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The Lost Year

Coronavirus
Special Report
March 16, 2020
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

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
◼ COVID-19 / GOVERNMENT

to complete as many samples and sequences as


possible. She puts her toddler to bed and then
logs back on to her computer.
On a call with reporters on March 9, Nancy
Messonnier, director of the CDC’s National Center
for Immunization and Respiratory Diseases, called
Bedford’s theory that the original U.S. coronavirus
patient in January was the source of the outbreak in
the state “interesting,” but said other possibilities
won’t be been ruled out. “There are alternate expla-
nations of the same findings,” she said. There may
have been a “secondary seeding,” as more recent
cases in Washington match viral sequences posted ▲ Medical staff
get samples at a
in China. So far, Bedford has reported, sequencing drive-thru clinic
still suggests the transmission is related to the orig- testing people for
the coronavirus in
inal patient. What’s more, the state’s early cases Goyang, north of
may have seeded infections spreading on the cruise Seoul, on Feb. 28

ship Grand Princess (now docked in Oakland), he ◀ People arrive in


tweeted on March 6. On March 10, he tweeted that their cars at the
Goyang center, where
the accumulating data “points to a growing outbreak testing takes about 10
of #COVID19 in the greater Seattle area” and that if minutes

people don’t heed the social-distancing warnings


of health authorities, “I fully expect cases to keep
climbing.” �Peter Robison, Dina Bass, and Robert
Langreth, with Emma Court and Michelle Fay Cortez
21
It’s an approach born of bitter experience. An out-
break of Middle East respiratory syndrome in 2015

How did
killed 38 people in South Korea. Because of a lack of
kits to test for the MERS pathogen, infected patients
went from hospital to hospital seeking help, spread-
ing the virus widely. Afterward, the country created

South Korea
a system to allow rapid approval of testing kits for
viruses that have the potential to cause pandemics.
When the novel coronavirus emerged, that system
allowed regulators to collaborate quickly with local

getahead?
biotech companies and researchers to develop test-
ing kits based on a genetic sequence of the virus
released by China in mid-January. Companies were
then granted accreditation to make and sell the kits
within weeks—a process that usually takes a year. “We are
South Korea is experiencing one of the largest South Korea has managed to test more than 210,000 testing people
coronavirus outbreaks outside China, where the people for the coronavirus, using kits with sensitiv- on the biggest
pneumonia-causing pathogen SARS-CoV-2 first took ity rates of more than 95%, according to the direc- scale, at the
root late last year. But unlike China, which locked tor of the Korean Society for Laboratory Medicine. fastest pace in
down a province of more than 60 million people to That’s in stark contrast to China, where unreliable the world”
try to stop the illness from spreading, Korea hasn’t and inadequate testing resulted in thousands of
put any curbs on internal movement in place, instead infected patients not being quarantined until it was
testing hundreds of thousands of people everywhere too late. A similar scenario may be playing out in
from clinics to drive-thru stations. Japan and the U.S.
LEE JAE-WON/ZUMA PRESS (2)

The testing blitz appears to be paying off in a Testing widely has meant South Korea knows
lower-than-average mortality rate. The outbreak also where its infections are centered, and so far it’s been
shows signs of being largely contained in Daegu, the able to keep them largely contained, with outbreaks
city about 150 miles south of Seoul where most of the beyond Daegu in the minority. The country reported
country’s more than 7,700 infections have emerged. many consecutive days of slowing infections until
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020

March 11, when a new cluster of cases was tied to able to test more than 10,000 people a day. In neigh-
a call center in Seoul. boring Japan, a total of only 9,600 people had been
The emphasis on diagnosis is also being cred- tested as of March 10.
ited with helping patients get treatment early, bring- The tests can deliver results within hours and
ing the mortality rate from the coronavirus to less are relatively easy to administer. Officials in Seoul
than 1%—below every other affected country save have started operating drive-thru stations in three
Singapore, where the outbreak is on a much smaller districts where people can get tested without leav-
scale. “The coronavirus is highly contagious, and ing their cars.
even those without symptoms can transmit the virus, The country is also exporting its testing kits, includ-
which makes it hard to stop infection among com- ing to China, Europe, and Pakistan, according to the
munities,” says Lee Hyukmin, director at the Korean manufacturers. “We are testing people on the big-
Society for Laboratory Medicine and a professor at gest scale, at the fastest pace in the world, and dis-
Yonsei Severance Hospital. “Without enough testing closing the results transparently and instantly to the
capabilities, the death rate will be high, as the delay public,” said President Moon Jae-in in a speech on
worsens the damage in the lungs.” March 3. “We believe this is the best thing we can do
By late February, when South Korea’s outbreak for now in order to prevent further spread in local
began to accelerate, four local companies had approval communities.” �Heejin Kim, Sohee Kim, and Claire
to sell kits to test for the virus. The country is now Che, with Jihye Lee

Why was Iran hit


22

so hard?
○ Iran is dealing with one of the world’s worst biological attack, first on China and then on Iran.
outbreaks of the new coronavirus, and the dis- Salami’s lashing out at foreign enemies underlines
ease was quick to reach the top ranks of the gov- the sense of bewilderment in Iran as to why the
ernment. Four current and former Iranian officials disease has struck the country so hard. According
have died so far from coronavirus: a member of to Iranian government statistics, as of March 11
▶ A woman wears a
the Expediency Council that advises 80-year-old there were 9,000 confirmed cases of Covid-19, as mask in Tehran
Supreme Leader Ayatollah Ali Khamenei; an aide the disease from the virus is called, and 354 deaths
and mentor to Foreign Minister Mohammad Javad across the nation of 84 million. The coronavirus
Zarif; a former ambassador to the Vatican; and a seems to have shot up northern Iran’s highway
newly elected member of parliament. Iraj Harirchi, artery from Qom, a major religious center, to the
the deputy health minister in charge of the coun- capital of Tehran, which is now the country’s
try’s coronavirus task force, has it himself, as does most affected city. Despite its being the source of
the head of Iran’s medical services. Vice President the earliest cases in Iran, Qom was never placed
Masoumeh Ebtekar, once spokeswoman for the under quarantine—a stark contrast to containment
revolutionaries who took 52 Americans hostage at measures taken in China and in Italy, the worst-
the U.S. Embassy in Tehran in 1979, says she’s sick hit European nation. (Following Iran’s trajectory,
with the virus, too.  politicians in Italy and France have tested positive
for coronavirus.)
● How did the virus reach Tehran? Qom is an important center for a government
in which many high officials—right up to President
Major General Hossein Salami, the head of Iran’s Hassan Rouhani—are also clerics. And Qom’s reli-
Islamic Revolutionary Guard Corps (IRGC), gious leaders are powerful political figures in their
announced the likely culprit at a military cer- own right. A senior cleric who represents the city
emony in Kerman province on March 5: a U.S. in parliament, Mojtaba Zonnour, is among the
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020

23
ARASH KHAMOOSHI/POLARIS
MPs receiving treatment for coronavirus in a hos- among a large number of patients is a daily head- ▲ Masks dominate at a
pital. He has close links to Salami’s IRGC. “Many of ache,” says the doctor, who estimates that 10 to 12 mosque

the officials travel to Qom, and they go there fre- Covid-19 patients a day on average die at the hos-
quently,” says a person close to the government pital. “We had 18 to 20 deaths in one day alone,
who asked not to be identified. and some of the deceased are tested only after
Senior conservative clerics are making unusual they die, to determine burial procedures.” A hos-
on-camera statements, urging the faithful not to pital official said it could not confirm the number
kiss or lick religious shrines. But not everyone lis- of deaths from coronavirus. 
tens. In one clip posted on Twitter in late February, Many in Tehran are staying home, venturing out
a young man warned against frightening the pub- only to buy essentials. In the runup to the Iranian
24 lic with scare stories, then made a show of kissing New Year on March 20, stores in Tehran would nor-
Shiism’s second holiest shrine, in Qom. mally be jammed, but many—especially those offer-
Many hospitals in Iran have been designated ing luxury goods—are empty. “We’ve been caught in
entirely to treating coronavirus patients. Six of 14 the crossfire,” says Majid, a 42-year-old driver for the
Tehran hospitals contacted by Bloomberg News Iranian ride-hailing service Snapp, who would only
on March 6 said that they were full and that new give his first name. “On the one side, our incompe-
patients either would have to wait, or that they tent officials have failed to contain the virus. They
wouldn’t be admitted at all. “We have 14 patients opened the gates to flights from China as if corona
in the emergency ward who have been waiting for was a joke. On the other side, they have raised the
an empty bed for two days now,” said an admin- price of gasoline and advised people to stay inside.”
istrator at Torfeh Hospital in downtown Tehran.
A doctor in Gilan province says patients with ● Can Iranians trust their
coronavirus-type symptoms were coming to local government again?
hospitals two weeks before the government pub-
licized the first Iranian case, in Qom, on Feb. 19. The government’s response has been inconsis-
Chest scans showed signs of an unusually vir- tent. It blocked roads to provinces with high infec-
ulent pneumonia, “but nobody was taking it tion rates, such as Gilan and Mazandaran on the
seriously,” says the doctor, who asked not to be Caspian Sea north of Tehran, and schools have
named. It took until March for the province to get been closed. But no cities are locked down, and
its own testing facilities, the doctor says. Before employees in government offices and state organi-
that, tests had to be sent to Tehran, causing delays zations were working on a normal schedule as of
and errors. March 7. At the same time, a deputy health minister
With some doctors and nurses infected, med- made a televised plea for people to stay at home:
ical personnel are in short supply, as are protec- “We have 140,000 beds across all hospitals in the
tive equipment and disinfectants, according to country, but we may have to add new beds by 10
the doctor. Medicine is scarce, too, at least in part times that number if people don’t observe health
because of sanctions that the U.S. reimposed after measures,” he said on March 6. 
President Trump withdrew from a multilateral With Iranians sequestering themselves at home,
2015 deal that  limited Iran’s nuclear fuel pro- state TV channels are airing dubbed foreign films,
gram. “Divvying up a small amount of medicine including the Lord of the Rings and Toy Story series,
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020

to keep people entertained. Instagram, WhatsApp the meeting, told Bloomberg News. Graham said
chat groups, and Telegram channels have become Senators John Hoeven of North Dakota and James
hubs for plague jokes and at-home exercise Lankford of Oklahoma suggested a federal bailout What I’m
tutorials. In a country where dancing in public is for the shale drilling industry. “I don’t know at this telling my
officially discouraged, videos of dancing nurses point if that will be in any final package,” Senator medical
have become a phenomenon: Nurses filmed them- John Thune of South Dakota said. school
selves swirling their hips and wrists to pop songs, The argument in favor of bailouts is that the students
their identities shielded by hazmat suits, masks, Covid-19 pandemic is an out-of-the-blue disaster that Dr. Judith Aberg, the
Dr. George Baehr
and hospital gowns.  no company could reasonably have been expected professor of clinical
Trust in the government, never high among a to prepare for, and if companies fail, there will be medicine, Icahn School
of Medicine at Mount
large share of Iran’s populace, may be at an all-time serious harm to their employees, customers, sup- Sinai, New York
low. A visibly ill Harirchi assuring the nation on pliers, lenders, and the overall economy.
For me, there’s no
live TV on Feb. 24 that the government had every- The argument against bailouts is that companies single sentence for
thing under control did little to inspire confidence. can and do continue to operate even if they require the medical students,
as they have so much
Memes ridiculing official responses to Covid-19 have protection from creditors in federal bankruptcy to learn. They should
gone viral. “The first Friday without wishing for the court. True, shareholders may lose everything with- learn all they can about
SARS-CoV-2. The more
death of other nations,” went one joke, shared on out a bailout, and creditors will take a haircut, but you educate yourself,
social media after Friday prayers were canceled on that’s how capitalism works. “Capitalism without the more you’ll be able
to educate and inform
March 6. “Well done to the people of Iran.” bankruptcy is like religion without hell,” says Jeffrey others. What is this
Jokes aside, the outbreak in Iran is deadly and Miron, an economist at Harvard and the libertar- virus? How is it similar
or different than other
shows no sign of abating. Infections in the area ian Cato Institute, quoting an economists’ bromide. respiratory viruses?
are going up “exponentially,” says Gholam Ali The key question in assessing whether to bail out Why is it spreading
so fast? How do you
Jafarzadeh, an MP for the city of Rasht in Gilan a firm is whether its failure would cause harm to protect yourself and
province. “We will witness a humanitarian catastro- the overall economy. Timothy Geithner, who was others? How do you
screen and diagnose
phe if serious measures are not taken.”�Arsalan President Obama’s Treasury secretary, argued that people who may be
Shahla, Golnar Motevalli, and Marc Champion saving financial institutions in the 2008 crisis was at risk of Covid-19? 25
What are the best
crucial because they were too big to fail and too infection prevention
interconnected. If one defaulted, it could trigger a

Should we bail
practices? How do
we treat someone
cascade of defaults that would shut down lending with Covid-19? What
and destroy the economy. are the potential new
therapies?
In other industries, though, the failure of one

out companies
I think many would
company can help competitors. If one airline shuts say wash your hands or
stay calm, but in reality,
down, its rivals pick up its customers, and with [medical students]
one less rival, their prices can rise to more profit-

left reeling?
need to know so much
more. ——As told to
able levels. So letting weaker companies go under Cynthia Koons
could save an industry.
Another question is who wins from a bailout.
After the financial crisis, some Democrats argued
○ Covid-19 will cause some companies to fail and that the government should have done more to help
will push entire sectors to the brink. The ques- homeowners pay their mortgages, rather than helping
tion is how much the federal government—and, by banks that recorded losses when they foreclosed on
extension, the American taxpayer—should do to the loans. Similar arguments may be made this time
rescue companies felled by the economic effects around. Dean Baker, senior economist at the liberal
of the virus. It’s treacherous territory. Bailouts of Center for Economic and Policy Research, says the
financial institutions damaged by the 2008 crisis quid pro quo for any bailout should be a hard cap
provoked populist anger on the left and the right. of $1 million in annual compensation for the compa-
Donald Trump owes his presidency in part to the ny’s chief executive officer and other officers. (“I’m
public’s revulsion over taxpayer funds going to Wall confident that they can find good help for under a
Street while ordinary citizens suffered. million bucks,” he says.)
Now it’s the Trump administration that has to Whoever wins from a rescue, though, some-
ARASH KHAMOOSHI/POLARIS

decide which companies and sectors merit help, one else is going to lose by comparison. That’s why
how much, and in what form. On March 10 the pres- most economists urge caution. “One should be very
ident pitched Republican senators on economic hesitant about bailouts,” says Harvard’s Miron. “Once
relief for the travel and hospitality industries, you do it, it gets harder not to do it again the next
Lindsey Graham of South Carolina, who attended time.” �Peter Coy
w will frica Blo mb Bu rch 16, 2020

