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How South Korea Flattened the Curve How South Korea Flattened the Curve
(6 days later)
No matter how you look at the numbers, one country stands out from the rest: South Korea.No matter how you look at the numbers, one country stands out from the rest: South Korea.
In late February and early March, the number of new coronavirus infections in the country exploded from a few dozen, to a few hundred, to several thousand.In late February and early March, the number of new coronavirus infections in the country exploded from a few dozen, to a few hundred, to several thousand.
At the peak, medical workers identified 909 new cases in a single day, Feb. 29, and the country of 50 million people appeared on the verge of being overwhelmed. But less than a week later, the number of new cases halved. Within four days, it halved again — and again the next day.At the peak, medical workers identified 909 new cases in a single day, Feb. 29, and the country of 50 million people appeared on the verge of being overwhelmed. But less than a week later, the number of new cases halved. Within four days, it halved again — and again the next day.
On Sunday, South Korea reported only 64 new cases, the fewest in nearly a month, even as infections in other countries continue to soar by the thousands daily, devastating health care systems and economies. Italy records several hundred deaths daily; South Korea has not had more than eight in a day.On Sunday, South Korea reported only 64 new cases, the fewest in nearly a month, even as infections in other countries continue to soar by the thousands daily, devastating health care systems and economies. Italy records several hundred deaths daily; South Korea has not had more than eight in a day.
South Korea is one of only two countries with large outbreaks, alongside China, to flatten the curve of new infections. And it has done so without China’s draconian restrictions on speech and movement, or economically damaging lockdowns like those in Europe and the United States.South Korea is one of only two countries with large outbreaks, alongside China, to flatten the curve of new infections. And it has done so without China’s draconian restrictions on speech and movement, or economically damaging lockdowns like those in Europe and the United States.
[Read: China to ease coronavirus lockdown on Hubei two months after imposing it.][Read: China to ease coronavirus lockdown on Hubei two months after imposing it.]
As global deaths from the virus surge past 15,000, officials and experts worldwide are scrutinizing South Korea for lessons. And those lessons, while hardly easy, appear relatively straightforward and affordable: swift action, widespread testing and contact tracing, and critical support from citizens.As global deaths from the virus surge past 15,000, officials and experts worldwide are scrutinizing South Korea for lessons. And those lessons, while hardly easy, appear relatively straightforward and affordable: swift action, widespread testing and contact tracing, and critical support from citizens.
Yet other hard-hit nations did not follow South Korea’s lead. Some have begun to show interest in emulating its methods — but only after the epidemic had accelerated to the point that they may not be able to control it any time soon.Yet other hard-hit nations did not follow South Korea’s lead. Some have begun to show interest in emulating its methods — but only after the epidemic had accelerated to the point that they may not be able to control it any time soon.
President Emmanuel Macron of France and Prime Minister Stefan Löfven of Sweden have both called South Korea’s president, Moon Jae-in, to request details on the country’s measures, according to Mr. Moon’s office.President Emmanuel Macron of France and Prime Minister Stefan Löfven of Sweden have both called South Korea’s president, Moon Jae-in, to request details on the country’s measures, according to Mr. Moon’s office.
The head of the World Health Organization, Tedros Adhanom Ghebreyesus, has hailed South Korea as demonstrating that containing the virus, while difficult, “can be done.” He urged countries to “apply the lessons learned in Korea and elsewhere.”The head of the World Health Organization, Tedros Adhanom Ghebreyesus, has hailed South Korea as demonstrating that containing the virus, while difficult, “can be done.” He urged countries to “apply the lessons learned in Korea and elsewhere.”
South Korean officials caution that their successes are tentative. A risk of resurgence remains, particularly as epidemics continue raging beyond the country’s borders.South Korean officials caution that their successes are tentative. A risk of resurgence remains, particularly as epidemics continue raging beyond the country’s borders.
Still, Scott Gottlieb, a former commissioner of the Food and Drug Administration, has repeatedly raised South Korea as a model, writing on Twitter, “South Korea is showing Covid-19 can be beat with smart, aggressive public health.”Still, Scott Gottlieb, a former commissioner of the Food and Drug Administration, has repeatedly raised South Korea as a model, writing on Twitter, “South Korea is showing Covid-19 can be beat with smart, aggressive public health.”
