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  • the Eiffel Tower the Milan Cathedral New York city devoid of tourists

  • in 2020 the world went into lockdown in Wuhan, central China a new coronavirus

  • had emerged the disease was named Covid19

  • can be characterized as a pandemic as of mid-december 2020 the novel

  • coronavirus spread to more than 180 countries

  • infected more than 71 million people and killed more than 1.6 million

  • most governments around the world were at a loss for how to contain the

  • infection and ordered everyone to just stay home

  • while much of the world was at a standstill in taiwan

  • international marathons and parades were taking place

  • people were able to go to school and work

  • it was pretty much life as usual from mid-april to the end of 2020 there

  • were zero local cases of covet 19. the secret

  • is in taiwan's public health system grace liao is a veteran news presenter

  • who knows key decision makers

  • and alan leanne a medical doctor and public health expert

  • they're on a mission to uncover taiwan's secrets

  • they will uncover and share how taiwan has been able to emerge as a global

  • leader in beating covet 19.

  • [Music]

  • like all biological organisms viruses strive to climb to the top of the food

  • chain in 2019 a new virus emerged

  • from the coronavirus family it was named coronavirus

  • ii the name of the disease covet 19.

  • its organ of choice the lungs it first burst onto the scene

  • [Music]

  • that it is a new disease a disease that this world has not seen before

  • 2020 was a year defined by the virus three months was all it took to spread

  • all over the map terrorizing and making headlines around

  • the world but taiwan also made news around the

  • world for beating it the covet 19 crisis

  • has reminded us all that taiwan has a great deal to be proud of on the world

  • stage

  • zero community infections since april 12th

  • seven deaths total

  • my name is grace leo i'm a journalist to find out how border control is fighting

  • the battle i have invited adam lang a former

  • medical officer at taiwan centers for disease control to join me

  • in investigating what goes on here at taiwan's first line of defense

  • this is taiwan's taoio international airport the entry port to taiwan

  • there are direct flights from muhan china every day the trip is merely two

  • and a half hour allen meets jolene luo a registered

  • nurse and cdc quarantine officer on the battlefront

  • have the dangerous job of interviewing passengers arriving in taiwan

  • already showing symptoms of covet 19.

  • [Music] gloves masks goggles gowns

  • everyone covers as much of themselves as possible to prevent getting infected in

  • case any of these passengers are carriers of the highly contagious

  • disease

  • [Music]

  • foreign [Music]

  • anyone arriving in taiwan feeling unwell receives a test

  • right away

  • [Music]

  • talks with frontline medical teams grace liao a journalist with 30 years of

  • experience meets with chen zhong yen deputy

  • director of the central epidemic command center

  • to see how coronavirus testing is conducted at the airport

  • certainly

  • foreign

  • foreign [Music]

  • [Music] the test result for one of the

  • passengers came back positive and the person was immediately taken to

  • a hospital [Music]

  • uh

  • [Music]

  • [Music]

  • before passengers even land in taiwan epidemic control measures are already in

  • place for passengers to let the cdc know that they've arrived

  • this is the first firewall to shut out the virus

  • [Music]

  • before you even board onto the plan you have to go to the website of ministry of

  • health and welfare filled up forms that tells the

  • government where you have been to what symptoms you have over the past weeks

  • and where you're gonna be home calling things after you're right

  • checking in with the cdc is as simple as scanning the code

  • and tapping the green button people who don't have a working cell phone in

  • taiwan can rent one for 14 days of quarantine

  • for 60 new taiwan dollars or just over 2 us dollars a day

  • when kobe 19 started to spread in ouhan it was the worst timing for us

  • it was a lunar new year when people travel home for holidays

  • when taiwanese businessmen and their families will return to taiwan

  • at that time taiwan was possibly the area most at risk of an epidemic

  • outside of mainland china but taiwan was able to prevent kobe 19 from

  • taking over the island surprising the world

  • the odds were against taiwan both in terms of timing and due to its exclusion

  • from the world's foremost public health body

  • they were not receiving information from you know official

  • multilateral sources and so they were left to their own devices

  • then they detected that there was some social media flurry that was going on

  • in wuhan last december 31st and we found that it is an emerging

  • and unexpected danger situation so we sent email to world health

  • organization and china cdc on the same day we already

  • started our border control for all this and

  • direct inbound passengers from wuhan

  • how was the government able to set up efficient safeguards against the virus

  • so quickly so early on grace talks to president

  • if you successfully pass this checkpoint welcome to taiwan

  • this is really one of the world's most secure airports

  • not by police power but by epidemic prevention power

  • next when kova does get past the tightest epidemic airport security

  • measures in the world what happens a taxi driver gets infected

  • by a passenger who had just returned from china

  • and spreads it to his family causing the first community outbreak in taiwan

  • epidemic investigators scrambled to find out where the virus came from

  • and how to contain the outbreak the bubonic plague smallpox influenza

  • and now covid disease has been man's number one killer throughout history

  • killing millions and wiping out massive portions of the population at a time

  • in the 1800s there was an outbreak of cholera

  • the field of epidemiology and public health arose

  • partly to investigate how the disease spreads

  • human beings have been fighting disease since before history was recorded

  • but grace liao and alan lien are finding that public health as a field of study

