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10.1177/0141076821992453

http://scihub22266oqcxt.onion/10.1177/0141076821992453
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33557662!7944559!33557662
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suck abstract from ncbi


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pmid33557662      J+R+Soc+Med 2021 ; 114 (3): 121-131
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  • The potential effectiveness of the WHO International Health Regulations capacity requirements on control of the COVID-19 pandemic: a cross-sectional study of 114 countries #MMPMID33557662
  • Wong MC; Huang J; Wong SH; Yuen-Chun Teoh J
  • J R Soc Med 2021[Mar]; 114 (3): 121-131 PMID33557662show ga
  • OBJECTIVES: We examined if the WHO International Health Regulations (IHR) capacities were associated with better COVID-19 pandemic control. DESIGN: Observational study. SETTING: Population-based study of 114 countries. PARTICIPANTS: General population. MAIN OUTCOME MEASURES: For each country, we extracted: (1) the maximum rate of COVID-19 incidence increase per 100,000 population over any 5-day moving average period since the first 100 confirmed cases; (2) the maximum 14-day cumulative incidence rate since the first case; (3) the incidence and mortality within 30 days since the first case and first COVID-19-related death, respectively. We retrieved the 13 country-specific International Health Regulations capacities and constructed linear regression models to examine whether these capacities were associated with COVID-19 incidence and mortality, controlling for the Human Development Index, Gross Domestic Product, the population density, the Global Health Security index, prior exposure to SARS/MERS and Stringency Index. RESULTS: Countries with higher International Health Regulations score were significantly more likely to have lower incidence (beta coefficient -24, 95% CI -35 to -13) and mortality (beta coefficient -1.7, 95% CI -2.5 to -1.0) per 100,000 population within 30 days since the first COVID-19 diagnosis. A similar association was found for the other incidence outcomes. Analysis using different regression models controlling for various confounders showed a similarly significant association. CONCLUSIONS: The International Health Regulations score was significantly associated with reduction in rate of incidence and mortality of COVID-19. These findings inform design of pandemic control strategies, and validated the International Health Regulations capacities as important metrics for countries that warrant evaluation and improvement of their health security capabilities.
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Communicable Disease Control/legislation & jurisprudence/organization & administration[MESH]
  • |*International Health Regulations/organization & administration/standards[MESH]
  • |*World Health Organization[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Disease Transmission, Infectious/*prevention & control[MESH]
  • |Global Health/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Mortality[MESH]
  • |SARS-CoV-2[MESH]


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