Professional Documents
Culture Documents
Coronavirus
Special Report
March 16, 2020
Coro
Bloomberg Businessweek
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○ 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
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
-6 -4 -2 0 2 4 6%
Hong Kong
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.
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
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
◀ Opening hours at
a mall in Qingshan
District on March 5
What I’m
telling clients
Mark Haefele, CIO
at UBS Wealth
Management, Zurich
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
Lee Hsien
Loong,
Singapore
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
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
Utilities*
Financial Wholesale Transportation
Information activities Professional and business services trade* Construction Manufacturing and warehousing*
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
Education and health services Other services Retail trade* Leisure and hospitality
75%
50
25
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
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
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
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
◀ 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
○ 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
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”
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
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
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.
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
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
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
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
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
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
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,
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
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
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
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.
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
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
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—
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
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
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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