When the World Health Organization declared the 2019nCoV coronavirus outbreak a global health emergency, it effusively praised China’s response to the outbreak. The WHO issued a statement welcoming the government’s “commitment to transparency”, and the WHO director general, Dr Tedros Adhanom Ghebreyesus, tweeted: “China is actually setting a new standard for outbreak response.”
The WHO is ignoring Chinese government suppression of human rights regarding the outbreak, including severe restrictions on freedom of expression. In turn, Chinese state media are citing the WHO to defend its policies and try to silence criticism of its response to the outbreak, which has included rights violations that could make the situation worse.
China’s response to the outbreak included a month-long government cover-up in Wuhan, the centre of the outbreak, that led to the rapid spread of the coronavirus. Local authorities publicly announced that no new cases had been detected between 3-16 January in the lead up to a major Communist party meeting, likely to suppress “bad news”. Despite early evidence of human-to-human transmission when medical staff became infected, this information was not relayed to the public for weeks. Hardly a “commitment to transparency”.
What is the virus causing illness in Wuhan?
It is a member of the coronavirus family that has never been encountered before. Like other coronaviruses, it has come from animals, or possibly seafood. New and troubling viruses usually originate in animal hosts. Ebola and flu are examples.
What other coronaviruses have there been?
Severe acute respiratory syndrome (Sars) and Middle Eastern respiratory syndrome (Mers) are both caused by coronaviruses that came from animals.
What are the symptoms of the Wuhan coronavirus?
The virus causes pneumonia. Those who have fallen ill are reported to suffer coughs, fever and breathing difficulties. In severe cases there can be organ failure. As this is viral pneumonia, antibiotics are of no use. The antiviral drugs we have against flu will not work. If people are admitted to hospital, they may get support for their lungs and other organs as well as fluids. Recovery will depend on the strength of their immune system. Many of those who have died are known to have been already in poor health.
Is the virus being transmitted from one person to another?
Human to human transmission has been confirmed by China’s national health commission. As of 3 February, 361 people have died in China, and one in the Philippines. Confirmed infections in China are 17,238, and the official Chinese figures include Taiwan, Hong Kong and Macau. Outside of China, infections stand at more than 150.
Two members of one family have been confirmed to have the virus in the UK, after more than 160 were tested and found negative. The actual number to have contracted the virus could be far higher as people with mild symptoms may not have been detected. Modelling by World Health Organization (WHO) experts at Imperial College London suggests there could be as many as 100,000 cases, with uncertainty putting the margins between 30,000 and 200,000.
How worried are the experts?
There were fears that the coronavirus might spread more widely during the week-long lunar new year holidays, which start on 24 January, when millions of Chinese travel home to celebrate, but the festivities have largely been cancelled and Wuhan and other Chinese cities are in lockdown.
At what point should you go to the doctor if you have a cough, say?
Unless you have recently travelled to China or been in contact with someone infected with the virus, then you should treat any cough or cold symptoms as normal. The NHS advises that there is generally no need to visit a doctor for a cough unless it is persistent or you are having other symptoms such as chest pain, difficulty breathing or you feel very unwell.
Should we panic?
No. The spread of the virus outside China is worrying but not an unexpected development. It increases the likelihood that the World Health Organization will declare the outbreak to be a public health emergency of international concern on Thursday evening. The key concerns are how transmissible this new coronavirus is between people and what proportion become severely ill and end up in hospital.
Sarah Boseley Health editor and Hannah Devlin
Chinese police punished frontline doctors for “spreading rumours” for trying to warn the public in late December. Police are still engaged in a campaign to detain Chinese netizens for spreading so-called “rumours”. Rumours included reports of potential cases, including people turned away from hospitals or dying without ever being tested and quickly cremated, criticism of the government, the distribution of masks, or the criticism of the discrimination of people from Wuhan or others who may be infected. Activists have been threatened with jail if they share foreign news articles or post on social media about the coronavirus outbreak.
That the Chinese government can lock millions of people into cities with almost no advance notice should not be considered anything other than terrifying. The residents of Wuhan had no time to buy food, medicine, or other essentials. Authorities hastily announced the lockdown in the middle of the night with an eight-hour gap before it went into effect, giving people time to flee and thus raising questions on the rationale for such extreme measures.
International law is clear that during a time of public health emergency, any restrictions on human rights should be based on legality, necessity, proportionality and grounded in evidence.
The international community should support all efforts to end this outbreak, but human rights should not be a casualty to the coronavirus crisis. The WHO declares that core principles of human rights and health includes accountability, equality and non-discrimination and participation. It even acknowledges that “participation is important to accountability as it provides … checks and balances which do not allow unitary leadership to exercise power in an arbitrary manner”. The WHO’s admiration for the unitary actions of the Chinese dictator Xi Jinping exercising power in an arbitrary manner is a direct contradiction of its own human rights principles.
China is not a democracy and the people cannot remove their leaders from power for governance failures related to the coronavirus outbreak. People expressing discontent online can go to prison. There is no free press and journalists trying to report on the frontline are obstructed, detained, and their stories deleted from the internet. Medical staff are gagged. Civil society organisations decimated by Xi’s crackdowns on human rights cannot work on the frontlines to support hospitals and communities. Frightened netizens are labelled “rumour-mongers”.
This should not be the new standard for outbreak response. The WHO should abide by its own human rights principles and demand the Chinese government end its censorship and police suppression surrounding the coronavirus outbreak.
Frances Eve is the deputy director of research at Chinese Human Rights Defenders