cope with an
outbreak?
● In a red-roofed building at the edge of the University lot still needs to be done,” says Isaac Ngere, a mem-
of Abuja Teaching Hospital campus, the walls are ber of Kenya’s national coronavirus task force. “Our
freshly painted, a crew is laying pipes for refurbished schools are crowded. Our living areas are crowded.
bathrooms, and others are hauling in furniture. The Our public transport is crowded. That’s a good envi-
single-story concrete structure, meant for trauma vic- ronment for the disease to spread.”
tims at the largest health-care facility in the Nigerian The International Monetary Fund on March 4
capital, is being rapidly repurposed to quarantine pledged to make $10 billion available at zero interest
patients diagnosed with the coronavirus, putting it to help poor countries, especially in Africa, tackle
on the front lines of Nigeria’s—and Africa’s—efforts the virus. The World Health Organization has sup-
to contain the illness. “We are moving, we are going plied testing equipment and training throughout ● Doctors per 10,000
people in Africa
to get there,” Yunusa Thairu, the leader of the hospi- the continent while focusing on 13 countries with
26 tal’s coronavirus response team, tells staff crowded
into an auditorium next door. “Let’s be confident.
strong links to China, the region’s top trading part-
ner. Muhammad Ali Pate, a former Nigerian health
2
This is not a death sentence.” minister now with the World Bank, fears the virus
Across Africa, officials are bracing for a rapid could devastate “the crevices of society” where
spread of the pathogen. The worry is an outbreak health systems are weak. “If you look at a map, you
could devastate the region, which accounts for 16% will see areas where cases have not been detected,”
of the global population but just 1% of health-care Pate says. “That may reflect that the virus isn’t there.
spending. There’s little money for ventilators and But it may be telling us something else: that they may
other life-support equipment needed for severe not have the capability to test.”
cases of Covid-19, and any sustained fight against
the coronavirus would steer resources away from
malaria and HIV, which kill hundreds of thousands
every year. If Italy, with 41 doctors per 10,000 peo-
● Does Ebola offer
ple, is struggling to contain the disease, virus track-
ers fear what would happen if it were to sweep across
any lessons?
Africa, where there are just two doctors per 10,000. Health authorities fret that efforts to fight the
“It will be worse in an African setting,” says Nathalie coronavirus will indirectly contribute to an increase
MacDermott, an infectious disease specialist at King’s in deaths from illnesses such as malaria, which kills
College London. about 400,000 Africans a year. The 2014-16 Ebola
Nigeria is where the virus first made landfall epidemic, which left more than 11,000 dead, high-
in sub-Saharan Africa, on Feb. 27, when an Italian lights the risk of overwhelming health-care systems.
businessman tested positive in Lagos, the coun- Across West Africa, the Ebola crisis disrupted treat-
try’s sprawling, congested commercial capital. It ment of malaria, HIV, and tuberculosis: Many clinics
has appeared in at least 10 other African nations, shut down, and patients with other ailments avoided
sparking a flurry of responses. On March 2, Senegal doctors for fear of contracting Ebola. “More people
reported a French national had been infected. A few died from a lack of general health services than from
days later, Egypt said it had 48 cases, most linked to Ebola,” says Jimmy Whitworth, a professor of public
a Nile River cruise ship. Kenya has set up isolation health at the London School of Hygiene & Tropical
facilities in Nairobi, activated an emergency opera- Medicine. “We must make sure we don’t neglect those
tions center, and secured extra protective gear. “A services while we fight the coronavirus.”
◼ COVID-19 / GOVERNMENT Bloomberg Businessweek March 16, 2020

With 60% of Africans under 25, the disease may for Disease Control, is overseeing the country’s
not be as deadly there as it is in European or Asian response. In February the German-trained epidemi-
countries with older populations. Unlike in the West, ologist joined a WHO mission on a visit to Wuhan,
with its nursing homes, the elderly in Africa usu- the epicenter of the outbreak in China. Since his
ally stay with their families, reducing clusters of vul- return two weeks ago, he’s been in voluntary iso-
nerable people. And Ebola may have given Africa a lation, working from a cramped studio at his home
better sense of how to deal with outbreaks. As the in an upscale neighborhood in Abuja. While places
disease—far more virulent than coronavirus, but such as the university hospital, with clean wards dat-
less communicable—spread across Africa in 2014, ing from the 1980s oil bonanza, are preparing, he
Nigeria avoided an epidemic by tracking and isolat- says Nigeria is ill-equipped for an outbreak. Clinics
ing potential cases. “The structures and emergency in smaller cities and the countryside lack every-
response strategies that worked well for Ebola are thing from bandages to beds to physicians, and he
being reactivated,” says Niniola Williams, head of a has a staff of just 250, with five laboratories to test
nonprofit that battles infectious diseases in Nigeria. new infections in a country of 200 million. The U.S.
Chikwe Ihekweazu, who leads Nigeria’s Center Centers for Disease Control and Prevention, by con-
trast, has 11,000 employees and hundreds of labs. ◀ The coronavirus
ward at Abuja Teaching
Ihekweazu fears the prevalence of malaria in Hospital is under
Africa could make it hard to trace cases, as the ail- construction

ments’ early symptoms are similar, and the wide-


spread incidence of HIV has left many vulnerable
to Covid-19. “It’s a challenge around diagnoses, a
challenge around care,” he says, hunkered in his
home office, as two assistants work at the table in
the adjacent dining room. “My nightmare scenario
is a situation like Italy, in which significant trans- ▼ Built for trauma
patients, the facility is
mission has already started by the time you have a being repurposed for a
chance to control it.” �Alonso Soto and James Paton virus outbreak
PHOTOGRAPHS BY ETINOSA YVONNE FOR BLOOMBERG BUSINESSWEEK
bu ine s
Bloo Marc

for this?
○ Every weekday morning at 8, a team of
executives at French carmaker PSA Group gath-
senior managers and help them devise an action
plan, says Maxime Picat, PSA’s head of Europe. “We
ers in a room an hour’s drive west of Paris. Others chose one room and called it the war room,” he
dial in remotely, and for the next few hours, says. “We said war because we wanted people to
the team huddles to plot a path out of the mas- understand that the pace of what happens inside
sive supply-and-demand crisis caused by the new has to be different from normal.”
coronavirus ripping through the global economy. While some managers are on-site for the meet-
For a well-oiled machine like PSA, with its 173,000 ing, the gathering is largely virtual, with most
employees, multiple brands including Peugeot, employees dialing in. It’s a deliberate choice to min-
Citroën, and Opel, and parts sourced from 6,000 imize close contact among people in a bid to con-
28 suppliers around the globe, the risk of disruption is tain the virus, which is rapidly taking hold across
significant. Each car is typically made up of 4,000 France and the rest of Europe. Managers from ● PSA Group
suppliers worldwide
components delivered just in time for final assembly. all aspects of production, including supply, pur- number about
Just one missing item can have devastating conse- chasing, and engineering, participate. Particular
quences for an entire vehicle plant, slowing or forc-
ing changes to manufacturing and output or even
emphasis is placed on those who can compile data
on where and when parts are needed.
6k
grinding a complete line to a sudden halt. Much of the work has focused on “deep dives”
So when the virus brought China’s car parts to identify workarounds: Do suppliers have other
industry to a standstill, and the seriousness of production sites, can parts be sourced from a dif-
what was happening in locked-down Hubei prov- ferent subcontractor, can some components be
ince became clearer, PSA switched into crisis eliminated? Carmakers in crisis “will need to find
mode. It settled on one location to pool together solutions with other suppliers, and this won’t always

PSA PLANT: BENOIT TESSIER/REUTERS. TOKYO: KIMIMASA MAYAMA/EPA-EFE/SHUTTERSTOCK

◀ A Citroën assembly
line in Poissy, France
s
◼ COVI March 16, 2020

be po
Dynamics, a research service focused on the indus-
try. “They may realize that putting all their invest-
ments in one market is risky, and I’m sure they will
be thinking hard about that in the future.”
Senior Peugeot executives who take direct charge
of pressing bottlenecks have been granted full power
and resources to fix an issue. In some cases, parts
have been brought in via air instead of by road. But
air cargo is more expensive and risks driving up
costs over time. The company is also monitoring its
product mix, potentially cutting back on variants
such as diesel cars, and increasing hybrid or gaso-
line models. “We have a long list of issues, but we’ve
managed to keep production going,” Picat says. “We
Do the Olympics
could fail one day. So far so good.”
For PSA Chief Executive Officer Carlos Tavares,
avoiding a shortage in components, models, or
really need an
workers and keeping factories on course is crucial
this year. He’s in the middle of pulling off the biggest
industry deal in more than two decades, a merger
audience?
with Fiat Chrysler Automobiles NV to create the 29
world’s fourth-largest carmaker. With a reputation
for efficiency and delivering industry-beating profit ○ With a $5.9 billion budget and a decade of plan- � The Olympic stadium
in Tokyo
margins, Tavares has enjoyed PSA’s full order books ning behind it, the 2020 Summer Olympics in Tokyo
and plants running at maximum capacity. had been expected to draw 11,000 of the world’s elite
Like many corporations, PSA has taken some athletes and more than 600,000 tourists when it
precautions to protect its workforce from the virus. starts in late July. But with the coronavirus spreading
Visitors are required to fill in questionnaires asking rapidly, and Japan having already closed schools and
about recent travel to China, Italy, and other corona- canceled public events, the International Olympic
virus hot spots. And Tavares himself refrains from Committee is reportedly assessing its options—
too-direct contact with others. At a press briefing last including a games with few, if any, spectators.
week, he kept his distance, standing on a stage to That prospect is becoming less unthinkable by
address a room of journalists seated on chairs placed the day. Some U.S. college basketball, European
far apart from one another. soccer, and Japanese baseball teams are competing
The war room gatherings have already helped in empty venues. The annual Formula One race in
PSA avoid some breakdowns. When a manufacturer Bahrain on March 22 will be run without any fans.
in Hubei stopped supplying parts for rear vehicle Even the Olympic torch-lighting ceremony, which
sections, PSA’s engineers searched through the usually takes place in Greece amid much fanfare,
car’s development phase and tracked down proto- is scheduled to occur this week without spectators.
type machines that could stamp out the parts in For organizers, an Olympics behind closed doors
sufficient quantity—albeit at a slower pace—to fill may be the best of a bunch of bad options. It would
the gap until the Chinese partner started up again. satisfy the athletes and, equally important, the
Turns out, the replacement machine was in Milan, media companies that pay the IOC billions to broad-
in northern Italy, the epicenter of the European cast the events—but only if they happen.
virus outbreak and now in a government-mandated What’s more, in-person fans are a diminishing
lockdown. “We managed to get the machines to source of revenue. When Atlanta hosted the 1996
another Italian supplier, so it all worked out in Summer Games, tickets accounted for 25% of the
the end,” Picat says. That was before March 9, budget. In Tokyo, they are half that. In a sign of
of course, when all of Italy went into lockdown. things to come, Japan’s bid for the 2022 World Cup
�Tara Patel and Chad Thomas included technology to broadcast the matches
◼ COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

worldwide using holograms, meaning a packed the event. The 205-room Moxy Tokyo Kinshicho,
stadium in Brazil could see the games unfold on the a Marriott International hotel in east Tokyo, was
field much like those seeing the real event in Osaka. entirely booked by a single party for the Olympics,
says Seth Sulkin, whose real estate development firm
Pacifica Capital developed the hotel. “We expect the What I’m
● Are TV viewers prominence of the Olympics to boost Japan’s tour- telling clients
ism for years to come,” he says. “That’s one of the
more valuable?
Lee Jacobs, partner,
Helbraun Levey, a New
reasons it’s critical that it happens—not for the short- York law firm focused
term impact, but for the long-term impact.” on the hospitality
industry
“If it’s an issue of people physically being unable to Goldman Sachs analysts predicted the Japanese
go to the games, that’s not as big an issue as people economy would get a $7.6 billion (800 billion yen) lift One anxiety I’m advising
clients on is what to do
[not] watching the games through broadcasts,” says from the games, including $1.4 billion from inbound if an employee shows up
Harvey Schiller, a longtime sports and media execu- visitors and an additional $3.8 billion in domestic sick. In the hospitality
industry, you have to be
tive who ran the U.S. Olympic Committee from 1990 spending. If the virus isn’t contained by the end of aware that employees
to 1994. Of the $5.7 billion the IOC earned in the last May and the Olympics are canceled, Goldman esti- are hourly, and if they
miss a day’s pay, that
four-year Olympic cycle, almost three-quarters came mates the economy could face losses eight times that could have a serious
from media companies. An additional 18% came total not only by losing the direct boost but also from effect on their finances.
You have to assume a
from top-tier sponsors, most of which are locked the lingering effect on tourism, domestic consump- sick person will show
into the Olympics far beyond 2020. tion, exports, and capital investment. up to work. So what to
do? We isolate them,
The loser in this scenario is Tokyo. Japanese orga- The number of foreign visitors tripled, to 32 mil- we ask them to exclude
nizers are on the hook for selling $840 million in lion annually, in the five years after Tokyo won themselves, and we
send them home. You
tickets. And while the IOC’s partners sign on for the bid, but it’s still shy of the 40 million target. don’t want to be known
multiple cycles, the host committee landed dozens “People are expecting the Olympics to complete as “restaurant zero.”
Another question
of local sponsorships—worth a record $3.3 billion— Tokyo’s standing as an international tourism hub,” I’ve gotten: Can I
specifically for these games. says Hideo Kumano, an economist at Dai-Ichi Life take my employee’s
temperature when they
30 Sponsors’ planned activities can be substantial. Research Institute. “Missing that goal would cause show up at work? No.
Bridgestone Corp., the only worldwide Olympic irreparable damage.” Just think about that
for a moment. If the
partner based in Tokyo, expects to host several hun- The IOC, with a $900 million reserve fund for restaurant owner does
dred customers, partners, and employees during the interrupted games, would likely help backstop the the thermometer wrong,
or if the thermometer
three weeks of the games. It’s renting a fan experi- host committee if needed. Both groups have insur- is miscalibrated,
ence location in Tokyo Waterfront City with product ance, though both declined to offer coverage details. think of that slippery
slope. Under the
displays, games, and demos. The official Tokyo 2020 “We have never discussed canceling the Games,” the law, an employee’s
buses will have Bridgestone tires, two new sporting host committee wrote in an email. “Preparations for health is private.
This is a problem
venues will be earthquake-proof thanks to supports the Games are continuing as planned.” that’s happening in
made with Bridgestone rubber, and the company Empty seats at sporting events are increasingly Washington state.
Amazon and Facebook
has sponsored 75 athletes who can appear in global common. College football attendance has dropped are telling people to
ad campaigns. For Bridgestone and other big spon- in eight of the past nine years; MLB attendance is telecommute, because
if one person has
sors, those hospitality and promotional efforts lose down 14% since 2007. But media money has bulked been affected, you
a lot of their value if few fans turn out in Tokyo. up budgets, and media companies hold evermore can’t say, “Jane Smith
is the one who has
The local economy was also counting on the sway over decisions. That’s dangerous for the IOC, coronavirus.” �As told
games. From 2015 to 2019, more than 80,000 hotel because empty stands would likely make it tougher to Kate Krader
rooms opened in Japan, many in anticipation of to interest prospective host cities. As it is, fewer
places want what’s become a dubious honor. Beijing
was awarded the 2022 Winter Games over the only
other bidder, Almaty, Kazakhstan. The 2026 games
had no fully viable bidders six months before the
IOC was set to announce a winner. It eventually went
jointly to Milan and Cortina d’Ampezzo in Italy.
And there’s another reason that competing in
MARCO ALPOZZI/LAPRESSE/SIPA USA

a packed stadium might be critical, even in this


broadcast-centric era. “Fans give the impression
that the event is highly relevant,” says Rick Burton, ⊳ Juventus beat Inter
former chief marketing officer for Team USA. That’s 2-0 in the deserted
Allianz Stadium in Turin,
something money can’t buy. �Eben Novy-Williams, Italy, on March 8
with Yoshiaki Nohara, Ayai Tomisawa, and Lisa Du
 COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

