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Health Care Policies and COVID-19 Prevalence: Is There Any Association?

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SAGE PUBLICATIONS LTD
DOI: 10.1177/0020731421993940

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case fatality rate; China; COVID-19; health care policies; Italy; Singapore; Spain; the United States of America

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The COVID-19 pandemic has impacted almost all countries and territories around the world. Many countries have implemented similar strategies to control and reduce the spread of the virus, with differences in the burden of COVID-19 possibly attributed to the strictness of implementation of strategies. Systemic rather than regional strategies are needed to address limitations at the national level.
The coronavirus disease 2019 (COVID-19) pandemic has affected almost all countries and territories. As of December 6, 2020, the United States of America and India have the highest prevalence. Each country has implemented different strategies to control and reduce the spread of disease. Here, the association between prevalence number and health policies is evaluated by comparing 2 groups of countries: (1) Italy, the United States of America, Germany, Spain, and India with a higher prevalence than a linear trend line; and (2) Singapore and China with a lower or equal prevalence than linear forecasts. A rapid overview revealed that many countries have similar strategies for controlling COVID-19, including the suspension of air travel, the lockdown on the cities with the most cases detected, active case findings, monitoring of close contacts, and raising public awareness. Also, they used a gradual and phased plan to reopen activities. So, the difference between countries in the burden of COVID-19 can be attributable to the strict mode and nonstrict mode of implementation of strategies. Limitations at the national levels call for systemic rather than regional strategies.

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