The Lost Year Coronavirus Special Report - To Parent Directory
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Coro Bloomberg Businessweek his mean? ? virus Special Report The coronavirus t at causes Covid-1 is a minute, studded wrecking ball that’s ot eventrulyalive.Butinitsmachinelikeway,it’s defeatingeveryefforttohaltitsspread.M re than 100 nations had reported infecti ns as of March 10, and almost 4,000 peo le had died, according to a Bloomberg tally. 1 On March 11, the World Health Organization declared the outbreak a pandemic. business activity, profits, and stock pri es have plunged. N95 masks have beco e rare and precious, and things that were o ce valued are in surplus—take crude oil, he price of which plunged as spigots ope ed in an impromptu geopolitical knife fight. The most valuable commodity? Distan e. There is security in the ability to stay m re than a cough’s distance away from oth rs. You don’t want to be a barista, a dentis , Cover: Photograph by Chona Kasinger
wh hen Covid vid-19 . siion vid-19 iff m its de d r RS o g o wa o t know m D wrote in his book onn that epidemic, A J of the Plague Year. “Their h hands uld infe e things they touched.” e Flummoxed a o be b revising battle pll look lo o at p vid 19 vid-19 2 contained in the U.S s the number umb berr of cases was skyrocket ef p flopp f ping p and promising to o s t “ p e er of thet federal governm m ” sewhe Chin n a’s measures may ha a quire p c ce state for enforcement, b t stop ttaly frrom r locking down the e entire country. How will we look k back on all of this? It will depend on how bad d busine e ess changing plans? Wha at e ssonallly? l The Lost Year, as we’re c eccial isssue s of the magazine, is less a about GDP re evisioo ons than a major disturbance tto our daily life. Therearestillmanyquestio ion Covid-19. Covid d-19. We have some answers.
CO ID-19 Bloomberg Businessweek March 16, 2020 of m ma be Economy 4 Government 14 Business 28 3 Us 42 Virus 54
il h Bu ar he econom ○ When Covid-19 strikes, the worst of the damage is done by the body’s effort to fight off the disease. The immune system can overreact restrictions to limit the economic pain, there’s a risk that the number of new cases in the country will begin to rise again as people go back to work- in what doctors call a cytokine storm. Immune ing, studying, and shopping. If the number of new cells attack not just the viral invader but healthy cases in China does keep falling, it will show that tissue as well. Victims gasp for breath as their an authoritarian state with a pliant population and What I’m lungs fill with fluid. The novel coronavirus, high-tech surveillance capabilities can rein in Covid- telling clients which scientists have christened SARS-CoV-2, 19. But few—if any—other nations could employ Brendan MacMillan, CIO, QP Global Family tricks us into fighting it so hard that, in the most China’s strategy with the same strictness. Offices in New York, extreme cases, we kill ourselves. Forecasters have now turned their attention to which manages family offices and their wealth As with the body’s immune system, so with the U.S., the only nation with a bigger economy than 4 the defenses of the global economy. There’s a vir- China’s. The question is the same: How much will We believe the market hasn’t discounted the tual cytokine storm going on: The all-out effort to Covid-19 take off U.S. growth—and how much of the full potential for an battle the disease is doing more harm to global harm will come from efforts to fight the disease vs. event as significant and symbolic as the growth than the disease itself. Quarantines, travel the disease itself? There were 1,107 reported cases temporary closure restrictions, business closings, and citizens’ vol- and 36 deaths in the U.S. through 4 p.m. Eastern of the U.S. school system, or at least their untary self-protection measures have frozen busi- time on March 11, according to data collected by statewide closures in ness while wreaking havoc on people’s routines. Bloomberg. That number is expected to leap. California or New York. We don’t see a high This will be the business story of 2020: Can the probability that the world modulate its immune response so as to fight ● How vulnerable effects of Covid-19 will lead to a credit crisis Covid-19 in a way that saves lives without damaging yet, but just in case everything else we care about? Or is this a lost year? is the U.S.? we get that wrong, we will look to hedge There’s reason to worry that simultaneously our equity positions defeating the virus and sustaining growth will be by shorting stuff like HYG, the high-yield hard, if not impossible. New cases in China have Economists who were initially blasé about the bond exchange-traded declined sharply, which is wonderful news. But to potential hit to the U.S. have become increasingly fund. �As told to Joel Weber make that happen the country’s leaders imposed concerned. Goldman Sachs Group Inc. revised its one of the most extensive quarantines in his- U.S. outlook downward in late February to reflect tory, corralling close to 60 million people inside a drop in U.S. goods exports to China, fewer tour- Hubei province, the epicenter of the outbreak. ist arrivals from China, and modest supply chain Governments in surrounding provinces also took disruptions for U.S. retailers. But that turned out to steps to protect their populations, enacting travel be not pessimistic enough. “Over the last week the bans and forcing factories to shut down. The eco- situation has proven worse than we expected,” the nomic toll has been high: Growth in the first quar- Goldman team wrote on March 1, citing increased ter will be just 1.2%, according to projections by economic weakness in China and further spread Bloomberg Economics—the slowest year-over-year of the virus outside the country as key factors in rate since China started keeping records. the decision to downgrade full-year 2020 growth Despite Beijing’s best efforts, there have been to 1.3%—a full percentage point below the previ- large outbreaks of Covid-19 across China as well as ous forecast. A week later, Goldman lowered its in South Korea, Iran, Italy, and elsewhere. And now forecast once more, to 1.2%, despite the Federal that authorities outside of Hubei have begun easing Reserve’s half-percent rate cut.
hi COV be March 16, 2020 my? 5 authorities locked down the city on Jan. 23 in an attempt to contain the spread of the coronavirus. Since then, the 33-year-old professional cameraman has been documenting life at the epicenter of the outbreak. “I witnessed a city of 11 million turn into a ghost town,” says Xie, who snapped all the photos in the following pages of this section. “Sometimes I really want to find a stranger to chat with, but people are just staying away from each other.”
