Ten golden lessons from Republic of China (Taiwan), the best country to save lives during 300 days battle against Covid-19
DOI:
https://doi.org/10.31686/ijier.vol9.iss1.2915Keywords:
Best management practices, Covid-19, FTI, Innovation, Lives, PolicyAbstract
Almost 1.81 million lives were officially lost by Covid-19 (WORLDOMETERS, 2020) until last 31thDecember 2020. It was one year with intense global battle against the pandemic, with most countries eagle to learn from benchmark nations able to save lives. A new methodology developed by Silva (2020b), with fifteen phases, showed that among 108 well-evaluated countries, the top six benchmark countries are from Asia with emphasis on Vietnam, Taiwan and Thailand. To complement Silva (2020b) study, this article aims to investigate the performance and the best management practices adopted in Taiwan to save lives, during the first 300 days facing the pandemic. The research is descriptive, uses an online questionnaire with bibliographic and documentary approaches. The Fatality Total Index (FTI) developed by Silva (2020b p. 563) was used to compare Taiwan performance against 43 finalist countries. Some results are: 1) Taiwan`s FTI300 is the lowest (0,0020), confirming that the National Government has learned from the past, and is able to integrate and support main actors of the nation to prevent, prepare and fight against the Covid-19; 2) for 109 respondents living in Taiwan, the ten main policy measures adopted by the National Government that saved lives against the virus are: international travel control (78%), effective public-private collaboration (61%), public information campaigns (52%), integration with mass media (51%), increase the medical and personal equipment capacity (49%), combat fake news (47%), public event cancellations (45%), improve intensive care unit structure (28%), support the expansion of the testing system (20%), and schools closures (16%). At the final, ten golden lessons are described, most of them from the 225 policies, measures, programs, projects, strategies, and innovative products or services identified in Taiwan, with the majority led by Public Sector (56%), Corporations (29%), followed by Others (6%), Start Up (4%) and Universities (4%).
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Balajee, S.A., Pasi, O.G., Etoundi, A.G.M., Rzeszotarski, P., Do, T.T., Hennessee, I., Merali, S., Alroy, K.A., Phu, T.D. and Mounts, A.W. (2017). Sustainable Model for Public Health Emergency Operations Centers for Global Settings. Emerging Infectious Diseases, [online] 23(Suppl 1), pp.S190–S195. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5711308/ [Accessed 24 Jul. 2020]. [2] Balsari, S., Buckee, C. and Khanna, T. (2020). Which Covid-19 Data Can You Trust? [online] Harvard Business Review. Available at: https://bit.ly/3dA1IDG [Accessed 5 Sep. 2020].
[3] Bell, D.M. (2004). Public Health Interventions and SARS Spread, 2003. Emerging Infectious Diseases, [online] 10(11), pp.1900–1906. Doi 10.3201/eid1011.040729
Bedford, J., Farrar, J., Ihekweazu, C., Kang, G., Koopmans, M. and Nkengasong, J. (2019). A new twenty-first century science for effective epidemic response. Nature, [online] 575(7781), pp.130–136. Available at: https://www.nature.com/articles/s41586-019-1717-y [Accessed 13 December 2020].
CDC (2019). 2009 H1N1 pandemic - Summary of Progress since 2009. [online] Centers for Disease Control and Prevention. Available at: https://www.cdc.gov/flu/pandemic-resources/h1n1-summary.htm [Accessed 10 December 2020].
Cowling, B.J., Ali, S.T., Ng, T.W.Y., Tsang, T.K., Li, J.C.M., Fong, M.W., Liao, Q., Kwan, M.Y., Lee, S.L., Chiu, S.S., Wu, J.T., Wu, P. and Leung, G.M. (2020). Impact assessment of non-pharmaceutical interventions against coronavirus disease 2019 and influenza in Hong Kong: an observational study. The Lancet Public Health, [online] 0(0). Doi 10.1016/S2468-2667(20)30090-6. Available at: https://bit.ly/3b37E6Q [Accessed 20 Apr. 2020].
