Public health matters: why is Latin America struggling in addressing the pandemic?

Public health matters: why is Latin America struggling in addressing the pandemic?
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DOI:
10.1057/s41271-020-00269-4
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发表时间:
2021-03
影响因子:
3.8
通讯作者:
Martinez-Valle A
Martinez-Valle A
中科院分区:
医学4区
文献类型:
--
作者:
Martinez-Valle A

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本文考察了阿根廷、巴西、智利、哥伦比亚、墨西哥和秘鲁如何应对新冠肺炎大流行,以及从每个国家宣布卫生紧急状态之日起(2020年3月中下旬至2020年9月23日)这些政策应对措施的有效性。为了分析这六个拉美国家的政府如何应对新冠肺炎疫情,我们使用了牛津大学创建的政府反应指数。为了探索这些政府缓解政策对减少社会流动性的影响,我们使用了谷歌移动报告。我们还分析了这些政策可能如何影响新冠肺炎的死亡率。总体而言,结果显示,为应对新冠肺炎大流行而分析的公共政策的更及时和更严格的执行似乎都与更高的流动性减少和更低的死亡率有关。我们从每个国家实施这些缓解政策的方式中吸取了五个政策教训。更及时和更严格地执行这些公共政策可能有助于减少几个公共场所的机动性,并降低死亡率。每个拉丁美洲国家的关闭和遏制政策的有效性似乎取决于其各自人口的遵守程度及其社会经济生活条件。政府提供的收入支持和债务减免的经济和社会政策使人们能够遵守关闭和遏制政策。卫生系统应保持高度的政策严格性,并通过检测政策和接触者追踪进行有效的监测。本文的在线版本(10.1057/s41271-020-00269-4)包含向授权用户提供的补充材料。
This article examines how Argentina, Brazil, Chile, Colombia, Mexico, and Peru addressed the COVID-19 pandemic and the effectiveness of these policy responses from the date each country declared a sanitary emergency, between middle and late March 2020 to the most recent available measurement on 23 September 2020. To analyze how governments responded to the COVID-19 pandemic in these six Latin American countries, we use an index of government response, created by the University of Oxford. To explore the effects of these governmental mitigation policies on reducing social mobility, we use Google mobility reports. We also analyze how these policies may have influenced COVID-19 mortality rates. Overall, the results showed that both timelier and more stringent implementation of the public policies analyzed to address the COVID-19 pandemic seem to be associated with higher mobility reductions and lower mortality rates. We draw five policy lessons from the way each country implemented these mitigation policies. Timelier and more stringent implementation of these public policies may contribute to a higher mobility reduction in several public spaces and to lower mortality rates. The effectiveness of the closure and containment policies in each Latin American country seem to depend on the degree of compliance of their respective populations and to their socioeconomic living conditions. Economic and social policies of income support and debt relief provided by governments allowed people to comply with closure and containment policies. Health systems should maintain high levels of policy stringency together with effective surveillance through testing policy and contact tracing. The online version of this article (10.1057/s41271-020-00269-4) contains supplementary material, which is available to authorized users.
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