Dataset Information

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

ABSTRACT:

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.

SUBMITTER: Chien LC

PROVIDER: S-EPMC7500241 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Publications

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

Chien Lung-Chang LC Lin Ro-Ting RT

Annals of global health 20200917 1

<h4>Background</h4>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.<h4>Objective</h4>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 g ...[more]

PMID: 32983915

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Dataset Information

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

Background

Objective

Methods

Findings

Conclusions

Publications

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

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