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A View From Lockdown in China

122 replies

Uberfoodie · 21/03/2020 04:07

I’ve now been in isolation for two months in China. It may surprise you to learn that I am not in Wuhan, or even Hubei Province, but Wuxi, a city in Jiangsu, over 700 Km away from the epicenter of the virus.

The impression created in the Western media is that by asking the residents of one city to self-isolate, China managed to bring the outbreak under control. It’s a dangerous misconception leading to a cavalier attitude and the false assumption that putting London in lockdown would somehow make things right. The truth is that China’s measures went far beyond anything imaginable in Western cultures and extended, at the worst of the epidemic, from Guangdong Province in the South to beyond Beijing in the North.

News of the virus made little impact outside of Hubei until shortly before Chinese New Year. The holiday is a time of mass migration when workers in the cities generally return to their hometowns to visit family. Faced with the prospect of millions of people moving around the country and potentially spreading the virus further, on January 23rd we went into official lockdown.

Initially we were told that the week-long New Year Holiday would be extended by a few days but as time passed and schools were closed indefinitely, we realized that we were in for the long haul. Today, two months later, some of the stricter controls here are starting to be relaxed but we are still in lockdown mode. Our business, a restaurant is still closed by order and this will not be reviewed until April 1st at the earliest. There is no confirmed date for schools reopening and movement is still highly restricted.

Overnight, the security guards at the gate of our complex were equipped with thermometers and our temperatures were taken each time we passed. Registering an elevated temperature carried a constant fear of being reported to the authorities and quarantined. We were fortunate in being allowed relatively unrestricted access to and from our home but for many of our friends, only one person per apartment was allowed out to buy supplies every two or three days. No deliveries were allowed into the complex and a makeshift collection point was set up at the gates. No visitors were allowed and social gatherings prohibited. All cars were stopped on roads and highways as police conducted detailed questioning about recent movements and checked temperatures. Long distance travel between provinces was either suspended or reduced.

The Chinese mobilized technology to establish highly sophisticated movement and contact tracing. There is almost universal usage of WeChat (social media) and AliPay (payment system) here so everyone was required to register and give a detailed description of their current location and recent travel history. Based on this we received a QR code and our estimated risk-level. We needed to scan this to gain access to a supermarket or public building. As a result, I have friends who received a knock on their doors and were taken into official quarantine for two weeks because someone on their incoming flight or in the supermarket at the same time had tested positive for the virus. A friend has just returned from Europe (a day before mandatory quarantine for returning European travellers was imposed) and is now in compulsory lockdown in her apartment. Movement is monitored by app; the complex management has electronically sealed her windows and doors. Trapped with 4 children and with her husband who had not travelled moving into a hotel to avoid quarantine, this is unbelievably hard to navigate in good spirits but she understands, as do we all, that it’s necessary. If it all sounds very 1984, that’s because it is! But ultimately this testing, contact tracing, and shutting down chains of transmission, is what stopped the virus from spreading.

In spite of this use of technology, one hangover from the early days of the Mao era is the habit of physically pasting notices and public announcements onto the doors of homes. As such we learned within hours of the lockdown that all weddings and funerals (or at least attendance at funerals) were to be cancelled, the wearing of protective masks was compulsory and that financial incentives would be offered to those who reported undocumented travellers from Hubei province. There has been much discussion about the efficiency of using surgical masks but one thing is for certain, the physical act of having to put on a mask, wearing it and seeing others do so, focuses the mind! It is impossible to “forget” that there is an epidemic. It never feels ok to drop your guard and as such, remembering to wash your hands thoroughly and use sanitizer and wipes becomes second nature. That small strip of surgical mask becomes a constant reminder of potential danger and the need to protect yourself and those around you.

Pharmacies were immediately prohibited from selling any pain/fever/symptom relief medication; the logic being that self-medication was detrimental to the public good and that anyone displaying symptoms should be under the care of the medical profession, allowing cases to be documented and all contacts traced. This caused us endless problems as our daughter is currently staying with us. She is an AS sufferer who came from the UK for the holidays and has since been trapped! As she is on a schedule of TNF inhibitors she is immune-compromised and as such is in a high-risk category. Flying (on the one or two routes still open) was too risky. Now that the danger is subsiding at this end, flying back into an uncertain situation in the UK seems equally challenging. We found extraordinary generosity from friends who shared what medical supplies they had. In Wuhan, HIV patients, who are often vilified and ostracized in society, willingly donated their meds to trial therapies in an act of selfless compassion that was truly humbling.

