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China coronavirus: WHO in uncharted territory in dealing with emergency in world’s second largest economy

  • Experts say the World Health Organisation (WHO) faces an unprecedented challenge in deciding whether to declare China coronavirus a global emergency
  • Such decisions are inherently political, and ‘the bigger the player, the more intense and powerful the pressure’

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On Wednesday, British Airways and Lufthansa announced they were suspending all flights in and out of China, while a number of other airlines have scaled back their services to China. Photo: EPA

In deciding whether to declare the deadly and rapidly spreading coronavirus a global emergency, world health officials are faced with an unprecedented challenge: China.

Never has an economy as important as China’s been at the centre of such an outbreak since the World Health Organisation (WHO) introduced guidelines around public health emergencies of international concern (PHEIC) in 2005.

Nor has the WHO since had to decide whether to pull the emergency cord on a country so determined to control the information crossing its borders.

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The measures were initially designed to help rally international support – financial, operational and medical – for affected regions and to ensure better transparency, but come with the expressed caveat that they should not be used as a reason to economically stigmatise a nation.

Previous PHEIC declarations have been reserved for epidemics in middle-to-low income countries such as the Democratic Republic of Congo, Guinea and Uganda for two separate Ebola outbreaks, Brazil and other Latin American countries with the Zika virus, the return of polio to places like war-torn Syria and Afghanistan, and a global swine flu pandemic in 2009 that started in Mexico.

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As such, there is no rule book for dealing with a virus originating in the world’s second largest economy, meaning the WHO faces huge pressure from China to tread carefully on sounding the alarm, lest it cause further economic and reputational damage, experts said.
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