Tag Archive for: Coronavirus

How to deal with the increasing risk of doing business with China

Can Australia stop the Chinese government’s economic coercion against our government and businesses? Yes.

All it would take is for Australian political leaders and parliaments to align our national policies, laws and directions with those of the Chinese government. Shutting up when we have differences and making decisions aligned with Beijing’s acts, wishes and decisions would be the most business-friendly China policy for Australia and every other country to adopt.

That’s pretty much what a set of interests and voices in Australia is calling for when it talks of ‘resetting the relationship’.

But it’s also very difficult. Unavoidable differences in national interests are becoming more stark as China’s national power grows and as the Chinese Communist Party uses that power more coercively domestically and internationally.

China’s aggressive expansion of its boundaries through forcible seizure of South China Sea landforms and the coercive patrolling of the maritime area within its large ‘nine-dash line’ claim is one example.

In Australia, Chinese foreign interference has led to new laws and seen cyber hacking of our parliament and political parties. And now, the Chinese ambassador’s threats of economic coercion have been followed by actual coercion disguised as arcane technical difficulties around our barley and beef exports.

The pressure is intended to force policy change in Australia—to stop Australia building international support for an inquiry into the pandemic’s causes.

Economic pressure on industries like barley and beef doesn’t just make a direct point to our political leaders about the consequences of acting against the Chinese government’s interests; it creates pressure within Australia on those leaders. Hence the free advice that former politicians and business types are giving the government.

Let’s remember what this latest bout of coercion is about. The pandemic started in China, according to the World Health Organization, and has now infected some 4.4 million people, killed more than 300,000 worldwide and caused what looks like a global depression. Australia’s prime minister has called for a credible international inquiry into how the pandemic started and what was done, and not done, to prevent its spread.

So, 80 million people don’t see a credible international inquiry as in their interest—because they’re members of the CCP. Another 7.7 billion occupants of planet earth do want to know how this pandemic happened and how we can prevent future ones.

A credible inquiry will detail the actions of Chinese government officials, leaders and authorities in the early days of the pandemic that repressed information and prevented early international action with and in China that may have prevented the pandemic or lessened its impact.

This is a radioactive issue for the Chinese government domestically, because it cuts to the heart of its capacity to govern in the interests of the people rather than itself. And it’s a radioactive issue internationally because a credible inquiry would reflect on the Chinese government’s trustworthiness and competence.

It would also deflate the misinformation campaign China is waging to obscure the pandemic’s causes and virus’s origin. The stakes are enormous for the Chinese government—which explains its blunt economic coercion and fiery statements.

For Australia, one easy answer would be to stop pushing for an inquiry and leave it to others to prosecute. But making it somebody else’s problem is exactly what the Chinese government wants. If Australia stops building support for the inquiry, the lesson to others is clear: don’t be the first to speak up against Chinese acts that are against your interests.

It would also show that coercion works, and all bullies love it when their behaviour brings rewards. The result is not less bullying.

Australia taking the lead on key global issues matters. The role of 5G technology in national security and economic prosperity is an example. Australia’s carefully explained decision to exclude high-risk vendors from building our 5G network sparked a wave of deep international consideration. What we do matters—and the Chinese government knows this.

And we are not alone. Many nations are dealing with a coercive, powerful Chinese government that uses its economic weight to pressure them, all because they’ve acted in their national interests. Norway suffered Chinese economic coercion over the Nobel prize that affected its smoked salmon exports. South Korea suffered boycotts of consumer goods when it installed a US missile defence system for its own security against North Korea. Japan faced down Chinese government threats on critical mineral exports. And we’ve seen testing of Australian thermal coal exports for radiation (!) as one of the ‘technical difficulties’ coinciding with Chinese government displeasure.

Even the US National Basketball Association and the world’s airlines have been subjected to coercion, in the NBA’s case because an official had the nerve to support pro-democracy protesters in Hong Kong. The airlines incurred disfavour over their naming of Taiwan on flight boards.

It’s not tone or management of the relationship that’s causing Chinese coercion. It’s a clash of interests and values. Until Australia and other countries stop being democracies, stop thinking that freedom of speech and human rights are important, and stop taking decisions in the interests of our own sovereignty and security, we will bump into Chinese government interests and actions.

As Chinese government aggression increases, the business risk for all companies trading with China is growing. The pandemic is an example, but it has really just highlighted a problem that was growing before it.

Counterintuitively, it’s a great time for Chinese authorities to wield the economic coercion weapon. Every government and company is anxious about its economic viability post-Covid-19, and every part of the global economy is depressed because of it. So, each sale and market becomes more important, and threats become more powerful.

And Chinese consumer demand is depressed because, despite the hype, China is not back to business as normal. So, threats to reduce trade in multiple commodities are free gifts for the Chinese government. Chinese demand for Australian beef and barley is likely to fall anyway because of deadened consumer demand. Why not pretend the pain inflicted on our industries is a result of the clash between our governments?

Let’s keep calm and stay clear and simple on what our interests are and why decisions are being taken and directions pursued. Dealing with each issue on technical grounds while realising it’s part of a bigger picture is smart, and that’s what the government seems to be doing. We also need to remind ourselves that cutting trade with Australia inflicts pain on the Chinese economy, and that’s not a simple calculation for the regime.

The bigger remedy, though, is for all businesses—and that includes our universities—to factor increasing risk into doing business with China. This adjustment to corporate planning and strategy will do as much to diversify our economy as a set of government policies. Over time, it will reduce the leverage that the Chinese government has over our economy and our parliament, and that’s no bad thing.

US–China rivalry must not derail international inquiry into Covid-19

It’s time to take the global debate about the pandemic out of the hands of Beijing and Washington and reclaim it for the 6.08 billion people who do not live in China or the US. Distorting a global pandemic into a matter of bilateral competition is distracting and deeply wrong.

ASPI’s Rod Lyon wrote about nations’ strategic personalities a year ago, quoting a diagnosis of the US as extroverted, intuitive and feeling and China as introverted, sensing and thinking. The pandemic has given us a further level of understanding—both powers are narcissists, but in different ways. That’s particularly troublesome right now, as the world copes with Covid-19.

You’d think it would be a simple piece of common ground for all 7.8 billion people on the planet to want to know how the pandemic started and what was done and not done so we can learn from this to prevent and respond to future crises.

What might be common ground among individuals, however, is deeply contested between governments, with Chinese President Xi Jinping’s regime and the US government led by President Donald Trump in open conflict over the issue.