Just one week after the country’s first case was diagnosed in late January, government officials met with representatives from several medical companies. They urged the companies to begin immediately developing coronavirus test kits for mass production, promising emergency approval.Just one week after the country’s first case was diagnosed in late January, government officials met with representatives from several medical companies. They urged the companies to begin immediately developing coronavirus test kits for mass production, promising emergency approval.
Within two weeks, though South Korea’s confirmed cases remained in the double digits, thousands of test kits were shipping daily. The country now produces 100,000 kits per day, and officials say they are in talks with 17 foreign governments about exporting them.Within two weeks, though South Korea’s confirmed cases remained in the double digits, thousands of test kits were shipping daily. The country now produces 100,000 kits per day, and officials say they are in talks with 17 foreign governments about exporting them.
Officials also swiftly imposed emergency measures in Daegu, a city of 2.5 million where contagion spread fast through a local church.Officials also swiftly imposed emergency measures in Daegu, a city of 2.5 million where contagion spread fast through a local church.
“South Korea could deal with this without limiting the movement of people because we knew the main source of infection, the church congregation, pretty early on,” said Ki Mo-ran, an epidemiologist advising the government’s coronavirus response. “If we learned about it later than we did, things could have been far worse.”“South Korea could deal with this without limiting the movement of people because we knew the main source of infection, the church congregation, pretty early on,” said Ki Mo-ran, an epidemiologist advising the government’s coronavirus response. “If we learned about it later than we did, things could have been far worse.”
South Koreans, unlike Europeans and Americans, were also primed to treat the coronavirus as a national emergency, after a 2015 outbreak of Middle East respiratory syndrome in the country killed 38.South Koreans, unlike Europeans and Americans, were also primed to treat the coronavirus as a national emergency, after a 2015 outbreak of Middle East respiratory syndrome in the country killed 38.
The coronavirus is thought to have a five-day incubation period, often followed by a period of mild symptoms that could be mistaken for a cold, when the virus is highly communicable. This pattern creates a lag of a week or two before an outbreak becomes apparent. What looks like a handful of cases can be hundreds; what looks like hundreds can be thousands.The coronavirus is thought to have a five-day incubation period, often followed by a period of mild symptoms that could be mistaken for a cold, when the virus is highly communicable. This pattern creates a lag of a week or two before an outbreak becomes apparent. What looks like a handful of cases can be hundreds; what looks like hundreds can be thousands.
“Such characteristics of the virus render the traditional response, which emphasizes lockdown and isolation, ineffective,” said Kim Gang-lip, South Korea’s vice health minister. “Once it arrives, the old way is not effective in stopping the disease from spreading.”“Such characteristics of the virus render the traditional response, which emphasizes lockdown and isolation, ineffective,” said Kim Gang-lip, South Korea’s vice health minister. “Once it arrives, the old way is not effective in stopping the disease from spreading.”
South Korea has tested far more people for the coronavirus than any other country, enabling it to isolate and treat many people soon after they are infected.South Korea has tested far more people for the coronavirus than any other country, enabling it to isolate and treat many people soon after they are infected.
The country has conducted over 300,000 tests, for a per-capita rate more than 40 times that of the United States.The country has conducted over 300,000 tests, for a per-capita rate more than 40 times that of the United States.
“Testing is central because that leads to early detection, it minimizes further spread and it quickly treats those found with the virus,” Kang Kyung-wha, South Korea’s foreign minister, told the BBC, calling the tests “the key behind our very low fatality rate as well.”“Testing is central because that leads to early detection, it minimizes further spread and it quickly treats those found with the virus,” Kang Kyung-wha, South Korea’s foreign minister, told the BBC, calling the tests “the key behind our very low fatality rate as well.”
Though South Korea is sometimes portrayed as having averted an epidemic, thousands of people were infected and the government was initially accused of complacency. Its approach to testing was designed to turn back an outbreak already underway.Though South Korea is sometimes portrayed as having averted an epidemic, thousands of people were infected and the government was initially accused of complacency. Its approach to testing was designed to turn back an outbreak already underway.
