COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries

Background: Disease control involves multiple actions overtime to halt the spread of COVID-19. The role of a country’s governance in slowing the spread of COVID-19 has not yet been well investigated. Objective: This study aims to investigate the association between governance and the trend of COVID-...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lung-Chang Chien, Ro-Ting Lin
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8c4b223b4aef46c9908eb4ab712d9dc7
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8c4b223b4aef46c9908eb4ab712d9dc7
record_format	dspace
spelling	oai:doaj.org-article:8c4b223b4aef46c9908eb4ab712d9dc72021-12-02T03:39:24ZCOVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries2214-999610.5334/aogh.3011https://doaj.org/article/8c4b223b4aef46c9908eb4ab712d9dc72020-09-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3011https://doaj.org/toc/2214-9996Background: Disease control involves multiple actions overtime to halt the spread of COVID-19. The role of a country’s governance in slowing the spread of COVID-19 has not yet been well investigated. Objective: This study aims to investigate the association between governance and the trend of COVID-19 incidence in countries with the highest prevalence. We hypothesized that countries with better governance are more likely to mitigate the spread of COVID-19 than countries with worse governance. Methods: We analyzed 62 most prevalent countries with at least 10,000 accumulative confirmed cases from January 22 to June 15, 2020. Countries were further grouped into three different levels of governance (25 better governance, 24 fair governance, and 13 worse governance), identified outbreak and mitigation periods using the joinpoint regression model, and compared the number of days and average daily percent change in incidence in two periods by governance level using the one-way analysis of variance. Findings: The average outbreak period in the 62 countries lasted 84.0 days. Sixty percent of countries (N = 37) had experienced outbreak periods, followed by a mitigation period. In contrast, the rest forty percent of countries (N = 25) still had a rising trend. In the outbreak period, better governance countries had a more rapid increase but a shorter outbreak period (71.2 days) than countries with fair (93.5 days) and worse (90.8 days) governance. Most countries with better governance (84.0%) revealed a declining trend in COVID-19 incidence, while such a trend was less than half of fair and worse governance countries (38.5%–41.7%). Conclusions: Countries with better governance are more resilient during the COVID-19 crisis. While the mitigation of COVID-19 is observed in most better governance countries, the incidence of COVID-19 is still surging in most fair and worse governance countries, and the possibility of a recurring epidemic of COVID-19 in countries cannot be ignored.Lung-Chang ChienRo-Ting LinUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Lung-Chang Chien Ro-Ting Lin COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
description	Background: Disease control involves multiple actions overtime to halt the spread of COVID-19. The role of a country’s governance in slowing the spread of COVID-19 has not yet been well investigated. Objective: This study aims to investigate the association between governance and the trend of COVID-19 incidence in countries with the highest prevalence. We hypothesized that countries with better governance are more likely to mitigate the spread of COVID-19 than countries with worse governance. Methods: We analyzed 62 most prevalent countries with at least 10,000 accumulative confirmed cases from January 22 to June 15, 2020. Countries were further grouped into three different levels of governance (25 better governance, 24 fair governance, and 13 worse governance), identified outbreak and mitigation periods using the joinpoint regression model, and compared the number of days and average daily percent change in incidence in two periods by governance level using the one-way analysis of variance. Findings: The average outbreak period in the 62 countries lasted 84.0 days. Sixty percent of countries (N = 37) had experienced outbreak periods, followed by a mitigation period. In contrast, the rest forty percent of countries (N = 25) still had a rising trend. In the outbreak period, better governance countries had a more rapid increase but a shorter outbreak period (71.2 days) than countries with fair (93.5 days) and worse (90.8 days) governance. Most countries with better governance (84.0%) revealed a declining trend in COVID-19 incidence, while such a trend was less than half of fair and worse governance countries (38.5%–41.7%). Conclusions: Countries with better governance are more resilient during the COVID-19 crisis. While the mitigation of COVID-19 is observed in most better governance countries, the incidence of COVID-19 is still surging in most fair and worse governance countries, and the possibility of a recurring epidemic of COVID-19 in countries cannot be ignored.
format	article
author	Lung-Chang Chien Ro-Ting Lin
author_facet	Lung-Chang Chien Ro-Ting Lin
author_sort	Lung-Chang Chien
title	COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
title_short	COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
title_full	COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
title_fullStr	COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
title_full_unstemmed	COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries
title_sort	covid-19 outbreak, mitigation, and governance in high prevalent countries
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/8c4b223b4aef46c9908eb4ab712d9dc7
work_keys_str_mv	AT lungchangchien covid19outbreakmitigationandgovernanceinhighprevalentcountries AT rotinglin covid19outbreakmitigationandgovernanceinhighprevalentcountries
_version_	1718401681456103424

COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries

Ejemplares similares