This isn’t an issue in which relativity and ‘equally valid’ perspectives have much of a place. Empirically, the World Health Organization timeline states that the pandemic began in Wuhan, although we don’t know exactly where in Wuhan or how it started.

We know, though, that clouding otherwise simple factual issues is in the interests of those who fear accountability and criticism from their own people and from other countries that have been terribly affected the disease.

So, the Chinese state has engaged in a concerted and expanding disinformation campaign to blur history and promote alternative realities that weave fictions around the pandemic and its origins. That the disease had first appeared at international military games in Wuhan last year is one such fiction touted by senior Chinese officials.

At the same time, the US government is intensifying its rhetoric about how the virus emerged, adding to the noise and heat.

Washington’s claim that the virus may have come from a Wuhan lab is a gift to the Chinese government. It enables China’s leaders to pretend that everyone who wants an inquiry into the pandemic’s origins and its early handling is following the US, even when they know that isn’t true.

Covid-19 is not a facet of China–US strategic competition. It’s a global phenomenon that goes far beyond the narrow confines of great-power rivalry.

Clearly, Beijing and Washington are trying to use Covid-19 against each other in their deepening conflict and competition. Beijing is desperate to stop the world from remembering that any chance of containing the virus in Wuhan was lost early on through the behaviour of Chinese agencies and leaders.

And Trump, aside from perhaps seeing the pandemic as another compelling reason to reduce America’s technological entanglement with China, has found an issue that plays very well to his base, including as a way of minimising his own accountability for the economic and health crises resulting from the pandemic.

But letting either Beijing or Washington distract us into seeing the pandemic as an element of their bilateral arm wrestling would be a fundamental error. An international inquiry as called for by Australia’s Prime Minister Scott Morrison and supported by numerous other world leaders is absolutely necessary. It must gather evidence and data and draw on the advice and analysis of a broad range of international experts.

That expertise must go beyond core epidemiological and medical knowledge to help us understand the interactions between medical and government personnel in Wuhan, up through the Chinese Communist Party hierarchy to Xi himself. It will also need to take account of the interaction between the WHO and Chinese authorities, and other governments.

The international inquiry must help us understand any sins of omission and commission, as well as the doubts and human errors that almost certainly arose during the virus’s initial emergence and outbreak.

Plenty of commentators are leaping on the bandwagon to discuss how Covid-19 is a key element of US–China competition, and even more are telling the world that an inquiry just can’t happen because the Chinese government opposes it. Both groups are leading us down the garden path—the first by characterising the pandemic as a bilateral issue and the second by telling us that what’s possible simply isn’t.

In the information-rich world we live in, it’s hard to hide much. There’s an enormous trove of data and information about the characteristics of the virus itself and its transmission in Wuhan and across the globe. The deep level of international cooperation we’re seeing in scientific and medical research makes this data richer and more powerful.

A considerable amount of open-source information is available on the actions and directions of Chinese officials and leaders since December that could be viewed alongside data and statements made by WHO officials and leaders. Taken together, there seems already to be sufficient evidence to allow a credible body of international experts to conduct a substantive inquiry.

The joint work of the Dutch, Malaysian, Belgian, Australian and Ukrainian governments to conduct a criminal investigation into the downing of MH17 provides a precedent. A proper inquiry still occurred despite the resistance of a party at the centre of it—in this case, Russia.

The governments formed a joint investigation team that conducted painstaking data-gathering, analysis and forensic investigation work. Their efforts allowed the events leading up to the Malaysia Airlines jet being shot down over Ukraine to be clearly established, and those who planned and perpetrated the murders to be identified and charged.

There’s much more data available on the pandemic and its beginnings than there was for the MH17 disaster.

The joint investigation team carried on with its work in the face of active obstruction and opposition from the Russian government and the Russian-backed Ukrainian rebels at the centre of events. The probe took place in the middle of a Russian disinformation campaign that has parallels with what we’re seeing out of Beijing now.

Let’s take an inquiry into Covid-19 out of the hands of two narcissistic great-power rivals and put it in the hands of a group of nations which, as happened with MH17, have the will and expertise to get to the bottom of what happened. That’s the best way to make us all safer in a world in which humans need to live with dangerous diseases that can only be contained only through international cooperation.

Australia and New Zealand should plan to expand the trans-Tasman bubble to the Pacific islands

New Zealand Prime Minister Jacinda Ardern’s meeting with Australia’s national cabinet was a great step towards working out how travel between our two countries might resume. Done carefully, this will be a boon to our economies and to the New Zealand and Australian people by expanding our horizons as we live with Covid-19.

Let’s think bigger, though, and start planning now to expand the trans-Tasman bubble to include the small island states of the South Pacific. A South Pacific bubble can open up possibilities for all our peoples in the post-Covid-19 world.

It turns out Pacific leaders were right in setting priorities in the 2018 Boe Declaration that expanded the concept of security to provide a greater emphasis on human, environmental and resource security.

At the time, Australia argued with its Pacific neighbours and resisted this broader framework. Looking at the issue now, in May 2020, the central role of human and environmental security is manifest. Traditional security cannot be provided without it. With Covid-19, it’s also obvious that economies and livelihoods depend on human and environmental security.

Now that Australia and New Zealand are moving out of the acute crisis phase of the pandemic, we’re both thinking about how to restart our national lives and economies in a way that, as Prime Minister Scott Morrison puts it, is ‘Covid-safe’.

That means understanding that we probably won’t be able to eradicate Covid-19. But with continued social distancing and other measures, we should be able to suppress hot spots and manage the disease in a way that doesn’t overload our health systems.

Monitoring, testing and contact tracing are the keys to being Covid-safe because, together with observing safety protocols across our societies and in businesses, schools and other institutions, they are how we’ll minimise the impact of the virus.

This approach will let us open up many things, including people movement between New Zealand and Australia. But we’ll still be unable to reopen broader international travel without risking severe coronavirus outbreaks in our two nations.

This is where the South Pacific comes in. Given where we are in managing Covid-19 in our own countries, between us, Australia and New Zealand have the capacity to expand our Covid-safe protective bubble to the smaller Pacific states. We have a ‘Covid management dividend’ available in the now excess capacity in our healthcare systems, and the South Pacific is where we should invest it.

