A Critical Analysis of Legal and Policy Responses to the COVID-19 Pandemic and its Long-term Impacts in Taiwan

2021 ◽  
Vol SI ◽  
pp. 3-10
Author(s):  
Hsing-Hao Wu ◽  
Chih-Wei Chen

The COVID-19 pandemic has dramatically impacted public health and economic and social stability worldwide since the WHO’s Public Health Emergency of International Concerns declaration in early March 2020. The COVID-19 virus was first discovered in December 2019 in Wuhan city, China, and eventually resulted in the global pandemic, of which the cumulative cases have reached 181,367,824 at the time of writing. Taiwan encountered severe public health threats because of the frequent travelers as many as 10 million who commuted annually between mainland China and Taiwan. Recognizing the imminent threats arising from an intensive flow of people from mainland China due to the lockdown policy adopted by the Chinese government, Taiwan has adopted strict border control, sophisticated contact tracing and monitoring measures, and most importantly the securing of sufficient Personal Protection Equipment supply for citizens to prevent community spread. Taiwan’s quick and precise COVID-19 response at the early stage of containing the virus has been proven very successful since the outbreak of the COVID-19 global pandemic in late February 2020. Taiwan is now struggling to fight the recent outbreak for lacking sufficient vaccines and testing capacities and shall learn from other country’s experience for countermeasures against a massive epidemic. This article aims to explore the key elements for the early success of containing the COVID-19 virus, including the comprehensive legal framework for preventing infectious disease, highly trained public health officials and governance system, and citizen self-awareness. The article then discusses the potential legal controversies and their long-term impacts on Taiwan. Finally, this article provides the concluding observation and suggestions for fighting massive infectious diseases.

2021 ◽  
Vol 19 (1) ◽  
pp. 1-33
Author(s):  
Xianghong Zhang ◽  
◽  
Yunna Song ◽  
Sanyi Tang ◽  
Haifeng Xue ◽  
...  

<abstract><p>Since the outbreak of COVID-19 in Wuhan, China in December 2019, it has spread quickly and become a global pandemic. While the epidemic has been contained well in China due to unprecedented public health interventions, it is still raging or not yet been restrained in some neighboring countries. Chinese government adopted a strict policy of immigration diversion in major entry ports, and it makes Suifenhe port in Heilongjiang Province undertook more importing population. It is essential to understand how imported cases and other key factors of screening affect the epidemic rebound and its mitigation in Heilongjiang Province. Thus we proposed a time switching dynamical system to explore and mimic the disease transmission in three time stages considering importation and control. Cross validation of parameter estimations was carried out to improve the credibility of estimations by fitting the model with eight time series of cumulative numbers simultaneous. Simulation of the dynamics shows that illegal imported cases and imperfect protection in hospitals are the main reasons for the second epidemic wave, the actual border control intensities in the province are relatively effective in early stage. However, a long-term border closure may cause a paradox phenomenon such that it is much harder to restrain the epidemic. Hence it is essential to design an effective border reopening strategy for long-term border control by balancing the limited resources on hotel rooms for quarantine and hospital beds. Our results can be helpful for public health to design border control strategies to suppress COVID-19 transmission.</p></abstract>


2021 ◽  
Author(s):  
Yen-Chang Chen ◽  
Yen-Yuan Chen

UNSTRUCTURED While health care and public health workers are working on measures to mitigate the COVID-19 pandemic, there is an unprecedentedly large number of people spending much more time indoors, and relying heavily on the Internet as their lifeline. What has been overlooked is the influence of the increasing online activities on public health issues. In this article, we pointed out how a large-scale online activity called cyber manhunt may threaten to offset the efficacy of contact tracing investigation, a public health intervention considered highly effective in limiting further transmission in the early stage of a highly contagious disease outbreak such as the COVID-19 pandemic. In the first section, we presented a case to show how personal information obtained from contact investigation and disclosed in part on the media provoked a vehement cyber manhunt. We then discussed the possible reasons why netizens collaborate to reveal anonymized personal information about contact investigation, and specify, from the perspective of public health and public health ethics, four problems of cyber manhunt, including the lack of legitimate public health goals, the concerns about privacy breach, the impact of misinformation, and social inequality. Based on our analysis, we concluded that more moral weight may be given to protecting one's confidentiality, especially in an era with the rapid advance of digital and information technologies.


Author(s):  
Li-Chien Chien ◽  
Christian K. Beÿ ◽  
Kristi L. Koenig

ABSTRACT The authors describe Taiwan’s successful strategy in achieving control of coronavirus disease (COVID-19) without economic shutdown, despite the prediction that millions of infections would be imported from travelers returning from Chinese New Year celebrations in Mainland China in early 2020. As of September 2, 2020, Taiwan reports 489 cases, 7 deaths, and no locally acquired COVID-19 cases for the last 135 days (greater than 4 months) in its population of over 23.8 million people. Taiwan created quasi population immunity through the application of established public health principles. These non-pharmaceutical interventions, including public masking and social distancing, coupled with early and aggressive identification, isolation, and contact tracing to inhibit local transmission, represent a model for optimal public health management of COVID-19 and future emerging infectious diseases.


