The Unintended Consequences of COVID-19 Economic Responses on First Home Buyers? Evidence from New South Wales, Australia

As in many other nations, the Australian Government implemented monetary and fiscal policies in response to the COVID-19 pandemic to aid economic recovery. Among these policies were specific measures to assist first home buyers (FHBs) in entering the housing market. However, these unprecedented economic policies might have other direct and indirect implications on FHBs, which have yet to be thoroughly explored in the literature. To fill this gap, through a survey, we collected information via public and online mortgage broker platforms from 61 FHBs who successfully entered the housing market or were actively searching during the pandemic. The results found COVID-19 economic responses counterproductive for FHBs, pushing them to a more disadvantaged position due to an overheated property market. In addition, since the onset of the pandemic, property prices have risen significantly, exacerbating housing inequality as FHBs increasingly rely on intergenerational family support, take on more financial risk, and relocate to regional areas due to fear of missing out. The study highlights the need for macroeconomists and housing policymakers to consider these unintended consequences in formulating policies that minimise the adverse effects of economic stimulus measures.

Herders Mobility, Food Security and Covid-19 Pandemic Challenges during Lockdown in Nigeria

Climate change is one of the cores of the herders' movement in Nigeria. Some other variable is the classification of the Fulanis as indigenous peoples that have no specific abode of their own;they roam around looking for water and foliage for their animals. During the dry season, they move towards the southern part of Nigeria where they would find foliage and water for their animals because of their status under international law. A notion that in a bid to look for food for their animals, these herders sometimes feed their animals with grown corn, cassava, millet, sweet potato and even yam of the sedentary farmers. One of the geneses of food insecurity in many communities of the southern part of Nigeria. Food availability, affordability and accessibility in the country was compromised in 2020 due to these challenges by the urban dwellers which was compromised due to the activities of mobile herders. With general lockdown in Nigeria, many farmers were unable to go to farm while the Fulanis who were hardly affected by lockdown had their field-days in feeding their animals on crops planted by small scale farmers, the only source of food security in the country. The core of this paper is to interrogate Fulanis mobility as indigenous peoples based on relevant international law and its impact on small-scale farmers' sources of income and food availability for the teeming population of Nigeria. We contextualised this based on the COVID-19 pandemic that restricts the movement of people between March and December 2020. We conclude that the rights of the indigenous peoples at the domestic level need further interrogation to create an atmosphere of peaceful co-existence through aversion of herders-farmers clashes that envelope southern Nigeria.

How the COVID-19 Pandemic Influenced HIV Care: Are We Prepared Enough for Future Pandemics? An Assessment of Factors Influencing Access, Utilization, Affordability, and Motivation to Engage with HIV Services amongst African, Caribbean, and Black Women.

The COVID-19 pandemic resulted in disruption in healthcare delivery for people living with human immunodeficiency virus (HIV). African, Caribbean, and Black women living with HIV (ACB WLWH) in British Columbia (BC) faced barriers to engage with HIV care services prior to the COVID-19 pandemic that were intensified by the transition to virtual care during the pandemic. This paper aims to assess which factors influenced ACB WLWH's access to, utilization and affordability of, and motivation to engage with HIV care services. This study utilized a qualitative descriptive approach using in-depth interviews. Eighteen participants were recruited from relevant women's health, HIV, and ACB organizations in BC. Participants felt dismissed by healthcare providers delivering services only in virtual formats and suggested that services be performed in a hybrid model to increase access and utilization. Mental health supports, such as support groups, dissolved during the pandemic and overall utilization decreased for many participants. The affordability of services pertained primarily to expenses not covered by the provincial healthcare plan. Resources should be directed to covering supplements, healthy food, and extended health services. The primary factor decreasing motivation to engage with HIV services was fear, which emerged due to the unknown impact of the COVID-19 virus on immunocompromised participants.

COVID-19 mobility restrictions and stay-at-home behaviour in 2020 were associated with higher retail food prices worldwide.

