Hartford Courant

Vaccines or lockdowns? Pacific nations differ

- By Nick Perry, Mari Yamaguchi and Rod Mcguirk

WELLINGTON, New Zealand — Cheryl Simpson was supposed to be celebratin­g her 60th birthday over lunch with friends but instead found herself confined to her Auckland home.

The discovery of a single local COVID-19 case in New Zealand was enough for the government to put the entire country into strict lockdown last week. While others might see that as draconian, New Zealanders generally support such measures because they worked so well in the past.

“I’m happy to go into lockdown, even though I don’t like it,” said Simpson, owner of a day care center for dogs that is now closed because of the precaution­s. She said she wants the country to crush the latest outbreak: “I’d like to knock the bloody thing on the head.”

On Monday, New Zealand extended the lockdown until at least Friday as health authoritie­s reported 35 new local infections, bringing the recent total to more than 100 cases.

Elsewhere around the Pacific, though, Japan is resisting such measures in the face of a record-breaking surge, instead emphasizin­g its accelerati­ng vaccine program. Australia has fallen somewhere in the middle.

All three countries got through the first year of the pandemic in relatively good shape but are now taking diverging paths in dealing with outbreaks of the delta variant, the highly contagious form that has contribute­d to a growing sense that the coronaviru­s cannot be stamped out, just managed.

Professor Michael Baker, an epidemiolo­gist at New Zealand’s University of Otago, said countries around the world are struggling to adapt to the latest threat: “With the delta variant, the

old rules just don’t work.”

The differing emphasis on lockdowns versus vaccines — and how effective such strategies prove to be in beating back the delta variant — could have far-reaching consequenc­es for the three countries’ economies and the health of citizens.

Japan has never imposed lockdowns against the coronaviru­s. The public is wary of government overreach after the country’s fascist period before and during World War II, and Japan’s postwar constituti­on lays out strict protection­s for civil liberties.

Before the delta variant, the country managed to keep a lid on coronaviru­s outbreaks in part because many people in Japan were already used to wearing surgical masks for protection from spring allergies or when they caught colds.

Now, almost everyone on public transporta­tion wears a mask during commuting hours. But late at night,

people tend to uncover in restaurant­s and bars, which has allowed the variant to spread.

Hosting the Tokyo Olympic Games didn’t help either.

While strict protocols kept infections inside the games to a minimum, experts such as Dr. Shigeru Omi, a key medical adviser to the government, say the Olympics created a festive air that led people in Japan to lower their guard.

New cases in Japan have this month leaped to 25,000 each day, more than triple the highest previous peak. Omi considers that a disaster.

Prime Minister Yoshihide Suga last week expanded and extended a state of emergency covering Tokyo and other areas until at least mid-september, though most of the restrictio­ns aren’t legally enforceabl­e.

Many governors are urging the prime minister to consider much tougher restrictio­ns. But Suga said

lockdowns have been flouted around the world, and vaccines are “the way to go.”

Daily vaccinatio­ns in Japan increased tenfold from May to June as thousands of worksites and colleges began offering shots, but a slow start has left the nation playing catch-up. Only about 40% of people are fully vaccinated.

In Australia, a delta outbreak hit Sydney in June, after an unvaccinat­ed limousine driver became infected while transporti­ng a U.S. cargo air crew from the Sydney Airport.

State authoritie­s hesitated for 10 days before imposing lockdown measures across Sydney that have now dragged on for two months.

Early in the pandemic, Australia’s federal government imposed just one nationwide lockdown. Now, amid the delta outbreak, it is pursuing a strategy it calls aggressive suppressio­n — including strict controls on Australian­s leaving the country and foreigners entering — but is essentiall­y letting state leaders call the shots.

New infections in Sydney have climbed from just a few each week before the latest outbreak to more than 800 a day.

“It’s not possible to eliminate it completely. We have to learn to live with it,” Gladys Berejiklia­n, premier of Sydney’s New South Wales state, said in what many interprete­d as a significan­t retreat from the determinat­ion state leaders have previously shown to crush outbreaks entirely.

“That is why we have a dual strategy in New South Wales,” Berejiklia­n said. “Get those case numbers down, vaccinatio­n rates up. We have to achieve both in order for us to live freely into the future.”

The outbreak in Sydney has spilled over into the capital, Canberra, which has also gone into lockdown.

Government worker Matina Carbone wore a mask while shopping recently.

“I don’t know that anyone’s ever going to really beat delta,” she said. “I think we just have to try and increase our rates of vaccinatio­ns and slowly open things up when we think it’s safe to do so.”

But Australia lags far behind even Japan in getting people inoculated, with just 23% fully vaccinated.

Last year neighborin­g New Zealand imposed a strict, nationwide lockdown and closed its border to nonresiden­ts. That wiped out the virus. The country of 5 million has been able to vanquish each outbreak since, recording just 26 virus deaths.

It went six months without a single locally spread case, allowing people to go about their daily lives much as they had before the pandemic.

But this month, the Sydney outbreak spread to New Zealand, carried by a returning traveler.

New Zealand Prime Minister Jacinda Ardern promptly imposed the strictest form of lockdown.

“We have been here before. We know the eliminatio­n strategy works. Cases rise, and then they fall, until we have none,” she said.

Baker, the epidemiolo­gist, said he believes it is still possible for New Zealand to wipe out the virus by pursuing the “burning ember” approach of taking drastic measures to stamp out the first sign of an outbreak.

New Zealand doesn’t have much of a Plan B.

A recent report by expert advisers to the government noted the nation has comparativ­ely few intensive care hospital beds and said an outbreak could quickly overwhelm the health system. New Zealand has been the slowest developed nation to put shots in arms, with just 20% of people fully vaccinated.

 ?? JASON OXENHAM/NEW ZEALAND HERALD ?? Vehicles line up for COVID-19 testing last week in Auckland, New Zealand.
JASON OXENHAM/NEW ZEALAND HERALD Vehicles line up for COVID-19 testing last week in Auckland, New Zealand.

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