Although the United States represents only 4% of the world’s population, it accounts for a quarter of all COVID-19 cases and 22% of all deaths.
For a century or more, the United States has been a beacon of hope and strength to the rest of the world. But its response to the pandemic, many public health experts say, has been uniquely hapless, ineffective, undisciplined and selfish. By some measures, the United States has handled the health crisis as badly as any country has.
“The first thing I would say is that they have had a national policy,” Schaffner said. “That is also the second, third and fourth thing. They had a national policy. That national policy was decided on very quickly and it was communicated clearly and consistently and based on public health principles.”Community spirit has proven stronger elsewhere than in the United States, say some health policy experts.
Last week, New Zealand had gone 100 days without detecting a single example of community spread of the virus before encountering an outbreak that prompted the government to postpone the general election for a month. The United States surpassed 5 million cases and 160,000 dead around the same time, with cases mounting in six states and high transmission rates prevailing in more than a dozen others.
“You heard all these hysterical reports about doctors on the front lines not being able to get masks, not having enough ventilators, you had governors requesting a lot more ventilators than they needed, and again, every patient in America that needed a ventilator got a ventilator, President Trump distributed them properly,” Kushner said.How the US response was rated
New Zealand rated highest, followed by Senegal and Denmark. All received high marks for policy directives, economic support to prop up the public health system and mitigate financial harm to individuals and businesses, and consistent, clear, fact-based communications. Nuzzo said Taiwan, another island nation, also never needed to resort to a broad shutdown because it had enacted strong travel restrictions and a program of aggressive testing, contact tracing and isolation of those infected. Singapore also avoided large shutdowns until “being blindsided,” Nuzzo said, by an outbreak in dormitories housing migrant workers, a group that health authorities had not surveilled well.
“The other countries did not open until they had the virus under control in terms of having either a low number of cases or they were fully on top of their cases in terms of testing, contact tracing and quarantining,” said Luisa Franzini, chair of health policy and management at the University of Maryland School of Public Health.
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