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the Eiffel Tower the Milan Cathedral New York city devoid of tourists
in 2020 the world went into lockdown in Wuhan, central China a new coronavirus
had emerged the disease was named Covid19
can be characterized as a pandemic as of mid-december 2020 the novel
coronavirus spread to more than 180 countries
infected more than 71 million people and killed more than 1.6 million
most governments around the world were at a loss for how to contain the
infection and ordered everyone to just stay home
while much of the world was at a standstill in taiwan
international marathons and parades were taking place
people were able to go to school and work
it was pretty much life as usual from mid-april to the end of 2020 there
were zero local cases of covet 19. the secret
is in taiwan's public health system grace liao is a veteran news presenter
who knows key decision makers
and alan leanne a medical doctor and public health expert
they're on a mission to uncover taiwan's secrets
they will uncover and share how taiwan has been able to emerge as a global
leader in beating covet 19.
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like all biological organisms viruses strive to climb to the top of the food
chain in 2019 a new virus emerged
from the coronavirus family it was named coronavirus
ii the name of the disease covet 19.
its organ of choice the lungs it first burst onto the scene
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that it is a new disease a disease that this world has not seen before
2020 was a year defined by the virus three months was all it took to spread
all over the map terrorizing and making headlines around
the world but taiwan also made news around the
world for beating it the covet 19 crisis
has reminded us all that taiwan has a great deal to be proud of on the world
stage
zero community infections since april 12th
seven deaths total
my name is grace leo i'm a journalist to find out how border control is fighting
the battle i have invited adam lang a former
medical officer at taiwan centers for disease control to join me
in investigating what goes on here at taiwan's first line of defense
this is taiwan's taoio international airport the entry port to taiwan
there are direct flights from muhan china every day the trip is merely two
and a half hour allen meets jolene luo a registered
nurse and cdc quarantine officer on the battlefront
have the dangerous job of interviewing passengers arriving in taiwan
already showing symptoms of covet 19.
[Music] gloves masks goggles gowns
everyone covers as much of themselves as possible to prevent getting infected in
case any of these passengers are carriers of the highly contagious
disease
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foreign [Music]
anyone arriving in taiwan feeling unwell receives a test
right away
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talks with frontline medical teams grace liao a journalist with 30 years of
experience meets with chen zhong yen deputy
director of the central epidemic command center
to see how coronavirus testing is conducted at the airport
certainly
foreign
foreign [Music]
[Music] the test result for one of the
passengers came back positive and the person was immediately taken to
a hospital [Music]
uh
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before passengers even land in taiwan epidemic control measures are already in
place for passengers to let the cdc know that they've arrived
this is the first firewall to shut out the virus
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before you even board onto the plan you have to go to the website of ministry of
health and welfare filled up forms that tells the
government where you have been to what symptoms you have over the past weeks
and where you're gonna be home calling things after you're right
checking in with the cdc is as simple as scanning the code
and tapping the green button people who don't have a working cell phone in
taiwan can rent one for 14 days of quarantine
for 60 new taiwan dollars or just over 2 us dollars a day
when kobe 19 started to spread in ouhan it was the worst timing for us
it was a lunar new year when people travel home for holidays
when taiwanese businessmen and their families will return to taiwan
at that time taiwan was possibly the area most at risk of an epidemic
outside of mainland china but taiwan was able to prevent kobe 19 from
taking over the island surprising the world
the odds were against taiwan both in terms of timing and due to its exclusion
from the world's foremost public health body
they were not receiving information from you know official
multilateral sources and so they were left to their own devices
then they detected that there was some social media flurry that was going on
in wuhan last december 31st and we found that it is an emerging
and unexpected danger situation so we sent email to world health
organization and china cdc on the same day we already
started our border control for all this and
direct inbound passengers from wuhan
how was the government able to set up efficient safeguards against the virus
so quickly so early on grace talks to president
if you successfully pass this checkpoint welcome to taiwan
this is really one of the world's most secure airports
not by police power but by epidemic prevention power