◼ COVID-19 / ECONOMY Bloomberg Businessweek March 16, 2020 financial giant State Street Corp., puts the chance ● What about the of a U.S. recession in the next six months at 75% based on early March stock prices. Actually, a wealth effect? Covid-19-induced recession may already have begun. Economic historians measure reces- The stock market’s swoon is not just a symptom sions from the peak of economic activity to the of the harm the virus is inflicting on the U.S. econ- trough, and it’s possible the U.S. economy peaked omy, but also one of its causes. Even U.S. house- in February, when unemployment tied a 50-year holds that don’t directly own equities aren’t low of 3.5%. immune to the so-called wealth effect of falling If extinguishing the virus is impossible, the stock prices. Retail sales tend to decelerate sharply next best thing is learning to live with it. Save in the wake of market shocks because, rightly or extreme precautions for the most vulnerable, wrongly, many Americans view stock indexes such as nursing-home residents, while dialing such as the S&P 500 as the most important indi- back economy-deadening measures in other cator of the health of the economy. Business confi- spheres. For example, factories, offices, and dence experiences a similar impact, which usually schools should generally stay open, albeit with translates into a decline in investment. And so it’s better procedures to limit contagion (hand- self-fulfilling prophecy: If both U.S. consumers and washing, social distancing, working from home companies dial down their spending because they where possible, paid sick leave). Governments think the outlook has worsened, then it almost can offset the economic damage with stimulative certainly will. fiscal and monetary policies. A virus as contagious as SARS-CoV-2 is hard Walling off stricken cities, regions, or nations to tamp down as long as people continue to con- doesn’t make sense if the disease is already spread- gregate and cough on one another. If the virus ing outside the containment area. “In a globalized does spread widely in the U.S., a recession is world, there’s a question about whether the horse 6 likely to follow, says Moody’s Analytics Inc. may already have bolted,” says Neil Shearing, Chief Economist Mark Zandi. “We could be mov- Capital Economics’ chief economist. That sounds ▼ Volunteers ing from a self-reinforcing positive cycle to a self- defeatist. But given how damaging an overreac- waiting to pick up people who’ve reinforcing negative cycle,” he said on March 3. tive immune system can be, it’s simply realistic. fallen ill in Wuhan’s State Street Associates, the research arm of —Peter Coy Jiang’an District
COVID-19 / ECONOMY Bloomberg Businessweek March 16, 2020 The coronavirus threatens to bring the world economy to a standstill. The fallout could include recessions in the U.S., euro area, and Japan; the slowest growth on record in China; and a total $2.7 trillion in lost output— equivalent to the gross domestic product of the U.K. That’s the most extreme of four scenarios developed by Bloomberg Economics. The outcome many had in mind a month ago—with a major outbreak confined to China and other countries suffering limited effects—is rapidly becoming too optimistic. The chances of the worst-case scenario—with all major economies suffering a significant shock—are rising by the day. The graphic below shows how they would fare under each scenario. —Maeva Cousin, Jamie Rush, and Tom Orlik Scenario 1 Scenario 2 Scenario 3 Scenario 4 China shock More outbreaks Widespread contagion Global pandemic Global 2020 GDP growth forecast 2.9% 2.3% 1.2% 0.1% Baseline 2020 GDP growth forecast Percentage-point change from baseline -6 -4 -2 0 2 4 6% Hong Kong Russia For Hong Kong, the impact of the virus will compound the blow Indonesia from 2019’s trade war and protests, pushing the economy into a South Korea record contraction. 7 India Turkey France In Scenario 2, the Germany euro area and Japan are sent into recession. Italy Spain Brazil U.K. Mexico Australia faces its first recession in Australia 29 years as the virus outbreak hits demand from China, its Canada biggest trade partner. In Scenario 4, China’s Japan growth falls to the lowest level since the beginning of the Saudi Arabia reform era. China In Scenario 3, U.S. growth drops to 0.5%, enough to drive unemployment higher in U.S. what is an election year. SCENARIOS ARE BASED ON BLOOMBERG ECONOMICS’ ESTIMATE OF THE SLOWDOWN EXPERIENCED IN CHINA, THE CASE COUNT IN OTHER COUNTRIES, CALCULATIONS OF SUPPLY CHAIN LINKAGES, AND A LARGE-SCALE MODEL OF THE GLOBAL ECONOMY. DATA: BLOOMBERG ECONOMICS, NIGEM, OECD ICIO
at ha ene to Y B 202 the bull market? ○ The 11-year bull market in U.S. equities is over, priced into the market as 2020 got under way, ▶ Shoppers at a Walmart in Wuhan on at least by one measure. At the close of trading on with the U.S.-China trade war widely believed Jan. 24, the day after March 11, the Dow Jones Industrial Average had to be in the rearview mirror. At its last record in authorities imposed travel restrictions recorded a 20% drop from its highest point. The February, the S&P 500 was trading at more than S&P 500 closed 19% below its high, just outside 2.4 times the sales of its companies, the highest of bear territory. But the events of recent days such ratio on record in 30 years of Bloomberg had already provided the sense of an ending— data. The price-earnings ratio was 22.3, in the top the world was anxious about much more than 25% most expensive valuations since 1990. stock prices. This all left the market especially vulnerable to “The most unloved bull market” is the nick- a “black swan” event such as the novel coronavi- name this rally earned, and for good reason. While rus that is wreaking havoc on economies and cor- it was the longest in history, for much of its life it porations around the world—an event that central ● Market value added to stocks during the never quite felt like a boom for most people. It was banks and the government can’t mitigate easily long rally born in the wake of the 2008 financial crisis and with their traditional toolkits. a massive, controversial effort by the U.S. govern- ment to rescue the nation’s banks. The rally was The repricing has been sudden and violent. The S&P 500’s last record was three weeks ago. $28t fueled for years by companies buying back their Perhaps, then, the recovery will be just as swift? own shares, historically low interest rates, and the Making such a prediction would be ill-advised 8 Federal Reserve purchasing massive amounts of in normal times and downright foolish when it bonds in what investors interpreted as an effort to comes to a situation as unpredictable as this one. keep the party going as long as possible. While stock market history offers no past event The rally added $28 trillion in value to U.S. exactly like this one, recovering from other bear equities from March 9, 2009, to Feb. 19, 2020. markets has never been swift. The minimum time Chalking all that up to financial engineering and a it’s taken for the market to return to its highs in cooperative central bank is too easy, and it misses previous episodes is 320 trading days, or roughly the point. The leading companies