Papua New Guinea, Fiji, the two French territories of French Polynesia and New Caledonia, and the smaller Pacific island nations have a combined population of about 11.5 million. Until treatment and management of the virus improve considerably, a population that size presents a potential problem that’s probably too big even for Australia and New Zealand’s combined capacity to deal with in a way that would let us treat the entire Pacific Islands Forum membership as an extension of the trans-Tasman bubble. That means we’ll need a separate partnership with PNG, Fiji and the two French territories.

Tuvalu, Nauru and Palau, for example, have populations the size of regional towns in New Zealand and Australia. The total population of these smaller Pacific island states is about 1.6 million. Their remoteness and the fact that their populations are scattered across isolated small islands makes suppression and management of Covid-19 in their territories feasible in ways that are simply not possible in much of the rest of the world.

Extending our health surveillance systems to each of these small Pacific island states so that they too can be Covid-safe is possible because the numbers of people involved are reasonably modest and the island states have already taken measures like closing borders to contain the virus in their own territories.

There are very few reported Covid-19 cases in the South Pacific, with only Fiji, PNG and the two French territories reporting any infections. Just as in Australia and almost every other country, however, there are probably unreported cases and asymptomatic infections.

We can expect Pacific states’ health systems and health workforces to be deeply challenged by Covid-19, even with the international donor assistance we have already seen. Left unchanged, their support systems will probably be insufficient to prevent avoidable deaths, and the resulting economic damage across the South Pacific will be high.

Australia and New Zealand can change that by investing some of our Covid management dividend in and with our Pacific partners. That’s not just health system capacity (although Samoa’s recent measles outbreak shows the power of shared capacity). Our approach must include sharing our Covid-safe roadmaps and business protocols with our Pacific partners and working with them so that we can all make our societies and economies Covid-safe. It will also involve harmonising border control and travel ban protocols.

This isn’t a risk-free proposition either for our Pacific partners or for Australia and New Zealand, given that, without a vaccine, we can only suppress and manage the virus, not eradicate it. So, we will all be testing and sampling, and monitoring and managing hot spots, to prevent broader outbreaks. And it will take resources and continued work with partners like France, the US, China, the EU, Japan, Taiwan and the World Health Organization, all of which make important contributions to health system capacity across the Pacific.

We know the risks of second and third waves of infection are significant and our approaches must be cautious as a result.

The advantages to our peoples and economies are obvious and larger, however. Freedom of movement is something we took for granted before the pandemic, and it’s now something we value much more highly. We also now understand the degree to which it underpins many livelihoods across the region.

Re-establishing the movement of people between Australia, New Zealand and the smaller Pacific island states will reduce the cabin fever we’re all experiencing by opening up tourism and people-based trade. It will also open up international sport and art exchanges and potentially also labour mobility. This strategy would also lay out a path to restarting the cruise business, an industry that brings vital tourism revenue to many of our neighbours.

Australia, New Zealand and the broader Pacific family can be a model for the international community in re-establishing people-to-people connections in the post-pandemic world.

There is nowhere else on the globe that has such an advantageous set of circumstances as Oceania for reopening our borders and economies in the Covid-safe way our health environment requires. So, let’s use our geography and the strength of our governmental, business and personal links to help get the Pacific family together again.

Responding to Covid-19: Are lockdowns doing more harm than good?

In my previous post, I noted that there seemed to be no appreciable difference in fatality rates for US states that instituted lockdowns early or late, or among European countries whose social-distancing and lockdown measures varied significantly. Hong Kong, South Korea and Taiwan seem to have managed the crisis without tough lockdowns as well as Australia and New Zealand have with lockdowns.

The quality of government decision-making and the capacity of healthcare systems to respond quickly may have been more crucial than rigorously enforced sheltering in place.

On 24 April, Australia’s chief medical officer, Brendan Murphy, conceded that the effective reproduction rate of the virus—the rate of new infections relative to the number of patients known to be infected—was under 1. Below that level, the infection wanes.

That was the situation in every Australian state and territory in mid-March, before the stage 3 lockdowns took effect on 30 March. Does that mean that the economically less damaging stage 1 and 2 restrictions were working well enough that Australia didn’t need to go to stage 3 lockdowns?

Murphy’s answer was that, until then, about two-thirds of Australia’s Covid-19 cases were imported. Once that wave had died down, there was a risk that a rapid acceleration of community transmission would take the reproduction rate above 1 again and cause an exponential explosion of fresh infections.

There are trade-offs within health as well. Total coronavirus deaths in Australia are so low that, thanks to the lockdowns, the reduction in the number of road fatalities may exceed the number of Covid-19 deaths averted.

The Wall Street Journal reported that many hospitals and doctors in the US were grappling with an unexpected side effect: a financial squeeze that could deplete the healthcare resources needed to meet local surges in cases and threaten the operations of some financially struggling hospitals. Staff were laid off and clinics and outpatient facilities closed as elective procedures were suspended in many hospitals. Thus, a policy designed to protect the health system from being overwhelmed has instead partially crippled it.

Meanwhile, expenses soared as hospitals sought scarce supplies to cope with the anticipated surge in Covid-19 patients. Doctor visits fell by 50% on average. Hospitals were losing US$45 billion a month. According to Dr Jonathan Geach, tens of millions of patients are failing to receive the medical care they need in a timely manner. At the Mayo Clinic, 65% of hospital beds and 75% of operating rooms are empty. How many of the nearly 2 million new cancers each year in the US, as well as heart, kidney, liver and pulmonary illnesses, will go undetected for months because routine screenings and appointments have been put on hold?

In the UK, one estimate puts the number of planned and elective operations cancelled in the past three months at 2.1 million. This is in addition to the 4.5 million people who were on hospital waiting lists before the crisis. The UK has recorded a sharp rise in the number of people dying at home, including from cardiac arrests, because people are reluctant to call for an ambulance. They fear that beds may not be available, or that they might contract the virus in hospital. Fresh research shows that, owing to deferred consultations and suspended treatments of other diseases as the UK focuses on the coronavirus pandemic, almost 18,000 cancer patients could die.

A report in the Financial Times references an internal British government estimate that ultimately, without mitigation, up to 150,000 people in the UK could die prematurely of conditions other than Covid-19 because of the lockdown. Preliminary figures indicate that between 23 March and 10 April, 35,817 of the recorded 46,000 deaths in Britain were not directly linked to Covid-19. That’s an 18% increase in the number of deaths compared with the same period in 2019.

