Yang Yan-shih, a senior specialist at the BCDC, says that the most serious cases were referred to teaching hospitals. Thus the local doctors in the spot check network were not the ones handling the most serious cases, and the government agencies thus overlooked the growing seriousness of the epidemic.
防疫處簡任技正楊世仰指出，由於嚴重的案例最後都進入教學醫院，基層醫師組成的定點偵測系統無法反映嚴重案例，使得決策單位輕忽了疫情的嚴重度。