It’s bloody awful. From start to now it’s been a clown show. It seems like no one learned anything in the past two years except that medical staff are much better at treating COVID. Thus zero deaths with more than 13,000 positive infected. A large majority are asymptomatic.
Also in China if a person has a heart condition and covid and die. Then it’s recorded as a heart condition. Same reason why seasonal flu rates are like 50 in China compared to 20m in America.
A combination of the low vaccination rate among the elderly (only 50% or so among the 80+, and a lot of the vaccinated got Sinovac), which is inverted compared to Western countries where the rates are highest among the elderly, and the suppression of all previous waves (they had essentially 0% seroprevalence four months ago). In other countries, a lot of the deaths already occurred in 2020-2021. In Hong Kong, all of that was concentrated in the last 3 months.
Many of these factors are also at play in China, which partially explains their current policies. As for the currently reported 0 deaths in China, probably some statistical manipulation (if not outright fabrication) is at play. There is a lot of discretion as to what you count as a COVID-death.
From what I've read they used the low quality Chinese vaccines and vaccination rates among over 60s were under 80%. if you're over 80 and you get COVID you're very likely to die if you're symptomatic.
China used the same Chinese vaccines as Hong Kong and according to ABC News in Australia only 62% of Shanghai residents over 60 have been vaccinated. This is fairly typical; Chinese policy was to focus on vaccinating people of working age. There have been multiple reported outbreaks at elderly care facilities in Shanghai recently. China is still reporting no Covid deaths. Now, a bunch of people have been complaining their relatives at those facilities died, but officially none of them are Covid deaths.
Hong Kong has a worse vaccination rate amongst the elderly and better vaccine mix than the mainland (more imported vaccines, probably less of the more dubious Chinese-made ones), but broadly speaking they're very similar. I think even the Western countries with comparatively poor vaccination rates are still better than either.