○ The crew fled so quickly after the Feb. 25 decision Inc. and Netflix Inc. pulled out of the South by
to delay filming of Mission: Impossible  7 that Southwest festival in Austin, where they’d planned
Paramount Pictures forgot to cancel the welcome to showcase new programming; only days later, on
party at the opulent Gritti Palace Hotel in Venice, March 6, the entire event was canceled.
Italy. The handful of straggling technical work- Production problems are spreading through
ers who showed up feasted with silver cutlery and the TV industry. The new lead character of The
exquisite china in a mostly abandoned banquet hall. Bachelorette, a reality dating show meant to offer
That kind of confusion—and needless spend- an escape from life’s concerns, will no longer be
ing—has been characteristic of Hollywood in the courted by her male suitors in Italy next season. “They told
coronavirus era. On-location production work, The country has been in lockdown after a spike in us to pack our
often planned years in advance, has been resched- Covid-19 cases. equipment
uled at great cost. After halting filming in Venice, Hollywood productions are meticulously and to leave
Paramount said the Mission: Impossible shoot sched- planned, making it particularly painful when things ASAP”
uled for Rome this month would also be delayed. go awry. Every hour of each day is scheduled, and
Even completed films are in trouble: Shuttered there are complex tasks like shutting down city
theaters in Asia have forced studios to scrap some blocks, doling out pay to dozens or hundreds of
premieres and rethink their 2020 schedules. On crew members, and ensuring megaprops—say, a
March 4 the opening of the James Bond thriller No yacht—are available, says Tyler Thompson, a pro-
Time to Die was pushed from April to November. ducer and president of Cross Creek Pictures.
Looking at the state of the movie theater industry— Studios are used to dealing with emergencies,
the Chinese shutdown and plummeting attendance particularly weather-related ones, but an illness that
in France, Italy, Hong Kong, and South Korea— keeps jumping to new parts of the world is unusual. 31
the film’s backers couldn’t stomach putting out a With the Mission: Impossible series, the sets and
would-be blockbuster for only half the potential props are particularly ambitious. For the seventh
audience, says a person familiar with their thinking. installment, slated for release in 2021, workers were
It’s likely more openings will be delayed, because building a replica of the Gritti Palace. It’s now gath-
no one can predict how soon governments will lift ering dust. And the crew that had descended on the
restrictions or when moviegoers will be comfort- Italian city earlier this month is in limbo.
able sitting in a crowded theater. “The thing that’s “They told us to pack our equipment and to leave
scary about the coronavirus today is that we don’t ASAP,” says Arianna Pascazi, a Roman scene artist
know the extent of it,” says Jason Squire, a profes- who’d just started to paint stained-glass pieces in the
sor at the USC School of Cinematic Arts and editor windows of faux buildings for the backdrop of the
of The Movie Business Book. Filming delays can cost film’s action sequences. “They told us to leave some
$1 million a day, he says. Festivals and press events, of the scenes already made here. But to be honest,
including the unveiling of the Disney+ streaming we don’t know if we will come back at all.” —Kelly
service in Europe, have also been canceled. Apple Gilblom and Flavia Rotondi, with Christopher Palmeri

Which Hollywood studios are most exposed to China?


Share of box office revenue from the country among top-grossing movies of 2019* $1b X-Men: Fast & Alita:
Dark Furious Battle
Disney† AT&T (WarnerMedia) NBCUniversal Sony Other Global revenue Phoenix Presents: Angel
Hobbs &
Shaw

0% 10% 20% 30%


*FILMS FOR WHICH THE NATIONS OF ORIGIN LISTING ON THE INTERNET MOVIE DATABASE INCLUDE THE U.S. BUT NOT CHINA. EXCLUDES THREE SUCH FILMS THAT MET THAT CRITERIA BUT HAD CHINESE PRODUCTION PARTNERS.
STUDIOS MAY HAVE HAD ADDITIONAL PARTNERS ON THEIR FILMS AND IN SOME CASES ARE NOT THE PRIMARY PARTNER. †INCLUDES 20TH CENTURY STUDIOS FILMS. DATA: BOX OFFICE MOJO, IMDB, COMPANY WEBSITES
at if t e sh w
Blo be ek 020

32
st g n?
March 16, 2020

▼ Leaders in global
construction are
gathering as usual for
ConExpo in Las Vegas

33
◼ COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

○ The longest line at ConExpo, the largest prominent, as are exhortations to be careful with What I’m
construction convention in North America, is the coughs. And the show’s organizers have instituted telling zoo
line to grab beer. As the bottles of Budweiser and a no-handshake policy, complete with buttons that visitors
Bud Light fly over the counter, the cashier at the show a slash mark over a drawing of clasped palms. Benjamin Tan, deputy
CEO of Wildlife
beer station says she needs to run to the bathroom. That’s a big change for an industry where handshak- Reserves Singapore,
“I’m getting a little terrified,” she says. “I didn’t ing and backslapping is still very much in vogue, which runs the
Singapore Zoo
see any hand sanitizer the whole time I was hand- but alternatives like fist bumps and foot shakes are
ing out beers.” catching on among attendees. Industry bigwigs It’s outdoors, and the
crowds are light, so it’s
The beer seller, like the vast majority of attendees are getting into the act: Chief Executive Officer Jim actually pretty safe.
at the conference, which takes up 2.7 million square Umpleby of Caterpillar Inc., one of the world’s larg- We think it’s important
to have commonsense
feet of space, was concerned about the transmission est machinery producers, greets people by bumping measures. As much
of coronavirus as about 130,000 attendees converged elbows, while Mike Ballweber, president of Bobcat as we are open for
business, the last
on Las Vegas on March 10 for this once-every-three- North America, prefers “shoulder shimmies.” thing we want is to
years event. But for her—and planners of many trade That doesn’t mean the virus isn’t on people’s have cases spreading
here. We are telling
shows and events that are going forward despite the minds. “We haven’t seen anything slowing down or colleagues, “If you
pandemic—the show must go on. the need to do anything different, but we have this aren’t feeling well,
please stay home.”
Even as college campuses are shifting classes black swan out there, and we’re trying to look at it All surfaces are
online, sports teams are competing before empty and understand what to do,” says Ballweber, whose disinfected regularly.
There’s temperature
arenas, and governments from Italy to Washington farm and construction equipment company is part screening in every park,
state are restricting mass gatherings, many American of South Korea’s Doosan Group. “Just this morning including back-of-
house areas.
industries—including construction—are trying to I was with dealers to talk to them, and that’s the con- The coronavirus
go about business as usual. In the case of the huge versation I’ve had with every one of them. They’re being linked to
zoological disease
ConExpo show, plans were just too far along when not oblivious to the news.” has produced some
virus fears began to take hold in the U.S. Volvo, though, is one major manufacturer that anxiety. We are against
the wildlife trade. Let’s
Moreover, given the three-year gap between decided days before the show’s start that it wasn’t not confuse that with
34 confabs, this joint exhibition of construction and coming. Instead, it sent a skeleton crew of local animals that are well
cared for. We’re also
mining equipment couldn’t be easily postponed. employees to exhibit its gear, which had already telling people it is safe
So clients, potential new customers, and dealers been delivered to the venue. Although Caterpillar to share spaces with
animals—our animals
for everything from backhoes and cement mixers chose to attend, it allowed employees to choose are regularly assessed
to cranes and road-pavement gear trekked to Vegas to stay home. But it says a lot of analysts and by caregivers and
vets. �As told to
to do deals and get a pulse on the market amid an shareholders—who come to hear presentations, Joanna Ossinger
unprecedented public-health crisis. see new products, and schmooze with company
executives—didn’t show up because of the virus.
● Why would anyone go to a trade “A lot of investors didn’t come, that would be
show with 130,000 attendees during the one thing that’s probably different this year,”
a burgeoning pandemic? says Chief Financial Officer Andrew Bonfield. He
says that if investors could instead arrange meet-
“It’s a good chance to know the new technology ings with managers at Cat’s headquarters outside
and figure out what works better for our company,” Chicago, “they would probably take that rather
says Jeff Herington, a project manager estimator at than come to a very large event where they may
InRoads Paving LLC in Des Moines. “You can talk need to self-quarantine afterwards.”
on the phone and email, but it’s just different to A group called Women of Asphalt, which pro-
speak face to face, and when you have the com- motes female participation in the construction
pany here you can get better answers.”
It’s easy to see why construction folks are eager
to keep meeting and greeting. Demand is smoking.
The industry added 42,000 jobs in February, help-
ing push the overall U.S. unemployment rate down
to 3.5%, a 50-year low. The convention is also a mas- ◀ “No Offense,
sive showcase for Caterpillar, John Deere, Komatsu, Just Makes Sense”

Volvo Group, and other global companies to display


their latest products and technologies to buyers
from around the world.
Still, soldiering on during a pandemic requires
some accommodations. Hand sanitizer stations are
trades, held a networking mixer for 250 on the space canceled, and one-fifth of those booths were ▲ Judges at the
Caterpillar Global
night of March 10. Half of the 20 volunteers resold to other attendees. By midweek, attendance Operator Challenge
expected to help at the event couldn’t make it after was trending above the 2017 show, they say. measure a trench

their employers restricted travel, says Michelle On the exhibition floor, though, Henry Boschen, 35
Kirk, a spokesperson for the group. The ones who a sales manager at VMI Inc., says the number of
came were taking precautions, including frequent attendees appears to be down, pointing out that
hand-washing. “We’re glad we could be here to most of his major parts suppliers canceled. He pulls
spread the word, and we don’t want to bring any- out his phone to show vacant hotel rooms going for
thing back home,” Kirk says. $65 to $85 a night on booking sites that normally
Dana Wuesthoff, vice president for exhibitions have nothing to offer during the huge event. “It’s
and events services at ConExpo, is working hard nothing to laugh or sneer at,” Boschen says about
to make sure that doesn’t happen. Wuesthoff, coronavirus, and he admits that he’s unsure how
who works for the Association of Equipment it will play out in the U.S. “But you can get a room
Manufacturers, which puts on the convention, says at Golden Nugget for $87, which tells you they got a
the organizers rented large sanitizing stations to be whole lot of vacancies.”
placed throughout the show, especially in outdoor But business is still taking place. Caterpillar’s
areas that display cranes and other large equip- Umpleby says he has dinners scheduled for all five
ment, which don’t have an obvious table where nights of the expo, and he expects they’ll commence
containers of hand sanitizer could be placed. She as normal. He’ll take precautions—elbow-bumping,
CONEXPO PHOTOGRAPHS BY AARON WOJACK FOR BLOOMBERG BUSINESSWEEK

also increased the frequency of scheduled clean- washing his hands frequently, and not touching his
ing services and replaced cleaning chemicals with face—but he’s not going to sit farther away from cli-
more appropriate germ-killing options. The AEM is ents at restaurants. After ConExpo, he says he’s not
also handing out the no-handshake buttons, which going to self-quarantine. “I’m going on to the next
say “No Offense, Just Makes Sense.” thing,” Umpleby says. “I have a couple daughters at
Some attendees are stoic about the dan- home, and they’re in high school. And I’m going to
ger. Roland Karbaum, who owns a gravel pit in go home.”
Maryland, was one of the few attendees who wore Bobcat’s Ballweber says he and his staff had a
a mask during the show’s first day—though he kept it discussion about whether to self-quarantine after
hanging off his show badge rather than on his face. the event. “We haven’t made that decision yet, but
“If I’m looking at a machine and somebody gets in it is something we have absolutely talked about,”
close, I might put it on,” he says. he says. “When I got this job no one gave me the
ConExpo organizers say exhibitors representing playbook on how to handle a potential pandemic.”
less than 3% of the show’s 2.7 million square feet of �Joe Deaux and Christopher Palmeri
But what if it
◼ COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

doesn’t?
○ Asif Khan has a new routine every time one of typically see at least
his ride-share passengers steps out of the Toyota double the tips they’d
minivan he drives in Austin: He grabs a can of make on a normal night. “I definitely won’t be able ▲ Businesses across
Austin are in mourning
Lysol and sprays everything down. “It says it kills to go on vacation anytime soon, and I was kind of
all the germs,” he explains. hoping for that,” Welch says.
With diligence and luck, Khan might be able to Fernando Marri, owner of the Boteco food
avoid getting sick. But there isn’t much he can do truck in East Austin, said the cancellation will
about the financial hit coming his way now that cost him $45,000 of catering business, so he won’t
the city has canceled the 2020 South by Southwest be hiring the 10 workers he’d planned to take on
music and technology festival over concerns about during SXSW. The timing is particularly bad—
the coronavirus pandemic. Instead of the extra he was expecting a jump in customers after his
$2,000 he expected to rake in during the two-week business, which sells coxinhas, brigadeiros, and
event, he’ll likely make less than he does during other foods from his native Brazil, was lauded by
normal times, driving 10 to 12 hours seven days Food Network host Guy Fieri two months ago. In
a week. That’ll mean forgoing plans to pay down the video, Fieri said he’d been turned on to the
36 debt, he says. “Now it’s going to take a little longer.” truck by the actor and beloved Austinite Matthew
Organizers said SXSW, which draws hundreds McConaughey.
of thousands of attendees from more than 100 “For everybody that lives in Austin, go out and
countries every March, had a total economic support small businesses,” Marri says. “Think
impact  on Austin of almost $356 million last about that a little extra this month.”
year. That includes hotel and Airbnb rooms, the Austin has long considered itself a city that’s
money big corporations spend renting venues for friendly to the creative class, where musicians
dinners, the bar tabs for the revelers that flood can find a steady stream of gigs and plenty of
downtown, and the surge in shopping at hipster service-industry work to pay the bills before they
boutiques as foot traffic picks up. make it big. But that reputation has changed in
“It’s like a hurricane of people, of humanity, recent years; housing costs have shot up amid a
that leaves behind money instead of wreckage,” technology boom that’s seen thousands of jobs
says Brian Rush, who owns the Tears of Joy hot- created by Apple, IBM, Oracle, and other compa-
sauce shop in the downtown entertainment dis- nies. While that influx of tech employers helped
trict. March typically brings in two to three times give the region the fastest-growing economy
the revenue he makes in an average month as he
guides walk-ins to house-made concoctions with
names like Dragon’s Breath and Night Destroyer. What is South by Southwest worth?
Rush expects business will be lower than A breakdown of its $356 million economic impact on Austin in 2019 People registered
in previous years, but isn’t sure how bad it will Attendee spending Other impact
for SXSW in 2019
be. That’s because he figures many people who
already bought tickets to Austin will still make the Attendees

trip, especially those coming for the smaller, unof-


ficial music shows that pop up during the festival. 86.6k
That’s also the hope of Miranda Welch, the lead Speakers

4.8k
Hotels
barista at Gelateria Gemelli, which sells sweets, $110m
coffee, and cocktails just outside downtown. Exhibitor
Welch also works as a doorperson and bartender Other
and sponsor Members of the media
parties and Year-round
at the music venue Cheer Up Charlies and counts
4.3k
$19m
Food, drinks events operations
on a windfall from SXSW, during which they $45m Transport $100m $74m
▲ Marri, who’d been heading into SXSW on the heels of a great plug
from a Food Network star, says the cancellation will cost him $45,000
37
PHOTOGRAPHS BY ILANA PANICH-LINSMAN FOR BLOOMBERG BUSINESSWEEK. DATA: GREYHILL ADVISORS, SXSW

▲ Khan, a ride-share
driver, had earmarked
this year’s expected
SXSW windfall to pay
down debt

