Subtitles section Play video
-
This is what cities
-
in the world's most populous country
-
look like during this new coronavirus outbreak.
-
Millions of people in China
-
have been ordered to stay indoors
-
or banned from traveling
-
in an attempt to stop the disease from spreading.
-
But from the city of Wuhan,
-
where the first patient came from,
-
coronavirus infections have spread
-
to several continents.
-
So, why is it so hard to contain these outbreaks?
-
And, are we ready for the next one?
-
This strain of the coronavirus
-
is believed to have spread
-
from animals to humans,
-
and then from humans to humans
-
by droplets from sneezing or coughing.
-
The World Health Organization says
-
that, so far, it has a low mortality rate.
-
The flu, for example, kills thousands of people every year.
-
But this coronavirus strain is new,
-
and it is infectious, which is why
-
it's being taken so seriously.
-
As of February 2020, about 60 million people,
-
more than the entire population of Spain,
-
are being quarantined in their homes in China.
-
It's a massive feat. But some fear
-
that isolating that many people together could backfire.
-
First of all, you can't wall off a germ.
-
Simply impossible.
-
Lawrence Gostin is a professor
-
of Global Health Law at Georgetown University
-
and a director at the World Health Organization's Center
-
on Global Health Law.
-
Can you imagine if you were forced
-
to be congregated in with 50 million people
-
in a hot zone of contagion, how you would feel?
-
You'd feel you're a guinea pig.
-
You would feel panicky.
-
You would worry about getting food,
-
water, essential medicines,
-
that you couldn't get to a hospital,
-
and you were walled off from the world.
-
Professor Gostin worries
-
about a breakdown in public trust.
-
If the public doesn't trust the solutions
-
being offered by officials,
-
then they aren't solutions at all.
-
For example, in the West African Ebola outbreak,
-
many people stopped reporting
-
when they were getting sick.
-
They didn't trust the foreign health workers
-
who were cordoning patients off from the rest of society,
-
especially since many were dying in quarantine.
-
And so the outbreak continued to spread.
-
Many people were infected and more died.
-
But even if there is full cooperation
-
between officials and the population at risk,
-
it's hard to contain an outbreak like the coronavirus.
-
We're less safe because we're globally interconnected
-
in a way that we've never ever been before.
-
In 1950, 750 million people
-
lived in urban areas globally.
-
Today, that number is more than 4 billion.
-
People are living closer together,
-
many in overcrowded areas, making it easier
-
for disease to spread from human to human.
-
And our modern transport infrastructure
-
means a virus that would have been geographically
-
contained in the past can now get from one side
-
of the globe to another in just a few hours.
-
In 2003, another coronavirus epidemic called SARS
-
spread from China.
-
There's actually four times greater
-
international travel by Chinese citizens
-
now than there was during SARS.
-
But transport technology
-
is generally a good thing,
-
and people will keep moving to urban areas.
-
What's more, viruses are always mutating into new strains.
-
So, in reality we can't avoid outbreaks.
-
We just need to get better at dealing with them.
-
We tend to lurch from complacency
-
to panic and overreaction.
-
And so, when we're in a major outbreak,
-
like we are now with the coronavirus,
-
we tend to react and overreact
-
and try to just catch up and respond.
-
But then, as soon as things calm down,
-
we withdraw funding, we withdraw planning,
-
we withdraw preparedness.
-
So, isn't it a much, much better way
-
to prepare for an epidemic
-
and to prevent it and detect it early?
-
So, if the solution
-
is to be proactive rather than reactive,
-
what can we do?
-
Until a vaccine is discovered
-
for this strain of the coronavirus,
-
you can protect yourself and others
-
by covering your mouth
-
when coughing or sneezing,
-
washing your hands frequently,
-
and, if you develop symptoms,
-
avoiding contact with others
-
until you're cleared by a doctor.
-
That's what you can do.
-
But governments need to do more,
-
and they need to do it together.
-
There's no real way to force a government
-
to work with global health organizations
-
if it doesn't want to.
-
For example, during the SARS epidemic,
-
Chinese officials hid the extent of the outbreak
-
from both the Chinese public and the world.
-
That led to many more people being infected.
-
This time around, lessons seem to have been learned.
-
China informed the World Health Organization
-
and its own citizens of this new coronavirus
-
relatively quickly.
-
It also sequenced the virus's genome
-
and shared that information
-
with scientists around the world,
-
who have begun working on trying to find a vaccine.
-
- We used to not have effective vaccines.
-
We didn't have effective antiviral medications.
-
Now, we can rapidly develop those.
-
So, yes, we are very much less safe,
-
but we have the technical capacity to be safer.
-
But the problem with any defense,
-
is that it's only as strong as its weakest link.
-
And we live in a world where access to healthcare
-
and healthy environments is not equal.
-
If you asked any thoughtful epidemiologist,
-
"What is the single greatest predictor
-
of a human being's health?"
-
He would say, "The postal code."
-
Where you live matters. And it's not just
-
the differences in health systems
-
and public health infrastructure
-
between high-income and low- and middle-income countries.
-
There are also vast inequities within countries
-
for those who are living in well-heeled neighborhoods
-
and those that are living in squalor.
-
This is simply immoral, unjust.
-
That's a problem,
-
even in the world's richest country
-
where many people avoid going to the doctor
-
because of how expensive American healthcare can be.
-
That's tragic enough by itself.
-
But in an epidemic, it might be disastrous.
-
If we're going to be proactive in our fight
-
against these outbreaks,
-
improving healthcare quality for everyone
-
might be the best strategy we've got.
-
Health equality matters,
-
and it matters a lot - not just for the individual,
-
not just for the community, not only for the country,
-
but for the globe.