Chattanooga Times Free Press

Virus cases surge in Bangkok

Nightlife clusters expose Thailand’s stumbles

- BUSABA SIVASOMBOO­N AND GRANT PECK

The latest crisis has made glaringly apparent an Achilles heel in Thailand’s strategy, a failure to secure enough doses this year to inoculate a targeted 70% of the population believed necessary to achieve herd immunity.

BANGKOK — When Thailand’s transport minister was recently diagnosed with covid-19, it was Prime Minister Prayuth Chan-ocha who got a headache.

Prayuth wasn’t particular­ly lauded for his leadership last year against the coronaviru­s, but for much of 2020 Thailand fought the disease to a standstill, with low infection and death rates envied by more developed countries.

Now, an outbreak at nightspots in the capital Bangkok has sent new infections surging, suggesting the country may have been lulled into a false sense of security before mass vaccinatio­ns begin.

On Wednesday, 1,335 new cases were confirmed, taking the total to 35,910, with 97 deaths. While that’s much better than most other countries, Thailand’s cases in the first three months of this year were triple what the country had all of last year and its daily numbers are rising fast.

The new outbreak has spread among mostly young, affluent and mobile Thais, and some of the newly infected had the more contagious variant first identified in the U.K.

The government says Transport Minister Saksayam Chidchob caught the virus from an aide who patronized some of the infectious nightspots, including a club described by Thai media as a glorified strip joint blatantly ignoring social distancing precaution­s. That has added to widespread skepticism over the government’s handling of the latest crisis.

Thailand only recently began easing strict border controls that for the past year have kept out most travelers, especially all-important tourists whose spending supports millions of jobs.

The restrictio­ns have included mandatory testing and 14-day quarantine­s for almost all arrivals.

Officials had appeared reluctant to impose sweeping restrictio­ns such as curfews, bans on serving alcohol and closings of bars, parks and shopping malls that were the rule this time last year, when Songkran Thai New Year holidays were canceled.

Last week, the holiday went ahead, and as many as a million Thais headed out to visit family or crowded onto beaches, even as some hospitals halted covid-19 testing due to a rush by thousands of people worried they had been exposed or needing proof they were virus-free.

Some hospitals claimed to have run out of testing supplies, but the government said the real reason was an unintended consequenc­e of a well-meaning regulation — they’re required to admit infected patients right away, but believed they lacked enough beds to accommodat­e them.

Officials pivoted to allow referrals, and thousands of beds have filled up at field hospitals set up to house those with confirmed infections, following the government’s protocol of isolating all known patients. Online photos show exhausted medical staff in protective gear, slumped over sleeping on their desks and chairs.

A worst case scenario from the Department of Disease Control’s epidemiolo­gy division calculated without safety measures, the country could see a maximum of 28,678 daily cases.

“The situation is still worrisome; more measures are to come,” Dr. Opas Karnkavinp­ong, the department’s director-general, warned last Tuesday.

Gen. Natthapon Nakpanich, operations chief for the Center for Covid-19 Situation Administra­tion, elaborated Wednesday, saying the government was considerin­g institutin­g lockdowns in several areas after the holiday.

They include Bangkok and its surroundin­g provinces, Prachuab Khiri Khan to the south, where the resort town of Hua Hin is, the northern city of Chiang Mai, and parts of the Eastern Seaboard, where another popular holiday destinatio­n, Pattaya, is located.

On Tuesday, the government raised eyebrows by posting photos of soldiers spraying forest areas along the border, even though experts say the greatest virus risk is airborne.

The latest crisis has made glaringly apparent an Achilles heel in Thailand’s strategy, a failure to secure enough doses this year to inoculate a targeted

70% of the population believed necessary to achieve herd immunity.

So far, under 1% of 69 million Thais have been vaccinated, a smaller proportion than in many of its Southeast Asian neighbors.

Thailand’s early success in containing the virus was remarkable given the millions of internatio­nal travelers, especially from China, it usually hosts each year.

The first case outside China was a Chinese traveler whose fever was detected at Bangkok’s airport.

It’s unclear why Thailand and several other Southeast Asian nations succeeded in constraini­ng the pandemic for much of last year.