of this bull mar- 15 months, according to Bloomberg strategist ket were genuine innovators. Apple Inc. went from Cameron Crise. The median is two and a half being a $74 billion company in 2009 to a $1.4 tril- years. Both the swiftness of the decline and the lion company in 2020 not through financial engi- heady valuation of the market at the beginning neering, but by old-fashioned engineering. (In could lengthen the recovery time. fairness, there was some tax code engineer- What’s easy to predict is another bull market ing, too.) Amazon.com Inc. went from being a will come eventually. It could have a different char- $26 billion company to a $1.1 trillion company by acter. The long 2000s bull was built on the legacy reinventing the retail industry. Google, Facebook, of the financial crisis. We may see the next rally as Nvidia … the list of companies that changed not the one in which businesses and investors adjusted ▼ “The panic arrived only our investment portfolios but also our daily to the new rules of a world that’s lived through a faster than I expected,” lives goes on. public-health crisis. —Michael P. Regan Xie says ● How did it hold up for so long? The bull market seemed to withstand any challenge thrown its way: the European debt cri- sis, the loss of the U.S. government’s AAA rat- ing at S&P in 2011, and the trade war. Maybe that explains the indestructible sense of optimism
o ◼ COVID-19 / ECONOMY Bloomberg Businessweek March 16, 2020 How quickly will China bounce back? What I’m ○ Across China, factories that produce everything activity, such as energy consumption. The use telling from smartphones to sneakers have been dormant of coal burned to generate electricity has been investors since the Lunar New Year holiday in late January as steadily ticking up and is now approaching nor- Karen Van Voorhis, director of financial the nation battled to contain the spread of the new mal levels for this time of year. planning, Daniel J. Galli coronavirus. Now plants are slowly coming back But, as ever, some are trying to game the system. & Associates, Norwell, 9 Mass. online, prodded by President Xi Jinping and other In Zhejiang, a province on the east coast that’s a top Chinese leaders who worry that an extended manufacturing powerhouse, at least three cities gave It’s human nature to live and react in the here shutdown will jeopardize the government’s lofty factories targets for power consumption because and now. The challenge development targets for 2020. they’re using the data to show a resurgence in pro- is complicated by the fact that the Economists are tracking energy consumption, duction, according to people familiar with the mat- solution to most of poring over pollution charts, and studying data ter. To comply, some plant managers turned on all people’s fears is to do nothing. It feels like on traffic movements to discern how quickly the the lights and ran machinery as if they were operat- an unsatisfying thing world’s second-largest economy can get back to ing at full capacity. to tell people. People rarely remember that business. Bloomberg Economics has estimated that Just as China’s factories are beginning to get not everything they the economy was operating at as much as 80% of back on their feet, they face a second blow: the have is in the stock market. I’ll say, “You’re normal capacity as of March 6. spread of the disease and the associated risk of a looking at what the Millions of migrant workers who were left collapse in economic activity in the major devel- Dow is doing, but you’re not only invested in stranded by restrictions on travel imposed after oped economies that are their main customers. the Dow. You have the start of the January holiday are being allowed holdings in bonds and back into the megacities along China’s east coast. ● Can you trust the data? international equities. And you have cash— They have to endure quarantines when they get remember how we put that aside in a money there, but back they are going. About 78 million Manufacturing companies across China told market fund?” This have returned to work, which is about 60% of those Bloomberg News that the emerging challenge is is a double whammy, because it’s not only a who went home for the holiday, and almost all will now demand, not supply. “We are actually more market downturn but have returned by early April, the government said worried about the development of the epidemic in it’s also a health scare. It’s different than having in early March. Europe and the U.S., which will affect their domes- a trade war. The stress Given the extent of the virus controls, it will take tic consumption,” says Mark Ma, owner of Seabay level is higher because there are legitimate time to get that many people back on the job. At one International Freight Forwarding Ltd., a company health concerns. �As stage the cheap-and-cheerful long-distance buses in Shenzhen. About a third of the goods it handles told to Annie Massa that ply China’s highways were allowed to travel only are sold on Amazon, he says. half full as part of an effort to prevent contagion. David Ni runs a company in Nanjing that buys Economists have long suspected that China aluminum alloy car wheels from Chinese produc- fudges its statistics, and so they have become ers and exports them to retailers in the U.S. He accustomed to tracking proxies for economic was planning to showcase his products at the
◼ COVID-19 / ECONOMY Bloomberg Businessweek Inspired Home Show in Chicago in mid-March. a resurgence in cases as factory staff return. But the trade show, like so many others, has been No matter how quickly life returns to normal, canceled. “I’d booked hotel, flight ticket, and a China is facing its first quarterly economic con- booth—everything was ready,” says Ni, who’s based traction in decades and the weakest year since the in Los Angeles. “But seeing the situation in the U.S., early 1990s. But though unemployment is likely I began to feel afraid of going on business trips.” to rise, it’s starting from a relatively low level of There’s also a risk that the outbreak in China isn’t 5.2%, and there’s no evidence of widespread job really under control. Although government statis- losses yet. Consequently, there’s been little talk tics show a marked decline in the number of new yet of a stimulus package on the scale of the one infections registered daily both in Hubei province Beijing cobbled together in response to the 2008 and in the rest of the country, there are suspicions global financial crisis, which equaled about 12% that authorities are manipulating the data, as case of the size of the economy. That may change as numbers have been repeatedly revised through the machinery of government, also disrupted the course of the outbreak. Also, health special- by the virus, resumes working. �Jeff Black, ists have warned that the country could experience Jinshan Hong, and James Mayger Could there be 10 a financial contagion? ○ The coronavirus is threatening to expose the Federal Reserve Chair Jerome Powell has Achilles heel of the U.S. economy: heavily leveraged dismissed comparisons of the business borrowing companies. As the expansion stretched into a record binge to the precrisis housing debt bubble, argu- 11th year and