To spare hospitals and clinics from being overwhelmed, officials opened 600 testing centers designed to screen as many people as possible, as quickly as possible — and keep health workers safe by minimizing contact.To spare hospitals and clinics from being overwhelmed, officials opened 600 testing centers designed to screen as many people as possible, as quickly as possible — and keep health workers safe by minimizing contact.
At 50 drive-through stations, patients are tested without leaving their cars. They are given a questionnaire, a remote temperature scan and a throat swab. The process takes about 10 minutes. Test results are usually back within hours.At 50 drive-through stations, patients are tested without leaving their cars. They are given a questionnaire, a remote temperature scan and a throat swab. The process takes about 10 minutes. Test results are usually back within hours.
At some walk-in centers, patients enter a chamber resembling a transparent phone booth. Health workers administer throat swabs using thick rubber gloves built into the chamber’s walls.At some walk-in centers, patients enter a chamber resembling a transparent phone booth. Health workers administer throat swabs using thick rubber gloves built into the chamber’s walls.
Relentless public messaging urges South Koreans to seek testing if they or someone they know develop symptoms. Visitors from abroad are required to download a smartphone app that guides them through self-checks for symptoms.Relentless public messaging urges South Koreans to seek testing if they or someone they know develop symptoms. Visitors from abroad are required to download a smartphone app that guides them through self-checks for symptoms.
Offices, hotels and other large buildings often use thermal image cameras to identify people with fevers. Many restaurants check customers’ temperatures before accepting them.Offices, hotels and other large buildings often use thermal image cameras to identify people with fevers. Many restaurants check customers’ temperatures before accepting them.
When someone tests positive, health workers retrace the patient’s recent movements to find, test — and, if necessary, isolate — anyone the person may have had contact with, a process known as contact tracing.When someone tests positive, health workers retrace the patient’s recent movements to find, test — and, if necessary, isolate — anyone the person may have had contact with, a process known as contact tracing.
This allows health workers to identify networks of possible transmission early, carving the virus out of society like a surgeon removing a cancer.This allows health workers to identify networks of possible transmission early, carving the virus out of society like a surgeon removing a cancer.
South Korea developed tools and practices for aggressive contact tracing during the MERS outbreak. Health officials would retrace patients’ movements using security camera footage, credit card records, even GPS data from their cars and cellphones.South Korea developed tools and practices for aggressive contact tracing during the MERS outbreak. Health officials would retrace patients’ movements using security camera footage, credit card records, even GPS data from their cars and cellphones.
“We did our epidemiological investigations like police detectives,” Dr. Ki said. “Later, we had laws revised to prioritize social security over individual privacy at times of infectious disease crises.”“We did our epidemiological investigations like police detectives,” Dr. Ki said. “Later, we had laws revised to prioritize social security over individual privacy at times of infectious disease crises.”
As the coronavirus outbreak grew too big to track patients so intensively, officials relied more on mass messaging.As the coronavirus outbreak grew too big to track patients so intensively, officials relied more on mass messaging.
Updated June 16, 2020 Updated June 22, 2020
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.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
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.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.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
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.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
South Koreans’ cellphones vibrate with emergency alerts whenever new cases are discovered in their districts. Websites and smartphone apps detail hour-by-hour, sometimes minute-by-minute, timelines of infected people’s travel — which buses they took, when and where they got on and off, even whether they were wearing masks.South Koreans’ cellphones vibrate with emergency alerts whenever new cases are discovered in their districts. Websites and smartphone apps detail hour-by-hour, sometimes minute-by-minute, timelines of infected people’s travel — which buses they took, when and where they got on and off, even whether they were wearing masks.
People who believe they may have crossed paths with a patient are urged to report to testing centers.People who believe they may have crossed paths with a patient are urged to report to testing centers.
South Koreans have broadly accepted the loss of privacy as a necessary trade-off.South Koreans have broadly accepted the loss of privacy as a necessary trade-off.
People ordered into self-quarantine must download another app, which alerts officials if a patient ventures out of isolation. Fines for violations can reach $2,500.People ordered into self-quarantine must download another app, which alerts officials if a patient ventures out of isolation. Fines for violations can reach $2,500.