Cui, Y., Zhang, Z.-F., Froines, J., Zhao, J., Wang, H., Yu, S.-Z. and Detels, R. (2003). Air pollution and case fatality of SARS in the People’s Republic of China: an ecologic study. Environmental Health, 2(1). Doi 10.1186/1476-069X-2-15
[8] Deep Knowledge Group (2020). COVID-19 Regional Safety Assessment. [online] DKV. Available at: https://www.dkv.global/covid-19/full-report [Accessed 22 Aug. 2020].
Dessler, G. (2004). Management: Principles and practices for tomorrow’s leaders. Upper Saddle River, NJ: Prentice-Hall.
[10] Flaxman, S., Mishra, S., Gandy, A. et al. (2020). Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature. Doi 10.1038/s41586-020-2405-7
[11] GBD 2017 SDG Collaborators (2018). Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017.The Lancet, [online] 392(10159), pp.2091–2138. Doi 10.1016/s0140-6736(18)32281-5.
Golding, N. et. al. (2020). Reconstructing the global dynamics of under-ascertained COVID-19 cases and infections. MedRxiv. Doi 10.1101/2020.07.07.20148460
Gomes da Silva, J. (2020). Thailand Performance and Best Management Practices that saved lives against Covid-19: a comparison against ten critical countries. International Journal for Innovation Education and Research, 8(11), pp.119–154. Doi 10.31686/ijier.vol8.iss11.2725
[14] Ha, B.T.T., Ngoc Quang, L., Mirzoev, T., Tai, N.T., Thai, P.Q. and Dinh, P.C. (2020). Combating the COVID-19 Epidemic: Experiences from Vietnam. International Journal of Environmental Research and Public Health, 17(9), p.3125.
[15] Han, E., Chiou, S.-T., McKee, M. and Legido-Quigley, H. (2020). The resilience of Taiwan’s health system to address the COVID-19 pandemic. EClinicalMedicine, [online] 24, p.100437. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320260/.
[16] Holmes, K.V. (2003). SARS coronavirus: a new challenge for prevention and therapy. Journal of Clinical Investigation, 111(11), pp.1605–1609. Doi 10.1172/JCI18819
IMF (2020). Policy Responses to COVID19. [online] IMF. Available at: https://bit.ly/345Ohbj [Accessed 18 Jul. 2020].
[18] Institute of Medicine. (2004). Learning from SARS: Preparing for the Next Disease Outbreak: Workshop Summary. Washington, DC: The National Academies Press. Doi 10.17226/10915.
Intermountain Healthcare (2020). What’s the difference between a pandemic, an epidemic, endemic, and an outbreak? [online] intermountainhealthcare.org. Available at: http://bit.ly/3mvJG8s
La, V.-P., Pham, T.-H., Ho, M.-T., Nguyen, M.-H., P. Nguyen, K.-L., Vuong, T.-T., Nguyen, H.-K.T., Tran, T., Khuc, Q., Ho, M.-T. and Vuong, Q.-H. (2020). Policy Response, Social Media and Science Journalism for the Sustainability of the Public Health System Amid the COVID-19 Outbreak: The Vietnam Lessons. Sustainability, 12(7), p.2931.
Lee, W.-C. (2020). Taiwan’s Experience in Pandemic Control. Journal of the Chinese Medical Association, [online] Publish Ahead of Print(7). Available at: http://bit.ly/34I660h [Accessed 24 Dec. 2020].
[22] Lin, C., Braund, W.E., Auerbach, J., Chou, J.-H., Teng, J.-H., Tu, P. and Mullen, J. (2020). Policy Decisions and Use of Information Technology to Fight 2019 Novel Coronavirus Disease, Taiwan. Emerging Infectious Diseases, 26(7). Doi 10.3201/eid2607.200574
[23] Lo, MC.M., Hsieh, HY. (2020). The “Societalization” of pandemic unpreparedness: lessons from Taiwan’s COVID response. Am J Cult Sociol 8, pp. 384–404. Doi 10.1057/s41290-020-00113-y
Kan, H.-D., Chen, B.-H., Fu, C.-W., Yu, S.-Z. and Mu, L.-N. (2005). Relationship Between Ambient Air Pollution and Daily Mortality of SARS in Beijing. Biomedical and Environmental Sciences, [online] 18(1), pp.1–4. Available at: https://bit.ly/2FGDcnY [Accessed 20 Aug. 2020].