A report in Lancet Psychiatry says measures taken in response to Covid-19 could have a profound and pervasive impact on mental health. US authorities and experts too are warning of an approaching ‘historic wave’ of mental health problems caused by the months-long Covid-19-related ‘daily doses of death, isolation and fear’. Lockdowns also put women at much greater risk of domestic violence. It will be interesting to watch the rates of divorce and births in the year following the great lockdown. In earthquake-prone countries, disaster preparedness has suffered from the nearly exclusive focus on coronavirus.

What of Australia? Ben Mol and Jonathan Karnon, professors at Monash and Flinders medical schools, confirmed that significantly fewer people have been presenting with acute heart problems and stroke and some cancer screening has also ceased.

Many life-threatening situations are discovered during routine annual check-ups and screening, which is why tests are mandated for particular age groups. Some years ago I had a stent inserted. The entire cycle from initial sense that something was wrong, to emergency consultation with the cardiologist, referral for an angiogram and emergency surgery, took about five weeks. With the same symptoms in this lockdown, it’s very likely I’d have died before getting the stent.

How will citizens react to the stress of indefinite lockdown? There’s a danger that some governments will take advantage of the pandemic to tighten controls to an unnecessary extent and for some police to enforce them overzealously. Jonathan Sumption, a former UK Supreme Court judge, warned, ‘This is what a police state is like’. Amnesty International Canada demanded oversight protections for human rights during Canada’s Covid-19 response.

UN Secretary-General Antonio Guterres warned that the coronavirus pandemic was becoming a human rights crisis, with authoritarian responses, surveillance, closed borders and other rights abuses.

A serious weakness in epidemiological models comes from data that are uncertain and behavioural relationships that are unstable. Human nature being what it is, increasing numbers of people will gradually begin to resocialise and governments will face a choice between tightening coercion or a collapse of their authority.

It would seem better to control the timing, sequence and pace at which restrictions are eased, with built-in flexibility to bring some back should infection numbers shoot up again, than to lose control of the agenda.

Responding to Covid-19: Can we save lives and preserve our quality of life at the same time?

In an open letter to Prime Minister Scott Morrison on 19 April, more than 200 economists rejected commentators’ calls for a rapid return to work and labelled the notion of a ‘trade-off’ between public health and the economy a ‘false distinction’. They said that while the measures adopted to contain the spread of Covid-19 had caused economic damage, those negative effects were far outweighed by the lives saved.

Their charge that this is a false distinction is correct, but it needs further examination. To someone from a poor country, people on moral high horses can appear to be so far from the ground that they can no longer see reality. There are different policy pathways to saving lives while allowing them to be lived in dignity.

In India, a 12-year-old girl, Jamlo Madkam, was working the fields far from home when, with characteristic lack of advance preparation to manage and ameliorate the harsh consequences, Prime Minister Narendra Modi imposed a stringent lockdown at just four hours’ notice. For three days Jamlo walked through thick forests to reach her village 100 kilometres away, but muscle fatigue, hunger and dehydration claimed her just 11 kilometres short of her home. Might a more flexible official response have saved that child?

As of 4 May, India’s Covid-19 death toll was 1,566 and confirmed cases were at 46,437 (though those figures may be understated.) UN estimates show that more than 800,000 Indian infants died in 2019, a mortality rate of 3%. Nearly 1 million children under the age of 5 years died, an even higher mortality rate of 3.7%. Those figures are 10 times higher than the infant and child mortality rates in Australasia. Most of these Indian children died from preventable causes—nutritional deficiencies, lack of sanitation and lack of access to healthcare.

Oxfam has warned that the Covid-19 pandemic could push an extra half billion people into poverty, and the UN estimated in mid-April that the global economic downturn could cause hundreds of thousands of additional child deaths in 2020.

Jayant Menon, a visiting fellow at the ISEAS–Yusof Ishak Institute in Singapore, has raised the need to flatten the ‘misery curve’ in poor countries. The inflection point for the virus curve is when the health system is overwhelmed. Menon says that the analogous point on the misery curve is when the harm caused by the curtailment measures starts impinging on health or survival.

Both curves must be kept below their tipping points—but in poor countries, misery has outpaced data. Because both curves are highly sensitive to rapid changes in a highly dynamic environment, policy measures must be adjusted as circumstances evolve.

The signatories on the letter to Australia’s prime minister are concerned experts engaging in a vital public debate about saving lives even at some cost to the economy.

Some political heavyweights in the UK are also talking the language of trade-offs. Scotland’s First Minister Nicola Sturgeon has called for a ‘better balance’ between tackling the disease and protecting the economy. Former Chancellor George Osborne agrees, urging an open discussion about the hard trade-offs that may be needed in a nation that will be living with the virus for the foreseeable future.

Multiple reports have documented the immediate and likely long-term economic harm caused by lockdowns. The World Trade Organization warns of dramatic decelerations and contractions in GDP and trade, with a resulting ballooning of job losses and fall in incomes. The IMF estimates that the global economy will shed around $9 trillion in 2020. World output will contract by 3%, hitting both advanced and emerging economies and sparking steep rises in unemployment, debt and bankruptcies.

For this pain to be justified, lockdowns must be effective in saving lives in big numbers. Conversely, if health gains are negligible but economic, social and even healthcare costs are high, the economists are right, but for the opposite reason to what they meant.

The onus is on the proponents of lockdowns to prove the case for the extensive cessation of economic activities, suspension of individual freedoms and mass house arrest of entire populations.

As Sweden’s chief epidemiologist Anders Tegnell has observed, shutting down and locking down have no ‘historical scientific basis’; the sole basis for such tough love is epidemiological modelling.

Tegnell told the BBC on 24 April that Sweden was better placed than most European countries to face a second wave of the outbreak. The strategic goal was to slow the progression of the disease so the country’s healthcare system didn’t become overwhelmed. Between 15% and 20% of the population is estimated to have become immune, which is enough to slow and control the spread of the disease further. Regarding Sweden’s high death toll relative to its Nordic neighbours, he noted that ‘as many as 50% of deaths had come in care homes for the elderly, which have banned visitors’, so it’s ‘hard to know how a lockdown would have stopped that’.

John Lee, a retired professor of pathology and consultant pathologist with the UK National Health Service, is sceptical about the effectiveness of lockdowns in limiting the spread of the virus and says ‘there isn’t any direct evidence that what we are doing is actually affecting the peak’.