Regardless of politics or social conditioning, what we have witnessed from the Chinese people in the past two months has really been the best of humanity. There was some anxiety regarding sourcing of masks (and price gouging until the government announced penalties for anyone attempting to) but this was quite simply a result of over a billion people suddenly needing them! Other than that, we have been limited to using three small shops within walking distance but have never experienced shortages or lack of availability of the basics – even toilet paper! There has always been fresh fruit and veg – maybe not what we would like but enough to keep us healthy! Yes admittedly, it helps that I am in lockdown with a Michelin starred chef who can turn a lentil, a chickpea and a bean into a feast, but basically this was down to the Chinese people who acted responsibly and were satisfied with “enough” rather than stock-piling or hoarding. My social media contacts have been uplifting and informative and there has generally been a phenomenal spirit of community and pulling together as a society in the fight against the virus. The cynical would call this propaganda, and much of it was certainly State driven or sanctioned but on a personal level, it’s far better for mental health than the venomous pit of Facebook conspiracy theories and rumours.

Without doubt, the past two months have been devastating; the business that we have run for 12 years is decimated and will never recover. We’ve been isolated, cut off from the medical care that two of we three desperately need and our daughter has faced the uncertainty of being isolated here and anxious about her friends and boyfriend in the UK. Our present has been put on indefinite hold and our future looks increasingly uncertain but that’s what it took to bring this virus under control and save lives.

We rightly value the freedoms that Western democracies afford us and so many of the measures adopted in China will be impossible to implement. But if we cherish that freedom we also have to accept that it is a social contract and only functions if we individually and as a society contribute positively and act responsibly.

To those expressing anger, hatred or even violence against others, please think about what entire nations have endured to halt the spread of this virus and instead of negativity, be thankful.

To those downplaying the seriousness of this virus and posting on internet boards about their toddler really needing his play date, asking if the supermarket manager will realize they are a special case and allow them to buy six packs of dried pasta, or saying that their parents cannot do without seeing their grandchildren because they really love them, please define “love”. Is it tonight’s dinner or tomorrow’s visit, or is it about doing whatever it takes to keep our loved ones safe, no matter the personal cost.

OP posts:
MarshaBradyo · 21/03/2020 06:27

Great post

MarshaBradyo · 21/03/2020 06:29

A couple of things that strike me. So many live in houses in U.K. harder to police every door. But also with population numbers in China that you did it was incredible. So much resource.

And technology is a big player.

MarshaBradyo · 21/03/2020 06:31

I think it deserves an outside mn audience too. Very insightful,

TanteRose · 21/03/2020 06:50

What an informative account!
Agree that it should be sent to a news outlet - the Guardian are always looking for contributions to their live blog.

I'm in Japan and it couldn't be more different here - despite the initial cruise ship fiasco, life goes on pretty much as usual!
Well, the schools did close more than two weeks ago, and all sporting events and cultural events were cancelled or took place in empty stadiums (even the sumo went ahead with no audience for the first time ever). Concerts and parties have been cancelled or postponed, as have business meetings etc.
True, everyone wears masks and hand-washing is absolutely ingrained in the culture from very early childhood, so that has helped.
But there is only limited social distancing - many, including me, aww going to work as usual, the trains are all running, the parks and beaches are full of people!
We may have a huge surge in cases in the coming weeks though...
And I am guessing the Tokyo Olympics will be postponed, however much all sides are insisting that it goes ahead Confused

RollingDog · 21/03/2020 06:53

What an absolutely fabulous post. Thank you OP - this is certainly one of the best posts I've ever read on MN after being here for 15years. You write beautifully and the information you have given us is fascinating and valuable.

MarshaBradyo · 21/03/2020 06:56

TanteRose how has it been managed so well in Japan do you think? What good things did you / they do

TanteRose · 21/03/2020 07:01

Marsha I'm not sure Confused
They have only been testing in a limited capacity (for obvious cases only) - there are several clusters nationwide and they seem to be doing a good job of tracking these and of course, isolating anyone who was in immediate contact.
Hand washing really does help - people here are doing it religiously now and cases of the regular flu have also plummeted this year!

ThumbWitchesAbroad · 21/03/2020 07:01

Another thank you for sharing it.

We're in Australia and trying to stay ahead of the game, most people in our area are staying in, all social sports and events have been cancelled and our schools are restricting parental access to sites (and have cancelled all external providers coming onto the sites). We still have trouble buying toilet roll and tissues, they're being cleared out as soon as they appear on a daily basis (which is starting to piss everyone off), despite the supermarkets putting till-controlled rationing on certain items.

We don't know how bad it's going to be - or how long it's going to last - but so far people appear to be being pretty sensible, at least in our town.

zafferana · 21/03/2020 07:02

Very interesting and informative OP - thank you. I admire your resolve in the face of such personal hardship too. These few months of incarceration will presumably fade in your memory once normal life resumes, but the damage to your business and your livelihood will have a long-term effect.

