Commentary on Political Economy

Friday, 20 March 2020


Taiwan says WHO failed to act on coronavirus transmission warning Relationship with Beijing blamed for not sharing alert over human-to-human infection 
 Critics claim that the World Health Organization has been too enthusiastic in its praise of China's efforts to tackle the virus

Taiwan has accused the World Health Organization of failing to communicate an early warning about transmission of the coronavirus between humans, slowing the global response to the pandemic. Health officials in Taipei said they alerted the WHO at the end of December about the risk of human-to-human transmission of the new virus but said its concerns were not passed on to other countries. Taiwan is excluded from the WHO because China, which claims it as part of its territory, demands that third countries and international bodies do not treat it in any way that resembles how independent states are treated.

 The WHO’s relationship with China has been criticised in the past, with some accusing the organisation of overly praising Beijing’s handling of the coronavirus outbreak despite allegations local officials had initially covered it up. Taiwan said its doctors had heard from mainland colleagues that medical staff were getting ill — a sign of human-to-human transmission. Taipei officials said they reported this to both International Health Regulations (IHR), a WHO framework for exchange of epidemic prevention and response data between 196 countries, and Chinese health authorities on December 31. Taiwanese government officials told the Financial Times the warning was not shared with other countries. “While the IHR’s internal website provides a platform for all countries to share information on the epidemic and their response, none of the information shared by our country’s [Centers for Disease Control] is being put up there,” said Chen Chien-jen, Taiwan’s vice-president. 

 “The WHO could not obtain first-hand information to study and judge whether there was human-to-human transmission of Covid-19. This led it to announce human-to-human transmission with a delay, and an opportunity to raise the alert level both in China and the wider world was lost,” said Mr Chen, an epidemiologist by training who was health minister at the time of the Sars outbreak. China’s health ministry only confirmed human-to-human transmission on January 20, after the WHO said in mid-January there might be “limited” human-to-human transmission but stepped back from this view on the same day. Asked about the comments, the WHO said under its mandate it needed trust to “hold frank and open discussions on sometimes sensitive issues” and to enable this level of candour “requires that we respect the confidentiality of such communications”. Western countries have since been accused of failing to act even when they were warned about human-to-human transmission. The WHO has had to strike a delicate balance with China throughout the outbreak, with some accusing the organisation of being too pliant while medical experts said it had coped admirably. The challenge of managing the relationship extended to negotiations over the wording of a report following a joint mission to China last month. The nine-day trip comprised 12 WHO experts and 13 Chinese officials and was focused on the country’s response to the outbreak. Three of the WHO officials also visited Wuhan, the centre of the outbreak, as part of the mission. The WHO’s Bruce Aylward, the Canadian epidemiologist who led the team, described the process as “fantastic”. But he told the FT there was “huge back and forth” with Chinese officials about what went into the report.

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