John Ioannidis, a professor at Stanford University’s School of Medicine, holds multiple appointments in statistics, biomedical data, health research and policy and is ranked among the world’s 100 most-cited scientists on Google Scholar. He calls the existing data on coronavirus infections ‘utterly unreliable’ and dismisses much of the early Covid-19 epidemiological modelling, which forecast a death toll of 500,000 in the UK, over 2 million in the US and 40 million globally, as ‘speculation and science fiction’ feeding a ‘mob mentality’.

Viruses may be highly infectious or highly lethal, but rarely are they both. In large-scale community tests, a Stanford study of 3,200 people in California showed the number of infections to be 50 to 85 times higher than the number of confirmed cases, and a study by Gangelt in Germany showed an infection fatality rate of 0.37% rather than the modelled 0.9%.

These studies indicate that Covid-19 spread earlier and much further than was initially imagined, which suggests that it is correspondingly less deadly.

There’s a growing body of evidence that lockdowns are ineffective. Carl Heneghan, professor of evidence-based medicine at Oxford, argues that UK infections peaked a week before the lockdown was imposed on 23 March.

Lyman Stone concludes that measures that work include closing schools, restricting travel, prohibiting gatherings of more than 50 or 100 people, quarantining people who test positive, and wearing face-masks in public—but not lockdowns. He compared daily deaths in selected European locked down countries from all causes for the same February–April period in 2019 and this year. In all cases, death spikes had plateaued before lockdowns would have had time to show results.

Examining data from all the US states, Wilfred Reilly concludes that lockdowns do not result in lower coronavirus mortality than social-distancing measures done well. T.J. Rodgers’ study of the US found fewer deaths where shutdowns were delayed, but not to a statistically significant degree.

Scott W. Atlas, a former chief of neuroradiology at Stanford Medical Center, looked at death rates in New York, the epicentre of US infections and deaths. He found death rates of 0% for those under 18 and 0.01% for those 18 to 45 years old without underlying conditions. Of the 6,570 killed by the virus to that date, 99.2% had underlying conditions. So even older people without pre-existing conditions may not need to self-isolate.

Localised shutdowns, targeted quarantine and sheltering in place can complement more generalised border closures and social distancing—a conclusion reinforced by a new study from the National Bureau of Economic Research in the US: ‘we find that optimal policies differentially targeting risk/age groups significantly outperform optimal uniform policies and most of the gains can be realized by having stricter lockdown policies on the oldest group’.

The Trump effect on global press freedom

I had been captive in Afghanistan for about two weeks when the government of my home country, Canada, contacted those attempting to negotiate my release. They told negotiators to get me on the phone the next day, when the United States military would be flying a drone over where they thought I was being held, so they could determine my whereabouts.

The negotiators were unable to secure that concession. (I was released a couple of weeks later in a prisoner exchange.) But the US government’s willingness to help find me, a Canadian journalist who had been kidnapped while on assignment in Afghanistan, represented some semblance of a safety net for people doing a dangerous job. Eleven years later, that safety net is gone—and journalists are in more danger than ever.

Since my release in November 2008, 626 journalists worldwide have been killed while doing their jobs. Today, according to a tally by the Committee to Protect Journalists (CPJ), 64 journalists remain missing and 250 are in prison. And a new report by the UK-based charity Article 19—named for the article in the Universal Declaration of Human Rights that enunciates the right to seek and receive news and express opinions—concludes that freedom of expression is at its lowest point in a decade, and declining.

In fact, three out of every four people worldwide ‘are experiencing a deteriorating environment for freedom of expression’, the Article 19 report notes. Thomas Hughes, the organisation’s former director, partly blames governments’ use of ‘digital technology to surveil their citizens, restrict content and shut down communications.’

The Covid-19 pandemic has made the situation even worse. As the virus made its way around the world, it gave authoritarian governments an excuse to seize even greater control over information. The Chinese government suppressed any reporting when the virus was first ravaging Wuhan, denouncing doctors who issued early warnings and detaining others who tried to give voice to those warnings. It is now using state-owned media outlets to try to rewrite history. In Hungary, Viktor Orbán’s government has proposed new legislation that would allow authorities to punish anyone spreading ‘false information’ about the virus.

According to a recent CPJ report, both authoritarian and elected governments are increasingly introducing legislation ostensibly intended to curb ‘fake news’ and cybercrime, but which, in many cases, effectively criminalises journalism. From Egypt to Turkey to Cameroon, journalists have been harassed, intimidated, fined and detained over dubious claims that they were spreading fake news.

And when it comes to discrediting journalists’ efforts to hold the powerful to account, the United States—historically the world’s foremost defender of the free press—has been showing these countries how it’s done. US President Donald Trump’s near-daily coronavirus briefings have devolved into attacks on reporters who challenge his lies and disinformation about how his administration has handled the crisis.

As New York Times publisher A.G. Sulzberger pointed out last year, by consistently mocking and threatening reporters and news organisations, Trump has ‘effectively given foreign leaders permission to do the same with their countries’ journalists, and even given them the vocabulary with which to do it’. And the Trump administration’s unwillingness to defend journalists has produced a culture of impunity.

Never was this more apparent than after the brutal 2018 murder of Saudi dissident journalist Jamal Khashoggi at the Saudi consulate in Istanbul. As the CPJ’s Courtney Radsch observed, Trump ‘very publicly decided that [America’s] economic and security relationship with Saudi Arabia outweighed concern over the fact that [the regime] murdered a journalist’. The Trump administration’s refusal to make any effort to hold the Saudis accountable was, in her view, ‘very influential to the decline in press freedom worldwide’.

A less-publicised incident from the previous year underscores the extent of the Trump administration’s indifference to the plight of journalists. According to Sulzberger, in 2017, a US government official contacted the paper to warn that Egyptian authorities were poised to arrest Cairo-based New York Times reporter Declan Walsh over a report he had written linking an Italian student’s death to Egyptian security forces.

What stood out about the call, Sulzberger remembers, was that the official had made it without the blessing—and, potentially, against the wishes—of the Trump administration, because the State Department had apparently decided, uncharacteristically, not to intervene. Fortunately, the newspaper was able to get help from Walsh’s native Ireland, whose diplomats moved quickly to get him safely out of Egypt.

Reflecting on the incident later, Walsh wrote, ‘What has become increasingly clear … is that journalists can’t rely on the United States government to have our back as it once did.’

I can’t be sure what would happen if I were kidnapped in Afghanistan today. But, judging by the Trump administration’s record, it’s safe to assume that the US government would simply shrug and question why I was there in the first place.

