Nicaragua and the Isle of Man, Covid power lessons

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Another nation should be added to the list when it comes to learning lessons on how to treat Covid-19 (The UK and the US need to learn from countries that better handled Covid-19, Dec. 29). Data from Johns Hopkins University indicate that Nicaragua has one of the lowest death rates in the world per 100,000 population – 2.55 compared to over 100 in the United Kingdom and the United States. The pandemic has subsided here, while in the U.S. and Europe it is reemerging.

There are currently just 55 patients with Covid 19 in Nicaragua’s public hospitals. While there has been no incarceration in Nicaragua, in addition to the fact that the country has a relatively young population, three factors seem to have been important. One is that home visits with qualified volunteers were made at an early stage to provide advice on how to prevent infection.

A second is that other family members had to go into isolation when alleged cases happened, which was closely supervised by health authorities. The third was that there were relatively few foreign passengers, but all had to be quarantined and enforcement was implemented. Many of the observable factors in coping with the pandemic, as Laura Spinney says, proved to be weak outcome measures, as was the expectation that wealthier countries would do better.

Another consideration is that there is experience in many tropical countries coping with other epidemics. They have learned what works best for them, even if it’s contradictory to what experts advise in the U.S. or Europe. John PerryMasaya, Nicaragua- The Isle of Man was perhaps the best group in its handling of the virus, not mentioned by Laura Spinney in her post. At the beginning of March, the island was finally sealed off, and since the beginning of June, life has been free from the virus and children are back in school. The closed borders are the only remaining limitation. While the island is a small community of 85,000 people, if you look at what has happened in the UK, the difference is the strictness of the people enforcing the rules. It was suggested in early December that if Boris Johnson did not loosen them over Christmas, people would disregard the rules. In the UK, that is why the lockout failed. We can’t see over here that you’ve got a lockdown that people have particularly paid attention to so far. Harry GalbraithPeel, Isle of Man

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