Effective COVID-19 Control: A Comparative Analysis of the Stringency and Timeliness of Government Responses in Asia.

Autor:	Chen S; ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney 2052, Australia.; School of Risk and Actuarial Studies, University of New South Wales, Sydney 2052, Australia., Guo L; Duke Global Health Institute, Duke University, Durham, NC 27708, USA., Alghaith T; General Directorate for National Health Economics and Policy, Saudi Health Council, Riyadh 13315, Saudi Arabia., Dong D; Health, Nutrition and Population Global Practice, The World Bank, Washington, DC 20433, USA., Alluhidan M; General Directorate for National Health Economics and Policy, Saudi Health Council, Riyadh 13315, Saudi Arabia.; Division of Health Research, Lancaster University, Bailrigg LA1 4YX, UK., Hamza MM; Health, Nutrition and Population Global Practice, The World Bank, Washington, DC 20433, USA., Herbst CH; Health, Nutrition and Population Global Practice, The World Bank, Washington, DC 20433, USA., Zhang X; Duke Global Health Institute, Duke University, Durham, NC 27708, USA., Tagtag GCA; Yale-NUS College, National University of Singapore, Singapore 138527, Singapore., Zhang Y; Health, Nutrition and Population Global Practice, The World Bank, Washington, DC 20433, USA., Alazemi N; General Directorate for National Health Economics and Policy, Saudi Health Council, Riyadh 13315, Saudi Arabia., Saber R; General Directorate for National Health Economics and Policy, Saudi Health Council, Riyadh 13315, Saudi Arabia., Alsukait R; Health, Nutrition and Population Global Practice, The World Bank, Washington, DC 20433, USA., Tang S; Duke Global Health Institute, Duke University, Durham, NC 27708, USA.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Aug 17; Vol. 18 (16). Date of Electronic Publication: 2021 Aug 17.
DOI:	10.3390/ijerph18168686
Abstrakt:	Aim: Many governments in East and Southeast Asia responded promptly and effectively at the onset of the COVID-19 pandemic. Synthesizing and analyzing these responses is vital for disease control evidence-based policymaking. Methods: An extensive review of COVID-19 control measures was conducted in selected Asian countries and subregions, including Mainland China, Hong Kong, Taiwan, South Korea, Singapore, Japan, and Vietnam from 1 January to 30 May 2020. Control measures were categorized into administrative, public health, and health system measures. To evaluate the stringency and timeliness of responses, we developed two indices: the Initial Response Index (IRI) and the Modified Stringency Index (MSI), which builds on the Oxford COVID-19 Government Response Tracker (OxCGRT). Results: Comprehensive administrative, public health, and health system control measures were implemented at the onset of the outbreak. Despite variations in package components, the stringency of control measures across the study sites increased with the acceleration of the outbreak, with public health control measures implemented the most stringently. Variations in daily average MSI scores are observed, with Mainland China scoring the highest (74.2), followed by Singapore (67.4), Vietnam (66.8), Hong Kong (66.2), South Korea (62.3), Taiwan (52.1), and Japan (50.3). Variations in IRI scores depicting timeliness were higher: Hong Kong, Taiwan, Vietnam, and Singapore acted faster (IRI > 50.0), while Japan (42.4) and Mainland China (4.2) followed. Conclusions: Timely setting of stringency of the control measures, especially public health measures, at dynamically high levels is key to optimally controlling outbreaks.
Databáze:	MEDLINE
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