interest rates stayed at ultralow levels, ing that the financial system is now better able to business debt ballooned and now exceeds that of handle credit losses. But he has acknowledged households for the first time since 1991. that some debt-laden businesses could face severe What’s more, borrowing increasingly has been strains if the economy deteriorates and that they “It will add to concentrated in riskier companies with fewer finan- could amplify any downturn by laying off workers recessionary cial resources to ride out virus-driven difficulties. and cutting back on investment. pressures in A wave of defaults would intensify the economic The Fed is trying to cushion the economy—and the U.S.” impact of the contagion. “It will add to recession- the corporate sector—from the blow of the corona- ary pressures in the U.S.,” says Nariman Behravesh, virus by cutting interest rates and pumping money chief economist at consultant IHS Markit Ltd. into the financial system. Behravesh says Congress Energy companies are especially vulnerable and the White House will also have to act. “We’re because of a collapse in oil prices. But they’re going to need them to set up a bailout fund, then not alone. Debt tied to travel companies such as decide where to distribute it,” he says. American Airlines Group Inc. and Hertz Global On March 9, stock markets posted their worst Holdings Inc. has been hit hard in the fixed-income losses in more than a decade. President Trump told markets, as have the obligations of movie theaters reporters later in the day that he’d seek a payroll and casinos. tax cut and “very substantial relief” for industries
that have been hit by the virus, reversing course on recover only 55¢ to 60¢ on the dollar, compared ▲ Wuchang train station on Feb. 5 the need for economic stimulus. with 67¢ historically, because of companies’ dubi- There are about $1.3 trillion in high-yield bonds ous earnings math and rising debt loads. outstanding, up from $786 billion a decade ago. With broad financing markets shut for now, des- The investment-grade credit market has more perate companies are turning their attention to the than doubled, to $6 trillion, in the same period. $812 billion private-credit market. In times of stress, Almost half the investment-grade bond mar- these lenders—private equity firms and others— ket is now rated BBB, which means it could be often step in to provide financing to borrowers downgraded to junk levels if the economy falters. that would otherwise have to go without, at a cost. Should that happen, many investors would need But that might not be a cure-all. A slowdown in to sell the debt to comply with restrictions on the consumer and business spending could be partic- quality of their holdings. ularly damaging for broadly syndicated loans and private credit, much of which is debt rated B and below, according to UBS Group AG credit strategist ● Who’s at risk Matthew Mish. That debt is among the riskiest in the high-yield market because downgrades can put this time? it in CCC, the lowest tier. “Companies with vulnerable balance sheets— In the $1.15 trillion leveraged loan market—where meaning little cash, high maturing debt—are companies already carrying a lot of debt accu- going to have difficulty refunding themselves,” mulate more—borrowers have used adjustments Mohamed El-Erian, chief economic adviser at to their earnings to reduce their apparent level Allianz SE, told Bloomberg Radio on March 9. of indebtedness. A downturn could expose their “There is going to be an increase in credit weakness. Analysts at Barclays Plc estimate that defaults.” �Rich Miller and Claire Boston, with buyers of U.S. leveraged loans will be able to Kelsey Butler and Davide Scigliuzzo
◼ COVID-19 / ECONOMY Bloomberg Businessweek March 16, 2020 12 ▲ Walking the desolate streets of Wuhan’s Jianghan District on March 7
◼C March 16, 2020 ◀ Opening hours at a mall in Qingshan District on March 5 What I’m telling clients Mark Haefele, CIO at UBS Wealth Management, Zurich Taking a look at the overall coronavirus Who wins the oil picture, we think it’s going to accelerate a lot of larger trends. One is genetic therapies. We’ve seen the rapid sequencing of the virus to see how it’s mutating. Another one price war? is the digital consumer. The trend toward use of facial-recognition software—that trend is accelerating. And the future of food, not just moving to plant- based foods but also microfarming and the provenance of food. 13 ● Saudi Arabia and Russia have long been at odds of the other combatants. If the price war persists While markets are good at pricing over how to cope with falling oil prices. It took the for months, Saudi Arabia appears in be in a weaker slowdowns in growth, coronavirus to bring the conflict out into the open position. Riyadh needs oil prices of more than $80 they’re bad at pricing just how fast a recovery and set off a price war that sent crude down as low a barrel to balance its budget, higher than at almost can take. People adapt. as $31 a barrel in early March. any other time in the past 20 years. If it’s forced to There are some pent- up sales. What makes For Russian President Vladimir Putin and Saudi tap the piggy bank, the kingdom’s cash reserves are this such an interesting Crown Prince Mohammed bin Salman, oil is the life- $500 billion—down a third from their peak in 2014. period is if our baseline view holds that this blood of their economies—and their political power. Russia has spent the past five years resetting its gets settled in the first Saudi Arabia depends on oil for almost 70% of gov- economy to a lower oil price and rebuilding cash half of the year, we’re in a situation with low ernment income, according to the International reserves to $570 billion. Following a price slump interest rates and high Monetary Fund. For Russia it’s 40%, including gas. and U.S. sanctions in 2014, Moscow has lowered global stimulus applied. With a global economy On March 6, Putin refused to go along with MBS’s the price at which its budget breaks even, to about that went into this in plan to cut production among the oil-rich countries $50 a barrel from $115 in 2013. And Russian com- decent shape, that is a highly stimulative to put a floor under prices. Riyadh then declared panies can turn a profit at a much lower oil price. environment. We a massive production increase for April, which President Trump cheered on the fall in prices, could see a very sharp recovery in the back of Moscow matched. Prices went into free fall. tweeting it was “good for the consumer.” He may the year. �As told to Russia and Saudi Arabia have a common enemy: feel the domestic impact politically, however. The Joanna Ossinger the U.S. and its shale oil drillers, which have oil industry’s pain could hurt his popularity in grabbed an increasing share of the world’s oil mar- Texas. And the price plunge is ricocheting across ket. At first glance, the U.S. should be the loser in U.S. financial markets—his personal gauge of suc- the price war. Drilling in the Permian Basin of West cess. To avoid disrupting his own presidency, Texas and New Mexico is far more expensive than Trump may have to intervene to keep Moscow in Siberia or the Saudi desert. Permian shale pro- and Riyadh from escalating further. The U.S. presi- ducers need an average of $40 to $50 a barrel to dent called the Saudi prince on March 9, according break even, according to Rystad Energy. Producers to two people familiar with the situation. “It’s no have already been weakened by lenders reluctant longer about economics,” says Chris Weafer, chief to finance their drilling and by falling demand executive officer of Macro Advisory, a Moscow- because of the coronavirus. based consulting firm. “All three of them are hurt- But much depends on the economic resilience ing at this price.” �Javier Blas and Jack Farchy