Author(s):  
Sarah Ciotti ◽  
Shannon Moore ◽  
Maureen Connolly ◽  
Trent Newmeyer

The COVID-19 global pandemic highlights pre-existing inequities as well as the challenge of ensuring the protection of children’s human rights in countries like Canada that have ratified the United Nations Convention on the Rights of the Child. SARS-CoV-2, referred to as the 2019 novel Coronavirus disease or COVID-19, presents a significant threat to public health. Although children are considered to be low risk of contracting, spreading, and serious complications of the disease, are considerably impacted by COVID-19 government-sanctioned distancing measures. COVID-19 is a persistent public health threat, thus, the long-term consequences are largely unknown. This qualitative research study, a content analysis of online Canadian media reports of COVID-19 and children, engaged transdisciplinary social justice methodology, social constructions of childhood at the intersection of race, socio-economic status, gender, and disability. The findings suggest COVID-19 reinforces the impact of social exclusion and economic disparity on equity-seeking young people and families in Canada.


Author(s):  
Steve Tsang

Hong Kong entered its modern era when it became a British overseas territory in 1841. In its early years as a Crown Colony, it suffered from corruption and racial segregation but grew rapidly as a free port that supported trade with China. It took about two decades before Hong Kong established a genuinely independent judiciary and introduced the Cadet Scheme to select and train senior officials, which dramatically improved the quality of governance. Until the Pacific War (1941–1945), the colonial government focused its attention and resources on the small expatriate community and largely left the overwhelming majority of the population, the Chinese community, to manage themselves, through voluntary organizations such as the Tung Wah Group of Hospitals. The 1940s was a watershed decade in Hong Kong’s history. The fall of Hong Kong and other European colonies to the Japanese at the start of the Pacific War shattered the myth of the superiority of white men and the invincibility of the British Empire. When the war ended the British realized that they could not restore the status quo ante. They thus put an end to racial segregation, removed the glass ceiling that prevented a Chinese person from becoming a Cadet or Administrative Officer or rising to become the Senior Member of the Legislative or the Executive Council, and looked into the possibility of introducing municipal self-government. The exploration into limited democratization ended as the second landmark event unfolded—the success of the Chinese Communist Party in taking control of China. This resulted in Hong Kong closing its borders with China on a long-term basis and the local Chinese population settling down in the colony, where it took on a direction of development distinctly different from that of mainland China. The large influx of refugees to Hong Kong in the late 1940s was transformed by a pragmatic colonial administration into a demographic bonus, as all were allowed to work freely and become part of the community. Those refugees, particularly from Shanghai, who arrived with capital, management knowhow and skills gave some industries, such as textile and shipping, a big boost. With the entrepreneurial spirit of the Chinese community unleashed and the colonial administration now devoting most of its resources to support them, Hong Kong became an industrial colony and developed increasingly strong servicing sectors. By the 1980s, local entrepreneurs had become so successful that they took over some of the well-established major British companies that had been pillars of the local economy for a century. As Hong Kong developed, it looked to the wider world—something originally necessitated by the imposition of trade embargos on China by the United States and the United Nations after the start of the Korean War in 1950—and eventually transformed itself into a global metropolis. In this process, the younger generations who grew up after the Sino-British border was closed developed a common identity that made them proud citizens of Hong Kong, and they became agents of change in reshaping how their parents’ generation felt about Hong Kong and China. The great transformation of postwar Hong Kong happened in the shadow of a dark cloud over its long-term future, which is a legacy from history. Hong Kong in fact consists of three parts: the island of Hong Kong, the tip of the Kowloon peninsula, and the New Territories, which amounts to 90 percent of the overall territory. The first two were ceded by China to Britain in perpetuity, but the New Territories was only leased in 1898 for a period of 99 years. As the three parts developed organically they could not be separated. During the Pacific War the nationalist government of China successfully secured an agreement from the British government that the future of the New Territories would be open to negotiation after the defeat of Japan. When victory came, the British recovered Hong Kong, and the Chinese government was distracted by the challenges posed by the Communist Party. After it won control of mainland China in 1949 the Communist government left Hong Kong alone, as it was a highly valuable opening for China to reach out beyond the Communist bloc during the Cold War. In 1979 the British raised the issue of the New Territories lease, as the remainder of the lease was getting too short for comfort. Formal negotiations started in 1982, and it took two years for an agreement to be reached. The British government ultimately agreed to hand over the entirety of Hong Kong as a going concern to China, which undertook to maintain the system and way of life there unchanged for fifty years. The transitional period saw controversies over democratic developments in Hong Kong, which were limited at China’s insistence. The formal handover went smoothly in 1997, and the colony became a Chinese Special Administrative Region. At first it appeared that Hong Kong enjoyed a high degree of autonomy, as promised by the Chinese government, but the scope for its autonomy was eroded gradually. The increase in interactions between the local people and the mainland Chinese, as well as the Chinese authorities’ refusal to let Hong Kong develop genuine democracy, nurtured a strong sense of Hong Kong identity, which started to transform into a kind of national identity that is different and distinct from that of China. By the mid-2010s this gave rise to a small but vocal movement that advocates independence.