  • has been around for less than 200 years ever since then humans have been

  • struggling to catch up with diseases in less than 100 days it had made its

  • way to every single continent except antarctica

  • no virus has ever traveled so quickly january 2020 in central taiwan over the

  • lunar new year holiday a taxi driver thought he might have

  • caught a cold

  • wonderland

  • the symptoms got worse and he was rushed to the hospital emergency

  • room where he was tested for covet-19

  • test results came back the day he died showing that he was positive for the

  • virus family members were heartbroken over the

  • loss of their loved one but their ordeal was only just beginning

  • they also tested positive taiwan was in danger of

  • a major outbreak before all the border control measures

  • were in place the virus had crept in claiming its first victim and causing

  • the first community infection in the country

  • but who gave the virus to the taxi driver

  • and who else could have been infected this is a cdc medical officer

  • and an old colleague of allen liens he updates alan on what the job now

  • requires and how he traced the driver's contacts

  • authorities quickly opened an investigation to uncover

  • and contain the outbreak in central taiwan

  • [Music]

  • [Music]

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  • [Music]

  • foreign

  • to facilitate contact tracing police provided phone records of the driver

  • and the team cross-referenced calls made from near the airport and hotels

  • with medical records from the national health insurance administration

  • by 4 pm that day they had narrowed their search down to

  • 3 people any one of whom could have been patient zero

  • xuja bing creates a timeline looking at the driver's 14-day incubation period

  • on january 22nd the driver had been to the airport to pick up a man returning

  • from china and this man's health insurance data

  • shows several visits to the doctor [Music]

  • oh

  • the results came back negative

  • grace asks a leading expert on infectious diseases

  • also the chairman of the cecc expert consultation committee

  • why

  • all the missing pieces were found outbreak contained

  • epidemic investigation case closed it seemed kovat 19 had met a dead end

  • but it quickly found an even better strategy

  • the trojan horse next a cruise liner of more than 3 000

  • vacationers potentially infected with the new coronavirus

  • lands in taiwan no one knew about the infections

  • until after they'd been all over taipei the border controls had been breached

  • once again putting taiwan's contact tracing to the

  • test on a much larger scale this time taiwan has to

  • resort to technology and big data to pinpoint potentially

  • infected people and avoid a lockdown

  • the new virus that causes covet 19 is from the coronavirus family

  • corona is latin for crown which despite proteins on the virus resembled

  • food

  • [Music]

  • wherever people are in close contact the virus spreads fast

  • in 14 days sars kovi ii infected one-fifth of all the passengers on the

  • diamond princess cruise ship my joshua and his father were on the

  • disease-stricken cruise liner and recalled the horror

  • oh yeah sure how this is the whole joke is you're the my

  • mother cause oh yeah

  • warren teamed off the port of yokohama in japan

  • this was the diamond princess in february when it was confirmed that a

  • passenger who had got off the ship in hong kong

  • tested positive for covet 19. [Music]

  • more than 3 000 people were ordered to stay in their cabins

  • no one could leave the ship 2019

  • among the more than 700 passengers who contracted the virus before being taken

  • to hospitals in japan but before the ship became a diseased

  • vessel that port authorities refused docking permission

  • it had made a stop in taiwan where more than three thousand passengers and crew

  • got off to explore taipei

  • santiago

  • foreign

  • the virus played the oldest trick in the book the trojan horse

  • and taiwan countered by using big data technology

  • grace heads to the executive yuan's department of cyber security

  • to find out how the strategy worked and how contact tracing for thousands of

  • people at a time was carried out using cell phone signals

  • cross referencing cell phone signals originating on the diamond princess's

  • path of travel during its time in taiwan they were able to narrow down the search

  • to about 3 000 numbers the cell phone signals were then back

  • traced data experts found more than 30 places where the vacationers stayed for

  • more than half an hour and cross preference that with local

  • cell phone number signals that stayed for more than five minutes

  • within a 500 meter radius to find people that could have been

  • exposed [Music]