Yet it is precisely in countries beset by conflict or under the leadership of authoritarian regimes that independent journalists are needed the most. Fortunately for these countries’ people, brave local reporters continue to fight every day to expose corruption, ensure transparency and hold the powerful to account, even if it means putting themselves in harm’s way.

This commitment can certainly be seen in Afghanistan. Two years ago, when I was back in Kabul on assignment, a suicide bomber on a motorcycle blew himself up not far from my accommodation, on a road behind the American embassy. As journalists rushed to cover the aftermath, a second bomber struck, killing himself and nine journalists, including Shah Marai, the AFP news agency’s chief photographer in the country.

It was the deadliest day ever for journalists in Afghanistan. But it didn’t stop brave Afghan journalists from working to share their stories with the world. On the contrary, it inspired a new generation of young reporters—many of them women—to continue the fight for truth and accountability.

Today, reporters globally are fearlessly tracking the spread of Covid-19, in a world where personal protective equipment means masks and gloves instead of Kevlar vests and helmets. They are telling the stories of the stricken, honouring the dead and providing vital information to the public. Most important, they are debunking misinformation and conspiracy theories.

Reporters should not have to worry about being attacked by their own governments for doing their jobs. The norms that are now being destroyed won’t be easily rebuilt, regardless of who occupies the White House. But the future of global press freedom demands that we try.

Australia should spend less on defence and more on countering immediate threats

When the renowned British economist John Maynard Keynes was asked what he did when the facts changed, he replied: ‘I change my mind. What do you do?’ I’m not sure whether Prime Minister Scott Morrison and Treasurer Josh Frydenberg have been swotting up on The general theory of employment, interest and money, but they have certainly shown an admirable willingness to dump the ruling economic orthodoxy when it no longer makes sense.

The scale of the shock to the economy, not to mention to the national psyche, of the coronavirus crisis has been immense, and so has the response from government. Ideas that would have been literally unthinkable only a few weeks ago are now the conventional wisdom. Even Keynes might have been astounded at the scale and speed of the rethinking that has occurred within government ranks and the commentariat. We’re all Keynesians now, it seems.

Academics often refer to these sorts of moments as paradigm shifts or critical junctures. A more fashionable way of describing them of late has been as ‘black swans’. Financial crises are a classic example, although their increased frequency may mean they’re not quite as surprising as they once were. The real surprise, perhaps, is that we repeatedly fail to learn the lessons they offer and use them to prepare for the next one.

The Covid-19 pandemic is an illustration of that possibility. To be fair, earlier pandemics such as SARS and Ebola left the affluent Western world largely untouched, so a degree of complacency is understandable, if clearly regrettable. We really should have known better; many people were warning that it was only a question of time before globalisation facilitated a truly global health crisis.

While the crisis may have been predictable, its impact is still shocking, and not just because of the rapidly growing global death toll. Even a geographically isolated country with a world-class health system is plainly not immune. Although the death rate in Australia has been gratifyingly low, the damage to the economy and the ‘Australian way of life’ has been profound and its impact will be long-lasting.

Indeed, it’s hard to imagine a more dramatic, direct and immediate threat to the basic economic, physical and even psychological security of Australians. Apparently rational and reasonable assumptions about economic welfare and even life expectancy have been upended. People are entitled to ask why we were so unprepared for what has arguably been the greatest threat to national security since World War II.

Part of the answer can be found in the way we think about security and the sorts of people who shape strategic policy in places such as Australia and the US. The overwhelming focus of the defence establishment remains on preparing to defend Australia from potentially hostile states or terrorists, not from the much more plausible and immediate danger posed by infectious diseases. This is not a uniquely Australian problem, of course. All over the world, governments are spending money they can’t spare on threats they are unlikely to face.

The US spends US$180 billion on counterterrorism and US$2 billion on pandemic and emerging infectious–disease programs per year, a ratio that is indefensible and that requires a ‘redefinition of national security’, according to the former US ambassador to the United Nations, Samantha Power. Closer to home, Indonesia’s limited resources would clearly be better spent on shoring up its rickety and inadequate health system than it would on upgrading its military hardware.

Much the same criticisms could be made about Australia’s defence priorities, of course. Given that Australia is about to spend more than A$80 billion on 12 new submarines, which even security specialists fear will be out of date before they’re even delivered, the long-suffering Australian taxpayer might reasonably ask, is this a sensible use of scarce resources when there are more immediate and compelling threats to our security?

That would be a good question even if there weren’t an enormous and growing black hole in the nation’s finances from Covid-19-related stimulus measures. But when there is such a black hole, one might expect that defence spending and priorities would be subject to much more rigorous scrutiny than they currently are. At the very least, advocates of increased spending to counter conventional threats ought to be expected to provide much more plausible and detailed explanations about why the usual defence priorities should prevail in rapidly changing times.

China may, indeed, seek to intimidate its neighbours, but middle powers such as Australia have little capacity to independently influence the outcome of regional, much less global, security challenges. We shouldn’t try to. Part of the justification of being in an alliance with the United States is, after all, the possibility that it will be cheaper than going it alone.

And yet, even in the US, prominent scholars are calling for a fundamental rethink of American ‘grand strategy’. Lesser geopolitical lights like Australia have even more compelling reasons to focus on mundane domestic issues rather than possible international challenges that they have little independent capacity to influence.

The pandemic is a dramatic reminder of just how exposed we remain to all kinds of security threats in a global environment. The challenge for policymakers is to ensure that we’re defending ourselves against the most important, likely and immediate.

The deadly urgency of now

‘This is not a discrete one-off episode’, warned Jeremy Farrar, the head of Wellcome Trust, a global health research foundation. ‘[T]his is now an endemic human infection.’

Covid-19, as Farrar suggests, knows no boundaries, geographic, political or otherwise. Nor must our efforts to defeat it. No one can be truly safe unless the disease is tackled wherever it takes hold.

To prevent what many scientists now fear—a second wave of the pandemic later this year—we must urgently act where the need is most pressing: in the world’s poorest countries. As Abiy Ahmed, Ethiopia’s prime minister and a Nobel Peace Prize laureate, has warned, if the coronavirus sweeps through Africa, it will return to haunt us all.

Abiy is not understating the threat. The United Nations estimates that Covid-19 could cost between 300,000 and 3 million lives in Africa. As many as 130 million people globally may be pushed to the brink of starvation by a breakdown in global supply chains.