next when kova does get past the tightest epidemic airport security
measures in the world what happens a taxi driver gets infected
by a passenger who had just returned from china
and spreads it to his family causing the first community outbreak in taiwan
epidemic investigators scrambled to find out where the virus came from
and how to contain the outbreak the bubonic plague smallpox influenza
and now covid disease has been man's number one killer throughout history
killing millions and wiping out massive portions of the population at a time
in the 1800s there was an outbreak of cholera
the field of epidemiology and public health arose
partly to investigate how the disease spreads
human beings have been fighting disease since before history was recorded
but grace liao and alan lien are finding that public health as a field of study
has been around for less than 200 years ever since then humans have been
struggling to catch up with diseases in less than 100 days it had made its
way to every single continent except antarctica
no virus has ever traveled so quickly january 2020 in central taiwan over the
lunar new year holiday a taxi driver thought he might have
caught a cold
wonderland
the symptoms got worse and he was rushed to the hospital emergency
room where he was tested for covet-19
test results came back the day he died showing that he was positive for the
virus family members were heartbroken over the
loss of their loved one but their ordeal was only just beginning
they also tested positive taiwan was in danger of
a major outbreak before all the border control measures
were in place the virus had crept in claiming its first victim and causing
the first community infection in the country
but who gave the virus to the taxi driver
and who else could have been infected this is a cdc medical officer
and an old colleague of allen liens he updates alan on what the job now
requires and how he traced the driver's contacts
authorities quickly opened an investigation to uncover
and contain the outbreak in central taiwan
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to facilitate contact tracing police provided phone records of the driver
and the team cross-referenced calls made from near the airport and hotels
with medical records from the national health insurance administration
by 4 pm that day they had narrowed their search down to
3 people any one of whom could have been patient zero
xuja bing creates a timeline looking at the driver's 14-day incubation period
on january 22nd the driver had been to the airport to pick up a man returning
from china and this man's health insurance data
shows several visits to the doctor [Music]
oh
the results came back negative
grace asks a leading expert on infectious diseases
also the chairman of the cecc expert consultation committee
why
all the missing pieces were found outbreak contained
epidemic investigation case closed it seemed kovat 19 had met a dead end
but it quickly found an even better strategy
the trojan horse next a cruise liner of more than 3 000
vacationers potentially infected with the new coronavirus
lands in taiwan no one knew about the infections
until after they'd been all over taipei the border controls had been breached
once again putting taiwan's contact tracing to the
test on a much larger scale this time taiwan has to
resort to technology and big data to pinpoint potentially
infected people and avoid a lockdown
the new virus that causes covet 19 is from the coronavirus family
corona is latin for crown which despite proteins on the virus resembled
food
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wherever people are in close contact the virus spreads fast
in 14 days sars kovi ii infected one-fifth of all the passengers on the
diamond princess cruise ship my joshua and his father were on the
disease-stricken cruise liner and recalled the horror
oh yeah sure how this is the whole joke is you're the my
mother cause oh yeah
warren teamed off the port of yokohama in japan
this was the diamond princess in february when it was confirmed that a
passenger who had got off the ship in hong kong
tested positive for covet 19. [Music]
more than 3 000 people were ordered to stay in their cabins
no one could leave the ship 2019
among the more than 700 passengers who contracted the virus before being taken
to hospitals in japan but before the ship became a diseased
vessel that port authorities refused docking permission
it had made a stop in taiwan where more than three thousand passengers and crew
got off to explore taipei
santiago
foreign
the virus played the oldest trick in the book the trojan horse
and taiwan countered by using big data technology
grace heads to the executive yuan's department of cyber security
to find out how the strategy worked and how contact tracing for thousands of
people at a time was carried out using cell phone signals
cross referencing cell phone signals originating on the diamond princess's
path of travel during its time in taiwan they were able to narrow down the search
to about 3 000 numbers the cell phone signals were then back
traced data experts found more than 30 places where the vacationers stayed for
more than half an hour and cross preference that with local
cell phone number signals that stayed for more than five minutes
within a 500 meter radius to find people that could have been
exposed [Music]
to science
