Subtitles section Play video Print subtitles 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. [Music] 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 [Music] 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 [Music] foreign [Music] anyone arriving in taiwan feeling unwell receives a test right away [Music] 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 [Music] [Music] 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 [Music] 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 [Music] [Music] [Music] [Music] foreign 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 [Music] 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 [Music] 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 [Music] treating patients in an isolation room doctors communicate over [Music] [Music] 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 [Music] [Music] 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 [Music] 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 [Music] 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 [Music] 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
B1 US taiwan music quarantine grace epidemic health 《BEATING COVID-19 台灣戰疫全紀錄》完整版 上集|Discovery頻道 37 7 吳東橙 posted on 2021/06/23 More Share Save Report Video vocabulary