COVID-19;
social distancing;
welfare loss;
pandemics;
efficiency;
MORTALITY;
D O I:
10.3390/ijerph19031852
中图分类号:
X [环境科学、安全科学];
学科分类号:
08 ;
0830 ;
摘要:
This paper presents an efficiency assessment of social distancing as an internationally adopted measure to tackle the COVID-19 pandemic in 2020. The simple framework adopted for the assessment accounts for two kinds of costs that a society may bear in a pandemic. The first is welfare loss due to infection and its consequences, and the second is welfare loss resulting from a slowdown in economic transactions. We call the first infection costs, and the second economic costs, for convenience in the paper. Efficient social distancing should minimize the sum of these costs. Infection costs are likely to decrease with social distancing at a decreasing rate as intensified social distancing eases pressure on scarce resources for intensive care. Economic costs on the other hand are likely to increase at an increasing rate as extreme slowdown in economic life may entail job losses and business failures. The resulting U-shaped total costs curve implies parity between infection costs and economic costs as a necessary condition for efficiency. In a simplified implementation of the framework, we approximate infection costs by the value of (statistical) lives lost, and economic costs by the gap between the actual gross domestic product (GDP) in 2020 and the potential GDP as predicted by the within-country growth trend during the preceding decade. The results for 158 countries suggest that the global community perhaps reacted with overly strict social distancing measures. The results for the subgroup of high-income countries, however, suggest that these countries were more successful in maintaining the parity between infection and economic costs.
机构:
Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden
Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden
Nykoping Hosp, Dept Internal Med, Nykoping, Sormland Region, SwedenMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Schell, Carl Otto
;
Petersen, Dan Brun
论文数: 0引用数: 0
h-index: 0
机构:
Minist Hlth, Community Dev Gender Elderly & Children, Dodoma, Tanzania
Zealand Univ Hosp, Dept Emergency Med, Koge, DenmarkMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Petersen, Dan Brun
;
Sawe, Hendry
论文数: 0引用数: 0
h-index: 0
机构:
Muhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, TanzaniaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Sawe, Hendry
;
Khalid, Karima
论文数: 0引用数: 0
h-index: 0
机构:
Muhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Muhimbili Orthopaed Inst, Dar Es Salaam, TanzaniaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Khalid, Karima
;
Mndolo, Samson
论文数: 0引用数: 0
h-index: 0
机构:
Queen Elizabeth Cent Hosp, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Mndolo, Samson
;
Rylance, Jamie
论文数: 0引用数: 0
h-index: 0
机构:
Malawi Liverpool Wellcome Trust, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Rylance, Jamie
;
McAuley, Daniel F.
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Wellcome Wolfson Inst Expt Med, Belfast, Antrim, North IrelandMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
McAuley, Daniel F.
;
Roy, Nobhojit
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden
BARC Hosp, Govt India, WHO Collaborating Ctr Res Surg Care Delivery LMIC, Surg Unit, Mumbai, Maharashtra, IndiaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Roy, Nobhojit
;
Marshall, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dept Surg, Interdept Div Crit Care Med, Toronto, ON, Canada
Int Forum Acute Care Trialists, Toronto, ON, CanadaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Marshall, John
;
论文数: 引用数:
h-index:
机构:
Wallis, Lee
;
Molyneux, Elizabeth
论文数: 0引用数: 0
h-index: 0
机构:
Queen Elizabeth Cent Hosp, Blantyre, Malawi
Univ Malawi, Coll Med, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
机构:
Vattenfall BA Wind, Havneholmen 29, KøbenhavnVattenfall BA Wind, Havneholmen 29, København
Fischetti M.
;
Fischetti M.
论文数: 0引用数: 0
h-index: 0
机构:
Vattenfall BA Wind, Havneholmen 29, KøbenhavnVattenfall BA Wind, Havneholmen 29, København
Fischetti M.
;
Stoustrup J.
论文数: 0引用数: 0
h-index: 0
机构:
Automation & Control, Department of Electronic Systems, Aalborg University, Fredrik Bajers Vej 7C, AalborgVattenfall BA Wind, Havneholmen 29, København
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland
Groarke, Jenny M.
;
论文数: 引用数:
h-index:
机构:
Berry, Emma
;
Graham-Wisener, Lisa
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland
Graham-Wisener, Lisa
;
McKenna-Plumley, Phoebe E.
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland
机构:
Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden
Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden
Nykoping Hosp, Dept Internal Med, Nykoping, Sormland Region, SwedenMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Schell, Carl Otto
;
Petersen, Dan Brun
论文数: 0引用数: 0
h-index: 0
机构:
Minist Hlth, Community Dev Gender Elderly & Children, Dodoma, Tanzania
Zealand Univ Hosp, Dept Emergency Med, Koge, DenmarkMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Petersen, Dan Brun
;
Sawe, Hendry
论文数: 0引用数: 0
h-index: 0
机构:
Muhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, TanzaniaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Sawe, Hendry
;
Khalid, Karima
论文数: 0引用数: 0
h-index: 0
机构:
Muhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Muhimbili Orthopaed Inst, Dar Es Salaam, TanzaniaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Khalid, Karima
;
Mndolo, Samson
论文数: 0引用数: 0
h-index: 0
机构:
Queen Elizabeth Cent Hosp, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Mndolo, Samson
;
Rylance, Jamie
论文数: 0引用数: 0
h-index: 0
机构:
Malawi Liverpool Wellcome Trust, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Rylance, Jamie
;
McAuley, Daniel F.
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Wellcome Wolfson Inst Expt Med, Belfast, Antrim, North IrelandMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
McAuley, Daniel F.
;
Roy, Nobhojit
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden
BARC Hosp, Govt India, WHO Collaborating Ctr Res Surg Care Delivery LMIC, Surg Unit, Mumbai, Maharashtra, IndiaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Roy, Nobhojit
;
Marshall, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dept Surg, Interdept Div Crit Care Med, Toronto, ON, Canada
Int Forum Acute Care Trialists, Toronto, ON, CanadaMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
Marshall, John
;
论文数: 引用数:
h-index:
机构:
Wallis, Lee
;
Molyneux, Elizabeth
论文数: 0引用数: 0
h-index: 0
机构:
Queen Elizabeth Cent Hosp, Blantyre, Malawi
Univ Malawi, Coll Med, Blantyre, MalawiMuhimbili Univ Hlth & Allied Sci, POB 65001, Dar Es Salaam, Tanzania
机构:
Vattenfall BA Wind, Havneholmen 29, KøbenhavnVattenfall BA Wind, Havneholmen 29, København
Fischetti M.
;
Fischetti M.
论文数: 0引用数: 0
h-index: 0
机构:
Vattenfall BA Wind, Havneholmen 29, KøbenhavnVattenfall BA Wind, Havneholmen 29, København
Fischetti M.
;
Stoustrup J.
论文数: 0引用数: 0
h-index: 0
机构:
Automation & Control, Department of Electronic Systems, Aalborg University, Fredrik Bajers Vej 7C, AalborgVattenfall BA Wind, Havneholmen 29, København
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland
Groarke, Jenny M.
;
论文数: 引用数:
h-index:
机构:
Berry, Emma
;
Graham-Wisener, Lisa
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland
Graham-Wisener, Lisa
;
McKenna-Plumley, Phoebe E.
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Improving Hlth Related Qual Life CIHRQoL, Sch Psychol, Belfast, Antrim, North Ireland