[Music] if any of the and twenty thousand people
became ill and went to see a doctor in the
following weeks since potential contact with the diamond princess passengers
they would be automatically flagged by the system
tomorrow
head of the cyber security department and a physician trained in public health
in may he co-authored a paper published in the journal of medical internet
research on how taiwan used big data analytics to
prevent a massive community outbreak [Music]
look at how contact tracing can track down people
i'm here to find out if big data and ai can track down virus too
this is a phylogenetic tree of all known cases of sars cov2
with genetic sequencing it traces the ancestry and mutations of the virus
to help speed up the search for better treatments
at this artificial intelligence lab machine learning is also applied to the
diagnosis of covid19 chest x-rays were given to the ai system
to learn what pneumonia looks like this is an x-ray of a sick patient
pneumonia
has
with a virus that mutates so quickly it's a race against time
if machine learning can help accelerate the speed at which humans respond for
diagnosis and treatment the war may tilt in our favor but the
battle fire is still raging and people are returning
to taiwan infected with the new coronavirus next
a young woman with covet 19 comes back from spain
she has treated at a busy hospital for more than a month
could the virus have found another opportunity to cause an outbreak
the fight continues to be out there to give me gender
how one
a virus that causes respiratory illnesses the new coronavirus
often attacks the lungs often resulting in pneumonia
now your evil
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to find out how covet 19 patients are treated grace liao and
alan lien visit a hospital where they also learn how cluster infections are
prevented after the painful experience with sars
many years ago hospital security against infectious
diseases were tightened and a new firewall was created and then
the firework is in this piece of prasik the national
health insurance card information including the
name of the hospital visited and the prescriptions prescribed are stored on
this card this is how the system can flag and keep
track of flagged patients this is rita chao a young woman who is
studying in spain but in march 2020 when her cold seemed
to not go away she decided
when rita arrived at the hospital she was lit on an isolated patient flow to a
negative pressure isolation room
children had
the pressure inside the negative pressure room is lower than the
non-contaminated space outside so when a door is open air only goes one
way in the air is then sent out and away
from the hospital
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treating patients in an isolation room doctors communicate over
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outbreak of 2002 2003 over 800 people around the world were killed by the
virus in taiwan 73 people succumbed to the
disease many of the infections happened within a
single hospital the cluster of infections was
accidentally caused by hospital cleaning staff
new protocols and negative pressure rooms were part of the effort to reform
public health policy after the incident including the
amendment of the communicable disease control act and restructuring of
taiwan cdc and ministry of health and also strengthen the hospital
inflation control in all the hospitals and put this into
the upgradation of hospital and it's very important and
also we establish our emerging inflation
disease health care system in taiwan and we also
request all the hospitals and to prepare at least
one month a quarter of this personal protection equipment
alan talks to the head nurse of an isolation room ward
and finds out what's changed
a strong epidemic prevention system lies not only
on public health measures but also on a robust health care system
that can receive and treat the patients and prevent them from
infecting the communities what prevents healthcare workers from getting infected
and infecting the community is ppe personal protective equipment
to the layman they're just layers of textiles
but how complicated are they to put on how much harder does it make treating
patients grace tries on a full set of ppe
to find out
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after a month of treatment rita tested negative for the virus three times
and was cleared to finally go home but what is taiwan doing to help contain
the spread of kovic from all international inbound travelers
designated taxis and buses straight to quarantine locations could
be the answer when a traveler arrives in taiwan they
are required to self-quarantine for a full
two weeks the time it takes for the virus to reveal itself
from the airport they take a special disease prevention taxi or bus
straight to their registered quarantine location
for people who can't quarantine at home epidemic prevention centers and hotels
are two other options
allen lien visits a hotel in taipei that can accommodate travelers who need to be
quarantined
[Applause] fairvae a quarantine guest at the hotel
good morning dear friends i am anti fairvae a german conductor and pianist
and i have the good fortune to be in taiwan
as conductor and vocal coach for la boheme
a production at the national taichung opera
oh yeah
be jealous be very jealous this is one of the
