ABSTRACT
PurposeThe authors analyze the effects of political freedom and personal freedom on the spread of COVID-19 in a cross-country study. The authors also investigate how income inequality, urbanization and previous experience with a similar respiratory epidemic/pandemic, such as SARS and MERS, affect the spread of COVID-19.Design/methodology/approachThe authors employ data from 102 countries to examine the relationship of countries' economic and sociopolitical factors, such as political freedom and personal freedom and their COVID-19 infection cases per million population at 120 days, 150 days and 180 days after the reported 10th infection case. The authors also include the log term of real GDP per capita to control for counties' economic development and regional dummies to control for regional-specific effects.FindingsResults of this study show that personal freedom, rather than democracy, has a significant positive effect on countries' COVID-19 infection cases. On the contrary, democracy has a negative impact on the infection rate. The authors also find that socioeconomic factors such as higher income inequality and urbanization rate adversely affect the COVID-19 infection cases. A larger older population is associated with fewer infection cases, holding everything else equal. Previous experiences with the coronavirus crisis affect countries only at the 120 days mark. Real GDP per capita has no significant effect.Originality/valueThe main contribution of this paper is to jointly explore personal freedom, which implies a social framework with more emphasis on self-value and self-realization and political freedom, that is, democracy. The authors show that it is personal freedom, rather than democracy, that contributes to higher COVID-19 infection cases. Democracy, on the other hand, reduces the number of infection cases.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-12-2021-0769
ABSTRACT
Purpose - The authors analyze the effects of political freedom and personal freedom on the spread of COVID-19 in a cross-country study. The authors also investigate how income inequality, urbanization and previous experience with a similar respiratory epidemic/pandemic, such as SARS and MERS, affect the spread of COVID-19. Design/methodology/approach - The authors employ data from 102 countries to examine the relationship of countries' economic and sociopolitical factors, such as political freedom and personal freedom and their COVID-19 infection cases per million population at 120 days, 150 days and 180 days after the reported 10th infection case. The authors also include the log term of real GDP per capita to control for counties' economic development and regional dummies to control for regional-specific effects. Findings - Results of this study show that personal freedom, rather than democracy, has a significant positive effect on countries' COVID-19 infection cases. On the contrary, democracy has a negative impact on the infection rate. The authors also find that socioeconomic factors such as higher income inequality and urbanization rate adversely affect the COVID-19 infection cases. A larger older population is associated with fewer infection cases, holding everything else equal. Previous experiences with the coronavirus crisis affect countries only at the 120 days mark. Real GDP per capita has no significant effect. Originality/value - The main contribution of this paper is to jointly explore personal freedom, which implies a social framework with more emphasis on self-value and self-realization and political freedom, that is, democracy. The authors show that it is personal freedom, rather than democracy, that contributes to higher COVID-19 infection cases. Democracy, on the other hand, reduces the number of infection cases. Peer review - The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-12-2021-0769
ABSTRACT
BACKGROUND: The COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact on trauma systems worldwide. This study evaluates the impact the pandemic has had in the Washington, DC Metropolitan Region as compared with similar months in 2019. DESIGN: A retrospective multicenter study of all adult trauma centers in the Washington, DC region was conducted using trauma registry data between January 1, 2019 and May 31, 2020. March 1, 2020 through May 31, 2020 was defined as COVID-19, and January 1, 2019 through February 28, 2020 was defined as pre-COVID-19. Variables examined include number of trauma contacts, trauma admissions, mechanism of injury, Injury Severity Score, trauma center location (urban vs. suburban), and patient demographics. RESULTS: There was a 22.4% decrease in the overall incidence of trauma during COVID-19 compared with a 3.4% increase in trauma during pre-COVID-19. Blunt mechanism of injury decreased significantly during COVID-19 (77.4% vs. 84.9%, p<0.001). There was no change in the specific mechanisms of fall from standing, blunt assault, and motor vehicle crash. The proportion of trauma evaluations for penetrating trauma increased significantly during COVID-19 (22.6% vs. 15.1%, p<0.001). Firearm-related and stabbing injury mechanisms both increased significantly during COVID-19 (11.8% vs. 6.8%, p<0.001; 9.2%, 6.9%, p=0.002, respectively). CONCLUSIONS AND RELEVANCE: The overall incidence of trauma has decreased since the arrival of COVID-19. However, there has been a significant rise in penetrating trauma. Preparation for future pandemic response should include planning for an increase in trauma center resource utilization from penetrating trauma. LEVEL OF EVIDENCE: Epidemiological, level III.