om esp ○ As the new coronavirus spread around the worl , sickening tens of thousands of people, Preside Xi Jinping, China Donald Trump suggested that warm weather w would After his government initially suppressed kill the virus and said the number of U.S. ca ases of warnings about the Covid-19 was “going very substantially down n, not outbreak’s severity, Xi claimed credit for lock- up.” He predicted the imminent availabilit y of a ing down Hubei prov- vaccine and blamed the Obama administration for When the going gets ince and replaced local tough, go golfing leaders. His success the slow rollout of test kits. will depend largely on With the number of cases in the U.S. now in four whether there’s a sec- ond wave of infections. figures, public-health experts have harsh critticism for how the White House has responded. “T This is 14 an unmitigated disaster that the administratio on has Hassan Rouhani, Iran brought upon the population, and I don’t sa ay this lightly,” says Ashish Jha, director of the Harvard Global At the outbreak’s start, Iranian authorities Health Institute. “We have had a much worse ressponse made a show of solidar- than Iran, than Italy, than China and South Korea.” K ity with China and were slow to restrict inter- Financial executives are just as concerned: “W Where national and domestic is the U.S. leadership, which was one of the de efining travel. Religious author- ities in Qom, a pilgrim- features of the crisis in 2008?” BlackRock Incc. Vice age site that was the Chairman Philipp Hildebrand said on Bloombe erg TV epicenter of the Iranian outbreak, declined on March 10. to restrict access to shrines. Iran’s missteps are reflected in the ○ Why didn’t the high number of govern- ment officials who have been infected, including U.S. move faster? ? about one-tenth of the nation’s 290-member parliament. The federal government’s role in the crisis began in earnest on Jan. 31, when Trump forbade most fo oreign Moon Jae-in, South Korea nationals from entering the U.S. if they had recently traveled to China. “I give Trump credit for the travel The government’s refusal to completely restrictions—and he has taken that credit,” saays Ian bar Chinese visitors Bremmer, president of Eurasia Group, a po olitical sparked anger. Moon recovered by declaring risk consulting firm. “war” on the virus and But the few weeks of time the U.S. bought with instituting an aggres- sive and effective test- the travel restriction were frittered away, experrts say. ing campaign. Some What other countries have done, and what th he U.S. 210,000 tests (as of March 11) have left didn’t do, is immediate and widespread testing for the country with the virus, which Jha says is the single most important one of the largest case totals—but step in containing the spread of disease. The a admin- also one of the low- istration decided against a test already in use by b the est fatality rates.
v March 16, 2020 Lee Hsien Loong, Singapore Cases in the city-state surged to among the World Health Organization good job.” As criticism of the U.S.’s slow response highest outside China in the early weeks of and instead developed its grew, Trump on Feb. 26 named Vice President Mike the outbreak. Prime own version, even though Pence as his coronavirus coordinator. Even then, the Minister Lee’s com- munications struck a “you could see the tsunami president pronounced, “The risk to the American reassuring tone. The coming,” Jha says. people remains very low.” government laid out steps people could The U.S.’s resulting The next day, Trump named Deborah Birx as the take to help prevent coronavirus test contained official in charge of scientific and medical efforts the spread of the virus and detailed the a faulty component that against the virus. Birx, a medical doctor and retired risks associated with led to many inconclusive Army colonel, had been the U.S. State Department’s infection. Singapore has taken stringent results. It took several highly respected global ambassador for AIDS pre- measures, including weeks to fix that. Initial U.S. guidelines for testing w vention and treatment. Experts were pleased by her setting up quarantine facilities and contact- were also narrow, instructing hospitals and doctors w appointment but put off by what the White House tracing cases. to o screen only people who had respiratory symp- did next—ordering all public communications to go to oms and had either traveled in China recently or through Pence. Jim Thomas, an epidemiology pro- Shinzo Abe, ccome into close contact with someone who had fessor at the University of North Carolina, says pre- Japan been infected. In California, Oregon, and Washington b vious health scares have typically had a scientist as Not only could the state, the epicenter of the U.S. outbreak, those limits the public face of the response and complained that virus tank Japan’s econ- may have left undetected the virus’s spread to peo- m this time scientific voices “have had to contend with omy, it’s raising ques- tions about whether the ple who had done neither. p the confusion introduced by the political voices.” Summer Olympics will TRUMP: ANDY BUCHANAN/GETTY IMAGES. XI: XIE HUANCHI/ALAMY. ROUHANI: JASON ALDEN/BLOOMBERG. MOON: SOUTH KOREAN PRESIDENTIAL BLUE HOUSE/GETTY IMAGES. LEE: NICKY The White House’s messaging in January and into On March 6, Trump signed an $8.3 billion spending be canceled. As cases of Covid-19 mounted, la ate February continued to be that the virus had been measure to speed federal funds for vaccine devel- Abe lurched from a rela- ccontained. “You would literally not know what to do opment and help state and local governments buy tively relaxed approach 15 to restricting travel from too protect yourself if you were only listening to” the masks and other equipment, hire staff, supply lab- China and South Korea Trump administration, says Bremmer. T oratories, and assist community health centers. and shutting down schools for a month. While states and public-health departments are Just after arriving in West Palm Beach, Fla., where laargely responsible for their own preparedness and he spent the weekend playing golf and hosting a delivery of health care, the administration didn’t d lavish birthday party for his son Donald Jr.’s girl- Giuseppe Conte, make sure hospitals and health departments had the m friend, Trump tweeted, “We have a perfectly coor- Italy fuunds, equipment, and training needed to respond dinated and fine tuned plan at the White House for Conte has drawn fire for too local outbreaks, say epidemiologists and other our attack on CoronaVirus.” his handling of the big- experts. That