  • to science

  • [Music] if any of the and twenty thousand people

  • became ill and went to see a doctor in the

  • following weeks since potential contact with the diamond princess passengers

  • they would be automatically flagged by the system

  • tomorrow

  • head of the cyber security department and a physician trained in public health

  • in may he co-authored a paper published in the journal of medical internet

  • research on how taiwan used big data analytics to

  • prevent a massive community outbreak [Music]

  • look at how contact tracing can track down people

  • i'm here to find out if big data and ai can track down virus too

  • this is a phylogenetic tree of all known cases of sars cov2

  • with genetic sequencing it traces the ancestry and mutations of the virus

  • to help speed up the search for better treatments

  • at this artificial intelligence lab machine learning is also applied to the

  • diagnosis of covid19 chest x-rays were given to the ai system

  • to learn what pneumonia looks like this is an x-ray of a sick patient

  • pneumonia

  • has

  • with a virus that mutates so quickly it's a race against time

  • if machine learning can help accelerate the speed at which humans respond for

  • diagnosis and treatment the war may tilt in our favor but the

  • battle fire is still raging and people are returning

  • to taiwan infected with the new coronavirus next

  • a young woman with covet 19 comes back from spain

  • she has treated at a busy hospital for more than a month

  • could the virus have found another opportunity to cause an outbreak

  • the fight continues to be out there to give me gender

  • how one

  • a virus that causes respiratory illnesses the new coronavirus

  • often attacks the lungs often resulting in pneumonia

  • now your evil

  • [Music]

  • to find out how covet 19 patients are treated grace liao and

  • alan lien visit a hospital where they also learn how cluster infections are

  • prevented after the painful experience with sars

  • many years ago hospital security against infectious

  • diseases were tightened and a new firewall was created and then

  • the firework is in this piece of prasik the national

  • health insurance card information including the

  • name of the hospital visited and the prescriptions prescribed are stored on

  • this card this is how the system can flag and keep

  • track of flagged patients this is rita chao a young woman who is

  • studying in spain but in march 2020 when her cold seemed

  • to not go away she decided

  • when rita arrived at the hospital she was lit on an isolated patient flow to a

  • negative pressure isolation room

  • children had

  • the pressure inside the negative pressure room is lower than the

  • non-contaminated space outside so when a door is open air only goes one

  • way in the air is then sent out and away

  • from the hospital

  • [Music]

  • treating patients in an isolation room doctors communicate over

  • [Music]

  • [Music]

  • outbreak of 2002 2003 over 800 people around the world were killed by the

  • virus in taiwan 73 people succumbed to the

  • disease many of the infections happened within a

  • single hospital the cluster of infections was

  • accidentally caused by hospital cleaning staff

  • new protocols and negative pressure rooms were part of the effort to reform

  • public health policy after the incident including the

  • amendment of the communicable disease control act and restructuring of

  • taiwan cdc and ministry of health and also strengthen the hospital

  • inflation control in all the hospitals and put this into

  • the upgradation of hospital and it's very important and

  • also we establish our emerging inflation

  • disease health care system in taiwan and we also

  • request all the hospitals and to prepare at least

  • one month a quarter of this personal protection equipment

  • alan talks to the head nurse of an isolation room ward

  • and finds out what's changed

  • a strong epidemic prevention system lies not only

  • on public health measures but also on a robust health care system

  • that can receive and treat the patients and prevent them from

  • infecting the communities what prevents healthcare workers from getting infected

  • and infecting the community is ppe personal protective equipment

  • to the layman they're just layers of textiles

  • but how complicated are they to put on how much harder does it make treating

  • patients grace tries on a full set of ppe

  • to find out

  • [Music]

  • [Music]

  • after a month of treatment rita tested negative for the virus three times

  • and was cleared to finally go home but what is taiwan doing to help contain

  • the spread of kovic from all international inbound travelers

  • designated taxis and buses straight to quarantine locations could

  • be the answer when a traveler arrives in taiwan they

  • are required to self-quarantine for a full

  • two weeks the time it takes for the virus to reveal itself

  • from the airport they take a special disease prevention taxi or bus

  • straight to their registered quarantine location

  • for people who can't quarantine at home epidemic prevention centers and hotels

  • are two other options

  • allen lien visits a hotel in taipei that can accommodate travelers who need to be

  • quarantined

  • [Applause] fairvae a quarantine guest at the hotel

  • good morning dear friends i am anti fairvae a german conductor and pianist

  • and i have the good fortune to be in taiwan

  • as conductor and vocal coach for la boheme

  • a production at the national taichung opera

  • oh yeah

  • be jealous be very jealous this is one of the

  • fabulous breakfast that hans house has served

  • me it is an absolute joy to work in taiwan during this pandemic

  • the natural professional friendly efficient

  • way of dealing with this virus has inspired me to not

  • be discouraged about life or my career auntie completed her quarantine

  • abiding the law but grace asks what if someone violates quarantine orders

  • a question that brings her to the police department digital fencing measures are

