Mysterious coronavirus outbreak catches Vietnam by surprise


In a world plagued by pandemics, Vietnam seemed like a miracle. As the months passed without a single recorded coronavirus death, or even a confirmed case of local transmission, residents began leaving their face masks at home.

The noodle shops echoed with the thump of chopsticks and the sipped broth. Open schools. And attracted by the good deals, Vietnamese tourists began to take vacations again, filling the coastal city of Danang with its golden beaches and abundant seafood.

But over the weekend, Vietnam, which had gone about 100 days without a single confirmed case of local transmission, announced that the virus was lurking in the country after all, and was spreading.

First, a 57-year-old man from Danang tested positive for the virus and is now receiving life support. Then groups quickly emerged in five hospitals. By Wednesday, the virus had spread north to Hanoi, the capital, south to Ho Chi Minh City, and had affected two provinces in central Vietnam, as well as the remote central highlands.

The increase in the coronavirus in Vietnam, which so far has registered fewer than 450 cases, revealed the dangers of the virus even in places that seemed to have done almost everything right in its battle against the infection.

Japan, China, Australia and South Korea, all of which appeared to have their outbreaks reasonably under control, recorded spikes on Wednesday. In the Australian state of Victoria, authorities announced 295 new cases on Wednesday, along with nine new deaths.

Hong Kong, which has kept its case number low for months, is now competing against a wave of new infections, making about 100 people sick each day. With infections appearing in nursing homes and restaurants, Carrie Lam, the territory’s executive director, warned Tuesday that Hong Kong was “on the verge of a large-scale community outbreak.”

Although Vietnam, a nation of 95 million people, remains the world’s largest country that has not confirmed a single death from the coronavirus, the mystery surrounding infections that are emerging across the country has scared medical experts and residents alike.

“In my opinion, this outbreak is more dangerous than the last one because it is happening at the same time in many places,” said Nguyen Huy Nga, dean of public health and nursing at Quang Trung University in Binh Dinh province. “We do not know the source of the disease, especially with tens of thousands of tourists flocking to Danang.”

Vietnamese authorities have reacted to the latest wave of cases with the kind of swift and forceful response that characterized their actions in the early days of the pandemic.

Hours after clusters of cases were confirmed at Danang hospitals earlier this week, authorities said they would close the city airport. Up to 80,000 local tourists who had flooded the city during the summer vacation would be evacuated, authorities said.

Since then, several provinces have instituted quarantines for Danang arrivals, and the trawl has already reported positive cases. A waiter at a pizzeria in Hanoi tested positive for the coronavirus after visiting Danang with his family, local media reported. On Wednesday, workers in protective clothing sprayed the pizzeria with disinfectant, according to a video released by local media.

In the Central Highlands, a 21-year-old woman who had been studying in Danang and returned home by car also tested positive.

In Danang, a bustling city popular with tourists and merchants, restaurants and bars are closed. Masks are mandatory again. With swimming holidays at sea banned by local authorities, the city’s famous beaches were deserted on Wednesday, residents said.

“My family and I are not in the area where there are infected people, but I am very concerned,” said Le Thi Thuy Vi, a grocer in Danang. “I decided today that the whole family should stay home.”

When the coronavirus began to radiate from the Chinese city of Wuhan in January, Vietnam, which shares a border and government ideology with China but remains cautious with its northern neighbor, moved quickly. The country had learned from previous outbreaks of new infections, such as SARS and H1N1 flu.

At the end of January, Vietnam had closed its schools. A well-equipped bureaucracy to track the local population turned its attention to comprehensive contact tracking. Most Vietnamese, already conditioned to wearing face masks due to air pollution, saw the value of protecting themselves from viral drops in the air.

After a woman returned from fashion shows in Europe and helped spread the coronavirus at home, Vietnam stopped almost all international flights in March, and returning citizens must be quarantined at government facilities.

On Wednesday, 120 Vietnamese hydroelectric projects arrived in a letter from the government of Equatorial Guinea, where they had contracted the coronavirus. It is the largest contingent of infected returnees taking a government-sponsored repatriation flight, the Vietnam Foreign Ministry said.

Last week, Vietnam effectively banned wildlife trade, amid fears that trafficking in exotic wildlife may have precipitated the emergence of the latest outbreak. Vietnam is a consumer of illegal wildlife products and a transit point for endangered animals destined for China across its shared mountain border.

Unclear on the origin of the outbreak in Danang, which has infected at least 26 people there, medical authorities were quick to discover how cases were proliferating in an allegedly closed country.

The health ministry said the virus strain detected in Danang is different from those that circulated during the previous round of local transmission.

“This is imported,” said Professor Nga, a public health expert at Quang Trung University. “A virus cannot survive for three months in a community without causing disease.”

Professor Nga said he thought the virus probably came to Vietnam in late June or early July.

In Danang, the police deployed throughout the city, trying to locate strangers who might have brought the virus with them. On Saturday, police detained nine Chinese citizens who had illegally infiltrated Vietnam, local authorities said. Dozens more Chinese who had illegally entered the country were trapped earlier this month in central Vietnam. A Chinese man, who police said had established an illegal immigration network, was arrested Monday.

The Chinese who were captured were placed in quarantine camps or isolated in hospitals, police said.

Across Vietnam, hospitals were preparing beds to handle an increase in cases. Professor Nga noted that the ventilators and other equipment needed in the fight against the coronavirus are limited in Vietnam.

People, he said, had become complacent.

“After 100 days without outbreaks, people were no longer taking precautions,” said Professor Nga. “They did not wear masks or wash their hands with soap. People were going to crowded places. “

In Danang, Nguyen Thi Minh Hoa, director of a marketing company, said that supermarket shelves were not being emptied en masse, meaning residents were anxious but did not panic. The renewed measures of social distancing were carefully followed, he said.

“I am saddened that this coastal city has suddenly become a center of disease after 100 days of peace,” Hoa said.

Hannah Beech reported from Bangkok and Chau Doan from Hanoi, Vietnam.