left facilities underprepared. e But all over the country, front-line medical work- gest coronavirus out- break in Europe. In early On Feb. 25, the president told reporters travel- ers were telling a different story by warning of sup- March he bungled the LOH/GETTY IMAGES. ABE: TOMOHIRO OHSUMI/GETTY IMAGES. CONTE: FILIPPO MONTEFORTE/GETTY IMAGES inng with him in India that the virus was “very well ply shortages, and hospitals were uncertain when announcement of a series of increasingly under control in our country” and that the U.S. was u they’d be able to test suspected cases without rely- drastic measures to halt “in very good shape.” Hours later, federal health offi- ing on government labs. Lawmakers said the federal the virus. Ultimately, the government placed ccials warned that the spread of the virus was inevita- government would fall far short of being able to test all of Italy under lock- ble and advised businesses to arrange for employees b 1 million people within days, as promised. Hospitals down. The efficacy of these measures is still to o work from home and consider scrapping meet- were getting fewer than half the high-quality respi- unclear, but they will tip in ngs and conferences. rator masks they were ordering, said Chaun Powell, an already weak econ- omy into recession. “It’s not so much of a question of if this will hap- a vice president at Premier Inc., which helps hospi- pen anymore, but rather more of a question of exactly p tals purchase supplies. —Benjamin Harvey, Kanga Kong, Philip when this will happen,” Nancy Messonnier, direc- w If Trump’s goal had been to minimize the threat Heijmans, Peter Martin, to or of the National Center for Immunization and to keep markets calm, his misstatements and delays Alessandro Speciale, and John Follain Respiratory Diseases, part of the Centers for Disease R may have had the opposite effect: On March 9 the Control and Prevention, told reporters. “We are ask- C stock market saw its biggest rout since the 2008 finan- in ng the American public to work with us to prepare, cial crisis, sending shares down about 19% from their n the expectation that this could be bad.” in Feb. 19 all-time high. The U.S. dollar, normally strong Trump’s response, upon returning to the U.S., in times of crisis as investors seek a haven, has lost was to contradict that advice, saying he didn’t believe w value, which may reflect a lack of confidence by mar- th he virus’s spread was inevitable. “We have it so well kets in the administration’s response. under control,” he said. “We really have done a very u “The federal government is the only game in
◼ COVID-19 / GOVERNMENT y did March 16, 2020 containment town,” wrote Stephen Stanley, chief economist at Amherst Pierpont, in a note to clients, in which he also warned against thinking that additional Federal Reserve easing or fiscal stimulus could do much good. “I would argue that the most important front fail? right now is the public health response,” he wrote, which has “been underwhelming.” For a president who often measures his success by how well stocks are faring, the market plunge was enough to reverse course on the need for economic stimulus. Trump announced he would meet with congressional officials soon to work on a measure ○ Patient zero for the new coronavirus outbreak in to provide “substantial relief,” including to indus- the U.S. appeared to do everything right. He arrived tries that have been hit by the virus. on Jan. 19 at an urgent-care clinic in a suburb north of Seattle with a slightly elevated temperature and a cough he’d developed soon after returning four ● What can we do days earlier from a visit with family in Wuhan, China. The 35-year-old had seen a U.S. Centers for Disease to catch up? Control and Prevention alert about the virus and decided to get checked. He put on a mask in the wait- Comparisons with other countries’ responses high- ing room. After learning about his travel, the clinic light the U.S.’s lack of central coordination. Singapore drew blood and swabbed his nose and throat, then is the standout, says Eurasia’s Bremmer. The coun- called state and county health officials, who hus- try responded quickly and transparently, giving the tled the sample onto an overnight flight to the CDC public a wealth of information about how to protect lab in Atlanta. The patient was told to stay in isola- 16 itself. For example, the government created an app tion at home, and health officials checked on him to inform users where people with the virus had vis- the next morning. ited so others could avoid those places. South Korea The test came back positive that afternoon, Jan. 20, is a close second, Bremmer says: It created drive-thru the first confirmed case in the U.S. By 11 p.m., the testing centers, among other measures. patient was in a plastic-enclosed isolation gurney The U.S. effort is moving toward what those on his way to a biocontainment ward at Providence countries have done, belatedly. The CDC is advis- Regional Medical Center in Everett, Wash., a two- ing high-risk people to stock up on medicine, food, bed unit developed for the Ebola virus. As his condi- and household necessities and to avoid crowds and tion worsened, then improved over the next several contact with people who are sick. Conferences, fes- days, staff wore protective garb that included helmets tivals, sporting events, college classes, and busi- and face masks. Few entered the room; a robot ness travel are being sharply curtailed. Under equipped with a stethoscope took vitals and had pressure from governors, several large health a video screen for doctors to talk to him from afar. insurance companies said they’d waive patients’ County health officials located more than 60 people costs for coronavirus tests. Labs in every state are who’d come into contact with him, and none devel- now capable of testing for the virus. But Illinois oped the virus in the following weeks. By Feb. 21 he Governor J.B. Pritzker said on March 10 he was was deemed fully recovered. “frustrated” by the federal government’s lack of Somehow, someone was missed. All the care- assistance with testing. ful medical detective work, it’s now clear, wasn’t For now, the Pollyanna-ish tone at the top has died enough. In February firefighters in Kirkland, down. On Feb. 27, CDC Director Robert Redfield down- Wash., began making frequent visits to a nursing played Messonnier’s warning that the virus would home where residents complained of respiratory spread beyond those who had traveled to China problems—evidence of continuing transmission or come into contact with an infected person. By that burst into public view on Feb. 29 when officials March 10, he conceded to House lawmakers that the announced the first sicknesses, and later multiple U.S. is past a containment-only approach and must deaths, of people at the facility from Covid-19, the now try to limit the virus’s impact: “In some areas, disease caused by the virus. we’re in high mitigation.” �Margaret Newkirk and The Seattle area, which had 260 infections and 23 Paula Dwyer, with Justin Sink, Mario Parker, Jennifer deaths as of March 10, is, for now, the center of the Jacobs, John Tozzi, and Steve Matthews most severe U.S. outbreak. That may change soon.
