
On January 31st, the US imposed a travel ban of flights from China. At the time, I didn’t have strong views either way, but it seemed like a reasonable response given the uncertainty associated with the coronavirus epidemic. Today, we know that the travel ban failed completely. (As did the Italian travel ban on China, imposed on the same day.) In this post, I’d like to explain why.
By the time the US imposed a Chinese travel ban, China had already imposed a quarantine on the entire province of Hubei, and had tightly locked down the entire country. As a result, there would have been no flights from Wuhan to the US even without the travel ban, and only a tiny number of infected passengers would have arrived here from other parts of China—probably less than ten.
In contrast, we received many infected people from Europe during the month of February, and this is one reason why the pandemic is so much worse on the East Coast than the West Coast (albeit not the only reason—density, climate, and a slightly later lockdown may also play a role.)
It’s possible that the travel ban created a false sense of security in February, which made the problem in the US even worse. But even if the travel ban did not create a false sense of security, and even if it did prevent a few infected people from reaching the US, it did not end up helping at all. Rather, at best, it delayed the epidemic by a few days.
With a few exceptions such as Taiwan, in most countries the government and public did not react until the caseload reached a certain threshold. While a travel ban could be helpful for countries with an effective anti-coronavirus policy, they are of no help at all in places where social distancing does not begin until the epidemic reaches X% of the population, such as the US and Europe. If you think of those famous graphs illustrating “flattening the curve”, it merely shifts the curve slightly to the right, without changing its size at all.
There are some countries, such as New Zealand, that require a 14-day quarantine for all new arrivals, and a ban on travel from most countries. Unlike the US, however, New Zealand has in place a set of policies likely to completely eradicate the virus in the near future. In that setting, travel restrictions may be helpful. But they are basically useless in places such as the US and Europe. Today, new arrivals to the US have about as much impact on our caseload as a small stream has on the water level in the Pacific Ocean. A drop in the bucket.
If the Chinese travel ban was justified in January, it is completely useless today. A random visitor from Canada is probably 1000 times more likely to infect an American as a random visitor from China. (And if the Chinese data is off by a factor of 10, then 100 times more likely.) So why do we allow visitors from Canada but not China? I’m not certain, but I’d guess that an honest account would include the word “spite”.
PS. Travel from Canada to the US is restricted to essential people such as those engaged in commerce, but not banned.
PPS. A few weeks ago I did a post discussing Richard Epstein’s erroneous forecasts of the death toll from coronavirus. (By the way, I also underestimated the ultimate death toll.) A week ago, Bob Murphy alerted me to a Hoover Institution post that presents a very misleading picture of Epstein’s original forecast (replacing 500 with 5000). I believed (and still believe) the mistake was just a typo, and I assumed it would soon be corrected. After all, the next post has the correct figure. But a week later, it has still not been corrected, and Epstein is being ridiculed on Twitter. This is not a good look for the Hoover Institution—they need to get their act together.
Fast.
READER COMMENTS
Alan Goldhammer
Apr 21 2020 at 3:47pm
For my daily newsletter, I came across this paper that is a good example of molecular epidemiology: https://www.medrxiv.org/content/10.1101/2020.04.15.20064931v1.full.pdf It looks at viral samples from patients in the New York City area: “Here, we report analysis of 156 SARS-CoV2 sequences from individ-uals in the New York City metropolitan area during the initial stages of the 2020 COVID-19 out-break. The majority of samples had no recent travel history or known exposure. Comparison to global viral sequences showed that the majority of sequences were most related to samples from Europe.”
New York state had their first documented SARS-CoV-2 case on March 3 and by mid-April the diagnosed cases was >200,000. There is also the good example of the biotech company that held a meeting involving some overseas representatives. This one was responsible in part for the Boston outbreak.
John Hall
Apr 21 2020 at 3:56pm
On the PS, the next post you refer to is a revised version of the original. They link to it at the top of the original in large, bold, red letters. The forecast puts some egg on Epstein’s face, but I don’t think they are doing anything wrong by leaving it up there. Better to admit your mistakes than cover them up.
John hall
Apr 21 2020 at 4:03pm
Eh, I got a little mixed up here. There is an update on that first post from 4/21, and I saw that and was like “what’s the problem here” without seeing the date.