By identifying and treating infections early, and segregating mild cases to special centers, South Korea has kept hospitals clear for the most serious patients. Its case fatality rate is just over one percent, among the lowest in the world.By identifying and treating infections early, and segregating mild cases to special centers, South Korea has kept hospitals clear for the most serious patients. Its case fatality rate is just over one percent, among the lowest in the world.
There aren’t enough health workers or body-temperature scanners to track everybody, so everyday people must pitch in.There aren’t enough health workers or body-temperature scanners to track everybody, so everyday people must pitch in.
Leaders concluded that subduing the outbreak required keeping citizens fully informed and asking for their cooperation, said Mr. Kim, the vice health minister.Leaders concluded that subduing the outbreak required keeping citizens fully informed and asking for their cooperation, said Mr. Kim, the vice health minister.
Television broadcasts, subway station announcements and smartphone alerts provide endless reminders to wear face masks, pointers on social distancing and the day’s transmission data.Television broadcasts, subway station announcements and smartphone alerts provide endless reminders to wear face masks, pointers on social distancing and the day’s transmission data.
The messaging instills a near-wartime sense of common purpose. Polls show majority approval for the government’s efforts, with confidence high, panic low and scant hoarding.The messaging instills a near-wartime sense of common purpose. Polls show majority approval for the government’s efforts, with confidence high, panic low and scant hoarding.
“This public trust has resulted in a very high level of civic awareness and voluntary cooperation that strengthens our collective effort,” Lee Tae-ho, the vice minister of foreign affairs, told reporters earlier this month.“This public trust has resulted in a very high level of civic awareness and voluntary cooperation that strengthens our collective effort,” Lee Tae-ho, the vice minister of foreign affairs, told reporters earlier this month.
Officials also credit the country’s nationalized health care system, which guarantees most care, and special rules covering coronavirus-related costs, as giving even people with no symptoms greater incentive to get tested.Officials also credit the country’s nationalized health care system, which guarantees most care, and special rules covering coronavirus-related costs, as giving even people with no symptoms greater incentive to get tested.
For all the attention to South Korea’s successes, its methods and containment tools are not prohibitively complex or expensive.For all the attention to South Korea’s successes, its methods and containment tools are not prohibitively complex or expensive.
Some of the technology the country has used is as simple as specialized rubber gloves and cotton swabs. Of the seven countries with worse outbreaks than South Korea’s, five are richer.Some of the technology the country has used is as simple as specialized rubber gloves and cotton swabs. Of the seven countries with worse outbreaks than South Korea’s, five are richer.
Experts cite three major hurdles to following South Korea’s lead, none related to cost or technology.Experts cite three major hurdles to following South Korea’s lead, none related to cost or technology.
One is political will. Many governments have hesitated to impose onerous measures in the absence of a crisis-level outbreak.One is political will. Many governments have hesitated to impose onerous measures in the absence of a crisis-level outbreak.
Another is public will. Social trust is higher in South Korea than in many other countries, particularly Western democracies beset by polarization and populist backlash.Another is public will. Social trust is higher in South Korea than in many other countries, particularly Western democracies beset by polarization and populist backlash.
But time poses the greatest challenge. It may be “too late,” Dr. Ki said, for countries deep into epidemics to control outbreaks as quickly or efficiently as South Korea has.But time poses the greatest challenge. It may be “too late,” Dr. Ki said, for countries deep into epidemics to control outbreaks as quickly or efficiently as South Korea has.
China turned back the catastrophic first outbreak in Hubei, a province larger than most European countries, though at the cost of shutting down its economy.China turned back the catastrophic first outbreak in Hubei, a province larger than most European countries, though at the cost of shutting down its economy.
South Korea’s methods could help the United States, though “we probably lost the chance to have an outcome like South Korea,” Mr. Gottlieb, the former F.D.A. commissioner, wrote on Twitter. “We must do everything to avert the tragic suffering being borne by Italy.”South Korea’s methods could help the United States, though “we probably lost the chance to have an outcome like South Korea,” Mr. Gottlieb, the former F.D.A. commissioner, wrote on Twitter. “We must do everything to avert the tragic suffering being borne by Italy.”
Max Fisher reported from New York, and Choe Sang-Hun from Seoul, South Korea.Max Fisher reported from New York, and Choe Sang-Hun from Seoul, South Korea.