  • in place to make sure people under quarantine

  • take the matter seriously their location is monitored during the two-week period

  • if the fence is broken the police are alerted

  • the fine for breaking quarantine can go as high as one million new taiwan

  • dollars over thirty five thousand u s dollars

  • [Music] of course there are some trade-offs the

  • trade-off is either that or we have to do potentially more severe

  • measures such as quarantine of or lockdown of an entire city for example

  • i think town is one of the few places where they're actually seeing economic

  • growth due to their ability to control kevin

  • 19. in the first 11 months of 2020 around

  • 400 000 people were quarantined or self-isolated for 14 days facilitated

  • by digital fencing enforced by the law the compliance rate

  • for quarantine is 99.7 and no lockdowns have been

  • ordered outside of quarantine everyone else goes

  • about their business as usual but wearing masks in taiwan

  • it has been common sense to put on a medical mask for self-protection when

  • there is something going around

  • medical face masks made in taiwan have at least a 95

  • filtration rate the petri dishes show bacteria

  • cultured from the first and third layers there is significantly less bacteria

  • found on the layer closest to the person wearing the mask

  • [Music] the key is the middle layer which is

  • made of an electrostatically charged microfiber

  • that traps particles which make it past the outside layers

  • [Music] if ppe including medical masks are

  • properly worn the risk of infection is quite low but

  • soon after the outbreak in wuhan masks sold out almost instantly

  • with almost no masks to be found taiwan was under serious threat of community

  • outbreaks but in a matter of weeks taiwan was able

  • to multiply its mass production rate more than 10-fold from about 1.9 million

  • to 20 million a day enough to provide masks for

  • everyone in taiwan and have more left over to share with the world

  • masks begin to fly off the shelves in taiwan as soon as news of kovit broke

  • [Music] the hoarding and shortage of supply was

  • a big problem to make sure everyone was able to buy

  • masks for protection against covet 19 the government rationed them people were

  • required to use their national health insurance card to

  • register and order masks [Music]

  • parts and materials for production lines immediately needed to be sourced and

  • built fortunately taiwan has strong textile

  • and manufacturing industries but someone needed to bring them

  • together grace joins shenzhen taiwan's minister of economic affairs to

  • visit a brand new mask factory built during the pandemic

  • to find out how they got up and running in record time

  • [Music]

  • 60 production lines were needed but only 20 were available in all of taiwan

  • and it usually took an entire month to assemble one

  • shen hoped to have 40 assembly lines up and running

  • in a mere 20 days

  • unexpectedly competing tooling and machining companies

  • stepped forward and announced a collaboration bringing workers

  • and machinery to help the mask factories but not without sacrifices

  • as grace finds out

  • [Music]

  • the result was in weeks time anyone who had a national health insurance card

  • could buy nine surgical masks every two weeks

  • and enough was left over to donate to other countries

  • by june stores were fully stocked and restrictions were lifted

  • um

  • there are international organizations or institutions

  • predicted that taiwan is going to be hit very hard

  • by this pandemic but at the end we not only are able to deal with the

  • pandemic with our own experience but we also try

  • to provide assistance to other countries for

  • example we have donated face masks and ventilators

  • the thermal machines to other countries so as long as taiwan is successful and

  • as long as taiwan is willing to help other countries i

  • think the international community will notice

  • that taiwan can really help in 2020 covet 19 took over the world

  • disrupting life in every single country but taiwan's epidemic prevention efforts

  • have enabled its people to live a normal life

  • they are changing

  • [Music]

  • 23 million people in taiwan they also put their efforts to cope with the copy

  • 19. in grace liao and alan lien's

  • investigation of taiwan's epidemic prevention strategies

  • they visited airports hospitals data centers

  • and factories interviewing countless key persons that explained how measures like

  • border control home quarantines and digital fencing

  • worked and how information communications

  • technology and big data made the system efficient and the method

  • with which hospitals and ppe supplies were managed

  • to provide people the best protection possible against the new coronavirus

  • fighting covet 19 has been like a marathon

  • a long arduous race one that taiwan has been winning

  • taiwan can help is more than a slogan it's taiwan's offer to share its

  • experiences in dealing with this deadly highly infectious disease

  • with the rest of the world [Music]

  • you

the Eiffel Tower the Milan Cathedral New York city devoid of tourists

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