Japan Acted Like the Virus Had Gone. Now It’s Spread Everywhere.

After initial success, Japan is facing a reality check on the coronavirus.

The country garnered global attention after containing the first wave of Covid-19 with what it referred to as the “Japan Model” -- limited testing and no lockdown, nor any legal means to force businesses to close. The country’s finance minister even suggested a higher “cultural standard” helped contain the disease.

But now the island nation is facing a formidable resurgence, with Covid-19 cases hitting records nationwide day after day. Infections first concentrated in the capital have spread to other urban areas, while regions without cases for months have become new hotspots. And the patient demographic -- originally younger people less likely to fall seriously ill -- is expanding to the elderly, a concern given that Japan is home to the world’s oldest population.


Vietnam records first Covid-19 deaths

Vietnam has recorded its first Covid-19 fatalities, in a devastating blow for a country proud of its zero deaths.

The first man, who was aged 70, was from the central city of Hoi An, state media said on Friday.

A second death, of a 61-year-old man, was reported later in the day.

There had been no new locally transmitted infections for more than three months, before an outbreak was reported in the nearby resort of Da Nang earlier this week.

Both of the patients who died had underlying health conditions, according to Vietnamese media.

The country, which has a population of around 95 million, has reported just 546 cases since the pandemic began.

Unlike many other countries, Vietnam acted before it even had confirmed cases, closing its borders early to almost all travellers, except returning citizens. Anyone entering the country must quarantine in government facilities for 14 days and undergo testing.

And for a while, this approach appeared to be highly effective, with no new local transmissions reported since mid-April.

The country received praise for both its timely efforts to contain the virus and for the care it was able to offer a Scottish pilot who spent two months in a coma after developing Covid-19.


Why Hong Kong's 'third wave' is a warning

Until recently, Hong Kong was considered a poster child in its handling of the Covid-19 pandemic.

Despite sharing a border with mainland China, where the first cases were reported, Hong Kong kept its infection numbers down and was able to avoid the extreme lockdown measures introduced in parts of China, Europe and the US.

But now, it's been hit by not even a second, but a third, wave of infections. The government has warned its hospital system could face collapse, and it's just had a record high number of new infections in a day.

What went wrong, and what lessons are there for countries juggling both the pandemic, and the economic pain caused by lockdown? Quarantine exemptions and 'loopholes'.

Hong Kong had its first Covid-19 cases in late January, leading to widespread concern and panic buying, but infection numbers remained relatively low and the spread was controlled quite quickly.

It experienced what became known as its "second wave" in March, after overseas students and residents started returning to the territory, leading to a spike in imported infections.

As a result, Hong Kong introduced strict border controls, banning all non-residents from entering its borders from overseas, and everyone who returned was required to undergo a Covid-19 test and 14-day quarantine.

It even used electronic bracelets to track new arrivals and make sure they stayed at home.

That, combined with the widespread use of masks and social distancing measures, worked - Hong Kong went for weeks without a locally transmitted case, and life seemed to be heading back to normal.

So how did the "third wave" - that has led to more than 100 new cases for nine days in a row - arrive? Hong Kong on verge of 'large-scale' outbreak.

"It's quite disappointing and frustrating because Hong Kong had really got things very much under control," says Malik Peiris, Chair of Virology at the University of Hong Kong.

He believes there were two flaws in the system.

First, many returnees opted to quarantine for 14 days at home - an arrangement that's common in many countries including the UK - rather than in quarantine camps.

"There is a weakness there because other people in the home are not under any form of restriction, and will still be coming and going," says Prof Peiris.

However, he believes the more serious problem came from the government's decision to exempt several groups of people from testing and quarantine when they entered Hong Kong.

Hong Kong had exempted about 200,000 people, including seafarers, aircrew and executives of companies listed on the stock exchange, from quarantine.

It said the exceptions were needed to ensure normal daily operations continued in Hong Kong, or because their travel was necessary to the city's economic development.

As an international city and trading port, Hong Kong has a high number of air links, and many ships change crews there. The territory also depends on imports from mainland China and elsewhere for food and essential goods.




japan: Japan Acted Like the Virus Had Gone. Now It’s Spread Everywhere.
https://www.bloomberg.com/news/articles/2020-07-31/japan-acted-like-the-virus-had-gone-now-it-s-spread-everywhere


vietnam: Vietnam records first Covid-19 deaths
https://www.bbc.com/news/world-asia-53606917


hong kong: Why Hong Kong's 'third wave' is a warning
https://www.bbc.com/news/world-asia-china-53596299