Market Fiscalist
Apr 21 2020 at 4:02pm
I’m not sure if this is fake news but it is widely reported on the internet that China continued to allowed international flights out of Wuhan after after they imposed stringent domestic travel controls on the Hubei province:
https://english.alarabiya.net/en/features/2020/04/09/Coronavirus-Critics-ask-why-China-allowed-flights-out-of-Hubei-during-outbreak
Market Fiscalist
Apr 21 2020 at 4:39pm
This http://www.bjreview.com/World/202004/t20200421_800201659.html indicates it is fake news. Coincidentally Niall Ferguson is also associated with the Hoover Institute !
Scott Sumner
Apr 21 2020 at 6:02pm
Thanks, I’ll try to follow up on that.
Mark
Apr 21 2020 at 10:25pm
Thanks for this link. I’d assumed that the flights had happened but were carrying foreigners, but it looks like even the fact of the flights was probably wrong. It’s disturbing that this story is being reported uncritically even in mainstream conservative outlets such as Fox.
Mark
Apr 21 2020 at 10:11pm
The flights that left Wuhan after January 23 were probably carrying foreigners in Wuhan who wanted to return home. China would be hard-pressed to prohibit foreigners from leaving.
I’m pretty confident that Chinese citizens were not allowed to leave Wuhan to go abroad because I had a Chinese citizen friend who was trying to leave Wuhan to come to the US and was not even allowed to go the airport once the lockdown started on January 23.
robc
Apr 21 2020 at 4:13pm
I think another possibility that the East Coast was worse than the West Coast is that it wasnt, CA had the virus much sooner than thought and had already peaked.
The LA and Santa Clara results suggest that is a reasonable possibility.
Scott Sumner
Apr 21 2020 at 5:47pm
The LA and Santa Clara studies have been completely discredited. It’s disturbing that people continue to cite them.
MikeW
Apr 22 2020 at 1:14am
This is news to me. What’s your source for this statement?
Simultan
Apr 22 2020 at 3:04am
See for instance https://statmodeling.stat.columbia.edu/2020/04/19/fatal-flaws-in-stanford-study-of-coronavirus-prevalence/ and https://medium.com/@balajis/peer-review-of-covid-19-antibody-seroprevalence-in-santa-clara-county-california-1f6382258c25
MikeW
Apr 22 2020 at 9:56am
Simultan — Thanks. As robc said, these say nothing about the LA study, but it wouldn’t be too surprising if it has some of the same problems. The uncertainty in false positives seems to be the key problem.
Simultan
Apr 23 2020 at 3:42am
As for the L. A. study, see here: https://statmodeling.stat.columbia.edu/2020/04/20/more-coronavirus-testing-results/
robc
Apr 23 2020 at 9:07am
That link is more encouraging on the LA study as opposed to the SC one.
robc
Apr 22 2020 at 7:26am
USC just released the LA County prelim report on Monday. I see nothing that it has been discredited. It also hasn’t been peer reviewed yet, obviously.
The Stanford study has been criticized for not being random, which USC claims to have done. Stanford made statistical adjustments, but it could be flawed. The results look the same as USC though.
Alan Goldhammer
Apr 22 2020 at 10:25am
I’m going to weigh in on this yet again. Both of these studies were done on the fly with available tools. One can criticize the methodology all they want but what options are there RIGHT NOW. In the absence of ample testing materials researchers need to improvise. Of course spread of SARS-CoV-2 may not be as high as the Stanford researcher show but the USC data are somewhat confirmatory (I’ve only read the press release and not the paper). I’ve seen some priviledged correspondence that the Stanford research team addressed one of the criticisms but they and not me need to weigh in on this and I’m sure they will as the preprint moves through the review process.
The bottom line (and this was known from the first papers to come out of Wuhan); there is a large number of individuals infected with SARS-CoV-2. How many? We don’t know but the conservative minimal assessment of 10 fold (stated in at least three papers from Italy that I have read) is likely.
I’m getting weary of economists trying to prove they are conversant with epidemiology and drug development. We can always put Peter Navarro in charge of the FDA and approve hydroxychloroquine tomorrow.
