[howlgarnish]

Sigh, this old canard again. Vietnam, Thailand, Laos, Cambodia, Singapore are all doing fine without "locking people into their homes" and they're not islands.

(Ok, Singapore technically is an island but it's connected to Malaysia by the world's busiest border crossing; and Thailand's grappling with a new outbreak now but it seems to be improving.)

[jandrewrogers]

Viet Nam is not doing fine. I have a lot of contact there, there is an outbreak of “severe pneumonia” for which no one is being tested for COVID despite being pretty obviously COVID. To make matters worse, in addition to not testing anybody with symptoms, the government hospitals have been turning people with these symptoms away so they are going to their family homes to be taken care of.

I would take the stories of Viet Nam’s “success” with a very large grain of salt. It should be impossible for me to know so many people with odd “severe pneumonia” there given that the entire country has nominally only had a thousand cases or so.

[dehrmann]

IIRC, North Korea has reported zero cases.

[refurb]

I have a friend in Vietnam. They were effectively locking people in their homes. If a Covid case was found in an apartment, the entire floor was locked down. If you didn't stay in your home, you were brought to a facility where you didn't have a choice in the matter.

And they are controlling it now by effectively locking down the country to the rest of the world. Even if you're a Vietnamese citizen you can't get back into the country without permission. And the gov't is denying permission in all but the most extreme circumstances.

[ValentineC]

> Vietnam, Thailand, Laos, Cambodia, Singapore are all doing fine without "locking people into their homes" and they're not islands.

Malaysia shut its border with Singapore in mid-March [1], and Singapore had what I'd consider a lockdown (most businesses closed, no social gatherings allowed) between 7 April to 19 June [2].

[1] https://www.todayonline.com/8days/eatanddrink/newsandopening...

[2] https://www.gov.sg/article/ending-circuit-breaker-phased-app...

[paganel]

Maybe there's a genetic component to this virus? Which is "verboten" to be discussed and analysed because of various reasons ("race is a social construct" and all that), but at some point one has to take this into consideration too. All due respect to Laos, but I don't see it as having the needed expert infrastructure in order to keep this virus under control as well as they have. Similar discussion for Thailand.

[henearkr]

Some vaccines that are compulsory in Japan and China (and other Asian countries) but not in the rest of the world are also suspected to geographically shape some immunity differences.

For example the vaccine against Japanese Encephalitis is under investigation for a possible cross-effect on covid immunity.

[ethbr0]

It's less likely there's a genetic component to infection rates (though possible!) than a population-immunological one.

It's been experimentally verified that various pre-pandemic coronavirus antibodies are reactive against SARS-CoV-2.

It's a fact that different world populations have to deal with different endemic disease profiles.

Consequently, different populations have different pre-infection susceptibility to SARS-CoV-2. [0]

[0] https://www.ijidonline.com/article/S1201-9712(20)32310-9/ful...

[dekhn]

it's perfectly acceptable to talk scientifically about the difference in races (really, people with shared population history) by genetics and their responses to disease. THe people who are saying "race is social construct" are by and large not the actual scientists making discoveries in this area. REad the NYTimes science section for a few months and you'll see they commonly discuss the difference in medical treatment research and how we could improve health care by being more aware of it.

[thomasz]

The key is age and obesity.

[harimau777]

Is it possible that they are all effectively islands? For example, it appears that Vietnam has miles of jungle between its major cities and neighboring countries. The same cannot be said for the US and Europe.

[maxerickson]

There's not a whole lot of evidence that illegal border crossings from Canada are a major driver of the spread in the US.

And of course, the same can be said for Mexico (because the main driver of the spread in the US is people not taking simple steps to prevent it).

Travel to Canada has been restricted for much of the year (I live in Michigan; there's a warning 4 hours from the border that travel is restricted). But that's because Canada isn't letting their fool neighbors in.

[ksaj]

> There's not a whole lot of evidence that illegal border crossings from Canada are a major driver of the spread in the US.

Ironically it's the other way around, too. Our borders are shut to tourists, but they keep showing up in Canmore and Banff anyway. And now Alberta has a serious problem with Covid spread, and a friend of my sister's just died a couple days ago from it. They have 1/3 the population of Ontario, yet close to the same numbers of daily cases and hospitalizations, which suggests triple the velocity.

There are compounding reasons as well, but everyone I know that lives there is complaining about all the Americans constantly showing up.

[guardiangod]

Don't blame the Americans for what that fool of a premier J Kennedy has done. Alberta could have clamped down the 3rd wave like BC has. Instead JK followed the right ringers wish and let everyone continue to gather.

[ksaj]

Oh, we commiserate, with such shite provincial leadership right now.

In this case, I was putting the blame both ways. The thread started by blaming Canadians. Jason Kenney (not Kennedy, that's some other bloke) made the border so weak there that Alberta is inundated with US-bred Covid hotspots. Of course it's going in the other direction, too. There are hotspots trading germs by deciding they should visit each other, mingle, go home, repeat.

