Giving us some perspective, Dili, the capitol of Timor Leste (East Timor) is locked down. Cases are rising rapidly.
I text frequently with an American friend of mine who now lives in Dili, Timor Leste, an island nation in Southeast Asia and one of the poorest countries in the world. Up until now, Timor Leste has been praised for keeping Covid-19 cases very low by strict measures. So far, there have been zero deaths during the entire pandemic. They really had to be strict because the health care system can’t handle a surge. As the Al Jazeera link says:
Despite Timor-Leste’s healthcare improvements, the country still has minimal ability to handle critical care.
“There is a limited number of Intensive Care Units in the entire country. More importantly, there is limited clinical expertise to manage critically ill patients on ventilators,” said the WHO office in Dili.
Asante, who is also a UNSW health economist and health systems expert, says the country already faces significant pressure from one of the highest rates of tuberculosis in the world – about 500 cases per 100,000 people.
“In addition, there is chronic malnutrition, high rate of smoking and poor quality healthcare, all of which complicate the government’s efforts to bring tuberculosis under control and improve health outcomes generally,” he told Al Jazeera.
“But perhaps the biggest challenge is the widespread poverty, nearly 42 percent of the population lived below the national poverty line in 2014. If the COVID situation deteriorates, poverty would most likely worsen,” he added.
How tiny Timor-Leste kept the coronavirus at bay
Despite Timor Leste initially being a Covid success story, my friend told me last week that there were 11 new cases that day in Dili, 76 active cases. She said that the government announced that they have prepared 300 coffins and a special Covid-19 graveyard!
Timor Leste shares the island with part of Indonesia which has a rapidly spreading number of cases. She said that the weak link is people sneaking illegally over the border into Timor Leste. I believe she told me that some Timorese are among those going into Indonesia and coming back, bringing Covid with them.
Today she texted me that cases are rising daily and the government is working hard to contain it. There are 97 cases in the hospital and Dili is locked up tight. No one can come in or out. Police are arresting anyone who is out of the house except for food, medicine or emergency. Needless to say, she and her husband are staying home.
If you test positive you are locked in an isolation hospital, symptoms or not. If you had contact with anyone positive you are locked in a government quarantine center for two weeks. Yesterday, there was a glitch of some kind and quarantined people did not get food! In the past she has told me that the families of hospitalized patients have to provide food for them, but that was before there were Covid cases hospitalized, so I’m not sure what’s happening now.
The economy, such as it is, will not handle this well, especially with so much poverty. So far people they know are OK, although they did give one family money for food and rent.
Timor-Leste: Authorities lock down Dili through 2359 March 15 due to COVID-19 concerns
Scroll for graphs showing steep spike.
Timor-Leste Coronavirus: 196 Cases and 0 Deaths - Worldometer
Timor-Leste COVID-19 Corona Tracker