Scott Sumner
Apr 22 2020 at 12:44pm
Read Gelman’s critique of the Stanford study. He destroys it. (And it’s not just one problem.) BTW, their claims are completely implausible based on evidence we have from other sources.
Tyler Wells
Apr 22 2020 at 2:58pm
Aren’t there now several antibody studies, in Germany, Italy, two in California and one in Boston? I believe that the results are consistent. Obviously, as Alan Goldhammer so eloquently points out, they aren’t perfect. But then, massive decisions were made based on little more than wild-assed guessing so I don’t think that the bar has been set very high.
Pure anecdotal evidence (high celebrity contagion, low contagion among the youth) has to lend heavy credence to large undercounting. The article below points out the difficulty of extrapolating too much from any one of the studies, but far from uses language like “completely discredited.” https://www.sciencemag.org/news/2020/04/antibody-surveys-suggesting-vast-undercount-coronavirus-infections-may-be-unreliable
MB
Apr 21 2020 at 5:50pm
I read the article about the European origin of most of the New York City cases and came to the opposite conclusion. If the cases had a European origin and China had more infections at the time, the travel restrictions must have worked. There should have been additional travel restrictions on Europeans, as they followed the WHO/CCP advice. All cases originated in China, the majority of NYC cases came from China, through Europe. As to whether or not it makes sense now, I think the time has past, pre and post boarding checks are a better use of resources now.
Mark
Apr 21 2020 at 10:15pm
Italy banned flights from China on the same day we did and many other countries in Europe did so shortly thereafter as well. I believe the UK was one of the only ones that did not ban travel from China (I believe they still haven’t) yet most of their cases were clearly coming from other parts of Europe and not from China.
In my view, the real state of the world on January 23 was that the virus was concentrated in Wuhan but there were already a smattering of cases spread all around the world in major cities. The areas that were vigilant such as China’s neighbors and even the non-Wuhan parts of China did better than those that thought the virus wasn’t there yet.
Alan Goldhammer
Apr 22 2020 at 10:31am
Honestly, why is any ink being spilled on this issue of what came from where and when? It’s here right now and we need to deal with it. The Santa Clara county coroner’s office has shown that the earliest death from SARS-CoV-2 was on February 5 and this was not even the identified first epicenter, Seattle was. Working back that person was infected before the travel ban was enacted.
Even with the travel ban, American were being brought home from China and Europe. I remember the vivid pictures of people crowding through customs at Dulles airport. So much for social distancing.
Mark
Apr 21 2020 at 10:20pm
Another reason the travel ban didn’t work is that it had large holes in it for returning US citizens and residents. Of course, those holes were a good thing, and no country should leave its citizens stranded abroad. But the first known case in the US was a resident of Washington State returning home, not a Chinese tourist. Additionally, the first cluster in the US was in a nursing home—it’s far more likely that this cluster was seeded by a US resident who caught the virus in China than a tourist from China visiting a nursing home for some reason. All accounts were that there was very little screening of Americans returning from abroad in January and February—as if the virus cares about your nationality.
One interesting thing about the narrative is that Chinese media is talking about how all the new cases in China are “imported” and Western media likes to clarify (and fairly so) that most “imported” cases are in fact Chinese citizens returning home. The same is probably true in reverse—yet I feel like our media just says cases came from China (or Europe) leaving the impression that foreign tourists and immigrants are spreading the virus when in fact the virus was more likely spread by returning Americans.
Scott Sumner
Apr 22 2020 at 12:46pm
Excellent comment.
Thomas Hutcheson
Apr 22 2020 at 8:29am
Ah, but its’such great political theater! Next you are going to start criticizing TSA pat downs in airports.
Scott Sumner
Apr 22 2020 at 12:46pm
Yes!
bill
Apr 22 2020 at 3:27pm
From what I’ve read, travel bans have to be virtually 100% to be effective. Scott hits on the reason. If they just reduce cases by 90%, then it just shifts the caseload by 3 weeks. I’m watching New Zealand and hoping they succeed.
Lorenzo from Oz
Apr 23 2020 at 12:00am
Australia screwed up dealing with one cruise ship (whose owners are now under criminal investigation) and aggravated its problem.
https://www.abc.net.au/news/2020-04-23/coronavirus-across-australia-if-ruby-princess-never-docked/12172314
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