Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: Omicron #16: Danger in China, published by Zvi on March 14, 2022 on LessWrong.
What is happening in China?
Scott Gottlieb says we essentially don’t know the extent to which Omicron has spread in China.
What do we know?
We know China has not made great use of its time so far, and seems incapable of the loss of face necessary to get mRNA vaccines, nor does it seem to have stockpiled sufficient amounts of treatment for over a billion people if things get fully out of hand.
We know that China has now locked down tens of millions of people.
We know that they previously shut down schools in Shanghai, with some pretty strange implementation details.
And we know they have quite a few cases. We don’t know how many, but the official counts are certainly not overcounting cases.
“Because of the large number of cases in a short period of time, it is inevitable that there will be some panic all over the country, and Shanghai is no exception,” said Dr. Zhang Wenhong, a prominent infectious disease expert in Shanghai, in a post on his social media account on Monday.
We also know from Hong Kong what it could look like if a population that only had access to Sinovac and has had few previous infections has uncontrolled spread of Omicron. Things get very bad very quickly.
The thing I noticed right away about China’s reaction this time in Shanghai, which came first, was that it wasn’t as complete. The will to succeed seemed not to be there on the same level.
Yes, this was a series of coercive actions the West would be incapable of taking, but what reason was there to think they would work? Closing off all school-based transmission won’t slow down Omicron much. Closing schools is a half-measure. If you have reason to think schools need to be closed, and you are following China’s old playbook, than anything that makes you need to shut down Shanghai’s schools should make you shut down all of Shanghai.
In other cases, China has made this extremely expensive and painful choice, and it has worked. This time, faced with a more dangerous variant, they only closed schools and hoped the problem would go away. That is not going to work (not that it has had time to have an impact yet, but it was never going to work).
Now they’ve ‘restricted movement in many neighborhoods’ of Shanghai, but not in others, and this is still very different from the nature of previous Chinese lockdowns.
And consider what they are doing in Dongguan, which is perhaps too big to shut down in the same way as Shanghai:
City authorities told residents not to leave the city, except for essential reasons. Those leaving must show negative test results within 48 hours of departure.
A few entrances on highways to other cities were closed, while all shuttle buses linking airports in other cities and check-in terminals in Dongguan were halted. Some museums and libraries in the city also closed to visitors.
Its factories are still running, however.
“(Workers) need to do COVID tests, but it’s not a prerequisite for them to be able to enter factories,” said King Lau, who helps manage a metal coating factory.
That is not going to be enough. Some cases will get out, and cases within the city will still rise, unless this was caught so early there really were only a handful to start and then they got super lucky.
They still were willing to shut down Shenzen and a total of about 60 million people so far, while showing signs they are approaching their limits.
So what happens now?
If there are this many cases already, the question is whether the outbreak is somehow contained to the cities and areas that are now locked down, or otherwise the tide can somehow be turned. I do not see how this happens.
China could ramp up its reactions, locking down more cities and areas with harsher conditions, in an attempt to make it stop, but can it afford to ...