[25] Jones, A., (2020). How 'Overreaction' Made Vietnam A Virus Success. [online] BBC News. Available at: https://www.bbc.com/news/world-asia-52628283 [Accessed 3 June 2020].
NTI, JHU and EIU (2019). The Global Health Security Index 2019. Nuclear Threat Initiative (NTI), Johns Hopkins Center for Health Security (JHU) and The Economist Intelligence Unit (EIU). Available at: https://www.ghsindex.org/ [Accessed 20 feb. 2019].
Numbeo (2020). Health Care Index by Country 2020. [online] www.numbeo.com. Available at: https://bit.ly/347azcP [Accessed 10 Jul. 2020].
[28] OECD (2020). OECD Policy Responses to Coronavirus (COVID-19). [online] www.oecd.org. Available at: https://bit.ly/3o4kuYS [Accessed 18 Jul. 2020].
[29] Our World in Data (2020). Policy Responses to the Coronavirus Pandemic - Statistics and Research. [online] Our World in Data. Available at: https://bit.ly/2H83MXM.
[30] Pang, X. (2003). Evaluation of Control Measures Implemented in the Severe Acute Respiratory Syndrome Outbreak in Beijing, 2003. JAMA, 290(24), p.3215. Doi 10.1001/jama.290.24.3215
Prilutsky, D., Rogachev, B., Marks, R.S., Lobel, L. and Last, M. (2011). Classification of infectious diseases based on chemiluminescent signatures of phagocytes in whole blood. Artificial Intelligence in Medicine, 52(3), pp.153–163. Doi 10.1016/j.artmed.2011.04.001
[32] Rigby, D. (2001). Management tools and techniques: A survey. California Management Review, 43(2), 139-160.
Roser, M., Ritchie, H., Ortiz-Ospina, E. and Hasell, J. (2020). Coronavirus Pandemic (COVID-19). Our World in Data. [online] Available at: https://bit.ly/3lWE0o9 [Accessed 25 Sep. 2020].
Summers, D.J., Cheng, D.H.-Y., Lin, P.H.-H., Barnard, D.L.T., Kvalsvig, D.A., Wilson, P.N. and Baker, P.M.G. (2020). Potential lessons from the Taiwan and New Zealand health responses to the COVID-19 pandemic. The Lancet Regional Health – Western Pacific, [online] 0(0). Available at: https://bit.ly/3aHddd0 Doi 10.1016/j.lanwpc.2020.100044
[35] Silva, J.G. da (2020a). Evolution of COVID19 new cases in 16 countries and Scenarios for Brazil using metaphorical analysis of Board, Inverted Pyramid and Papyri. International Journal for Innovation Education and Research, [online] 8(4), pp.560–607. Doi 10.31686/ijier.vol8.iss4.2314
Silva, J.G. da (2020b). A healthy, innovative, sustainable, transparent, and competitive methodology to identify twenty benchmark countries that saved people lives against Covid-19 during 180 days. International Journal for Innovation Education and Research, [online] 8(10), pp.541–577. Doi 10.31686/ijier.vol8.iss10.2710
Smith, K.F., Goldberg, M., Rosenthal, S., Carlson, L., Chen, J., Chen, C. and Ramachandran, S. (2014). Global rise in human infectious disease outbreaks. Journal of the Royal Society, Interface, [online] 11(101), p.20140950. Doi 10.1098/rsif.2014.0950
[38] Start Up Blink (2020). Global Map of Coronavirus Innovations. [online] coronavirus.startupblink.com. Available at: https://coronavirus.startupblink.com/
Sutherland, J., & Canwell, D. (2004). Key concepts in management. New York: Palgrave MacMillan.