Author(s):  
Kyle Habet ◽  
Diomne Habet ◽  
Gliselle Marin

Belize is a small Caribbean country in Central America with limited resources in public health. Amidst a global pandemic, urgent attention was given to mitigating the spread of SARS-CoV-2 (COVID-19) in order to prevent a public health catastrophe. Early intervention on a national level was key to preventing the importation of cases and subsequent community transmission. Limiting the conglomeration of people, implementation of curfews, closures of school and universities, government-mandated social distancing, and extensive contact tracing may have mitigated the exponential spread of COVID-19. Mandatory mask-wearing in public may have helped to prevent spread between asymptomatic carriers to susceptible individuals. A low population density may have also contributed to containing the virus.


2020 ◽  
Author(s):  
Junjiang Li ◽  
Philippe J. Giabbanelli

AbstractThere is a range of public health tools and interventions to address the global pandemic of COVID-19. Although it is essential for public health efforts to comprehensively identify which interventions have the largest impact on preventing new cases, most of the modeling studies that support such decision-making efforts have only considered a very small set of interventions. In addition, previous studies predominantly considered interventions as independent or examined a single scenario in which every possible intervention was applied. Reality has been more nuanced, as a subset of all possible interventions may be in effect for a given time period, in a given place. In this paper, we use cloud-based simulations and a previously published Agent-Based Model of COVID-19 (Covasim) to measure the individual and interacting contribution of interventions on reducing new infections in the US over 6 months. Simulated interventions include face masks, working remotely, stay-at-home orders, testing, contact tracing, and quarantining. Through a factorial design of experiments, we find that mask wearing together with transitioning to remote work/schooling has the largest impact. Having sufficient capacity to immediately and effectively perform contact tracing has a smaller contribution, primarily via interacting effects.


Author(s):  
Suraj G Malpani ◽  
Shraddha T Nemane ◽  
Vishweshwar M Dharashive ◽  
Nilesh N Shinde ◽  
Sushil S Kore

The 2019-nCoV has been identified as the reason of an outbreak of respiratory illness in Wuhan, Hubei Province, China beginning in December 2019. This outbreak had spread to 19 countries with 11,791 confirmed cases, including 213 deaths, as of January 31, 2020. The WHO declared it as a Public Health Emergency of International Concern. This study analyzed and discussed 70 research articles published until January 31, 2020 for a better understanding of the virology, pathogenesis, mode of transmission, classification, genome structure of this virus. Studies thus far have shown origination in link to a seafood market in Wuhan, but specific animal association has not been confirmed. The reported symptoms include fever, cough, fatigue, pneumonia, headache, diarrhea, hemoptysis, and dyspnea. Preventive measures like masks, hand hygiene practices, avoidance of public contact, case detection, contact tracing, and quarantines are being suggested for reducing the transmission. To date, no specific antiviral treatment is proven effective; hence, infected people primarily rely on symptomatic treatment and supportive care. Although these studies had relevance to control a public emergency, more research need to be conducted to provide valid and reliable ways to manage this kind of public health emergency in both short- and long- term. Coronaviruses (CoV) belong to the genus Coronavirus with its high mutation rate in the Corona viridae. The objective of this review article was to have a primary   opinion about the disease mode of transmission, virology in this early stage of COVID-19 outbreak. Keywords: 2019-nCoV, virology, pathogenesis, genome structure


Author(s):  
Benjamin Tze Ern Ho

This chapter analyzes Chinese responses to the events of the Covid-19 global pandemic and identifies themes of Chinese exceptionalism and Chinese benevolence in Beijing’s pandemic-related global interactions. Three core narratives have framed China’s response: that China is a responsible power; that China is self-sacrificing; and that China is superior to the West. At the same time, however, the events of the Covid-19 pandemic have also generated considerable criticism of the Chinese government, and how it being perceived as being good and different from the West. All of these factors have long-term implications for China’s claim to global leadership and the attractiveness of its political worldview.


Author(s):  
Wally Bartfay ◽  
Wally Bartfay ◽  
Marina Ali

SARS-CoV-2 coronavirus (COVID-19) is a respiratory infectious disease that has caused a global pandemic of unprecedented proportions. There has been a lot of discussion and debate in social media and by public health experts about the effectiveness of masks as a preventative strategy to decrease transmission of this virus. There are two modes in which mask may be beneficial: i) To serve as a physical barrier against the virus entering or leaving the oral-nasal passages of mask wearers, and ii) to decrease the risk that the person wearing the mask might pass the virus on to someone else (e.g., via coughing). The focus of this review is on the efficacy of different masks-types, and their demonstrated effectiveness in mitigating transmission from a global perspective. Our findings reveal that the use of commercially manufactured mask greatly decreases the distribution of COVID-19, whereas single layer homemade masks also provide protection by decreasing the viral dose of exposure and limit outward aerosol particle emissions. We argue that masks are a critical component in the arsenal of public health strategies to decrease transmission of viruses, including handwashing, maintaining social distancing (2 meters), limiting large gatherings of people, isolation of suspected cases, screening, and contact tracing.


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