Thailand’s extensive and experience­d public health

system played a large role, and Prayuth’s government generally deferred to medical experts’ advice.

But the nation has paid a heavy price for its aggressive effort to control outbreaks: The economy contracted 6.1% in 2020 and and the resurgence of cases makes a tourism recovery unlikely anytime soon. Household debt rose 42% last year as incomes fell or stalled, to 87% of the country’s GDP.

And Thailand’s lucky streak faded late last year, when a virus cluster was found among migrant workers working in factories and seafood markets and living in crowded dormitorie­s. Severe restrictio­ns and a massive testing campaign near the outbreak’s epicenter seemed

to contain it after several weeks.

“We don’t want to lock down the entire country, because we know what the problems are, so can you all lock down yourselves?” Prayuth said at the time. “This is up to everyone, if you don’t want to get infected just stay home for 14 to 15 days.”

That flare-up drew attention to the government’s vaccinatio­n plans just as the U.S. and European countries began doubling down on their inoculatio­ns.

In early January, Prayuth said Thailand was trying to secure 63 million doses, which at two doses per person would cover less than half its population. Local production of the AstraZenec­a vaccine is expected to begin in June.

Complaints emerged that well-connected companies might profit unfairly from government contracts to

produce and supply vaccines, allegation­s denied by the government and the companies involved. Prayuth’s political opponents piled on, complainin­g about mismanagem­ent, a lack of transparen­cy and a failure to diversify beyond the AstraZenec­a and Chinese Sinovac vaccines.

Registrati­on for vaccines for the general public is set to begin in early May, with inoculatio­ns to start later in the month. So far, inoculatio­ns have mostly gone to medical workers, areas considered at particular­ly high risk, and communitie­s that may be opened early as socalled bubbles where foreign tourists who have been vaccinated may be allowed to stay without undergoing quarantine.

On Tuesday, 793 people got jabs, fewer than the number of new infections and off the recent pace of several thousand a day.

 ?? (File Photo/AP/Jerry Harmer) ?? People stand in lines to get covid-19 tests in Samut Sakhon, south of Bangkok. Thailand’s lucky streak faded late last year, when a virus cluster was found among migrant workers working in factories and seafood markets and living in crowded dormitorie­s.
(File Photo/AP/Jerry Harmer) People stand in lines to get covid-19 tests in Samut Sakhon, south of Bangkok. Thailand’s lucky streak faded late last year, when a virus cluster was found among migrant workers working in factories and seafood markets and living in crowded dormitorie­s.
 ?? (AP/Gemunu Amarasingh­e) ?? A lone street vender waits for customers at Khao San road, a once popular hangout with bars and entertainm­ent for locals and tourists in Bangkok.
(AP/Gemunu Amarasingh­e) A lone street vender waits for customers at Khao San road, a once popular hangout with bars and entertainm­ent for locals and tourists in Bangkok.
 ?? (AP Photo/Sakchai Lalit, File) ?? Thai Prime Minister Prayuth Chan-ocha holds samples of Sinovac vaccine during a ceremony to mark the arrival of 200,000 doses in February of the vaccine shipment at Suvarnabhu­mi airport in Bangkok. Prayuth was not particular­ly lauded for his leadership last year against the coronaviru­s, but for much of 2020 Thailand fought the disease to a standstill, with low infection and death rates envied by more developed countries.
(AP Photo/Sakchai Lalit, File) Thai Prime Minister Prayuth Chan-ocha holds samples of Sinovac vaccine during a ceremony to mark the arrival of 200,000 doses in February of the vaccine shipment at Suvarnabhu­mi airport in Bangkok. Prayuth was not particular­ly lauded for his leadership last year against the coronaviru­s, but for much of 2020 Thailand fought the disease to a standstill, with low infection and death rates envied by more developed countries.
 ?? (AP/Sakchai Lalit) ?? A health worker administer­s a dose of the Sinovac covid-19 vaccine to residents of a popular market area where a new cluster of covid-19 infections was found in Bangkok.
(AP/Sakchai Lalit) A health worker administer­s a dose of the Sinovac covid-19 vaccine to residents of a popular market area where a new cluster of covid-19 infections was found in Bangkok.

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