Coronavirus Pandemic (COVID-19) and the geopolitical, economic and health impact worldwide: Lessons of Taiwan´s experiences from SARS-Cov-1 epidemic.

Coronavirus Pandemic (COVID-19) and the geopolitical, economic and health impact worldwide: Lessons of Taiwan´s experiences from SARS-Cov-1 epidemic.

Joffre Carrillo-Pincay1*; Chiu-Yen Lu2; Bomar Mendez-Rojas 3; María Robles Urgilez 4


The SARS-Cov-2 (COVID-19) pandemic outnumbered the spread of the virus 10 times more than the SARS-Cov-1 DEL 2002. A major economic recession brought with it the pandemic that added to the 2019 economic crisis, The public and private systems of developed countries collapsed, which underestimated the aggressiveness of the viral agent, such as Italy and Spain, resulting in 372,756 confirmed cases and 16,231 deaths (4.3% of total cases) globally. Countries like Singapore and Taiwan, developed their protocols with the SARS-Cov-1 epidemic, and demonstrated to the world as efficient at a global biological threat. Currently, their strategies allowed to flatten the viral propagation curve of COVID-19, and were global benchmarks for tackling the pandemic locally. However, Mainland China, without staying on the sidelines, competes with the US. for the economic and political power of the regions and currently for the discovery of the vaccine against COVID-19.

Aims: To determine the strategies and indicators associated with COVID-19 and its political impact on health and on the world and local economy. Determine country-based public health strategies efficient in emerging biological responses to minimize or flatten the epidemiological curve of COVID-19.

Results: Ecuador, in South America, with 17 million inhabitants, with a GDP of 9.5% injected into public health, became the second country with the highest prevalence of COVID-19 cases (n=981) and ranked 26th in the world. The partial strategies taken at the national level, added to the lack of preventive culture in Ecuadorian society, quickly spread COVID-19. The lack of management of medical supplies, and the shortage of medical personnel (15 doctors per 10,000 inhabitants), as well as deficits in hospital beds (rate=1.4/1,000 inhabitants / national level [0.8 of the public sector], below Cuba with 5.4) and PCR-RT tests, it puts the health system at risk of collapse, due to the exponential increase in the virus analyzed until the 6th. week of local impact by COVID-19. However, the analysis of GDP% between Ecuador (GDP = 9.5%) and Taiwan (GDP = 6.3%), and the strategic measures used, rectify that the universal health system of Taiwan is very efficient in strategies and responses to the COVID-19 emergency. Taiwan’s strategies have been reflected in our environment to flatten the epidemiological curve and reduce local public spending.

Keywords: SARS-CoV-1, COVID-19/SARS-CoV-2, pandemic, Ecuador.

1 Profesor en la Escuela de Medicina Universidad de Guayaquil. Profesor en la Facultad de Posgrado e Investigación, Universidad Tecnológica Empresarial de Guayaquil, Ecuador. Correspondencia* E-mail:

2 National Yang-Ming University, Taiwan. Department of Long-Term Care, Ministry of Health and Welfare in Taiwan. E-mail:

3 Consultant of quantitative data analysis, Pan American Health Organization.

4 Profesor en la Escuela de Medicina Universidad de Guayaquil, Ecuador.

Declaración: Esta investigación no recibió ninguna subvención específica de ninguna agencia de financiación en los sectores público, comercial o sin fines de lucro. No hay nada que declarar en términos de preocupación ética o interés en competencia. Aprobación ética: no se requiere

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