered to run perfectly.”Within China, Ms. Shue added, the common good “is seen as something that should be designed from above, like a watch being engineered to run perfectly.”
But sometimes the watch can be designed in ways that harm the public good.But sometimes the watch can be designed in ways that harm the public good.
In 2001, for instance, Beijing ordered provincial officials to reduce water pollution from factories. Many provinces simply moved the factories to their borders, ensuring pollutants would flow into the next district. Nationwide, water pollution worsened.In 2001, for instance, Beijing ordered provincial officials to reduce water pollution from factories. Many provinces simply moved the factories to their borders, ensuring pollutants would flow into the next district. Nationwide, water pollution worsened.
So far, the coronavirus outbreak seems to highlight both the strengths and perils of China’s model. Beijing, apparently having learned from the SARS epidemic, has pushed for faster and more drastic action.So far, the coronavirus outbreak seems to highlight both the strengths and perils of China’s model. Beijing, apparently having learned from the SARS epidemic, has pushed for faster and more drastic action.
But the same systemic problems, from gun-shy local officials to weak health regulations, appear to be recurring as well — a reminder that the system remains, Ms. Shue said, “a work in progress.”But the same systemic problems, from gun-shy local officials to weak health regulations, appear to be recurring as well — a reminder that the system remains, Ms. Shue said, “a work in progress.”