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020 t “We are past the point of containment and broad we see, you know, anything is possible,” he said. mitigation strategies—the next few weeks will change On Jan. 15, when the traveler to Wuhan who became the complexion in this country,” Scott Gottlieb, a for- the first known U.S. case returned to Seattle-Tacoma mer Food and Drug Administration commissioner, International Airport, he took group transportation said on March 8 on CBS’s Face the Nation. from the airport with other passengers, county offi- This reconstruction of how the virus spread around cials said. At the time, 41 people in Wuhan had been Seattle, based on interviews with health-care provid- diagnosed with the new coronavirus, and Chinese ers, first responders, relatives of patients, and aca- officials said the threat of human-to-human trans- demic researchers, offers lessons to places such as mission was low. A CDC notice advised Americans Florida and California that are reporting their first who’d been in Wuhan and felt sick to seek care. On deaths. There were excruciating missed opportuni- Jan. 17 the U.S. began checks of passengers from ties, especially at the nursing home. One shortcom- Wuhan at airports in Los Angeles, New York, and ing was a lack of testing in a critical six-week window San Francisco. Two days later the recent arrival from when the virus spread undetected. Even recently, Wuhan visited the urgent-care clinic in Snohomish some patients say, hospitals weren’t taking enough County, and the intensive response began. precautions to protect staff and others from infection. In retrospect, it was already too late. Some PHOTOGRAPH BY EIRIK JOHNSON FOR BLOOMBERG BUSINESSWEEK Governments are bowing to the reality of unprec- researchers who’ve traced the viral genomes of edented, economy-killing measures seen as dras- patients around the world now say someone else tic just weeks ago. Italian Prime Minister Giuseppe in the area might have picked it up between Jan. 15 Conte on March 9 ordered nationwide closures of and Jan. 19, before the traveler went to the hospi- public places including schools, gyms, and theaters tal. He might have sneezed in the airport shuttle or and asked everyone to stay home after hospitaliza- on some surface. “This virus is more contagious tions strained its health-care system. than the flu, so any sort of exposures before he got Although a lockdown of a U.S. city such as Seattle to the hospital would be certainly of high concern,” is hard to imagine, something similar might happen, says George Diaz, who leads the infectious disease Anthony Fauci, director of the National Institute of department at Providence, where the patient was 17 Allergy and Infectious Diseases, told Fox News. “You treated. By Jan. 30 the patient’s symptoms had ▼ A deserted Pike don’t want to alarm people, but given the spread resolved, according to a New England Journal Place Market in Seattle
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020 of Medicine paper. Snohomish County officials example, that Seattle got unlucky and had an early allowed him to leave home isolation three weeks later. introduction that did take off into a chain of trans- mission, and other places that did nothing differ- ● What slowed testing down? ent might have had better luck,” he says. “It’s quite possible that we’ll see some places with lots of cases Early in February the CDC began shipping test kits once we start testing.” to laboratories around the country as news out of Testing around the U.S. was hampered when Wuhan grew alarming—tens of thousands more sick- local officials reported flaws in the kits the CDC sent. ened and a virtual lockdown imposed to keep people Replacements didn’t come until weeks later, which in their homes. Outbreaks hit Iran, Italy, and South left most hospitals and clinics short of tests. Shifting Korea. More cases around the U.S. were reported, guidelines for who should get the few tests available suggesting other travelers may have brought the virus also confused hospitals, Diaz says. At the time, there home with them. For every dozen cases the U.S. still had been only the single case reported in Seattle. caught, it probably missed 20 or 25, estimates Marc Trevor Bedford, a Harvard-trained researcher and Lipsitch, an epidemiology professor at the Harvard viral genome expert at Seattle’s Fred Hutchinson T.H. Chan School of Public Health. “It may be, for Cancer Research Center, wondered why. He had Are American workers ready? 18 Many working Americans lack health benefits, while more workers than ever are in industries where they have to show up to get paid, including heath care and restaurants. Older workers, who are particularly vulnerable to Covid-19, make up an increasing portion of the U.S. labor force. Here’s a look at how various risk factors vary by income level and industry. �Dorothy Gambrell What benefits do workers enjoy in different industries? Percentage of workers with Access to paid leave Health benefits Ability to work from home Utilities* Financial Wholesale Transportation Information activities Professional and business services trade* Construction Manufacturing and warehousing* ◀ Highest weekly wages
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020 spent weeks analyzing genomes of patients from genetically identical to the original except for three around the world, tracing minor mutations to deduce minor mutations in the virus. And it contained a key how Covid-19 emerged and spread. The early work genetic variant that was present in only two of 59 found that infections were doubling roughly every viral samples from China. This type of circumstan- six days, and that for every three to four rounds tial evidence stops just short of proving a chain of of transmission—or once every 20 to 30 days—one transmission. It’s possible the Washington cluster minor mutation was occurring, Bedford said in an didn’t derive from the known patient zero, but from interview on Feb. 13. “We are watching very care- another case that came into Washington at the same fully for more local transmission,” he said. They time and went undetected. Still, Bedford calculated soon found it: a teenager with mild symptoms who a 97% probability the new case was a direct descen- attended a high school about 15 miles from where dant—one that hadn’t been spotted because of the the first case was identified—someone who wouldn’t narrow testing at that time, he wrote in a blog post have been tested because he didn’t meet the cri- on March 2. “This lack of testing was a critical error teria. But the results showed up in the Seattle Flu and allowed an outbreak in Snohomish County and Study, a