A successful exit strategy from this pandemic requires testing, treatments and a vaccine. And if developing countries cannot combat the virus effectively, we may be powerless to prevent further outbreaks around the world.

That risk is glaringly real. Of sub-Saharan Africa’s 45 countries, 34 spend less than US$200 per capita annually on health care. In five countries, health spending is less than US$50. Countries have little testing equipment, few (if any) ventilators, limited medical supplies, and often poor sanitation and insufficient running water.

Moreover, workers cannot rely on social safety nets to support them during the pandemic. They therefore face a deadly choice: go to work and risk being struck down by the disease, or stay home and risk being condemned to starvation. This makes it difficult for these countries to use tools available to richer economies, such as social distancing, lockdowns and regular hand-washing.

If we are to stop Covid-19 in its tracks, our interventions will only be as effective as the weakest link in the global chain. So, if any issue is a candidate for multilateral global action, then it must be our response to this pandemic. The health of each depends on the health of all. Local solutions everywhere are only as good as the global response.

With this in mind, we must outlaw the ugly ‘vaccine nationalism’ that seems to be setting in. Restricting new vaccines to those who can afford them will condemn millions to enduring multiple waves of the illness. We must also crack down on medical piracy, whereby a few countries seek to monopolise testing kits, ventilators and personal protective equipment by whatever means, instead of joining a coordinated international effort to increase their global supply.

World leaders therefore must decide to finance a collaborative international search for a vaccine and its mass manufacture, and mount a concerted effort to increase our capacity to produce medical goods. And they must support developing countries in their hour of greatest need, which is now.

The world’s leading health experts tell us that they need US$8 billion immediately to address the most critical gaps in the response to Covid-19. That is equivalent to just US$1 for every person in the world—and a fraction of the estimated US$14 trillion that has already been allocated to deal with the pandemic’s consequences. It is shocking that, while we have seen individual and corporate generosity in response to Covid-19, governments have so far been unable fully to fund this global health initiative with even that modest amount.

Indeed, US President Donald Trump has suspended US funding of the World Health Organization. And, following the 19 April virtual summit of G20 health ministers, the US deputy secretary of health and human services could not sign on to a joint statement promising what Trump had already agreed to at the 26 March G20 leaders’ summit: a strengthened mandate for the WHO and sustainable funding for its emergency programs. A watered-down communiqué was issued instead.

Fortunately—and to their great credit—the European Union and five countries (the United Kingdom, France, Germany, Norway and Saudi Arabia) have agreed to fill the void, announcing a special pledging conference to take place on 4 May. This summit is the right way forward, as outlined in a mission statement on global health by French President Emmanuel Macron and as recommended in a recent letter signed by 200 economists, health professionals, and former presidents and prime ministers.

And there will be much to decide. Despite help from Europe’s biggest aid donors and Saudi Arabia, CEPI (the Coalition for Epidemic Preparedness Innovations) is only one-third of the way to securing the US$3 billion it needs to develop, scale up and mass-manufacture hundreds of millions of Covid-19 vaccine doses.

Similarly, while the Wellcome Trust, the Bill & Melinda Gates Foundation and Mastercard have together provided up to US$125 million of seed funding to speed the development of and access to life-saving treatment for the coronavirus, the plan for accelerating Covid-19 therapeutic interventions and vaccines (ACTIV) needs US$2.25 billion to make the first 100 million courses of treatment available. Expert organisations that monitor, improve and deliver diagnostic tests around the world, like the Foundation for Innovative New Diagnostics, also need our support.

My hope is that in the next few days, aid donors from Australia, New Zealand and South Korea to Canada and Mexico will join the pledging event, thus sending a message that the world will not stand for vaccine nationalism, medical piracy and a cutthroat race to the bottom. And the United States and China, which have both been helping countries bilaterally, should demonstrate their global leadership by joining the conference, instead of sitting it out.

The consequences of lapses in international cooperation over the last few months can now be counted in lost lives. Having failed to stop the first wave of Covid-19, we must not make the same mistake again.

Global interventions may feel far removed from the quotidian tasks we all face as individuals, families and communities in getting through this crisis. But if countries do not see beyond their borders and coordinate an international response, we will all suffer.

Today, the entire world is facing what Martin Luther King, Jr famously called ‘the fierce urgency of now’. With Covid-19 threatening to destroy millions of lives and livelihoods on every continent, King’s words were prophetic: ‘In this unfolding conundrum of life and history, there is such a thing as being too late.’

Protectionism is no cure for pandemics

Africa is no stranger to epidemics and public health crises. Ebola is estimated to have killed more than 11,000 people in West Africa in 2014–16, and more recently claimed over 2,000 lives in the eastern Democratic Republic of the Congo. Because of their fragile health systems, African countries were able to control this deadly disease only with the support of other governments, the World Health Organization and non-governmental organisations such as Médecins Sans Frontières.

Africa has learned the hard way that international cooperation is key to saving lives and extinguishing epidemics. But the mixed global response to the Covid-19 pandemic suggests that the world is in danger of forgetting this lesson.

Perhaps understandably, governments have focused on their domestic situation and their citizens’ needs. Many countries reacted to the outbreak by closing their borders and attempting to solve their own health crises first before helping others. But such an approach will have unintended consequences. And too many governments have paid scant attention to how their preventive measures may negatively affect poor and vulnerable countries in particular.

For example, 60 governments have imposed export restrictions on medical equipment such as ventilators and personal protective equipment—more than half since the beginning of March. Some countries are limiting exports of essential drugs for treating Covid-19 symptoms. And a growing number are banning exports of food products, including rice, wheat and eggs, in order to guarantee their own countries’ food security.

True, the World Trade Organization allows its members to impose trade restrictions such as export bans in certain limited cases. But the proliferation of such measures could negatively affect the food security of countries that depend on international trade for the bulk of their needs—including many of Africa’s least-developed economies.

Covid-19 is not just hitting trade, of course. The accelerating pandemic is exacting a shocking human and economic toll, first and foremost in terms of lost lives, but also as a result of bankruptcies, job losses and mental-health problems.

Faced with this, governments must not be frightened into short-term protectionist fixes. And that applies to African countries, too.