You are right that the impression given in the Western media is that the city of Wuhan has been locked down, while the rest of China has continued much as normal, aside from travel at Chinese New Year being restricted - thank you for clarifying that that is absolutely not the case.

In future, I sincerely hope that China will use its considerable powers and what it has learned from this crisis to permanently stop the trade and consumption of wild animals that led to this virus jumping from animals to humans in the first place.

TanteRose · 21/03/2020 07:03

This was an interesting article recently
www.bloomberg.com/news/articles/2020-03-19/a-coronavirus-explosion-was-expected-in-japan-where-is-it

finn1020 · 21/03/2020 07:03

@MissyJane2 and @outcometheWolves I took the OP’s statement of windows and doors being electronically sealed as she meant her movements were tracked if she went outside her home. Not that she couldn’t open a window. Homes in China have windows the same as everyone, they are not electronic they are just normal like yours.

OP thanks for your post and I do think China is doing a better job dealing with COVID-19 than most other countries. In Australia our PM is doing a half-arsed job, he’s full of contradictions and doesn’t inspire confidence at all.

ThumbWitchesAbroad · 21/03/2020 07:04

@Uberfoodie - would you mind if I C&P your text and post it on FB? Up to you if you want it credited or not, otherwise I'll put it as being "from a friend"

forkfun · 21/03/2020 07:05

Amazing post. Hope many will read it.

81Byerley · 21/03/2020 07:06

Thanks. We need to know this. I'm self isolating because of age and my husband's health, but I realise how lucky I am. These are scary times.

MarshaBradyo · 21/03/2020 07:09

TanteRose very interesting and incredible.

Cultural differences could count (no handshaking, more hand washing) more than we think. Still I’m I’m amazed that it’s so different in numbers.

TanteRose · 21/03/2020 07:10

Marsha
I fear it may too good to be true Sad

TanteRose · 21/03/2020 07:10

*may be

Porseb · 21/03/2020 07:12

My nephew lives in Shanghai and he has described similar to you. In fact, he left during the Chinese New Year holidays and returned because he felt safer there with the precautions the authorities were taking. They feel draconian to us and I often think the U.K. government wouldn't be able to implement the same measures as we wouldn't be as compliant. But it seems to have worked for China.

However with universities in the U.K. closing their doors early and thousands of international students headed back to China, HK, Malaysia, Singapore - I think we will start to see another wave. Singapore is certainly starting to see this.

scubadive · 21/03/2020 07:14

Wow op what an informative piece of writing.

You write so well I wonder if you are a writer?

Can I ask what you mean by electronically sealed her windows and doors means. How would you cope with 4 children inside an apartment for 2 months, my goodness how difficult. Also how would she access food and supplies?

Very sorry about your business, hopefully you can rebuild it when this has passed.

zafferana · 21/03/2020 07:22

I think this thing will run and run in waves around the globe @Porseb. China announced no new local transmissions this week, but they had 34 cases from people travelling from elsewhere. As the whole of the rest of the world is infected, China will see more and more cases popping up from people who have travelled in from elsewhere. And that goes for Japan, Singapore, Hong Kong and anywhere else that was infected early on and managed to control that initial outbreak. Until we have a vaccine that is rolled out worldwide and that, plus all the people who have had it and now have antibodies, form a majority, I think this thing will just keep going. We can lock down for a month or two, we can close our borders, but for how long?

MarshaBradyo · 21/03/2020 07:24

Re re-arriving in China. All you have to do is get people arriving to quarantine for two weeks?

I can see that being easier than any other measure.

MummyPop00 · 21/03/2020 07:33

@zafferana

Exactly. The 1918 pandemic had three waves over almost three years for example. So, by suppressing, it’s more likely to lead to an accordion effect.

On another note. Go out wearing a mask in the UK & you’ll be subject to funny looks/ridicule for overreacting. A bit like wearing cycle helmets 20 years ago.

That might change if/when people start dropping like flies

zafferana · 21/03/2020 07:36

All you have to do is get people arriving to quarantine for two weeks?

How practical is that on a global basis though? It will kill travel for business/leisure as few people are prepared to travel somewhere in order to be locked up for 14 days before they can go out. If you're going home/staying with relatives it might be tolerable, but otherwise who the hell is going to do that? This is why governments are saying that social distancing will last 12-18 months, because that's how long it will take to develop and roll out a vaccine globally.

MarshaBradyo · 21/03/2020 07:38

China is doing it now. And they are right to do so. I think it’s a small price considering.

As for the rest of the world we’ll probably all be infected or have vaccine before we stop it to get to that stage.

TheVanguardSix · 21/03/2020 07:55

A sobering and enlightening post... the post everyone needs to read.
Thank you for a beautiful, honest read and for reminding us that in the end, all we have is our human spirit. That is ultimately the thing that sees us through.