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Why No One Died from Covid-19 in Bhutan

Why No One Died from Covid-19 in Bhutan

A local journalist’s account of how public trust in the government and clergy came in handy to fight the pandemic

At least 76 people contracted the novel coronavirus in Bhutan, but no one has died from Covid-19, and nor has any community transmission been detected. It’s surprising given that this country is surrounded by China in the north where the virus originated, and India in the south which has nearly 400,000 confirmed cases. Besides, Bhutan’s health infrastructure is modest. So how did Bhutan manage to contain this highly infectious germ?

It’s about three months since the first confirmed case emerged, and Bhutan is already preparing to open up.

On June 19, Prime Minister Lotay Tshering, a practising surgeon, told local media that the “transition to a new normal” would begin on July 1. “Given a choice, we will always go for life over livelihood. However, with lives secured, it only makes sense to continue our livelihoods,” he explained.

Bhutan, a country of about 770,000 people, largely remains coronavirus-free. Of the 76 confirmed cases, the first being an American tourist, 38 have recovered fully. So, barring entertainment centres and the country’s borders, almost all activities – from schools and colleges to offices to public transport to religious sites – are reopening.

The King inspects construction of shelters for Bhutanese evacuees (Facebook page of the King of Bhutan)

Public Trust

Bhutan is a democratic constitutional monarchy, where the 40-year-old king, Jigme Khesar Namgyel Wangchuck, is revered by almost all Bhutanese citizens as well as political leaders. King Khesar has been seen as being at the helm and the forefront of the fight against the new coronavirus. He has said the country must do all it can to ensure there are zero deaths from Covid-19.

The Chief Abbot of the Central Monastic Body of Bhutan, known as Je Khenpo, addressed the people of the country on national television, stressing on the need to listen to medical professionals while also believing in the power of prayer. Je Khenpo rarely appears on television, and when he did, the Bhutanese people took it seriously. Many offices suspended all work so that its employees could listen to the address.

It helps that at least three of officials who have been part of a team that is leading Bhutan’s efforts to combat the spread of the coronavirus on the ground understand medicine. Two of them – Prime Minister Tshering and Foreign Minister Tandi Dorji – are medical doctors. And the other, Health Minister Dechen Wangmo, is Master’s in Public Health from Yale University.

Despite the country’s need to be extra cautious given it lies between two geological giants in competition and conflict – India and China – the officials have remained calm but proactive, while also maintaining a high degree of transparency, in checking the spread of Covid-19.

Desuups set up a flu clinic (Facebook page of De-suung)

Government Response

The officials oversaw the formulation of a National Preparedness and Response Plan well before the first Covid-19 case was detected, and soon after that a detailed contact tracing was done within 24 hours.

The mandatory 21-day quarantine for all Bhutanese returning from abroad played a vital role in ensuring there is zero community transmission. Semi-lockdown measures were imposed early on, with schools and entertainment spots being shut down first, and people being urged to maintain physical distancing.

Bhutan closed her doors to tourists immediately after the index case.

At least 5,000 Bhutanese living across the border in the town of Jaigaon in the east Indian state of West Bengal were brought into Bhutan before it fully closed its borders. The office of King Khesar has been taking care of them.

The health ministry has posted daily updates on its website and social media accounts. It has held weekly press conferences, which included a sign translator, and created a WhatsApp group for journalists where officials respond immediately to any query or concern raised.

The government started an advocacy campaign using all media platforms at its disposal to educate the Bhutanese masses on Covid-19 safety measures. Bhutan Telecom, the state-owned telecom service provider, assigned a caller ringback tune, a song encouraging people to stay home, to all its subscribers.

Authorities have built makeshift 24-hour flu clinics in all the districts. Anyone with flu-like symptoms has been advised to visit the clinics and not a hospital.

Healthcare in Bhutan is free. All of the tests and treatment for Covid-19 have also been done free of cost. With more than 23,100 tests, Bhutan has among the highest test rates per million in the region.

A national mental-health task force has also been instituted with a 24/7 helpline. Psychological first-aid training has been provided to many frontline workers as well as interested citizens.

The government set up a registry for the vulnerable population – the elderly, people with chronic conditions, pregnant women and children – and King Khesar provided free care-packages, including multivitamins, to more than 51,000 people above the age of 60.

Psychological First-Aid Training. (Mind Over Matter, Bhutan)

Public Response

Thousands of Bhutanese have signed up for the De-suung program, which trains Bhutanese to be life-long volunteers, including for disaster-related operations. The program’s website crashed for the first time since its existence due to an overwhelming number of Bhutanese signing up.

Hoteliers came forward and offered their businesses to be used as quarantine centres, free of cost. Bhutan has quarantined more than 7,000 Bhutanese thus far.

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Many Bhutanese who can afford the cost of quarantine have repaid the government. Many others have contributed in cash and kind to the government. All members of parliament voluntarily gave up a month’s pay. Farmers from different parts of the country donated rice, vegetables and fruits.

Landlords have waived off or reduced rent for their tenants from April to June. A Facebook page, called Generous Landlords of Bhutan during Covid-19 crises, was created to allow tenants to thank their landlords.

The Bhutanese diaspora quickly rallied together to mobilise funds for fellow Bhutanese who tested positive. The United Bhutanese Association in New York rented two apartments in the city as quarantine centres. A Bhutanese nurse monitored the patients. All 10 Bhutanese who tested positive in New York have recovered at the flats.

A relief fund instituted by the king has directly deposited money to the bank account of more than 13,000 Bhutanese who suffered financially due to Covid-19.

A desuup stands on duty at the border. (Facebook page of the King of Bhutan)

Covid-19 Economic Aftermath

More than 90 percent of Bhutan’s supplies are transported by land, mostly through India. After Bhutan closed its international borders on March 23, and India declared a nationwide Covid-19 lockdown a day later, New Delhi and Thimphu worked together to ensure that the transportation of essential supplies didn’t stop.

The Ministry of Agriculture has said it is acquiring about 64,000 acres of private land to provide commercial farming opportunities to interested individuals to deal with the food security. The government has earmarked 471 million rupees for an “Agriculture Stimulus Plan.”

The tourism and hospitality sector – the country’s biggest revenue generator besides hydropower – has been the hardest hit. At least 50,000 Bhutanese are estimated to be engaged with tourism and hospitality. So the Tourism Council of Bhutan, through its “Tourism Stimulus Package,” is providing employment opportunities to those employed in the sector in waste management, infrastructure, product development and surveys, among other fields. They are also being encouraged to farm on government land.

Financial institutions deferred loan repayments and waived off interests, initially for three months beginning April, and then they extended it until March 31 2021, to ease economic pressure on businesses and individuals. The total interest waived for April alone amounted to about 1,200 million rupees. The cost for the waiver for the first quarter was borne by the financial institutions and the government 50:50. The cost for deferring the interests for another year will be met with the support of King Khesar’s office.

A positive story, especially about a government, might sound refreshing to some, and romantic to others in today’s world. While Bhutan has had many soft-spots, the country has from time to time surprised the outside world with its good gestures.

One such gesture was witnessed by the index case, that of a 76-year-old American tourist with comorbidity. Health Minister Wangmo personally called the patient’s family every morning to update them. And King Khesar visited the patient.

The tourist and his wife, who, too, had tested positive, have recovered and returned to their home in the United States. And in Bhutan, we, the Bhutanese, are getting ready to restart our lives.

StoriesAsia, a collective of independent journalists from 16 South Asian and Southeast Asian countries, seeks to replace the present-day parade of faceless numbers with humanising narrative nonfiction – a largely ignored journalistic genre in the region.

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