Bolivia reacts to COVID-19: First panic, then policy

It has been just seven days since the Bolivian Ministry of Health confirmed the first two case of the novel coronavirus disease, COVID-19, in the landlocked South American country, on Tuesday, March 10. The announcement, and the attempts of two patients to seek treatment in the lowland city of Santa Cruz de la Sierra set off a wave of panic in that metropolis, marked by (as best I know, globally unprecedented) protests by doctors, health workers, and neighbors seeking to deny treatment to the infected individuals. Cooler heads prevailed, and treatment sites were eventually proposed. Channeling the panic, several national legislators proposed criminal penalties for either blocking treatment or arriving and failing to quarantine.

Meanwhile, the small highland city of Oruro experienced community transmission of the virus, which now has seven cases (one of them is linked to travel from Italy). Oruro then led a wave of departments and localities in taking community-wide measures to prevent the spread of the virus. Oruro department’s “quarantine” measures are scheduled to last from March 16 to 31.

As of March 17, Bolivia has twelve cases, including four in Santa Cruz department and one in Cochabamba. A patient who died in El Alto was reported as a suspected case, but this claim was negated by the ministry of health.

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