Canada isn't taking so many cases to the US. Unless you look at Alberta. Kenney there has screwed that up in both directions by somehow not noticing the tourists going through either way. He's turned it into a slow cooker of viral stew.

If I sound pissy about it, it's because both sides of the border should be shutting that down and not allowing it, even through the loopholes they are both entertaining at this particular stretch. My sister's best friend died of Covid that she caught in Banff 4 days ago. She lived and worked there, and complained about the number of Americans showing up. What a surprise.

It's both ways. There are conservatives that enjoy Trump's ideals - pretty much defining Alberta. They're gonna kill us all eventually.

Ontario is stricter about it, and everyone (again on both sides of the border) bitch about it. The problem in Ontario is the sticker-monger wants to let you celebrate and then lock down so you die out of sight of the public.

We'll never get ahead of this when everyone thinks they are somehow not the ones transporting this virus around, yet won't stop travelling and "breathing moistly."

[dehrmann]

To be fair, Alberta is culturally more like Texas than Vancouver.

[howlgarnish]

Those miles of jungle are crisscrossed by roads, trains and ferries, just like US and Europe. Vietnam is a country of nearly 100M people with strong trade and transport links to the world, and over in Thailand, Bangkok is the most popular tourist destination in the world.

[rndgermandude]

There is very little tourism right now, ever since this started. But before that, Vietnam (population 97M) had close to 20M international arrivals last year, Germany (population 83M) had 39M, Thailand (population 70M) had 40M.

Vietnam has essentially one train line across the county that only splits up in the very north into two train lines into China. Vietnam has 2,600km of train lines, Germany for comparison has more than 41,000km, for a comparable area size. Vietnam has about 12M train passenger rides a year (pre-Corona of course), Germany has more than 2000M (does not include intra-city light rail rides). Thailand, with an area about 1.5x of either Vietnam or Germany, has 4,400km of train lines and 38M passenger rides.

Vietnam has about 250,000km of roads (50% paved), Germany has 600,000km (mostly paved). Vietnam has about 3M motorized vehicles (31 per 1000 population, but there is probably a significant number of unaccounted motor scooters), Germany has 56M motorized vehicles (701 per 1000), Thailand has 40M motorized vehicles (half being motor scooters/bikes, probably a significant number of unaccounted motor scooters) (571 per 1000).

You said "just like the US or EU", but I disagree given these numbers. The mobility, especially medium and long distance mobility, seem quite different.

Public life - as dictated by climate conditions and of course economic constraints - differs as well. Average temperature in Vietnam is 24°C, Thailand 26°C and Germany 9°C (and Spain/Greece/Italy aka the South of Europe it's 13°C). A lot more public life, incl paid and unpaid work, happens outside in Vietnam and Thailand, compared to Europe. When it was summer in Europe, we had a lot fewer cases and deaths than when it was cold and is now cold again. Colder weather and indoor living/working seems to heavily correlate with Corona, at least in Europe.

This doesn't mean we cannot learn from nations such as Vietnam and Thailand, but it's also not as straight forward as trying to outright mimic what they did and do in response to the pandemic.

[thomasz]

Look at the demographics of these countries and compare them to the United States and Europe. Throw in less detailed reporting and less transparency. We’re dealing with a virus that overwhelmingly affects old, obese people. A country like Vietnam probably wouldn't even notice the pandemic wave that currently affects Europe and the United States.

[rtpg]

You could handwave that when we were at way less cases. But at one point people would start noticing (for example) everyone in retirement homes dropping like flies.

Not to mention that after the first couple of months, Covid cases are now nicely distributed amongst younger populations as well. Fatalities are still concentrated in older people, but cases are still widespread across demographics.

The facts are staring everyone in the face: when countries started weakening their lockdown procedures, cases started going back up. And nobody's been willing to go back in full lockdown, for various reasons. And so cases are going up a bunch.

Meanwhile Vietnam had some cases in fall/winter, and _immediately_ locked stuff down, shut down universities, and quarantined people who had even a bit of contact with people in positive cases. The stuff was taken seriously, and numbers stayed low because of it.

Maybe the US and Europe "can't do it" because of a lack of political will etc. But it's not physically impossible.

[thomasz]

Off course it’s possible to have a measurable impact. It’s obviously working for Vietnam, but I’m doubtful that the same measures would be sufficient for countries where the old and obese make up not less than five percent but more than a third. Vietnam could have numbers of infection similar to Germany without even noticing, especially if we are accounting for the difference in transparency.

But this obviously doesn’t change the bottom line: Their response was sufficient, while ours was not. This isn’t their Chernobyl like a lot of overconfident analysts proclaimed. I’d say it comes close to being our Chernobyl. Asian societies by and large did really well, and the pathetic response of the “First World” revealed a disturbing level of calcification and incompetence.

[Izkata]

Thailand was doing fine, but as of this past week it broke past their quarantine.

[dageshi]

It's Thailands winter, if there's ever a time it's going to spread there, it's probably now.

[jdminhbg]

> Vietnam, Thailand, Laos, Cambodia

I guess perfect covid policy is contagious!