▶ Welch will have


to postpone this
year’s vacation
 COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

among major U.S. metropolitan areas over the Will cruise passengers return?
past decade, Austin also saw one of the nation’s
The cruise industry has Many customers chose to on an Asian voyage—may
biggest increases in the economic gap between survived torpedoes, abandon ship. scare some off forever. And
white and nonwhite populations, according to a terrorists, incompetent “We are definitely Carnival on March 9 got
captains, the winter experiencing a high number its first lawsuit regarding
recent Brookings Institution study. vomiting bug, and an of cancellations due to the passengers who’d been
Civic do-gooders are raising funds to support iceberg that doomed a ship virus,” says Kristy Adler, stuck with sick guests on
thought to be unsinkable. chief operating officer at the Grand Princess off the
service workers who stand to take big losses from Now it may be facing its Cruise & Resort Inc., a travel California coast.
the cancellation of the festival. The Austin metro toughest obstacle yet. agency in Sherman Oaks, One way Carnival hopes
On March 8, the U.S. Calif. “It’s a very tough time to keep sailing: offering
area has roughly 113,000 workers in the hotel Department of State, in an in our industry right now!” $200 onboard credits
and food-service sector, census data show. Two unprecedented alert, told Cruise takers are a to passengers who stick
citizens not to take cruises. resilient bunch, but images with their scheduled trips.
GoFundMe campaigns have generated more than Carnival Corp., the industry of guests trapped o on —Christopher
Ch i t h Palmeri
P l i
$27,000 of donations. (The company that runs leader, saw its share price ships such as the Diamond
tumble to levels not seen Princess—where more than
SXSW also says it will lay off about a third of its since the Great Recession. 700 contracted the e virus
175 full-time employees.)
The cancellation is particularly hard on
Mudathir Abdulgafar, a full-time ride-share reach of the crisis to an unprecedented
driver who’s lived in Austin for seven years. He level. The lethal outbreak had been a
says business usually doubles during the festival, multibillion-dollar headache largely for
and its scrubbing this year will be a blow to his airlines in China and the rest of Asia until
finances. Abdulgafar had already stopped accept- late February. Since then, the fear of flying has
ing pooled rides about three weeks ago, figur- followed the virus westward, striking some of the
ing the extra passengers on those trips increased biggest U.S. and European carriers. From Qantas
the chance he could catch the coronavirus and Cathay Pacific in Asia, to Lufthansa and Air
and be forced to take time off before the busy France-KLM in Europe, to United and American in
SXSW period. the U.S., airlines all share the common problem of
38 He’s been talking with other drivers about virus-sapped bookings.
what to do, and many of his colleagues are think- Amid the sudden plunge in global demand,
ing about seeking work piloting delivery vans for commercial air traffic is poised to fall 8.9% this
Amazon. They figure the job will be steadier, and year, according to Jefferies Financial Group Inc.
there’s less chance of catching an illness from That would be the biggest decline in the 42 years
a rider who is sick. Says Abdulgafar: “Packages of available data stretching back to 1978, dwarfing
instead of people.” — Brendan Walsh the impact of the Sept. 11 terrorist attacks. “The
industry is facing its biggest challenge in modern
aviation history,” says Yu Zhanfu, a partner at con-

ill airlines
sulting firm Roland Berger in Beijing.

CRUISE: SCOTT STRAZZANTE/SAN FRANCISCO CHRONICLE/AP PHOTO. PLANE: PU XIAOXU XINHUA/EYEVINE/REDUX


As government advisories, travel bans, quaran-
tines, and growing worries about being confined at
30,000 feet for many hours seated next to a possi-

gain ble virus carrier drain customer demand, airlines


are responding by making massive cuts along their
routes. Lufthansa is cutting its schedule by as much
as 50%. United chopped its April domestic sched-

ltitude? ule 10% and reduced international flying 20%. Delta


will cut domestic capacity as much as 15% and its
international flights 25%; American will decrease
foreign flights by 10% in the peak summer season.
The virus has already claimed its first casualties
○ Globalization has been a boon for the airline in the industry. Flybe, Britain’s biggest domestic
industry, which has flourished as nations opened carrier, was under financial stress before the infec-
up to one another over the past 40 years. Now tions began spreading, and it finally collapsed on
businesspeople and tourists can crisscross bor- March 5 as demand dwindled. In China, govern-
ders as easily as they travel close to home. ment officials began taking charge of the parent
Unfortunately, as the cascade of infections around of Hainan Airlines this month after it fell victim to
the globe can attest, so can the coronavirus. the mass travel bans there.
That frictionless movement has expanded the Other governments are likely to step in as well.
◼ COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

Deutsche Lufthansa  AG is looking for support State intervention may be the only way forward.
to avoid layoffs. And, without offering details, The government in Beijing controls the country’s What I’m
President Trump said on March 10 his adminis- Big Three—China Southern Airlines, Air China, and telling
tration will provide assistance to U.S. airlines as China Eastern Airlines—and has signaled it’s pre- staff and
a result of the outbreak. “We’ll be helping them pared to step in. The Civil Aviation Administration residents
through this patch,” he said. of China said on Feb. 11 the government would Lucinda Baier,
CEO, Brookdale
A global revenue loss of $113 billion in 2020—the support measures, including mergers, to help the Senior Living,
International Air Transport Association’s most pes- beleaguered industry recover. Brentwood, Tenn.
simistic forecast—would represent a 19% drop from Then, on March 4, Chinese regulators The most questions
2019. Even the trade group’s best-case scenario announced state funding for domestic and foreign I’m getting are “What
are you doing?” We
assumes an 11% decline in passenger revenue, or airlines operating international services to and normally respond
$63 billion. That may be why airlines are swinging from China during the crisis. On the table was as that we’ve created an
emergency response
the ax so brutally. Australia’s Qantas Airways Ltd. much as 0.0528 yuan per seat, per kilometer. For command center, a
on March 10 slashed about a quarter of its interna- an 8,175-kilometer (5,080-mile) flight from London cross-functional team of
experts from around the
tional schedule for the next six months, while Air to Beijing, the subsidy would total 432 yuan ($62) country that’s looped
France canceled 3,600 flights scheduled for March, per passenger. in with the CDC, the
local health agencies,
reducing its European network 25%. Led by giants China Southern and China and all the leading
Nowhere are the industry’s challenges more Eastern, the country’s airlines started adding health institutions to
provide the guidance
apparent than in China, whose airlines will shoul- back domestic flights the week of March 2, OAG’s and support that
der more than one-third of IATA’s projected hit to analysis shows. Some were extraordinary bargains: our associates and
communities need.
industrywide income. China, fed by an exploding A 31/2-hour flight from Shanghai to Chengdu, for We’re primarily
middle class happy to splurge on domestic and instance, was going for just 90 yuan, plus 50 yuan focused on prevention
and barriers. So we
overseas trips, had long been on track to supplant in taxes, almost a tenth of the usual price. Overall get a lot of questions
the U.S. as the world’s largest air travel market in capacity in China is still only about half the level about how you take
appropriate personal
the middle of this decade. Now local airlines have of late January, before the outbreak erupted in ear- protection, whether
found themselves on the front line of the crisis. nest. With the coronavirus taking hold in Europe it’s hand-washing or 39
using hand sanitizers,
Chinese airlines by February had cut 10.4 mil- and the U.S., low prices may not be enough to win and how to clean an
lion seats from their domestic schedules, accord- back international passengers in China, says Yu, environment so the
virus can’t spread, and
ing to OAG Aviation Worldwide. Ticket bookings in of Roland Berger. we educate people on
the country for April are down almost 80% from a Still, the global airline industry has bounced that. Flu is a significant
issue we address
year earlier, IATA says. With fears about the spread back from every crisis it’s seen. After the SARS every year, so we have
of Covid-19 weighing on demand for the rest of the outbreak in 2003, which cost Asia-Pacific airlines protocols in place that
are easy to apply to the
year at least, it’s inevitable that other Chinese air- about $6 billion in lost passenger revenue, inter- current situation.
lines will fail, says Joanna Lu, head of consulting for national traffic returned to normal within nine People are also
asking about how to
Asia at travel analytics company Cirium. “It’s more months. And this time around, plunging oil prices protect oneself in the
those smaller or private airlines, the low-cost car- resulting from the feud between OPEC and Russia office and at home.
We ordered cleaning
riers, that we should be worrying about,” she says. will also favor carriers, because fuel is one of their supplies for our
biggest expenses. associates, so they
could learn how to clean
“I’ve been in this things like cellphones
industry for 35-plus years, and doorknobs. One
of the most common
seen wars, terrorism, questions was about
disease, and accidents,” reading the instructions
on the back of the
says Jared Harckham, a product. There are so
vice president and man- many different sets of
instructions for different
aging director of aviation uses, and people
at consulting firm ICF wanted to know which
one to apply to this
International Inc. “So situation. �As told to
far, nothing has changed Suzanne Woolley
the long-term growth tra-
jectory of the industry.
Problems get controlled,
memories fade, and peo- ◀ Disinfecting an
ple cannot pass up a good airplane cabin at the
Haikou Meilan Airport
deal.” �Angus Whitley in China’s Hainan
and Chunying Zhang Province on Jan. 31
 COVID-19 / BUSINESS Bloomberg Businessweek March 16, 2020

Senator Edward Markey complained in a letter to What?


Amazon Chief Executive Officer Jeff Bezos that the Prices of sold-out

gouging company isn’t doing enough, citing the $400 Purell


recently found on the giant e-tailer’s site.
Sky-high prices are also spilling over to peer-to-
Amazon products,
as of March 10

be stopped? peer marketplaces like Craigslist Inc. and OfferUp


Inc. One entrepreneur in Seattle is making his own
hand-sanitizing concoction with aloe gel and rub-
bing alcohol, packing the green slime in empty
○ Governments worldwide are sounding alarms sports-drink bottles, and selling it on Craigslist for ○ Augason Farms
about price gouging and threatening crackdowns $45 a jug. He declined to be interviewed. emergency food supply
as the Covid-19 pandemic spreads fear and a surge At the  Lampe Berger  Paris smoke shop in Amazon:
in demand for hand sanitizer and face masks. But Midtown Manhattan, employee Moses Ifti said he
it’s unlikely that some vendors will stop demanding got some side eyes when he doubled the price of a
$109.64
Third-party seller:
$400 for a two-pack of 2-ounce bottles of Purell any- hand sanitizer to $10. But three people snapped up
time soon. (Yes, it happened; the stuff goes for $10.) all 30 bottles he had on display. “The customer is $347.90
The anti-gouging laws on the books are tricky looking at me crazy, but it’s sold out everywhere,”
to enforce when demand suddenly outstrips sup- he says. “People know they can’t get it anywhere
ply. Sometimes even just defining a violation is dif- else. What are they going to do?”
ficult, says Geoffrey Rapp, a law professor at the There’s no question that panicked shoppers want
University of Toledo in Ohio. “While there’s an things right now. Nine of the top 10 search terms
instinctive reaction that prices shouldn’t swing on Amazon since Feb. 26 were coronavirus-related,
wildly after a major natural event, man-made according to Helium 10, which tracks the site. ○ Clorox wipes, six
canisters of 75 wipes
disaster, or something like the current corona- Amazon searches for hand sanitizer over the past
Amazon:
virus scare,” he says, “there’s a blurry line between 30 days spiked to 1.5 million on March 1, up from
40 responses to the natural movement of supply and 90,000 on Dec. 1, according to Helium. Prices for $22.41
demand and those that should truly be prohibited.” some bestselling sanitizers doubled. Last available
third-party seller:
The demand is rippling out to survival-related
products. Sales of freeze-dried food and emergency $79.99
○ Can we suspend food supplies on Amazon rose 432% and 391%,
respectively, last week compared with the previ-
the law of supply ous week, says Michael Lagoni, CEO of Stackline,
an e-commerce data analytics company.
and demand? The Amazon algorithms that determine which
products people see punish merchants that let
Most American states have laws targeting the pricing their products run out. So some merchants use
○ Clorox bleach, 121 oz.
of food, fuel, and other essentials during an emer- pricing systems “designed to raise prices so prod-
Amazon:
gency. But they’re largely symbolic, Rapp says, ucts don’t run out of stock before they’re replen-
because prices often jump before an emergency ished,” says Juozas Kaziukenas, founder of New York $16.58
is declared. And some economic thinkers argue e-commerce researcher Marketplace Pulse. “That Third-party seller:

anti-gouging rules prevent the laws of supply and causes prices to spike during demand surges.”
demand from efficiently resolving a shortage. Amazon, EBay, and OfferUp say they’re mon-
$29.99
Efforts are under way nonetheless. In Washington itoring their sites. “There is no place for price
state, Attorney General Bob Ferguson has encour- gouging on Amazon, and that’s why our teams
aged residents to report possible price gouging. A are monitoring our store 24/7 and have already
TARGET: RICHARD LEVINE/ALAMY. DATA: CAMELCAMELCAMEL

New York lawmaker introduced a bill that would removed tens of thousands of offers for attempted
impose fines of up to $25,000 on stores selling face price gouging,” a spokesman says. “We are disap-
masks at “unconscionably excessive” prices. pointed that bad actors are attempting to take
For Amazon.com Inc., EBay Inc., and other advantage of this global health crisis.” ○ Purell, 8 fl. oz.
pumps, 12-pack
online retailers, the immediate issue is how to OfferUp has taken down hundreds of listings Amazon:
react to price surges on their sites. Their algorithms that violate its policies, a spokesman says. The com-
are designed to fight profiteering; they also assign pany wouldn’t say precisely how it calculates a vio- $45.34
employees to manually monitor items. But that’s lation, but the spokesman says $100 for a container Last available third-
party seller:
often a whack-a-mole exercise, with products getting of hand sanitizer would likely fit the bill. —Spencer
pulled off only to quickly reappear. Massachusetts Soper and Gerald Porter Jr., with David R. Baker $299.99
w m h can e rch 16, 2020

we buy?
○ Anneliese Bischof was on a business trip in
Thailand in the second week of January when
conversations with Chinese colleagues about a new
virus spreading across the region made her realize a
major outbreak might be occurring. For Bischof, the
business director of disinfection at German chemi-
cals company Lanxess AG, this was initially no cause
for alarm. After all, she and her team had seen spikes
in viral infections before, like the African swine
fever that swept across the Asia-Pacific region last
year, driving up demand for the company’s Virkon
industrial-strength disinfectant.
It was only when Bischof returned to Germany
that she realized this time was different. Back Manufacturers say the current stockpiling is ▲ Shoppers for hand
sanitizer at a Target
home in Cologne, the phones in her department more frenzied than that which occurs before a nat- store in New York were
started ringing off the hook. The inquiries were ural disaster. “I’m from Florida, so when it’s hurri- met with empty shelves
and purchase limits
from nations that had never previously been on cane season you see people with the same kind of
the Lanxess corporate map. “We had an off-the- behavior or pretty similar,” says Rick McLeod, vice 41
charts number of calls coming in,” says Bischof, who president of product supply for Procter & Gamble
works at the company’s Material Protection unit, Co.’s family care unit—home of the coveted Charmin
which took over the Virkon brand of disinfectants and Bounty brands. “What’s different here is that it’s
a few years ago with the $230 million purchase of a not as concentrated as you would see in a hurricane
biocide business from Delaware-based Chemours response—it’s obviously more widespread.”
Co. “Places like Trinidad and Tobago, all kinds of Indeed, retailers such as Target, Kroger, and
small countries that for the majority of our business Tesco in the U.K. are limiting certain purchases.
wouldn’t have been on our radar. That’s when we Costco Wholesale Corp. is struggling to keep items
really started noticing the bomb dropping.” in stock, Chief Financial Officer Richard Galanti
Virkon, a powder dissolved in water and then told analysts, saying the buying frenzy has been
sprayed on surfaces, kills viruses quickly, often in “a little bit crazy.” In France, shoppers snapped up
minutes. That sets it apart from other agents that pasta, rice, ready-cooked meals, and toilet paper,
may take a full hour to eliminate them, Bischof says. says Michel-Édouard Leclerc, chairman of super-
“You wouldn’t want to soak or spray a desk and let it market chain E.Leclerc. “Everyone rushed like “We had an
sit for 60 minutes if you want to disinfect it.” they had lived through a war, which is incredible, off-the-charts
The German company isn’t alone in having to because three-quarters of the people who came to number
scramble to meet demand for products that have stock up have never known war.” of calls
become hot sellers in the wake of the coronavirus With demand soaring, Lanxess began air- coming in”
outbreak. Even before the spread of Covid-19 out- freighting Virkon to China instead of shipping
side of China accelerated, American shoppers it—getting it to customers within a week, rather
were stocking up on items such as medical masks, than 30 to 45 days. Lanxess also installed a sec-
hand sanitizers, and thermometers—in the week ond shift, doubled capacity at the factory mak-
through Jan. 25, sales of masks were up 428% from ing Virkon in Sudbury, England, and is leaning on
the same period last year, according to Nielsen other European production sites. Bischof predicts
data. And companies such as Gojo Industries sales will remain high for the foreseeable future.
Inc., which sells Purell hand sanitizer, kicked into “Demand is here to stay at least for this year, if not
high gear after demand for disinfectant hand gels going forward,” she says. “The topic of disinfection
spiked 1,400% from December to January, accord- is present in people’s minds now.” �Andrew Noel,
ing to Adobe Analytics. with Gerald Porter Jr. and Thomas Buckley
ill h
erg

change us?
▼ Reducing pole
42
contact in New York
City’s subways
h
Bloomberg Businessweek March 16, 2020