Crucially, policymakers must not lose sight of the opportunities presented by the African Continental Free Trade Area, which could become operational early next year. African governments have rightly invested a lot of hope in the deal. By removing tariffs and other trade barriers, the agreement can foster significant growth in trade, investment and employment throughout the continent. Such growth is urgently needed, because intra-African exports accounted for less than 17% of the continent’s total exports in 2017 (the comparable figure for Europe was 68% and for Asia, 59%.

That means African economies’ interconnectedness with the rest of the world is vital to their survival during the pandemic, and to their eventual recovery and growth. Africa therefore should be at the forefront of those calling on G20 members and other governments to abide by the letter and spirit of their WTO commitments and eschew protectionism.

Unnecessary export restrictions on food, medical equipment and essential drugs can have far-reaching consequences for the multilateral trading system and the global economy. Such measures will not only impede progress in managing the current crisis, but also compromise African countries’ longer-term efforts to tackle poverty and improve living standards.

Now more than ever, WTO members should give full effect to the WTO Doha Declaration on the TRIPS Agreement and Public Health. This declaration recognises the fragility of African countries’ health systems and promotes their access to essential medicines to deal with public health crises, including HIV/AIDS, tuberculosis, malaria and other epidemics such as Covid-19.

At the same time, African countries, for their part, should remove tariffs and simplify customs clearance procedures for imports of essential drugs and equipment. And when confronting health crises, they must make full use of information and communication technologies wherever possible, facilitate the exchange of African health experts, and involve the private sector in the same manner as during the Ebola epidemic. By working collaboratively with African economic communities and political bodies, governments will ameliorate the impact of Covid-19 and future health crises.

In a matter of a few weeks, Covid-19 has flattened the world, making everyone vulnerable and fearful, but also reminding us how interdependent we all are. Instead of wasting this crisis, the international community must now seize the opportunity to strengthen global cooperation and facilitate trade. That means rejecting protectionism, which would only prolong the pandemic and deepen the already severe global recession.

Testing for Covid-19: Australia could have been prepared

The rapid evolution of genomics over the past three decades, combined with the ‘dry runs’ of SARS, MERS and swine flu, created a genuine sense of optimism about the global capacity to respond to new threats. As each pathogen emerged, there was a competition between labs for the bragging rights of being first to decode its genetic sequence. Once the sequence was known, new tests could be instantly designed and implemented globally and without referencing real viral samples—a feature almost unique to genetic tests. There seemed to be no significant barriers to being able to respond to any new virus.

So why are nearly all countries unable to process enough Covid-19 tests? Any moderately competent graduate molecular biologist can design a working SARS-CoV-2 reverse transcription quantitative polymerase chain reaction (RT-qPCR) test—the current standard for Covid-19 testing. The principles of qPCR assay design are well known, and at the time of writing there were 295 new diagnostic kits listed at finddx.org.

So, if industry has responded so comprehensively, what combination of planning failures has led to even the United States still not being able to conduct enough tests? Did Australia prepare or rely on good fortune and what can be done to better prepare for the next pandemic?

After 25 years of federal and state government sponsorship of the biotechnology industry and the opening of multiple palatial research institutes in almost every state capital, Australia now no longer has the capability to manufacture these simple tests without importing major components from overseas. That problem was quickly recognised by the federal government, which put out an urgent call to establish a local supplier network.

High-quality testing kits were designed and manufactured in a short time. But like nearly all countries, we rely on a limited number of global manufacturers for key components. Four that can no longer be locally sourced are PCR enzyme, DNA oligomers, plastic testing plates and the crucial nucleic acid extraction kits required to purify the virus from the sample swab. The ongoing global shortage of nucleic acid extraction kits is believed to be the core cause of test shortages, because the market is highly concentrated.

Australian industry once had the capacity to manufacture PCR enzyme and DNA oligomers, but local manufacturers have gradually been acquired and operations have moved offshore to countries that provide incentives to the biotech sector. Many manufacturers established offices in Singapore, which is a global hub for biomedical manufacturing.

More astonishing was the failure of public-health scientists to plan for and secure supply lines of testing materials in anticipation of an outbreak, even while warning others of a lack of preparedness. While Australia maintained reserves of personal protective equipment and other medical supplies, there were no national stockpiles of testing materials or even significant engagement with industry to plan. This oversight is not unique to Australia but was a global phenomenon.

The global waiting time for delivery of Covid-19 testing materials is around four to six weeks, depending on the manufacturer and country. A month is an extraordinarily long time during a pandemic, and countries that triggered their pandemic responses only a week or two after Australia are still waiting for significant shipments of materials.

The few multinational manufacturers are scaling up their operations to unprecedented levels while dealing with lockdowns around their own plants, but demand continues to grow as developing economies begin their responses. These countries are now taking desperate measures like pooling samples (which reduces sensitivity) or even using rapid or point-of-care tests which do not detect early infection and which both the Royal College of Pathologists of Australasia and the World Health Organization recommend against.

Through negligence, advanced economies like Australia that could be suppliers are actually competing with the developing world for scarce resources.

But at least Australia was saved the hubris of the US Centers for Disease Control and Prevention,  which planned to take on the role of key manufacturer of testing kits in the event of an outbreak, not just for the US but also for networks of labs around the world. The inexperience of the CDC in high-quality and high-volume manufacturing was the cause of the contamination issues that, combined with overzealous regulatory enforcement by the US Food and Drug Administration, shut down testing in the US for three crucial weeks.

Pilot-scale biological drug manufacturing plants already established in Australia can manufacture the enzymes required, the plastics can be manufactured or stockpiled for years, and reagents can be made at scale by a number of the existing suppliers.

Thousands of qPCR instruments of essentially indistinguishable specification are dotted through research and diagnostic labs around the nation and could simply be included in a register.

Sample preparation kits could be stockpiled, or a local manufacturer could be encouraged to make them as there’s little intellectual property involved. Of all the components in a qPCR test, only the DNA oligomers couldn’t be stockpiled but would need to be manufactured as needed for each new outbreak.

Compared with the subsidies provided to the naval shipbuilding industry, it would take only miniscule incentives to encourage industry to re-establish a local DNA oligomer plant, which would immediately improve the treatment of cancer patients while speeding up research in many fields. Australia could, with a little planning, be a net contributor to pandemic preparedness for the region instead of being just another helpless island in the Pacific.

China now finds itself in the almost unique situation of having abundant capacity to manufacture testing materials and is in a position to export that technology around the globe. Even Australia is the recipient of China-made test kits, and to many developing countries China has become the indispensable ally in the fight against Covid-19.