4 March 2020

Nautilus Magazine: What Really Inflamed the Coronavirus Epidemic

An online tidal wave of reflection and grief that I’ve never seen before resulted. My own personal WeChat feed was flooded with comments and tributes to him, ranging from poems to cartoons of him eating his favorite meal of fried chicken. The rage was directed largely at Wuhan city officials. After Li had written to his friends, he had been called into a police station, where he was forced to sign an unusual document designed to coerce him into silence. Later, he spoke to Chinese private media company Caixin, shedding light on the unfolding epidemic which, having engulfed first Wuhan and its surroundings, is now front page news across the world. Li became, as a result, the face and name of a censorship phenomenon involving a number of other doctors. [...]

But did censoring Li and others make the outbreak of the virus much worse, leading to many more deaths, as many Chinese people believe? Not so much. The censorship, and its subsequent chilling effect, is not what is killing people: What is a far more proximate cause of these deaths is the incompetence of the Wuhan government and the central health authorities in the two weeks that followed the censorship. They failed to prepare any sort of health system response, and the Wuhan authorities were preoccupied by a major political conference. When the virus took hold and became an epidemic, the health system was swamped. People were unable to access health services, and in some cases, people were contracting the virus when already sick or weak, making them more likely to succumb. [...]

The Wuhan authorities knew that the epidemic was of grave concern, yet did not notify the public nor begin preparing. It seems most likely that they were completely occupied by the two political meetings, which took up all government and Party resources, and killed any air time for public health announcements—thus negligently wasting two vital weeks to prepare for any possible outbreak. For example, they lacked the capacity to test for the virus at the necessary scale, making only 200 test kits per day, and sending early tests off to Beijing for results. On January 20, Xi Jinping got involved and the vast Chinese bureaucracy kicked into gear, shutting down a whole province. Local governments were told to take any measures necessary. For the past three weeks, we have seen the overreaction: airports and travel grinding to a standstill, most of China working from home (around half of China’s citizens are unable to move), and various countries closing their borders to Chinese nationals.

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