43

▲ People are changing their behavior fast to contend


with the new coronavirus threat. Those who must still
PHOTOGRAPHS BY GUS POWELL FOR BLOOMBERG BUSINESSWEEK (8)

take transit, for example, wonder if avoiding surfaces on


trains and buses will help them stay healthy. A survey of
about 11,000 people in 11 countries conducted in early
February by Britain’s Reckitt Benckiser Group Plc, which
makes cleaning products under its Lysol brand, found
that 44% are avoiding crowds and 29% are staying off
public transit. Campaigns from public-health agencies
seem to be resonating: 54% said they’re washing their
hands more often, and 32% are trying not to touch their
eyes, nose, and mouth. Whether any of the lessons on
cleanliness will lead to lasting behavioral changes is
perhaps a question for later. �Deirdre Hipwell
 COVID-19 / US Bloomberg Businessweek March 16, 2020

where schools have been closed since Feb. 3, many


Will gender parents—mostly moms—have become de facto
home-schoolers, managing remote classes and
inequality worsen? emailed assignments along with their own profes-
sional responsibilities. On Facebook and in group
chats, they troubleshoot glitches with Zoom or
○ In strictly medical terms, the new coronavirus Google Classroom and swap tips for dealing with
seems to hit men harder than women. In an anal- stir-crazy kids. There is a lot of and #winetime.
ysis of almost 45,000 cases in China, the death rate
was 2.8% for men, compared with 1.7% for women. ○ Or will there be a more even
And men made up a slight majority of the infected, distribution of caretaking?
at 51%. One theory is that men, particularly in
China, are more likely to smoke cigarettes, so they Some companies have begun to realize that the
have weaker lungs. Cardiovascular disease, which is spread of Covid-19 has also brought extra pressures
highly correlated with coronavirus fatalities, is also for their workers. In Japan, Pasona Group Inc., a
more prevalent in men. But as the virus spreads human resources service provider, gave employ-
globally, it appears women are bearing the brunt of ees the freedom to work from home or bring their
the social and economic disruption. kids to the office. Workers at beauty company
The vast majority of nurses, flight attendants,
teachers, and service industry workers are female,
and their jobs put them on the front lines of the out-
break. At home, women still do more caretaking,
so when the virus closes schools, restricts travel,
and puts aged relatives at risk, they have more to
do. “The challenge of the emergency really puts
44 additional strain on existing inequalities,” says
Laura Addati, a policy specialist in women and eco-
nomic empowerment for the International Labor
Organization. “If there’s not already an egalitarian
sharing of child care or housework, it will be women
who are responsible for remote school, for ensuring
there’s food and supplies, for coping with this crisis.”
Eight out of 10 nurses are women, perhaps the
most extreme example of how this crisis squeezes
women at home and at work. Eleanor Holroyd,
a professor of nursing at the Chinese University Shiseido Co. can take up to 10 days of paid leave  In China’s Hainan
province, where
of Hong Kong in 2003, collected the first-person to care for their children while schools are closed, overseas organizations
accounts of student nurses during the SARS epi- and they won’t lose pay if they have to work slightly are shipping more
masks
demic. They detailed the confusion, anxiety, and shorter days. In the U.S., labor leaders, including
stress of long days with patients and of watching the heads of big unions for flight attendants, teach-
colleagues fall ill. Some slept in the hospital, both ers, and nurses, have been using the coronavirus
to care for the sick and to protect their own fam- epidemic to draw attention to the fact that America
ilies. “There’s this idea that if there’s a gap in the is alone among developed countries without man-
system, the nurses will fill it. The duty is to be ever- dated paid sick leave. “No one should have to go
present and visible and offering empathy and care,” to work sick because they are worried about being
says Holroyd, who now teaches at New Zealand’s penalized or missing a day’s pay,” says Mary Kay
Auckland University of Technology. “Add that to Henry, the president of the Service Employees
anything else, a sick child or parent, or a husband International Union.
or partner out of work, the very uncertain nature of Advocates for equality hope this global health
an epidemic, and it can be hard to hold on.” crisis will result in a more even distribution of pro-
As part of the containment efforts, 15 countries fessional and domestic caretaking. Before the U.S.
have closed schools nationwide, affecting more entered World War II in 1940, 28% of American
than 300 million kids, according to a March 10 esti- women worked outside the home; five years
mate from Unesco. For most families, that con- later, 37% did, a percentage that ticked upwards
stitutes a crisis in its own right. In Hong Kong, for decades. In Japan, the tsunami and nuclear
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

meltdown of March 2011 drew new attention to the unemployed men, but as the economy improved,
needs of single dads in the country and prompted most households reverted to the pre-crisis division
broader social emphasis on active fathering. It of labor, says the ILO’s Addati. The coronavirus cri-
“changed men’s sense of value in housework partic- sis is an opportunity to challenge entrenched social
ipation,” says Tetsuya Ando, head of advocacy orga- dynamics in a way that benefits both women and
nization Fathering Japan. “The coronavirus will have men. “We have to think of ourselves as all being care
a similar social impact.” providers and all being care recipients,” she says.
If so, whether the changes persist is another “It should be our responsibility to make sure every-
question. In the wake of the 2008 financial crisis, one can take care of himself, his loved ones, and
necessity pushed more women into the workforce, make sure the workplace is safe for everybody.”
conferring more child-care responsibilities on newly �Janet Paskin, with Bei Hu and Grace Huang

Why should more of


us work from home?
○ You want to do what you can to protect yourself (R0 > 1) or peters out (R0 < 1). It varies by disease,
and others from the spread of the new coronavirus. with measles at a spectacularly contagious 15 or
You’re already washing your hands raw, bumping so, and the average for the seasonal flu usually 45
elbows instead of shaking hands, pressing elevator around 1.3. Current estimates of Covid-19’s R0 are
buttons with your knuckles, and valiantly fighting in the 2s.
the urge to touch your face. What else can you do Changing behavior can change the effective R0,
to fight Covid-19? Well, you could just work from though. One way to think of R0 is that it’s the prob-
home today instead of going to the office. ability of infection given contact with an infectious
I know, I know: Most people can’t do that. Only person, multiplied by the contact rate, multi-
29% of U.S. workers in a 2017-18 U.S. Bureau of plied by the infectious duration. Hand-washing,
Labor Statistics survey said they had the option to elbow-bumping, and the like bring R0 down by low-
do their jobs from home. Those who can tend to ering the probability of infection given contact with
have much higher incomes and education levels an infectious person. Working from home does it
than those who can’t. Doing your job via an inter- by reducing the number of contacts.
net connection is simply not a possibility for most
people working in retail, food service, manufactur- ● Is it more effective than
ing, health care, and lots of other sectors. closing schools?
But this is Bloomberg Businessweek, and, accord-
ing to the BLS, 60% of people in management, busi- By not going to the office, and by staying off public
ness, and financial occupations can work from transportation if that’s how you usually get there,
home. If you’re reading this, there’s a good chance you’re not just protecting yourself from the virus,
you can WFH at least some of the time. There’s you’re also protecting everyone who still has to go
also a good chance your employer will be order- into work or take the train or bus. Such behavior
ing or strongly encouraging you to stay away from is often labeled social distancing. It may feel a bit
the office in the near future, as several prominent anti-social, but during an epidemic it’s actually
tech companies already have. But you don’t have quite pro-social.
to wait. In China, making everybody stay home seems
PU XIAOXU/XINHUA/ZUMA PRESS

Think of it as your own little contribution to to have brought the coronavirus’s R0 below the
lowering R0, the reproduction number, generally disease-spreading threshold, at least temporarily.
pronounced “r-naught.” R0 is the average num- More limited shutdowns such as school closings
ber of people an infected person is likely to infect, have also been shown to play a role in curbing or
thus determining whether an epidemic spreads at least slowing past influenza epidemics.
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

Given Covid-19’s seemingly minor impact on and deepening the sense of seclusion.
children, schools might not be the best target this China’s notorious tech culture—espoused by
time around. All the more reason to stay out of the business leaders including Alibaba billionaire Jack
office. Also, such moves have generally been most Ma for driving productivity—was already starting to
effective when a virus has only spread to a small encounter resistance from workers, as the biggest What I’m
percentage of the population. Waiting until the slump in the sector since the 2008 financial crisis telling my
epidemic is raging is too late. spurred job losses. The worsening morale among stuck-at-home
Just you staying home from the office isn’t tech foot soldiers, some in isolation weeks before students
going to have a major impact, of course. But it’s the virus spread beyond China’s borders, might Andrew Hancock,
director of education
still something, and—unlike, say, forgoing restau- be a lesson for the world’s corporations contem- at Cognita, which runs
rant meals or movies or travel—it comes at a low plating similar contingency plans on how not to do international schools in
Hong Kong
cost to the economy. It may even come at no cost work-from-home.
at all, considering that remote workers generally A recently hired employee at the Shenzhen In Hong Kong at the
moment, the schools
appear to get more done than their in-office peers. branch of ByteDance Inc., which owns TikTok, are not open to
One big experimental test of this: In 2010 and 2011 has yet to meet her colleagues in person because students, you’re not
meant to go out in
at Shanghai-based travel agency Ctrip (now Trip. the epidemic forced the company to temporarily the community, and
com), productivity rose 13% among call-center shut its offices. The product specialist, who asked the apartments are
notoriously tiny. One
workers who were allowed to work from home. to be identified only by her surname, Huang, says of the schools has
So, seriously. Do it for your co-workers. Do it for her days are so packed with teleconferencing— been in an online-
learning situation
your fellow commuters. Do it for firefighters and brainstorming sessions with her team can last four for quite some time.
delivery workers. Do it for humanity. If you can, hours—that she can start to tackle her workload in They’ve been talking
a lot about routines. If
work from home. —Justin Fox, Bloomberg Opinion earnest only at night. “I feel I’m enduring the pres- they’re at home, kids
sure of work but not enjoying the benefits,” Huang can start sleeping in,
not brushing teeth. So
says. “I didn’t even get to know my new colleagues.

Howcan
they are spending time
I’m just a machine that works all the time.” communicating with
kids about getting up
46 in the morning, having

● Does it increase
breakfast, taking brain
breaks. At the end of
the day, the kids need

the workload?
WFH go
routines—they need
to have that structure
and cadence to the day.
The physical education
group has also been
Mobile applications manager Stella Ma’s mornings communicating
start with a team conference call that she takes the importance of
exercise—exercise that
from bed. After briefing her manager, the 28-year-

wrong?
can be done in a small
old hits mute, brushes her teeth, and downs a bowl space. A regular routine
allows them to deal with
of oatmeal before settling in at her dining room the ambiguity outside.
table for 12 hours or more on her laptop. She says �As told to Joanna
Ossinger
she’s putting in longer days than ever. “I was stu-
pid to think working from home was easy,” says
Ma, who asked that her company’s name not be
○ A relentless office schedule dubbed “996”—9 a.m. disclosed. Sunny Chen, a 26-year-old Beijing-based
to 9 p.m., six days a week, plus overtime—has long product manager in NetEase Inc.’s online education
been a burdensome reality for China’s tech work- unit, also says she’s facing a heavier workload than
ers. With the new coronavirus outbreak forcing usual because of increased demand for remote
hundreds of thousands of the sector’s employees learning during the public-health crisis. “Being on
to log in remotely, they’re discovering that work- standby 24/7 is more of a norm under the work-
ing from home can be even worse. from-home situation,” she says.
Instead of bringing employees greater freedom, Managers at Huawei Technologies Co. are
telecommuting means professional life is encroach- requiring workers to complete a survey about
ing even more on private life, as bosses subject work- their health condition every day before 9:30 a.m.
ers to hourslong conference calls, regular check-ins Allen Chen, a 26-year-old engineer at Huawei’s
to ensure they’re not slacking off, and expectations research institute in Wuhan, says it’s also a way
that they’ll be available 24/7. Compounding the prob- for the company to keep tabs on attendance. A
lem are unstable virtual office tools that frustrate Huawei spokesman says the checks are intended
smooth communication, stymieing productivity to monitor the health of workers, not attendance.
◼ COVID-19 / US

Without regular check-ins, employees might


not be working, says Gu Xi, chief marketing offi-
cer at online education startup Higgz Technology
in Beijing. Gu, 25, tightened supervision over her
team of more than 10 during about three weeks of
remote working. She demanded that staffers reply
to all messages on WeChat Work, Tencent Holdings
Ltd.’s virtual office app, within 20 minutes, and she
monitored who was the quickest to read her recom-
mended reading items sent via the app as early as
7 a.m. At the end of ea ch day, staffers had to rank
their performance on a scale from 2 to 10. “If I’m not
harsh, the employees might be working out at home
during the office hours,” Gu says. Higgz recently let
workers return to the office to improve productivity.
They sit at every other desk and wear masks.

