At least 76 people contracted the novel
coronavirus in Bhutan, but no one has died from Covid-19, and nor has any
community transmission been detected. It’s surprising given that this country
is surrounded by China in the north where the virus originated, and India in
the south which has nearly 400,000 confirmed cases. Besides, Bhutan’s health
infrastructure is modest. So how did Bhutan manage to contain this highly
infectious germ?
It’s about three months since the first confirmed case emerged, and Bhutan is
already preparing to open up.
On June 19, Prime Minister Lotay Tshering, a practicing surgeon, told local
media that the “transition to a new normal” would begin on July 1. “Given a
choice, we will always go for life over livelihood. However, with lives
secured, it only makes sense to continue our livelihoods,” he explained.
Bhutan, a country of about 770,000 people, largely remains coronavirus-free.
Of the 76 confirmed cases, the first being an American tourist, 38 have
recovered fully. So, barring entertainment centers and the country’s borders,
almost all activities – from schools and colleges to offices to public
transport to religious sites – are reopening.
Public Trust
Bhutan is a democratic constitutional monarchy, where the 40-year-old king,
Jigme Khesar Namgyel Wangchuck, is revered by almost all Bhutanese citizens as
well as political leaders. King Khesar has been seen as being at the helm and
the forefront of the fight against the new coronavirus. He has said the
country must do all it can to ensure there are zero deaths from Covid-19.
The Chief Abbot of the Central Monastic Body of Bhutan, known as Je Khenpo, addressed the people of the country on national television, stressing on
the need to listen to medical professionals while also believing in the power
of prayer. Je Khenpo rarely appears on television, and when he did, the Bhutanese people
took it seriously. Many offices suspended all work so that its employees could
listen to the address.
It helps that at least three officials who have been part of a team that is
leading Bhutan’s efforts to combat the spread of the coronavirus on the ground
understand medicine. Two of them – Prime Minister Tshering and Foreign
Minister Tandi Dorji – are medical doctors. And the other, Health Minister
Dechen Wangmo, is Master’s in Public Health from Yale University.
Despite the country’s need to be extra cautious given it lies between two
geological giants in competition and conflict – India and China – the
officials have remained calm but proactive, while also maintaining a high
degree of transparency, in checking the spread of Covid-19.
Government Response
The officials oversaw the formulation of a National Preparedness and Response Plan well before the first Covid-19 case was detected, and soon after that a
detailed contact tracing was done within 24 hours.
The mandatory 21-day quarantine for all Bhutanese returning from abroad played
a vital role in ensuring there is zero community transmission. Semi-lockdown
measures were imposed early on, with schools and entertainment spots being
shut down first, and people being urged to maintain physical distancing.
Bhutan closed her doors to tourists immediately after the index case.
At least 5,000 Bhutanese living across the border in the town of Jaigaon in
the east Indian state of West Bengal were brought into Bhutan before it fully
closed its borders. The office of King Khesar has been taking care of them.
The health ministry has posted daily updates on its website and social media accounts. It has held weekly press
conferences, which included a sign translator, and created a WhatsApp group
for journalists where officials respond immediately to any query or concern
raised.
The government started an advocacy campaign using all media platforms at its
disposal to educate the Bhutanese masses on Covid-19 safety measures. Bhutan
Telecom, the state-owned telecom service provider, assigned a caller ringback
tune, a song encouraging people to stay home, to all its subscribers.
Authorities have built makeshift 24-hour flu clinics in all the districts.
Anyone with flu-like symptoms has been advised to visit the clinics and not a
hospital.
Healthcare in Bhutan is free. All of the tests and treatment for Covid-19 have
also been done free of cost. With more than 23,100 tests, Bhutan has among the
highest test rates per million in the region.
A national mental-health task force has also been instituted with a 24/7
helpline. Psychological first-aid training has been provided to many frontline
workers as well as interested citizens.
The government set up a registry for the vulnerable population – the elderly,
people with chronic conditions, pregnant women and children – and King Khesar
provided free care-packages, including multivitamins, to more than 51,000
people above the age of 60.
Public Response
Thousands of Bhutanese have signed up for the De-suung program, which trains Bhutanese to be life-long volunteers, including
for disaster-related operations. The program’s website crashed for the first time since its existence due to an overwhelming number of
Bhutanese signing up.
Hoteliers came forward and offered their businesses to be used as quarantine
centres, free of cost. Bhutan has quarantined more than 7,000 Bhutanese thus
far.Landlords have waived off or reduced rent for their tenants from April to
June. A Facebook page, called Generous Landlords of Bhutan during Covid-19 crises, was created to allow tenants to thank their landlords.
The Bhutanese diaspora quickly rallied together to mobilise funds for fellow
Bhutanese who tested positive. The United Bhutanese Association in New York
rented two apartments in the city as quarantine centres. A Bhutanese nurse
monitored the patients. All 10 Bhutanese who tested positive in New York have
recovered at the flats.
A relief fund instituted by the king has directly deposited money to the bank account
of more than 13,000 Bhutanese who suffered financially due to Covid-19.
Covid-19 Economic Aftermath
More than 90 percent of Bhutan’s supplies are transported by land, mostly
through India. After Bhutan closed its international borders on March 23, and
India declared a nationwide Covid-19 lockdown a day later, New Delhi and
Thimphu worked together to ensure that the transportation of essential
supplies didn’t stop.
The Ministry of Agriculture has said it is acquiring about 64,000 acres of
private land to provide commercial farming opportunities to interested
individuals to deal with the food security. The government has earmarked 471
million rupees for an “Agriculture Stimulus Plan.”
The tourism and hospitality sector – the country’s biggest revenue generator
besides hydropower – has been the hardest hit. At least 50,000 Bhutanese are
estimated to be engaged with tourism and hospitality. So the Tourism Council
of Bhutan, through its “Tourism Stimulus Package,” is providing employment
opportunities to those employed in the sector in waste management,
infrastructure, product development and surveys, among other fields. They are
also being encouraged to farm on government land.
Financial institutions deferred loan repayments and waived off interests,
initially for three months beginning April, and then they extended it until
March 31 2021, to ease economic pressure on businesses and individuals. The
total interest waived for April alone amounted to about 1,200 million rupees.
The cost for the waiver for the first quarter was borne by the financial
institutions and the government 50:50. The cost for deferring the interests
for another year will be met with the support of King Khesar’s office.
A positive story, especially about a government, might sound refreshing to
some, and romantic to others in today’s world. While Bhutan has had many
soft-spots, the country has from time to time surprised the outside world with
its good gestures.
One such gesture was witnessed by the index case, that of a 76-year-old
American tourist with comorbidity. Health Minister Wangmo personally called
the patient’s family every morning to update them. And King Khesar visited the
patient.
The tourist and his wife, who, too, had tested positive, have recovered and
returned to their home in the United States. And in Bhutan, we, the Bhutanese,
are getting ready to restart our lives.