Monday, April 19, 2021

How It's Done

My former home of Daegu, South Korea, was the first city outside of China to be hit by the coronavirus.  It all went down February of last year, 2020.

On the one hand, that sucks.

"South Korean officials made a plan. They needed to test as many people as possible, as quickly as possible, to figure out how bad the outbreak was. Then they had to find out who might have come into contact with the infected people. And they needed all of those people — both the infected and the potentially exposed — to isolate themselves to prevent the virus from spreading any further.

It was a three-step protocol: test, trace, and isolate. And it worked. Within a week of Patient 31’s diagnosis, the country was performing the most Covid-19 tests in the world; it implemented perhaps the most elaborate contact tracing program anywhere; and it set up isolation centers so thousands of patients could quarantine.

As other countries saw their outbreaks spiral out of control, measures like these helped South Korea keep Covid-19 in check. On March 1, South Korea had about 3,700 confirmed cases; Italy, the first hot spot in Europe, had 1,700 and the US had just 32 cases, though its dismal testing meant the virus was likely spreading unsurveilled. By the end of April, Italy had topped 200,000 cases; confirmed cases in the US were already above 1 million. South Korea still had fewer than 11,000. Adjusted for population, South Korea’s first wave of coronavirus cases was about one-tenth as big as that in the United States."

This is what happens when you have an excellent public health system, leadership that is interested in keeping the infection rate low, not personal ego, and a public that is usually willing to go along with mask and distance protocols if it means the greater good of ending the outbreak is served.

South Korea had all of this, plus a very technology-friendly culture.  Within days everyone, including dumb foreigners like me, were getting multiple text messages a day telling us the specific locations of stores, restaurants, or subway stations where an infected person had been present.

The only Americans who think our health system is the best in the world are the ones who have never left the country.

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