● How to build headquarters to turn his desktop computer’s power


more resilient on—so he could continue accessing files from home—
after a security guard had shut it down. The place
▲ Claire Tu working
from home in Shanghai
for Reprise Digital,

companies? was empty and reeked of disinfectant. “I risked my


life,” he says, half-jokingly. Before heading out, he
which recently allowed
half its staff back
to the office on a
rotating basis
Search company Baidu Inc. estimated that more left a Post-it on his monitor reminding others not
than 40% of the country’s businesses still had office to switch off the computer. Zhu, who asked that his 47
shutdowns in place as of March 3, citing data col- company’s name be withheld, is apprehensive about
lected via its map service. Alibaba Group Holding being in close contact again with colleagues and
Ltd., the e-commerce giant that serves as a barom- commuters. For him, telecommuting hasn’t been
eter for the world’s No. 2 economy, warned last more arduous, he says: “We are result-oriented. As
month of a “significant” hit to revenue for the long as you finish your job before the deadline, no
quarter ending in March because people such as one cares what you do in the middle.”
merchants, couriers, and factory workers couldn’t A growing number of major companies are mak-
get to their jobs. Thousands of its employees ing work-from-home recommendations as the virus
are still working from their homes in Hangzhou, infects more people around the world and as health
where Alibaba has its headquarters. That city has authorities enforce containment measures in regions
imposed some of the harshest quarantine and with the greatest number of cases. The tech sector,
virus-prevention measures outside of Wuhan. in particular, has been an early mover: Apple Inc.
The need for greater trust between employees is encouraging employees in Silicon Valley to work
and management and for better tools to accommo- from home as an additional precaution against the
date mass telecommuting are among takeaways outbreak, joining Alphabet, Microsoft, and Twitter.
China’s tech companies should consider after their Global companies may not encounter the same
remote working experience during the outbreak, lower employee morale tied to working from home
says Alvin Foo, managing director of Reprise Digital, as in China, where the broader corporate culture
a Shanghai digital ad agency. “It’s a wake-up call doesn’t put a high priority on the well-being of staff,
for companies to be really looking into building a says Marlon Mai, Shanghai-based managing director
more resilient organization,” he says. After all 400 for recruitment consulting firm Morgan McKinley.
of the company’s employees worked remotely for “China has yet to enter the stage where you can
two weeks, Reprise Digital now allows half back to truly have work-life balance and where companies
the office on a rotating basis. “Meeting people in have people’s needs foremost in mind,” he says.
person also allows you to build back the momentum “Internet firms have turned 996 into a default set-
QILAI SHEN/BLOOMBERG

that has been lost during the outbreak,” Foo says. ting, and other companies are following suit. To put
Eric Zhu, 35, a game developer in Beijing, got it bluntly, workers in this sector are just exchanging
a glimpse of what the return to the office might their time for money.” �Zheping Huang and Claire
look like when he had to go to his company’s Che, with Gao Yuan
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

How will we worship?

48

○ In Milan, churches sit empty as the faithful fol- synagogues in the U.S. have discouraged hugging ▲ A sanitation sweep at
Basilica San Domenico
low Mass on television. And with five months or kissing to greet one another—one in New Jersey Maggiore in Naples
to go before Islam’s most sacred pilgrimage, it’s suggests a slight bow at the hips or a friendly wave
unclear if Saudi Arabia will reopen holy sites to when saying “Shabbat shalom.” In Hong Kong,
millions of foreign Muslims. Able-bodied believ- some churches took away hymnals to minimize
ers are required to make the 10-day hajj, set for contact with possibly contaminated surfaces.
SALVATORE LAPORTA/SIPA/AP PHOTO

late July and August, once in their lives. Visas for Others stopped singing, to limit the expelling of
the umrah, a shorter pilgrimage that can be made droplets. Some Catholic dioceses in the U.S. told
throughout the year, have been suspended. parishes to suspend offering wine for communion.
Religion asks people not only to gather together, A religious group in South Korea was linked to a
but often to touch and share food. Now everyday spike in cases there. Some churches were also iden-
rites and traditions are being interrupted. Some tified as coronavirus clusters in Singapore, where
Household maintenance masks

◼ COVID-19 / US Bloom March 16, 2020

many congregations have now moved activities


online. Employees go online to fulfill pastoral care
and administrative duties. Bible studies, sermons,
and some group meetings have moved to platforms
such as Zoom, Google Hangouts, and Facebook Chang
Live. Employees at the Hindu tem- week
ple Akshardham in New Delhi have ● Foo
been asked to wash their hands ● Heal
six to eight times a day. The tem-
ple receives as many as 10,000 vis-
itors a day.
Juliana Lee, whose husband
and two young sons attend Our
Lady of Mount Carmel Church in Oat milk
Hong Kong, says the suspension of
Hand sanitizer
Sunday classes for kids and Masses
are prudent measures. “You’re 300%

packed like sardines in a church,”


she says. “You’re sitting and kneel-
ing, holding hands, going up to take
the host, and dipping it in wine. It
doesn’t feel comfortable right now
to be in an enclosed space with lots
of worshippers.” Her sons are doing
Bible lessons sent to them by email
instead, and the family plans on 49
catching Mass online.
Religions have more experience
than any other institutions in the 200

world in dealing with epidemics


and surviving them. But the eco-
nomic cost limiting the spread of
the coronavirus in places of wor-
ship and devotion is significant. Fresh-meat alternatives
The hajj and umrah pilgrimages
contribute an estimated $12 billion
a year—or 7%—to Saudi Arabia’s
gross domestic product. In Hong
Kong, one church in a district pop- Medical masks
ular with expatriates is in dire
straits. St. Anne’s has seen a decline 100
Aerosol disinfectants
in members, some of whom relo-
cated after the city was gripped by Powdered milk products
Thermometers
months of protests. That, plus suspended services,
has caused a sharp fall in income from donations at
Mass, says parish priest Paulus Waris Santoso. “If Bath and shower wipes
Energy beverages
we do nothing, we’ll collapse,” he says. First-aid kits

Community Church Hong Kong has seen


Dried beans
attendance drop by more than half, says its Canned meat
pastor, Steve Gaultney. The majority of dona- Rice, tuna
Black beans
tions to it come as electronic payments, and the Supplements
Water
church is working to expand such options, and Pasta
to use technology to keep people connected. “All 0 Pet medicine
Fruit snacks
churches will be impacted by the coronavirus,” Week ended Feb. 22 Week ended Feb. 29
Gaultney says. �Faris Mokhtar DATA: NIELSEN
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

through April. Melia Hotels & Resorts of Spain is

Should I stay offering rebates of up to 45% and free cancella-


tions. “Many hotels are trying to be more flexi-
ble, because they want the travelers to come,

or should I go? if not next week, maybe in three months,” says


Alexis Waravka, public affairs manager of Hotrec,
an association of hotels, restaurants, pubs, and How low?
cafes in Europe. ● Change in flight
fares,* March 4 to
○ The pyramids of Egypt have been on Genelle March 7
Edwards’s travel bucket list for years. She started
having second thoughts about her two-week trip ● Will bargains Los Angeles to Calgary

to Egypt, due to start on March 16, after an out-


break of the new coronavirus on a cruise ship on win over wary -11.4%
the Nile River and the death of a German tourist
from Covid-19 at a hospital in a Red Sea resort. “I’m travelers? Los Angeles to Nairobi

worried about being quarantined and stuck when


I’m there,” says the 68-year-old retired business Royal Caribbean Cruises Ltd. is offering guests
-11.0%
owner from Austin. “But also I’m concerned with full credit on their fare even if they opt out as New York to
Casablanca
my age, as I’m almost at the highest-risk category.” late as 48 hours before embarkation on trips
Edwards says she now plans to cancel, a deci-
sion that could be costly: She spent $8,500 plus
before the end of July. After that, the policy
returns to the stricter charges that usually apply -11.3%
rewards points on the trip and may only be able for the industry: They’d have to cancel at least New York to Lyon
to rebook the flight. The conundrum—to travel or 57 days before sailing to get everything but their
not—is a common one, as the coronavirus spreads
globally: Those with existing reservations face
deposit back.
The looser terms may not be enough to offset
-16.7%
50 potentially steep losses for canceling, while those declining business for cruise operators. Travelers San Francisco to
Rio de Janeiro
contemplating trips must weigh the risk of getting on several ships have been quarantined for days to
sick or being quarantined against the discount
offers from airlines, tour operators, and cruise
weeks after confirmed cases of Covid-19 or because
of fears of possible infections, highlighting a risk -17.3%
companies coping with plummeting sales. for the global industry’s more than 300 vessels. San Francisco to
While trip insurance doesn’t typically cover dis- Most notable was Princess Cruises Inc.’s Diamond Stuttgart
ruption tied to epidemics or fear of travel, some Princess, which saw about 700 people become
coronavirus claims are nonetheless being accom- infected and was forced to dock for weeks off the -14.3%
modated: German insurer Allianz SE has started coast of Japan. The Centers for Disease Control and
covering medical treatment and trip cancellation Prevention recommended travelers defer all cruise
and interruption for customers who become ill ship travel worldwide because of a higher risk of
with Covid-19 or who are scheduled to visit regions person-to-person spread.
with major outbreaks, under certain circumstances HolidayPirates Group, which runs travel deal
and for those with applicable benefits. Tourism in websites in 10 countries, is trying to quell some of
Italy has practically ground to a halt after the coun- the traveler concerns by promoting information on
try issued a nationwide lockdown on March 9. safe destinations, cancellation policies and insur-
For destinations with just a few cases, trav- ance, and tips on staying healthy. The Berlin-based
elers who cancel can generally expect to lose at company, which saw sales slump 30% from late
least part of the money. TUI AG, a tour operator February to early March because of virus-related
based in Hanover, Germany, reimburses excursions fears, is expecting the campaign and low-cost deals
affected by government-issued travel warnings, but to bring some business back. “The longer the sit-
not those canceled because customers are simply uation takes, the more travelers will get used to it
wary of traveling. “Fear of infection is not a reason and the less panic there’ll be,” says Chief Executive
to withdraw from a trip,” says Susanne Stuenckel, Officer David Armstrong.
a spokeswoman for TUI. Claire Fletcher, 33, a marketing manager in
The travel industry is starting to loosen some Durham, N.C., took advantage of a cheap offer in
conditions to encourage people to take advan- January when she booked a round-trip flight for
tage of deals. German carrier Deutsche Lufthansa $349 to San Francisco. The trip to see the city and
AG, which is cutting as many as half of its flights the redwood forests with two friends in early May
because of the virus, has waived rebooking fees is on for now, but Fletcher says she’d be deterred
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

by a large outbreak like the one in Italy or even reconstructed it from phone calls and texts. In What I’m
one that spreads city-wide. She expects she’d be January her grandmother came down with a telling
reimbursed for accommodation and car rental fever. Rumor had it that people were contract- my union
if she is forced to cancel the trip. “I’m pregnant ing a weird disease near the Huanan Seafood members
and have asthma, so I need to be cautious as even Wholesale Market. The family didn’t take it seri- Sal Rosselli, president,
National Union of
the regular flu could be dangerous,” she says. ously at first, because they lived far from the mar- Healthcare Workers,
�Stefan Nicola and Corinne Gretler ket and Li’s granny rarely left the house except to Emeryville, Calif.
play mahjong with her friends. Then, after a few During the onset of the
days, the old lady began to have trouble breath-

What
HIV/AIDS epidemic in
the early 1980s, I was
ing. At the same time, the rest of Wuhan went living in San Francisco
into lockdown. and helping lead a large
health-care workers’
On phone calls, her mother and grandmother union in California. We
told Li—who lived alone in her own apartment— didn’t have all of the
answers on how the
about the illness but said she shouldn’t visit,

is it like
disease was passed
because they didn’t want her to get infected. from one person to
another and how best
She called everyone she knew who might have to contain it.
influence to try to get help. Li made hundreds Once again I find
myself dealing with
of calls—to the police, hospital emergency lines, a national health
government directories, and hotlines listed by

to live
emergency which we
don’t yet know how to
netizens. No one answered. She blasted posts fully contain. I tell our
seeking help on Chinese social media including members the same
thing about Covid-19
WeChat, Weibo, and Bytedance. She pleaded for today as I did about
help with the local authorities who enforced the AIDS back then—that
we are going to get
quarantine on her neighborhood. After three

through
through this together
days a community hospital called to say there with brutal honesty and
transparency. Health-
was a spot for Li’s grandmother, but it was too care workers don’t 51
late. She died that night. The community authori- always know whether
they can trust their em-
ties then dispatched people to disinfect the wom- ployers. As a union we
an’s apartment.

this?
can help by monitoring
health-care providers,
On the same day, Li’s mother, Zhu, came down determining which ones
with a fever. At Wuhan Hankou hospital, her lungs are best at protecting
caregivers and holding
showed mild signs of infection. But she tested the others to that
negative on the nucleic acid test, which identi- standard. We don’t want
*WHAT A TYPICAL LEISURE TRAVELER SHOULD EXPECT TO PAY, BASED ON CONSUMER AIRFARE SEARCHES. DATA: HAYLEY BERG,

to scare people, but the


fies the virus in a patient’s body through its spe- more honest and open
cific genetic sequence. A lack of test kits and the we are about the illness,
the faster we will learn
unreliability of test results caused many patients how to limit infections.
Wuhan, China to be excluded during the early weeks of the out- Caring for the sick is
a calling. Our members
break. The staff told Zhu to go home and take are committed to
The two women were on the empty streets of pills to bring down her fever. After six days of self- doing their jobs, but
they want to know that
Wuhan for three hours that day in January. Zhu quarantine, on Feb. 6, she began to have trouble their employers—and
E’Yan, 61, pushed her 86-year-old mother, Ren breathing and started vomiting. Three days later government—won’t
take any shortcuts in
Zhengzai, down the road in a wheelchair, trying to the authorities moved her, not to a hospital but protecting their safety
find the nearest hospital willing to treat a patient to a hotel, where she continued to go untreated. or abandon them if they
become infected or
with a fever. All bus and taxi services were shut- On Feb. 10, after more online pleading and placed in quarantine.
tered. When they finally got to a hospital, the hall- phone calls by Li, her mom was rushed to an The last thing we want
is for caregivers to be
ways were packed with people coughing, many intensive care unit. She called Li to ask her to afraid to seek treatment
with IV fluid drips on makeshift beds. Zhu sat on tap more of her connections to get her into a themselves—and risk
spreading the illness to
the floor the entire night as they waited for a room. better hospital. “She was going through a men- patients—because they
But none was available. The next day she wheeled tal breakdown,” her daughter says. Zhu had seen can’t afford to be sick.
�As told to Cynthia
her mother—untreated—home on another three- two of her wardmates die by then. “I told her, Koons
hour trek. ‘You’re in the ICU because I pulled all the strings I
ECONOMIST AT HOPPER

In the next five weeks, they were turned away could,’ and she got upset and hung up the phone.”
by one hospital after another—and both women are Li would desperately try to find help—even
now dead. Li Yaqing, 38, wasn’t with her mother unproven cures—for her mother. But, she says of
and grandmother when their ordeal began; she’s the phone call, “that was our last exchange.”
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

Beginning on Feb. 15, the hospital put Zhu on China. He’s witnessed how China’s rise in the past
a feeding tube, a catheter and, eventually, a respi- 20 years created opportunity and hostility in one of
rator. The next few days were full of dread, and Li’s Europe’s most fragile economies. As many Italians
heart sank every time the phone rang, fearing bad see it, competition from China’s manufacturers
news. She finally got the call at 8 a.m. on Feb. 26: since the late 1990s contributed to the country’s
The doctors said her mother might not make it. By slow economic decline. At the same time, China
the time she got to the hospital, her mother had has been a boon for Italian exporters—from Prada
died, her body wrapped in plastic and cremated.   to Ferrari to hundreds of smaller companies such
“People who die are just a number on paper,” as Faam. Italian consumers also spend billions of
she says. “My grandma didn’t even make it as a euros on smartphones, toys, and other Chinese-
number,” because she died before testing posi- made goods.
tive for the novel coronavirus. “The worst part But the animosity has been simmering, with
is I couldn’t be there to take care of them in per- occasional flare-ups of anti-Chinese demonstra-
son. I never saw my mom or even got to say tions in cities including Prato, near Florence, and
goodbye to her in her final days.” �Lulu Chen Milan, home to large Chinese immigrant commu-
nities. The outbreak of Covid-19 helped bring the
Monterubbiano, Italy anger into the open. Luca Zaia, governor of the

