Mon, Jan 17, 2022 page13

• Notes from Central Taiwan: Omicron is not an opportunity

  Cheerleaders for the variant to run its course fail to take into account the impact it will have on families, labor and the healthcare system

  • By Michael Turton / Contributing reporter
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  The advent of the Omicron variant of COVID-19 has spawned a new genre of fantasy and science fiction in which males (invariably white) argue that it is an “opportunity” or that the government should open up and let the virus run its course. After all, Omicron is “mild,” as numerous studies are now showing, and even more so among the previously infected and/or vaccinated population.

  It’s time, they argue, to accept that COVID-19 will be with us forever and re-open the country. The government must face reality, must “move from denial to acceptance” as one recent poster on LinkedIn put it. This prescription, widespread on social media, is a recipe for disaster.

  A recent piece in the English-language media, for example, arguing that Omicron was an “opportunity,” came out at roughly the same time that a factory in Taoyuan had to shut down because some cleaners at the airport who became infected also worked at the factory. Nearly 400 workers at a food processing plant were also tested, same issue.

  

  The Omicron variant has become the focus of public attention recently, with school closures and some businesses having their staff work from home.

  Photo courtesy of Mitake

  VULNERABLE POPULATION

  These connections emphasize not only the fact that Taiwan is heavily networked in ways that are not readily visible or predictable, but also the way that economic precarity and wage stagnation function to make society that much more vulnerable to the spread of new variants. There is no way someone with a critical cleaning job at the airport should be making so little that they are forced to work in a factory.

  One can only imagine how many such closures would be necessary should Omicron rampage across Taiwan. Labor usage is tight, especially in the electronics sector, where foreign workers regularly work overtime shifts to cope with the “shortage” of imported labor (in reality, an unwillingness of local bosses to pay locals to fill the gap). The loss, temporary or permanent, of large numbers of workers to Omicron would be incredibly disruptive.

  

  An illustration of the coronavirus.

  Photo: Reuters

  People who argue that keeping the nation closed is bad for the tourism and several other sectors. They are entirely right. The alternative, however, is far worse.

  But disrupted production in the critical export sector is only the beginning of the problem. As of this writing seven schools had been closed in Taoyuan. If Omicron spread widely, it is likely schools would have to close. After all, children in Taiwan are a relatively less vaccinated group, and many of them live with or are cared for by aged relatives, also a proportionately less vaccinated cohort.

  Then there is health. The strident emphasis on “mild” Omicron is intended to obscure the issue of how many would be killed by this policy. “Real men,” after all, understand that omelets must result in broken eggs (for some elusive reason women seldom call for the trains to run on time over the bodies of their dead fellow beings).

  The New York Times Pitchbot trenchantly satirized this view on Twitter the other day: “Thousands of Americans are dying from Omicron each week,” it observed. “The good news is that most of these deaths are mild.”

  OVERWHELMED HOSPITALS

  In the US and elsewhere, the “mild” Omicron wave has resulted in massive spikes in hospitalization. In recognition of this, last week the medical authorities here in Taiwan were already sending patients home in anticipation of the need for hospital beds.

  The hospital system is set up on the fundamental principle that the number of hospital beds in a given region is determined by a formula based on its population. At any given time there are few slack resources in the system, which is one of the reasons medical tourism remains largely an unrealized dream.

  This means that local hospitals can easily be swamped. When a cold wave hits there’s a sudden demand for medical services as people experience heart problems, as happened just last week. Slack in the system is needed for events like that. Imagine if Omicron has filled hospital beds across the island, and we have an episode similar to the water park explosion that burned so many children a few years ago, or the train accident in Hualien last year that resulted in over 250 injured. Where will the sick go?

  LONG COVID

  Moreover, any variant can spawn long COVID, with all its attendant problems, as the US CDC noted: “Long COVID can happen to anyone who has had COVID-19, even if their illness was mild, or if they had no initial symptoms.”

  Long COVID has profound social costs. Sufferers need everything from routine treatments to double lung transplants, costs the health system will have to absorb, along with economic losses and the costs to the family of care at home.

  Omicron on the loose means everyone not only gets to gamble against death, but also gets to play the long COVID lottery. Welcome to the omelet, eggs. Hope you can make your saving throw!

  Can you get re-infected? Of course. Anyone really feel like playing the death and long COVID lottery twice? Three times? Me neither. But that is what we will all face if this “opportunity” is seized.

  Recall that re-infection rates are orders of magnitude higher than the low numbers one sees, because many authorities will not accept another round of COVID-19 as a re-infection without genetic data showing a different version of the virus is responsible. But few labs, health systems or victims have the time and resources to meet that high bar.

  I will not speak of the increased stress on health care workers, the depression, the exhaustion, suicides, the leaving of the industry and especially their high risk of infection and re-infection. After all, the Omicron-as-opportunity crowd doesn’t. For them, health care workers are just discardable resources whose existence is assumed rather than considered.

  Every intelligent human can see that COVID-19 isn’t going to go away. The world isn’t going to return to the way it was, just as it didn’t after syphilis and tuberculosis and smallpox, until the advent of modern medicine.

  That history suggests that it will be possible to return to some level of “normal” in the future when vaccinations are mandatory for all and medical science possesses an armory of reliable and inexpensive weapons against this disease.

  That time certainly isn’t now.

  Omicron, many epidemiologists have argued, is eventually going to infect all of us. That may be true, but it does not necessarily follow that we need to be infected right now, all of us at once. Keep Taiwan (Omicron) free!

  Notes from Central Taiwan is a column written by long-term resident Michael Turton, who provides incisive commentary informed by three decades of living in and writing about his adoptive country. The views expressed here are his own.
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