fabulous breakfast that hans house has served
me it is an absolute joy to work in taiwan during this pandemic
the natural professional friendly efficient
way of dealing with this virus has inspired me to not
be discouraged about life or my career auntie completed her quarantine
abiding the law but grace asks what if someone violates quarantine orders
a question that brings her to the police department digital fencing measures are
in place to make sure people under quarantine
take the matter seriously their location is monitored during the two-week period
if the fence is broken the police are alerted
the fine for breaking quarantine can go as high as one million new taiwan
dollars over thirty five thousand u s dollars
[Music] of course there are some trade-offs the
trade-off is either that or we have to do potentially more severe
measures such as quarantine of or lockdown of an entire city for example
i think town is one of the few places where they're actually seeing economic
growth due to their ability to control kevin
19. in the first 11 months of 2020 around
400 000 people were quarantined or self-isolated for 14 days facilitated
by digital fencing enforced by the law the compliance rate
for quarantine is 99.7 and no lockdowns have been
ordered outside of quarantine everyone else goes
about their business as usual but wearing masks in taiwan
it has been common sense to put on a medical mask for self-protection when
there is something going around
medical face masks made in taiwan have at least a 95
filtration rate the petri dishes show bacteria
cultured from the first and third layers there is significantly less bacteria
found on the layer closest to the person wearing the mask
[Music] the key is the middle layer which is
made of an electrostatically charged microfiber
that traps particles which make it past the outside layers
[Music] if ppe including medical masks are
properly worn the risk of infection is quite low but
soon after the outbreak in wuhan masks sold out almost instantly
with almost no masks to be found taiwan was under serious threat of community
outbreaks but in a matter of weeks taiwan was able
to multiply its mass production rate more than 10-fold from about 1.9 million
to 20 million a day enough to provide masks for
everyone in taiwan and have more left over to share with the world
masks begin to fly off the shelves in taiwan as soon as news of kovit broke
[Music] the hoarding and shortage of supply was
a big problem to make sure everyone was able to buy
masks for protection against covet 19 the government rationed them people were
required to use their national health insurance card to
register and order masks [Music]
parts and materials for production lines immediately needed to be sourced and
built fortunately taiwan has strong textile
and manufacturing industries but someone needed to bring them
together grace joins shenzhen taiwan's minister of economic affairs to
visit a brand new mask factory built during the pandemic
to find out how they got up and running in record time
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60 production lines were needed but only 20 were available in all of taiwan
and it usually took an entire month to assemble one
shen hoped to have 40 assembly lines up and running
in a mere 20 days
unexpectedly competing tooling and machining companies
stepped forward and announced a collaboration bringing workers
and machinery to help the mask factories but not without sacrifices
as grace finds out
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the result was in weeks time anyone who had a national health insurance card
could buy nine surgical masks every two weeks
and enough was left over to donate to other countries
by june stores were fully stocked and restrictions were lifted
um
there are international organizations or institutions
predicted that taiwan is going to be hit very hard
by this pandemic but at the end we not only are able to deal with the
pandemic with our own experience but we also try
to provide assistance to other countries for
example we have donated face masks and ventilators
the thermal machines to other countries so as long as taiwan is successful and
as long as taiwan is willing to help other countries i
think the international community will notice
that taiwan can really help in 2020 covet 19 took over the world
disrupting life in every single country but taiwan's epidemic prevention efforts
have enabled its people to live a normal life
they are changing
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23 million people in taiwan they also put their efforts to cope with the copy
19. in grace liao and alan lien's
investigation of taiwan's epidemic prevention strategies
they visited airports hospitals data centers
and factories interviewing countless key persons that explained how measures like
border control home quarantines and digital fencing
worked and how information communications
technology and big data made the system efficient and the method
with which hospitals and ppe supplies were managed
to provide people the best protection possible against the new coronavirus
fighting covet 19 has been like a marathon
a long arduous race one that taiwan has been winning
taiwan can help is more than a slogan it's taiwan's offer to share its
experiences in dealing with this deadly highly infectious disease
with the rest of the world [Music]
you