In late January entrepreneur Ermanno Vitali,


41, decided he would leave Nanjing, China, with
his Chinese wife and two of his three daughters
and return to his central Italian hometown of
Monterubbiano. The novel coronavirus was already
spreading in and beyond Wuhan, about 335 miles
from Nanjing, and the long Lunar New Year holi-
52 day would be a good time to sit out the outbreak in
his native land. After two weeks of quarantine at
the behest of Chinese authorities, he and his family
flew to Italy, where they would join his third daugh-
ter, who lived near Monterubbiano with Vitali’s par-
ents and attended school there.
He didn’t get the welcome he expected from
his hometown. Within days, news of the Vitalis’
return from China spread like wildfire in WhatsApp Veneto region and a member of the anti-migrant ▲ Zhu E’Yan, 61, and
her 86-year-old mother
groups and among the parents of his daughter’s League party, said the virus spread in China died within weeks of
classmates. The walls, bus stops, and schools of because the country lacks a culture of hygiene and each other in Wuhan
Monterubbiano were plastered with anonymous food safety compared with Europe. “We have all
messages warning the local population to stay away seen them eat live rats or other stuff,” he said in
from the family. “They came back secretly from a TV interview, only to apologize some days later
China, the Vitalis, without notifying the authori- in a letter to the Chinese ambassador in Rome.
ties,” read the notices, which had been handwritten In Monterubbiano, the Vitalis decided to
and photocopied. “They are dangerous.” self-quarantine again, pulling their daughter from
“As soon as we arrived, a hunt for school and avoiding social contact, even though
‘plague-spreaders’ started,” he says, using a term at the time the Italian government was imposing
familiar to Italians from their school days. The no restrictions on those returning from China. No
classic 19th century novel The Betrothed recounts other incident occurred, and the family joined the
a plague in Milan in the 17th century. As conta- local Carnevale festivities in late February. “Even
gion spreads, the terrified population starts look- if someone doesn’t love us,” Vitali says, “most of
ing for untori, or plague-spreaders, on whom to the town does.”
vent their anger. In a memorable scene in the Still, the posters had shaken the family. Vitali
book, a mob exacts summary justice on a sus- decided to return to Nanjing with his wife and
pected untore. all three daughters in early March. He thought
Vitali, chief executive officer of the Chinese the timing might be opportune for his business:
branch of Faam, an Italian battery maker, is well A competitor in Wuhan was struggling amid the
aware of the complicated feelings Italians have for containment. By then, however, Italy had become
◼ COVID-19 / US Bloomberg Businessweek March 16, 2020

the epicenter of the pandemic in Europe. The employees call him—stands staring at his store
Chinese authorities, fearful the contagion would empty of the usual holiday consumers. “It’s
return just as it appeared to be getting under awful,” he says. “On a good day we earn one-
control, informed the family they would have to fourth of the pre-corona days. We used to make
undergo yet another quarantine. In an additional 2  million tomans a day [about $130 at current
twist, Vitali’s plans to expand his business were depressed rates of exchange]. Now, 300,000 to
hampered by Italian measures that threw snags 400,000 tomans. We used to have 80 to 100 cus-
into that end of his supply chain. tomers. Nowadays, fewer than 20. I might actually
“It’s kind of ironic to be pushed back from start drawing tally marks to count the customers
China after what happened in my hometown,” every day just to keep myself entertained.” He’s
Vitali said with a laugh a few days before his thinking of cutting down on work hours to save
scheduled departure for China. “But maybe we money. “We have 12 people and have asked them
can learn a lesson. I hope that fear can bring to work in shifts every other day,” he says. “We’re
us all together.” There was one final hurdle: On not going to close, but if this situation persists, we
March 9, Italy imposed a nationwide quaran- may have to let go of them one by one.”
tine—but the Vitalis made it out two days later. At a downtown branch of Bella Shoes, a ven-
�Alberto Brambilla and Alessandro Speciale erable brand established in 1966, store manager
Behnam Soleimani, 26, sounds desperate. “We’re
Tehran, Iran selling one-third of February and just a tiny frac-
tion of what we could’ve been selling in March,”
The days before March 21 this year were sup- he says. “We’re part of a company with many
posed to be busy with shoppers in Tehran and branches, and it’s unlikely that the spread of coro-
elsewhere in Iran preparing for Nowruz, the navirus will lead to the closure of the entire com-
Persian new year, the most prosperous time for pany. But our branch, our staff, or myself might
merchants and shopkeepers. But pedestrian as well get the ax if it goes on like this.” Bella has
traffic is sparse in the capital. Some people survived calamities before: several stages of bank- 53
who have ventured out are wearing masks and ruptcy and restructuring over the years, as well
gloves, while others seem indifferent to protec- as the 1979 Islamic Revolution. The epidemic is
tive measures. Restaurants and cafes are empty; another existential threat. “It’s that time of the
the confectioneries—usually packed with folks year when we shouldn’t have time to scratch our
shopping for new year’s candies and sweets—are heads,” Soleimani says. “But nowadays we sit
▼ The Mashad
deserted, stark and almost naked because of the around for a couple of hours without anyone com- shopping district on
bright lights shining through their tall windows, ing in to even ask a price.” �Arsalan Shahla March 8
exposing tray upon tray of
unsold pastries, nuts, and
chocolates.
On the sidewalks, ped-
dlers spread their products
on the ground, but no one’s
paying attention. “People
are afraid of corona,” says
one seller, using the popular
shortened term for the new
coronavirus. “They don’t
want to touch anything. They
think they’d carry corona to
FROM TOP: COURTESY LI YAQING; AMIN KHOSROSHAHI

their homes.” On Enghelab


Square, near the University of
Tehran, some bookstores are
closed, and those that aren’t
have no customers, not even
window-shoppers.
At one of the sweet
shops, the 56-year-old man-
ager—“Haj Mehdi,” as his
Busi

now ab u
he virus?
● It’s quite unlikely that you will die of Covid‑19.
The case fatality rate as tracked by the World Health
45 million Americans contracted influenza‑like
illnesses, 810,000 were hospitalized, and 61,000
54 Organization officially stands at 3.5%, but that calcu‑ died. That makes for a fatality rate of 0.14%, five
lation misses out on a lot of unreported cases in the times lower than even South Korea’s Covid‑19
denominator. In South Korea, where testing for death rate. Multiply those 2017‑18 flu hospital‑
the new coronavirus has been most widespread, ization and fatality numbers by five—or 10, or 20,

ILLUSTRATION BY CHRIS PHILPOT. DATA: NATIONAL INSTITUTES OF HEALTH; XU ET AL, INTERNATIONAL JOURNAL OF ORAL SCIENCE; HOFFMANN ET AL, CELL
the fatality rate is about 0.7%. Then again, in Italy, both of which seem at least conceivable—and it’s
which has also done a lot of testing, it’s 6.2%. easy to see how the rapid spread of the corona‑
Focusing too much on these estimates, though, virus could overwhelm U.S. hospitals, which have
can be an exercise in missing the point. For one 924,107 staffed beds total and only 46,500 in med‑
thing, Covid‑19’s fatality rate is much, much higher ical intensive care units. If that happens, the fatal‑
for those age 65 and older—who happen to make up ity rate will go up, not just for Covid‑19 but for
a second‑highest‑in‑the‑world 22.8% of Italy’s popu‑ other ailments as well. It’s probably no coinci‑
lation ( Japan is No. 1 at 27.6%), which helps explain dence that low‑fatality‑rate South Korea has the
some of that country’s problems. Those with pre‑ world’s second‑most hospital beds per person
existing conditions such as heart disease and diabe‑ ( Japan is again No. 1), with more than four times
tes also face much higher risks than the rest of us. as many per capita as the U.S.
Perhaps the more important set of statistics to It’s this prospect of an overwhelmed health‑
ponder is that in 1918, an estimated 97.3% of peo‑ care system that has motivated lockdowns in China
ple worldwide and 99.3% of Americans didn’t die and Italy. It has also spurred the intensive efforts
of influenza. Yet that year’s pandemic still killed to test and isolate Covid‑19 patients that appear
more people than any disease outbreak in history. to have halted the spread of the disease in sev‑
Maybe, just maybe, the biggest concerns that most eral East Asian countries. Epidemiologists in the
of us should have about Covid‑19 involve not per‑ U.S. seem to be divided on whether it’s still pos‑
sonal risk but risks to people we care about and to sible to stop the spread of the coronavirus here
society at large. this way. It’s definitely possible to slow it, though—
which is what the current rash of event cancel‑
● Will this overwhelm hospitals? lations, college shutdowns, and work‑from‑home
advice is about. Almost all of us are going to sur‑
One key issue is hospital capacity. In the most vive this. The question is whether we can avert a
severe recent flu season, that of 2017‑18, the Centers situation where millions of us don’t. �Justin Fox,
for Disease Control and Prevention estimated that Bloomberg Opinion
VID-19 / VIRUS Bloomberg Businessweek March 16, 2020

This is the particle responsible for Covid-19, the ▶ SARS-CoV-2


pneumonia-causing disease spreading around the particles (red)

ut
world. The virus is called SARS-CoV-2, short for emerging from
severe acute respiratory syndrome coronavirus 2. the surface of
�Jason Gale a human cell
(black).

◀ Like other
coronaviruses,
SARS-CoV-2 has
viral spike proteins,
called peplomers,
on its surface that
allow it to infect
human cells.

55

◀ Within the
“envelope” of the
virus is a long,
single-stranded
RNA genome.

● Targeting humans ● Infection sites ● Latching on ● Lethal pneumonia


SARS-CoV-2 spikes bind Human cells that The spikes latch on to The vast surface area of
on the human cell surface express ACE2 are human cells and undergo the lungs makes it highly
to receptors called vulnerable to infection. a structural change, susceptible to inhaled
angiotensin-converting These are present along allowing their membrane viruses, with the alveoli
enzyme 2 (ACE2). the epithelium lining to fuse with the host sacs that help bring
the respiratory and cell membrane. The viral oxygen into the blood
gastrointestinal tracts, genes can then enter the vulnerable to invasion.
including on the tongue host cell and multiply.
and stomach.
Why is testing so
◼ COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

complicated?
● Shortly after New Year’s, Olfert Landt started and Seoul‑based
seeing news reports of a strange disease spreading in Seegene Inc. are
China. The German scientist, who’s developed tests seeing an explo‑
for ailments ranging from swine flu to SARS, sensed sion in demand as
an opportunity—and a new mission. He spent the authorities seek
next few days quizzing virologists at Berlin’s Charité to slow the virus’s
hospital and scouring the internet for more infor‑ spread. South Korea
mation on what soon became known as the novel has tested more
coronavirus, and by Jan. 10 he’d introduced a via‑ than 210,000 people
ble test kit. His phone hasn’t stopped ringing since. and Italy more than 60,000. Efforts in the U.S. got ▲ Landt

“Everyone here is putting in 12‑ to 14‑hour shifts,” off to a rocky start when a diagnostic tool from the
the ponytailed Landt says as he rushes through the Centers for Disease Control and Prevention proved
corridors of TIB Molbiol Syntheselabor GmbH, the to be flawed. The U.S. has since changed the test
Berlin biotech company he started three decades and taken steps to expand availability, but the CDC
ago. “We’re nearing our limit.” has warned kits won’t be ready in the numbers
56 In the past two months, Landt and his staff at promised by the Trump administration.
the company’s production facility—a former indus‑
trial building just south of the disused Tempelhof
airport—have produced 40,000 coronavirus diag‑ ● How do virus
nostic kits, enough for about 4 million individual
tests. TIB has reoriented its business toward
coronavirus, running its machines through the
tests work?
night and on weekends to make the kits, which Over the years, TIB has made tests aimed at
sell for about €160 ($180) apiece. As orders have diagnosing more than 100 ailments. For the corona‑
poured in from the World Health Organization, virus, Landt teamed up with Roche Holding AG to
national health authorities, and laboratories in distribute the kit, which works with the Swiss drug‑
some 60 countries, TIB’s revenue in February maker’s diagnostic machines. The tests use what’s
tripled from the same month in 2019. called the polymerase chain reaction, a diagnostic
TIB, which last year generated €18 million in method recommended by the WHO that ampli‑
sales, is one of about a score of test‑kit produc‑ fies the virus’s genetic code so it can be detected
ers worldwide. Companies such as LGC Biosearch before the onset of symptoms. The kit comes with
Technologies in Britain, Spain’s CerTest Biotec, two vials: a primer to help detect an infection,
and a synthetically engineered piece of the virus, ◀ TIB’s lab has
been running flat
which labs use to produce a surefire positive match out for weeks
to ensure their machines are working correctly.
A lab technician combines these ingredients with
a patient’s mucus sample—usually from a throat or
nasal swab—and results are usually available in a
few hours.
The Robert Koch Institute, Germany’s equiva‑
KRISZTIAN BOCSI/BLOOMBERG

lent to the CDC, is urging scientists to come up with


a simple tool that patients can administer them‑
selves and get almost immediate results—something
▶ Each kit costs €160
like home pregnancy tests. An interim step could and can be used for
be revised procedures such as asking patients to about 100 tests
◼ COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

57
 COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

take their own samples for drop-off at a doctor’s identifying individuals at greatest risk are critical
office, says Lothar Wieler, head of the institute. for optimizing care. About 10% to 15% of mild-to- What I’m
“There will need to be more such solutions,” Wieler moderate patients progress to severe, and of those, telling
told reporters on March 9 in Berlin. “Otherwise, 15% to 20% progress to critical. Patients at highest everyone
we won’t be able to handle the number of patients risk include people age 60 and older and those with David Ho, M.D., world-
renowned pioneer in
needing tests.” preexisting conditions such as hypertension, diabe- HIV research. Scientific
With demand surging, Landt is trying to rent tes, and cardiovascular disease. “The clinical picture director of the Aaron
Diamond AIDS
space in a building across the street to expand pack- suggests a pattern of disease that’s not dissimi- Research Center and
aging and mailing—the bottleneck of his operation. lar to what we might see in influenza,” says Jeffery professor of medicine
at Columbia University
He’s hired a team of students who sit at a long table Taubenberger, who studied the infection in victims Irving Medical Center,
packing the kits in flat plastic bags, and he bought of Spanish flu, including one exhumed more than 20 New York
a used machine that folds instruction manuals to years ago from permafrost in northwestern Alaska. I say act sensibly.
fit in the bags. His 21-year-old son, Aaron—a math Covid-19 most likely spreads via contact with An infected person
should stay home. If
student—oversees labeling. (“It’s a 60-hour-a-week virus-laden droplets expelled from an infected you’re coughing or
part-time job,” Landt says.) His wife, Constanze, person’s cough, sneeze, or breath. Infection sneezing, wear a mask
to contain the virus
a biology Ph.D. in charge of TIB’s procurement, generally starts in the nose. Once inside the as much as possible.
anticipated the demand surge more than a month body, the coronavirus invades the epithelial cells I usually advise a mask
for a sick person and
ago and laid in extra supplies of the basic chemi- that line and protect the respiratory tract, says a health worker who
cals for the tests. Without that, “nothing would be Taubenberger, who heads the viral pathogenesis has to be face-to-face
with a sick person.
working anymore,” Landt says, but those stocks are and evolution section of the National Institute I don’t recommend
running low. The next challenge, he predicts, will of Allergy and Infectious Diseases in Bethesda, wearing masks as the
Chinese wear them,
be keeping up with likely mutations of the virus, Md. If it’s contained in the upper airway, it everywhere on the
which would render his tests less reliable. “A virus usually results in a less severe illness. But if the street. To a large extent
that’s useless, and most
like this is a major evolution machine,” he says virus treks down the windpipe to the peripheral aren’t appropriate.
before hustling back to his office. “We can calm branches of the respiratory tree and lung tissue, If you use an N95
mask, it’s suffocating.
58 down when there’s a vaccine.” —Stefan Nicola, it can trigger a more serious phase of the disease. It’s extremely
with Tim Loh and Heejin Kim That happens because the virus directly inflicts uncomfortable.
I emphasize hand
pneumonia-causing effects, and the body’s immune hygiene. We know
response to the infection causes secondary harm. from flu and SARS that

hy do “Your body is immediately trying to repair the


damage in the lung as soon as it’s happening,”
Taubenberger says. Various white blood cells that
most of the infection is
acquired from touching
contaminated surfaces
and bringing the virus

ome people
to your mouth or eyes.
consume pathogens and help heal damaged tis- That’s the major route.
Here in my lab, we
sue act as first responders. “Normally, if this goes try to disinfect the
well,” he says, “you can clear up your infection in common areas—

et so sick? just a few days.”

