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Table of Contents
LETTER TO EDITOR
Year : 2020  |  Volume : 3  |  Issue : 4  |  Page : 366-367

Lessons learned from China's response to coronavirus disease 2019 pandemic and implications for the rest of the world


1 Member of the Medical Education Unit and Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India

Date of Submission20-Jun-2020
Date of Acceptance21-Jun-2020
Date of Web Publication25-Jul-2020

Correspondence Address:
Saurabh RamBihariLal Shrivastava
Professor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpaet District - 603 108, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JNSM.JNSM_70_20

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  Abstract 


The coronavirus disease-2019 (COVID-19) outbreak, which started from a single city in China has been designated as a public health emergency of international concern. Despite being the most affected nation for close to 2 months, the situation has reversed in China and at present, the nation accounts for only 1% of global caseload and 1% of global deaths. All these estimates are very much suggestive that China has been successful in containing the outbreak in their settings. However, it will not be wise to expect that the outbreak is totally under control as long as the pandemic is going on. The most important lesson from the containment efforts in China was that a single approach will not be right in all the settings. In conclusion, China has been successful in containing the COVID-19 infection and the experience from China should be utilized by other nations who are fighting against the infection. On the contrary, China should not be relaxed and prepare themselves for a fresh wave of infection and also address the special needs during the recovery phase of the disease.

Keywords: COVID-19 pandemic, China, Containment, World Health Organization


How to cite this article:
Shrivastava SR, Shrivastava PS. Lessons learned from China's response to coronavirus disease 2019 pandemic and implications for the rest of the world. J Nat Sci Med 2020;3:366-7

How to cite this URL:
Shrivastava SR, Shrivastava PS. Lessons learned from China's response to coronavirus disease 2019 pandemic and implications for the rest of the world. J Nat Sci Med [serial online] 2020 [cited 2020 Oct 24];3:366-7. Available from: https://www.jnsmonline.org/text.asp?2020/3/4/366/291093




  Introduction Top


The coronavirus disease2019 (COVID19) outbreak has been designated as a public health emergency of international concern and also as a pandemic owing to its international spread. The disease has been detected in 216 nations and territories and the global figures suggest that as on 19 June 2020, a total of 8,385,440 cases and 450,686 deaths have been reported.[1] It is worth noting that China no longer remains the epicenter of the COVID-19 outbreak, rather the epicenter now has shifted to the American and the European region.[1],[2]


  Covid-19 Situation in China Top


At present, China nation accounts for only 1% of global caseload and 1% of global deaths. There was a time when China was alone reporting majority of the cases, but the number has significantly reduced.[1] These estimates are very much suggestive that China has been successful in containing the outbreak in their settings and flattening of the curve of the disease.[1],[3] China has been able to do this only because of the dedicated and aggressive efforts directed toward interrupting the transmission of the disease, including social distancing, quarantine, and better implementation of infection prevention and control measures, and thus all other nations should take inspiration from the experience in China.[4],[5]

In fact, China moves into the stage of mitigation after the containment phase, but it will not be wise to expect that the outbreak is totally under control as long as the pandemic is going on.[3] Owing to the fact that the disease can be imported through travelers, any time, a new chain of transmission can begin and the health sector should prepare themselves for a largescale communitybased transmission.[3],[5]


  Implemented Strategies: Lessons for the World Top


China was able to interrupt the transmission through shortterm measures such as closure of schools and transport restrictions, but now it will be a bigger challenge as gradually all things have started to return back to normal.[5] The need of the hour is to ensure that infection prevention and control strategies should become a part of the routine lives in all settings and by all the sections of the society, including the members of the community.[3],[5] The most important lesson from the containment efforts in China was that a single approach will not be right in all the settings. In other words, the nature of response in hot spots should be different than in other settings and it is essential to accept that the public health response needs to be tailored in different nations and in different settings.[3] Thus, it is important that each nation should share their experiences with the world to make the national leaders understand what worked and what not and thus help each other in this global fight against a common infectious agent. In the recovery phase of the disease, the citizens should be encouraged to give attention toward the restoration of their mental health, adopt healthy lifestyles, and continue the infection prevention and control practices.[3] In addition, the health system of the nation has been outstretched and even the health professionals, which has impacted the delivery of essential health services and all this needs to be streamlined in the recovery phase.[3],[4]


  Conclusion Top


In conclusion, China has been successful in containing the COVID19 infection and the experience from China should be utilized by other nations who are fighting against the infection. On the contrary, China should not be relaxed and prepare themselves for a fresh wave of infection and also address the special needs during the recovery phase of the disease.



 
  References Top

1.
World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report – 151; 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200619-covid-19- sitrep-151.pdf?sfvrsn=8b23b56e_2. [Last accessed on 2020 Jun 20].  Back to cited text no. 1
    
2.
Dyer O. Covid-19: Hospitals brace for disaster as US surpasses China in number of cases. BMJ 2020;368:m1278.  Back to cited text no. 2
    
3.
World Health Organization - Regional Office for Europe. China shows COVID-19 Responses Must be Tailored to the Local Context; 2020. Available from: http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/4/china-shows-covid-19-responses-must-be-tailored-to-the-local- context. [Last accessed on 2020 Jun 20].  Back to cited text no. 3
    
4.
World Health Organization. 2019 Novel Coronavirus (2019-nCoV): Strategic Preparedness and Response Plan. Geneva: World Health Organization Press; 2020. p. 1-20.  Back to cited text no. 4
    
5.
Normile D. As normalcy returns, can China keep COVID-19 at bay? Science 2020;368:18-9.  Back to cited text no. 5
    




 

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