Svoboda, T., Henry, B., Shulman, L., Kennedy, E., Rea, E., Ng, W., Wallington, T., Yaffe, B., Gournis, E., Vicencio, E., Basrur, S. and Glazier, R.H. (2004). Public Health Measures to Control the Spread of the Severe Acute Respiratory Syndrome during the Outbreak in Toronto. New England Journal of Medicine, 350(23), pp.2352–2361. Doi 10.1056/NEJMoa032111
United Nations Population Fund, U. (2019). World Population Dashboard. [online] Unfpa.org. Available at: https://www.unfpa.org/data/world-population-dashboard [Accessed 3 Jul. 2020].
Van Assen, M., Van Den Berg, G., & Pietersma, P. (2009). Key management models: The 60+models every manager needs to know. Harlow: Prentice Hall
[43] Zambrano-Monserrate, M.A., Ruano, M.A. and Sanchez-Alcalde, L. (2020). Indirect effects of COVID-19 on the environment. Science of The Total Environment, 728 (138813), pp.1–4. Doi 10.1016/j.scitotenv.2020.138813
Yeh, M.-J. and Cheng, Y. (2020). Policies Tackling the COVID-19 Pandemic: A Sociopolitical Perspective from Taiwan. Health Security, 18(6). Doi 10.1089/hs.2020.0095
Yen, M.-Y., Chiu, A.W.-H., Schwartz, J., King, C.-C., Lin, Y.E., Chang, S.-C., Armstrong, D. and Hsueh, P.-R. (2014). From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic. Journal of Hospital Infection, 87(4), pp.185–193. Doi 10.1016/j.jhin.2014.05.005
[46] Watts, J. (2003). Report details lessons from SARS outbreak. The Lancet, 362 (9391), p.1207. Doi 10.1016/s0140-6736(03)14561-8.
[47] Wang, C.J., Ng, C.Y. and Brook, R.H. (2020). Response to COVID-19 in Taiwan. JAMA, 323(14). doi:10.1001/jama.2020.3151
WHO (2003). Summary table of SARS cases by country, 1 November 2002 - 7 August 2003. [online] [49] WHO. Available at: https://www.who.int/csr/sars/country/2003_08_15/en/ [Accessed 6 Jun. 2020].
WHO (2005). WHO checklist for influenza pandemic preparedness planning. [online] Available at: https://bit.ly/2J8R0Jw [Accessed 20 Dec. 2020].
[51] WHO (2012). WHO | SARS (Severe Acute Respiratory Syndrome). [online] World Health Organization. Available at: https://www.who.int/ith/diseases/sars/en/ [Accessed 20 Aug. 2020].
WHO (2016). An R&D Blueprint for action to prevent epidemics funding & coordination models for preparedness and response. [online] World Health Organization. Available at: https://www.who.int/blueprint/what/improving-coordination/workstream_5_document_on_financing.pdf?ua=1. [Accessed 20 Dec. 2020].
WHO (2017). Pandemic Influenza Risk Management - A WHO guide to inform & harmonize national & international pandemic preparedness and response. [online] World Health Organization. Available at: http://bit.ly/3h86H01 [Accessed Dec. 2020].
[54] WHO (2020). Naming the coronavirus disease (COVID-19) and the virus that causes it. [online] World Health Organization. Available at: https://bit.ly/30xIpWt [Accessed 18 Aug. 2020].
WHO (2020b). COVID-19 Strategic Preparedness and Response Plan - Operational planning guidance to support country preparedness and response. [online] World Health Organization. Available at: https://www.who.int/publications/i/item/draft-operational-planning-guidance-for-un-country-teams [Accessed 21 Dec. 2020].
[56] WHO (2020c). Overview of Public Health and Social Measures in the context of COVID-19. [online] www.who.int. Available at: https://bit.ly/2T4fkxC [Accessed 22 Sep. 2020].
[57] Worldometer (2020). Coronavirus Toll Update: Cases & Deaths by Country of Wuhan, China Virus - Worldometer. [online] Worldometers.info. Available at: https://www.worldometers.info/coronavirus/
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Accepted 2021-01-05
Published 2021-01-01