Staff load medical materials bound for Italy at Zhejiang Provincial
People’s Hospital in Hangzhou, east China's Zhejiang Province, March 17, 2020. Photo:
Xinhua/Zheng Mengyu via Getty Images
March 18 2020, 8:30 p.m.
AS THE NUMBER of
coronavirus infections spirals out of control, the U.S. and countries around
the world have reported major shortages of ventilators, respirators, test kits,
surgical masks, and other essential health equipment for dealing with the
pandemic. On Wednesday, President Donald Trump continued to blame China and
doubled down on his use of the racist term “Chinese virus.”
Yet now that the situation in China appears to have stabilized, the
country is positioning itself at the head of the global response to Covid-19,
adopting a unique leadership position that may alter global power relations,
despite the biggest shock to
its industrial output and economy in recent history and its coverup in
Wuhan at the beginning of the crisis.
“The only country that can help us is China. For the
rest of them, thanks for nothing.”
Western Europe and the U.S. are struggling under the weight of the
crisis, with cases rising exponentially every day and higher death rates in
Italy than anywhere else. China’s private and public sectors are filling in
gaps in equipment where other states are failing, although the spread of the
disease is such that demand for those materials might quickly outpace China’s
supply. The government and Jack Ma, a Chinese billionaire and co-founder of the
Alibaba Group, have already sent doctors and medical supplies to France, Spain, Italy, Belgium, Iran, Iraq, the Philippines,
and the United States. Chinese citizens living abroad are flying home in large numbers to
avoid catastrophic health failures elsewhere. In Massachusetts, a Chinese woman
tried and failed to be tested three times for Covid-19 before flying back home to
be tested and treated.
“The Chinese government has been trying to project Chinese state power
beyond its borders and establish China as a global leader, not dissimilar to
what the U.S. government has been doing for the better part of a century, and
the distribution of medical aid is part of this mission,” said Dr. Yangyang
Cheng, a postdoctoral research associate at Cornell University who writes the
science and China column for SupChina.
The most effective responses to the pandemic thus far have involved very
high levels of Covid-19 testing. South Korea’s case is the most notable. The
country has conducted roughly
300,000 tests and is able to do 15,000 a day, while flattening its curve and
managing to avoid the draconian lockdowns implemented by China that are now
taking hold in Western Europe and some American cities. The World Health
Organization’s director-general, Tedros Adhanom, underlined South Korea’s
strategy on Monday. “Our key message is: test, test, test,” he said.
The U.S. has failed to catch on to that message, as only about 60,000
tests have been conducted overall despite a population more than six times that
of South Korea’s, according to government officials at a presidential press
briefing on Tuesday. Trump called the WHO’s test “a very bad test” at the same
briefing. In the meantime, intensive care units at many American hospitals
could be overrun with sick patients in a matter of days. Memorial Sloan
Kettering hospital in New York City, one of the nation’s top cancer facilities,
has only a week’s supply of masks and limited supplies of ventilators and
personal protective equipment, according to BuzzFeed News.
Even though American laboratories are beginning to produce larger
quantities of Covid-19 tests, they are behind China’s capacity to do so and are
unlikely to be able to provide much medical aid to other countries in the short
term. In contrast, the Jack Ma Foundation has sent 500,000
testing kits and 1 million masks to the U.S., which will be distributed by the
Centers for Disease Control and Prevention. Urgent medical supplies had been
blocked by Trump’s trade war with China, and an exemption wasn’t granted until
March 6.
China is now in a growing dispute with the U.S. after Chinese and American officials
traded accusations over who was responsible for the virus, with Asian-Americans
in the U.S. facing greater racism and prejudice as a result. China expelled American journalists on
Tuesday following new restrictions on Chinese journalists in the U.S. and
a tweet from
Trump calling Covid-19 “the Chinese virus.” At a press briefing on
Wednesday, Trump said “we’ll see what happens” when asked if he was considering
“punishing China.”
U.S. Health Secretary Alex Azar told reporters on Sunday that he would
not divulge the number of ventilators in the country for security reasons, but
it is clear that the U.S. has a shortage of equipment that the federal
government cannot hide. “Respirators, ventilators, all of the equipment — try
getting it yourselves,” Trump reportedly told American governors on
a conference call Monday, before igniting a Twitter spat with
Andrew Cuomo, the governor of New York. Even though the U.S. needs ventilators,
Italy and Germany were the ones scrambling to purchase them from
major producers Dräegerwerk and Hamilton Medical, while other firms indicated that they haven’t received an
influx of new orders.
Elsewhere in the world, China’s ability to provide much-needed medical
aid stood in contrast to the lack of help from Western nations struggling with
the virus themselves. “European solidarity does not exist. It was a fairy tale
on paper,” Serbian President Aleksandar Vucic told reporters at
a press conference on Sunday. Vucic announced that he had sent a letter to his
“brother and friend” Xi Jinping, the Chinese president, asking for medical aid,
stating that “the only country that can help us is China. For the rest of them,
thanks for nothing.” The first test kits from China landed in Belgrade late Monday night.
The Jack Ma Foundation also announced that
it would send “20,000 testing kits, 100,000 masks and 1,000 protective suits
and face shields” to every country in Africa, and added that Ethiopia’s Prime
Minister Abiy Ahmed would “take the lead in managing the logistics and
distribution of these supplies to other African countries.” A senior Ethiopian
health official told The Intercept that he hoped the tests provided by Ma would
be sufficient and that “as the technology gets better,” Ethiopia also hoped to
source them from multiple other countries as well. Ethiopia has a shortage of
ventilators, however, and so far, “no one is providing” them, he said.
It’s unclear just how big an impact China will have on containing the
global spread of the virus. While governments and private companies around the
world have ramped up their testing manufacturing, the lack of ventilators will
be a more difficult challenge to solve. The U.K., for example, called on all
industries to support the production of 20,000 ventilators to supplement the
5,000 that its National Health Service currently has, but critics said the
government should focus on boosting production from health companies that
already make ventilators.
Howard French, journalist and author of “Everything Under the Heavens:
How the Past Helps Shape China’s Push for Global Power,” cast doubt on China’s
ability to save the day. “If this becomes generalized, I have a very hard time
imagining China has on hand, or even has the ability to crank up, production of
quantities of ventilators sufficient to address the urgent care needs of large
numbers of people like this in many, many countries all at once,” he said.
Although “medical aid during a pandemic is an objectively good thing,”
Cheng said, “China has, in more recently weeks, been rewriting the narrative of
the outbreak from a scandal, one of Chinese government coverup and
mismanagement, to a story of triumph, of Chinese strength and generosity, or
even superiority of its governing system. The dysfunction in the White House, and
perhaps to an extent 10 Downing Street, has certainly helped the Chinese
government establish that narrative.”
“We have seen how the Chinese government uses foreign aid and investment
to whitewash its human rights abuses, and how countries at the receiving end
become less willing to criticize or hold China accountable,” she added. “That
perspective should not be lost even in the crisis of a global pandemic.”
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