○ When does the body fight itself?


doorknobs, handrails,
elevator buttons—on
a frequent basis.
Everyone should be
on alert about hand
hygiene and cleaning.
—As told to Susan
○ The new coronavirus causes little more than In some more severe coronavirus infections, the Berfield and Robert
a cough if it stays in the nose and throat, which it body’s effort to heal itself may be too robust, lead- Langreth
does for the majority of people unlucky enough to ing to the destruction of not only virus-infected
be infected. Danger starts when it reaches the lungs. cells but also healthy tissue, Taubenberger says.
One in seven patients develops difficulty Damage to the epithelium lining the trachea
breathing and other severe complications, and and bronchi can result in the loss of protective
6% become critical. These patients typically suffer mucus-producing cells as well as the tiny hairs, or
failure of the respiratory and other vital systems, cilia, that sweep dirt and respiratory secretions out
and sometimes develop septic shock, accord- of the lungs. “You have no ability to keep stuff out
ing to a report by February’s joint World Health of the lower respiratory tract,” Taubenberger says.
COURTESY JACKSON LABORATORY

Organization-China mission. As a result the lungs are vulnerable to an invasive


The progression from mild or moderate to severe secondary bacterial infection. Potential culprits
can occur “very, very quickly,” says Bruce Aylward, include the germs normally harbored in the nose
a WHO assistant director general who co-led a and throat, and the antibiotic-resistant bacteria
mission in China that reviewed data from 56,000 that thrive in hospitals, especially the moist envi-
cases. Understanding the course of the disease and ronments of mechanical ventilators.
 COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

Secondary bacterial infections represent an espe- microbiology and immunology at the University
cially pernicious threat because they can kill criti- of Iowa, who’s studied coronaviruses for 38 years.
cal respiratory tract stem cells that enable tissue to Still, even healthy younger adults have succumbed
rejuvenate. Without them, “you just can’t physically to the illness. Li Wenliang, the 34-year-old
repair your lungs,” Taubenberger says. Damaged ophthalmologist who was one of the first to warn
lungs can starve vital organs of oxygen, impairing about the coronavirus in Wuhan, died last month
the kidneys, liver, brain, and heart. “When you get after receiving antibodies, antivirals, antibiotics,
○ Share of coronavirus
a bad, overwhelming infection, everything starts to and oxygen and having his blood pumped through patients who become
fall apart in a cascade,” says David Morens, senior an artificial lung. Some people may be more critical

scientific adviser to the director of the National susceptible, possibly because they have a greater
Institute of Allergy and Infectious Diseases. “You abundance of the distinctly shaped protein receptors 6%
pass the tipping point where everything is going in their respiratory epithelial cells that the virus
downhill, and at some point you can’t get it back.” targets, Taubenberger says. It’s also possible certain
That tipping point probably also occurs earlier individuals have some minor immunodeficiency or
in older people, as it does in experiments with other host factors that relate to underlying illnesses.
older mice, says Stanley Perlman, a professor of —Jason Gale

to develop a vaccin 59

○ It’s a basic rule of medical research: Before you It’s not possible to keep mice on hand for every
inject anything into humans, conduct experiments potential disease. Despite short outbreaks of
on animals—frequently mice—to determine whether coronavirus-caused illnesses such as SARS, which
treatments are safe and effective. In the race to paralyzed China, Hong Kong, and other parts of Asia
develop a vaccine for the new coronavirus, however, for months in 2003, most scientists stick with more
your everyday mouse won’t do. While mice have lucrative opportunities in cancer, hepatitis, and
a gene similar to the one scientists believe allows other chronic ailments that require different variet-
the virus to affect humans, researchers think those ies of lab animals. “Research follows trends, and at
mice don’t exhibit the symptoms that make the ill- the moment people are mainly focusing on oncology
ness so deadly for people. “You can infect them, but and metabolic disorders,” says Kader Thiam, who
they have very little, if any, clinical disease,” says oversees genetically modified mice at GenOway SA,  A mouse from
the line donated
Richard Bowen, a professor of veterinary medicine a lab animal developer in Lyon, France. by Perlman
at Colorado State University. The Jackson Laboratory, a nonprofit in Maine that
That’s great if you’re a mouse, but not if you’re a supplies animals to medical researchers, sells more
researcher. So scientists often seek mice that have than 11,000 varieties of mice. But when the corona-
been genetically modified with a humanized gene, virus started making headlines in January, Jackson
called ACE2, that makes the virus more virulent— didn’t have any with the necessary gene. As orders
and thus better for studying its effects. As Covid-19 began flowing in, the Jackson crew started scour-
spreads around the world, though, it’s almost impos- ing medical literature for people who’d worked with
sible to find transgenic ACE2 mice needed to study humanized mice and might donate some for breed-
the virus. There are no global statistics on availability ing. They found Perlman, a coronavirus specialist
of those animals, but several vendors of transgenic who had used transgenic mice in the fight against
mice say they have none available, and research- SARS. Perlman didn’t have any live mice, because
ers expect it will take weeks or months to develop a a decade ago he decided his lab couldn’t afford to
sufficient supply. “Almost nobody has these mice in maintain them, but he’d extracted sperm samples
a viable colony now,” says Stanley Perlman, a pro- just in case. Last month he sent those frozen rem-
fessor at the University of Iowa’s medical school. nants of the discontinued colony to Jackson, which
“Everybody I know is trying to find them.” is using them to impregnate mice and begin a
◼ COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

new line. “We’re getting our first animals and are


in the process of doing additional breeding,” says
Charles Miller, Jackson’s global logistics chief. “Right
now we are just scaling as fast as we can.”
Pregnant mice need about three weeks to
deliver their pups, and newborns need about six
more weeks to reach maturity so the cycle can start
again. Jackson is taking preorders and hasn’t yet told
would‑be customers when they’ll receive deliveries.
China’s Cyagen Biosciences Inc. says it will have
mice ready next month. GenOway aims to develop a
newer breed that’s better targeted to coronaviruses,
but it says that could take a year or more.
The mouse crisis is one reason talk about the
speedy introduction of a vaccine isn’t realistic.
Without mice to study, scientists simply can’t fully
test potential drugs and vaccines. “It’s a major
bottleneck,” says Nikolai Petrovsky, a profes‑
sor at the medical school of Flinders University in
Adelaide, Australia. He says animal testing is “abso‑
lutely essential” and cautions against political pres‑
sure to speed up the process. “I know some people
are talking about bypassing animals and going to
human studies,” Petrovsky says. “But that’s fraught
with difficulty and danger.”
60 In the meantime, some in the field are exploring
alternatives. Bowen, the Colorado State researcher,
says he’s trying tests with ferrets, hamsters,
guinea pigs, and rabbits, though they all have
PHOTOGRAPH BY TRISTAN SPINSKI FOR BLOOMBERG BUSINESSWEEK

▲ Frozen mice semen ▶ When the virus


at Jackson started spreading, the
Jackson Laboratory
had none of the mice
needed to develop
a vaccine
◼ COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

61
 COVID-19 / VIRUS Bloomberg Businessweek March 16, 2020

disadvantages vs. mice. Xavier Saelens, princi- or ease its symptoms, the University of Maryland
pal investigator at VIB, a life sciences research insti- School of Medicine and Vanderbilt School of
tute in Ghent, Belgium, is considering using other Medicine among them.
mice as a stopgap measure, arguing that they’re Baric’s team is growing as much of the virus
better than nothing. And he’s looking into the pos- as it can to test possible drugs for their ability to
sibility of breeding humanized mice on-site, since inhibit it inside human lung cells in a test tube.
obtaining them from the usual sources is so tough. This first round of test-
“That’s the surest way,” he says, “to get the mice.” ing will likely wrap up
—Bruce Einhorn, with Tim Loh soon. If it works, scien-
tists will test a slew of
new drugs in mice that

How is the have been engineered


to carry human lung
receptors the corona-

hunt for a cu virus can infect. “Now


that we have the virus,
it’s a lot of people work-

going? ing all the time,” says


Lisa Gralinski, an assistant professor under Baric.
The pace is as frenzied at the few other labs with
 Baric

samples. “It has been 18- to 20-hour days for the last
○ The deadly new coronavirus arrived by courier on two months,” says Matthew Frieman, a University
Feb. 6, delivered to a windowless air-locked labora- of Maryland virologist and a Baric protégé.
tory in a secret location on the University of North World Health Organization researchers have
Carolina at Chapel Hill campus. It came sealed in called Gilead Sciences Inc.’s remdesivir, developed
62 two 500-microliter vials, wrapped inside plastic with Baric’s assistance, the most promising agent
pouches, placed inside a third sealed plastic con- identified so far to use against the new virus. Trials
tainer, all packed with dry ice. of the drug are under way in affected areas of
A team of scientists—protected head-to-toe by China, the U.S., and elsewhere, and Gilead says it
Tyvek bodysuits with battery-powered respirators— expects some results by April. To speed the efforts,
opened the vials, got down to work, and haven’t government agencies are redirecting funds to bol-
stopped since. Members of an elite lab of virologists ster coronavirus research. On March 6, President
at the university’s Gillings School of Global Public Trump signed a spending bill with $7.8  billion
Health, they’ve taken on the mission of developing in emergency funding, some of which will go to
a drug to treat the pathogen. For veteran researcher drug and vaccine development. The government is
and lab leader Ralph Baric, it’s the moment he’s both working with Regeneron Pharmaceuticals Inc. and
long feared and expected. As early as the 1990s, Johnson & Johnson to create new drugs or identify
Baric’s work was raising red flags: Coronaviruses existing ones.
had an extraordinarily high ability to mutate, adapt, Baric says he was “shocked” in January to see how
and jump between species. Scientists say the new fast the coronavirus was spreading. Now the work-
coronavirus might have begun with bats spreading load is overwhelming as companies and research-
it to other animals in the wild. Some of those even- ers around the globe turn to his lab for help. He’s
tually wound up in one of China’s open-air markets narrowed down the search to about 100 drugs that
where live animals are caged in close proximity—a are likely to show promise against coronaviruses.
perfect setting for transmitting viruses to humans. Even if the Gilead drug works—a big “if”—it would
Until two months ago, Baric was little known out- have drawbacks: It can’t be offered in pill form, for
side academic circles. When he began his career, instance, but must be infused in a hospital or doc-
coronaviruses were understood as causing lit- tor’s office. More crucially, other drugs may need to
tle more than a common cold in people. But his supplant it to fight even newer coronaviruses. “The
CHRISTOPHER JANARO/BLOOMBERG

work has suddenly taken on new urgency. Baric’s goal of our program is to find broad-based inhibi-
30-person team was one of the first in the U.S. to tors that work against everything in the virus family,”
receive samples of the virus isolated from a patient Baric says. That makes the challenge sound matter-
in Washington by the Centers for Disease Control of-fact, but Baric knows there’s a long road ahead.
and Prevention. Several other labs are also racing “I have a lot people who are really tired,” he says.
to find anything that might slow the virus’s spread “They are working really hard.” —Robert Langreth
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ou help
○ An unfamiliar, invisible threat
like the novel coronavirus can
make people feel helpless and
home—and act on public-health
recommendations. For everyone
○ Help with child
care and meals
else, don’t make your co-workers
turn inward just when they most feel guilty about not coming in. Efforts to stem the spread
need to reach outward, both of Covid-19 have sometimes
helping and leaning on others. ○ Steward included school closures.
Here are concrete ways you can resources wisely  This can place huge burdens
help your family, co-workers, on working families and keep
and neighbors. Novel disease outbreaks can needy students from regular
make extra demands on every- nutritious meals. In addition,
○ Be a role model day goods and services, such as employees at health-care facil-
64 surgical masks and hand sanitizer. ities may experience increased
Good personal health habits help Because community well-being work demands, inhibiting them
prevent respiratory infections: comes from collaboration and from tending to and feeding
Cover coughs and sneezes with not competition, weigh your own their families. Step in where you
a tissue or an elbow sleeve; wash needs alongside those of others. can to provide alternative child-
hands often with soap and water Refrain from hoarding items that care and meal options for neigh-
for at least 20  seconds; clean are in short supply. bors and family.
and disinfect frequently touched
objects and surfaces; and avoid ○ Look out for the ○ Remember
touching one’s eyes, nose, and most vulnerable  that viruses don’t
mouth. But don’t just do it—be discriminate 
conspicuous about it. Talk about Be sensible about not expos-
it. Make it a community norm. ing frail seniors or people with When an outbreak emerges,
other health conditions to respi- some people blame perceived
○ Promote a workplace ratory illness. Neighbors and outsiders or avoid people from Schoch-Spana,
culture that supports family should pitch in with gro- groups they assume are conta- a medical
anthropologist,
people staying ceries, supplies, and moral sup- gious. Such behaviors turn a mys- is a senior
home when sick  port when such people must terious illness into something that scholar with
the Center
avoid public spaces. Share phone feels more controllable. But these for Health
People should stay home when numbers, email, and messaging anti-social ways of coping may Security at the
Johns Hopkins
they have a respiratory illness. contacts so it’s easier to reach build on preexisting prejudices Bloomberg
But many still feel pressured to out. People who live in racially and blame victims of infection School of
Public Health.
work. They need hourly wages, and ethnically diverse communi- or their care providers unfairly. (The school
are essential personnel, or face ties should double their efforts at They undermine the social bonds is supported
by Michael
looming production goals. If sharing information and offering we’ll need to get through this and Bloomberg,
you’re a manager or business mutual aid. If the 2009 H1N1 influ- can keep us from the things that founder and
majority owner
owner, implement realistic sick enza outbreak is a guide, minority we know help. Again: Wash your of Bloomberg
leave policies, be flexible with groups may face higher rates of hands. Cover your cough. And LP, parent
company of
workplace arrangements—such complications, hospitalizations, wash your hands. —Monica Bloomberg
as allowing people to work from and deaths. Schoch-Spana Businessweek.)
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