project on which Bedford is a lead scientist. surroundings to grow to a sizable problem before The new case, announced on Feb. 28, was it was even detected,” he wrote. How old are they? Do they have health Do they work from Can they handle a ◼ A more than 20% benefits? home? financial emergency? increase in workers from 2008-18 Income bracket: Lowest Second Third Fourth Highest How Americans would cover an unexpected $1,000 expense 16 to 24 21m workers 95% 5% 25 to 34 38m 37% 19 35 to 44 Borrowing 34m 41% Savings 45 to 54 85 3 33m 55 to 64 28m 65+ 7% 13% 11m Something Reduce 75 1 else/don’t spending 2008 2018 2008 2018 know Box width = number of workers 1m 10m Education and health services Other services Retail trade* Leisure and hospitality 75% 50 25 0 Lowest weekly wages ▶ *TRANSPORTATION IS CATEGORIZED WITH UTILITIES AND WHOLESALE TRADE IS CATEGORIZED WITH RETAIL TRADE FOR WORK-AT-HOME AND PAID LEAVE DATA RELEASED BY THE BUREAU OF LABOR STATISTICS. DATA: BUREAU OF LABOR STATISTICS, AMERICAN COMMUNITY SURVEY, BANKRATE JANUARY 2020 FINANCIAL SECURITY INDEX
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020 At Providence in Everett, where patient zero was ● How did the area handle the rapidly treated, bed space could become an issue. The hospi- growing number of cases? tal has started a program to discharge stable patients, Diaz says. They’re sent home with a thermometer The consequences were deadly for residents of Life and an oximeter, a measurer of respiratory health. Care Center, a nursing home in the Seattle suburb Readings are transmitted to Providence, and if the of Kirkland that houses elderly and often very sick patient’s condition worsens, he or she can quickly patients. February was an unusually busy period for be returned to the hospital. Ten patients were in the 911 calls to the home, says Evan Hurley, a Kirkland program on March 8, Diaz says. firefighter and union representative. The number Still, some people complain that area hospitals went from seven in January to 33 for February and aren’t consistently following protocols to isolate pos- ● Number of cases in King County as of the first few days of March, he says, citing call logs sible cases. On a doctor’s orders, Alicia Hansen on March 8 later used to track which staffers needed to be quar- March 3 took her mother, who’s had cancer multiple antined. Firefighters weren’t always wearing masks; sometimes the calls were for a nosebleed or some times, to the Swedish Hospital First Hill emergency room after she developed fever and breathing dif- 83 other problem, Hurley says. But by late February, ficulties. She and her mother lived together not far he recalls, a lieutenant remarked about the num- from the nursing home in Kirkland. According to ber of recent visits to Life Care for breathing issues Hansen, some hospital staff were in and out of her and fever. A captain shared the concern with the mother’s room without masks in their first 45 min- county. Then, on Feb. 28, came word that a patient utes at the facility. Hansen herself, who could have transferred from the home had Covid-19. The fire been exposed to the virus, was mixed with the gen- department declared the facility a “hot zone” requir- eral population in a waiting room while her mother ing full protective gear. An initial group of 17 firefight- was treated and tested for Covid-19. The test came ers was quarantined. The next day, state officials back negative, but her mother died on March 7. A announced the first death in the U.S. attributed to the spokesman says the hospital is following WHO’s guide- 20 new coronavirus and said that more than 50 people lines for dealing with potential Covid-19 patients. associated with Life Care were sick and being tested. At Life Care on March 6, 15 more people were The facility’s low-slung building in a nondescript hospitalized within 24 hours. Within days, infec- H part of town dotted with condos became the center of tions began turning up in other homes. The facility an unfolding crisis. Authorities dramatically increased also serves as a short-term rehabilitation center, and public warnings—while, families contended, doing firefighter Hurley says some of those patients were little to save people in the home. “They are being left discharged to other places in the weeks before the S to be picked off one by one by this disease,” Kevin spread of the virus was known. (Life Care says the Connolly, a relative, told television reporters outside. first patient later diagnosed was picked up from the King County officials quickly moved to purchase a home on Feb. 19. Hurley says it may have been as motel and set up modular housing to isolate patients, early as Jan. 22, based on call logs.) “We don’t think g a jarring escalation. Within days of the first deaths, we’re anywhere near the end of this,” Hurley says. they advised people older than 60 to stay away “This spread is not limited to Life Care.” from public places, while avoiding a total ban on big On March 6, a nursing home in Issaquah, a sub- events. A comic-book convention planned for down- urb east of Seattle, said a resident tested positive for town Seattle held out until March 6 before canceling. Covid-19. Four days later, county health officials said “We are determined to protect those who are most 10 long-term care facilities had positive cases. All vulnerable—our older residents, those with compro- told, 31 Kirkland firefighters have been quarantined— mised immune systems—and, in doing those things, almost a third of the department—in addition to 10 we also want to protect our economy,” King County from other communities, as well as some relatives. Executive Dow Constantine told reporters. Bedford, the genome expert, is working with Amazon.com Inc., Microsoft Corp., and other researchers from the University of Washington to companies told Seattle-area staff to work from home understand the extent of the spread. In early March if possible, and the University of Washington shifted the university started using its own virus test, a mod- to online classes for the rest of the quarter ending ified version of one the World Health Organization March 20. As of March 8, King County reported 83 cases created. When a positive result is found in a sample, and 17 deaths, all but one tied to the nursing home. the researchers perform a second round of tests to The challenge for the health system is that in the sequence the viral genome. Pavitra Roychoudhury, vast majority of cases, symptoms remain mild—but a university researcher in charge of sequencing, says some percentage of people require hospitalization. technicians have been working late into the night
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