COVID-19 policy responses have included mobility restrictions, and many people have chosen to stay at home to avoid exposure. These actions have ambiguous impacts on food prices, lowering demand for food away from home and perishables, while increasing supply costs for items where workers are most affected by the pandemic. We use evidence from 160 countries to identify the net direction and magnitude of association between countries' real cost of all food and mobility restriction stringency. We investigate the deviation of each month's price level in 2020 from that month's average price level during the previous three years and find that an increase in mobility restriction stringency from no restrictions to most restrictive is associated with an increase in the real cost of all food of more than one percentage point across all models. We then examine the relationship between retail food price levels by food group and stay-at-home behaviour around markets in 36 countries and find positive associations for non-perishables, dairy and eggs.

COVID-19 and Emergency Rental Assistance: Impact on Rent Arrears, Debt, and the Well-Being of Renters in Philadelphia

The federal government allocated an unprecedented level of funding to develop emergency rental assistance programs to help vulnerable low-income renter households remain housed during the COVID-19 pandemic. Using panel data from two waves of applicant surveys joined with administrative data, this article analyzes the impact of Phase 1 of the City of Philadelphia's COVID-19 Emergency Rental Assistance Program and asks how emergency rental assistance affected households in their rent arrears, rent-related debt, and mental health. Analysis shows that receiving emergency rental assistance was associated with lower arrears, a lower probability of rent-related debt, and a lower probability of experiencing frequent debilitating anxiety. The findings suggest that the initial rent relief provided crucial support for households in terms of financial and mental well-being but also underscore that housing affordability challenges that predated the pandemic cannot be addressed by an emergency rental assistance program created in response to a pandemic.

The effects of COVID-19 on downtown land use: Evidence from four U.S. cities

This paper investigates trends in downtown real estate and urban responses to real estate demand shifts during the COVID and post-COVID recovery periods for a selection of U.S. downtown areas. It charts the diverging responses of different real estate sectors to the COVID-19 pandemic—and the implications for the spatial allocation of activity across metropolitan areas. Using local data from four major U.S. metro areas, it documents how sustained shifts in rents and vacancy rates are putting pressure on cities to reconsider—and in some cases redefine—the "highest and best use” of much of their downtown real estate assets. After analyzing economic and policy constraints that are hindering responses, it concludes by proposing strategies for how the downtown real estate sector can adapt to the shifting needs of the post-pandemic population. [ FROM AUTHOR] Copyright of Journal of Urban Affairs is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Correlations between Social Determinants of Health and Technology Access among Rural African American Alabamians

Certain populations have been excluded from the benefits of telehealth and the recent advances and widespread use of technology in health promotion due to limited technology access. Although research has identified these specific groups, none has explored these issues using the social determinants of health (SDH) framework. This exploratory study aimed 1) to investigate technology access and 2) to identify associated SDHs. A cross-sectional research design was implemented, and participants were recruited from rural Alabama (N=185). Binary logistic regressions were conducted. Only 60% of participants had technology access. People with food insecurity and health illiteracy were less likely to have internet and PC/tablet access. In addition, older age was associated with a lower likelihood of access to a smartphone. This study provided insights into SDH correlates of the digital divide, particularly among rural African Americans, and indicated that addressing affordability could be a partial solution.

Disparities in spatial accessibility of primary care in Louisiana: From physical to virtual accessibility.

Telehealth has been widely employed and has transformed how healthcare is delivered in the United States as a result of COVID-19 pandemic. While telehealth is utilized and encouraged to reduce the cost and travel burden for access to healthcare, there are debates on whether telehealth can promote equity in healthcare services by narrowing the gap among diverse groups. Using the Two-Step Floating Catchment Area (2SFCA) and Two-Step Virtual Catchment Area (2SVCA) methods, this study compares the disparities of physical and virtual access to primary care physicians (PCPs) in Louisiana. Both physical and virtual access to PCPs exhibit similar spatial patterns with higher scores concentrated in urban areas, followed by low-density and rural areas. However, the two accessibility measures diverge where broadband availability and affordability come to play an important role. Residents in rural areas experience additive disadvantage of even more limited telehealth accessibility than physical accessibility due to lack of broadband service provision. Areas with greater Black population proportions tend to have better physical accessibility, but such an advantage is eradicated for telehealth accessibility because of lower broadband subscription rates in these neighborhoods. Both physical and virtual accessibility scores decline in neighborhoods with higher Area Deprivation Index (ADI) values, and the disparity is further widened for in virtual accessibility compared to than physical accessibility. The study also examines how factors such as urbanicity, Black population proportion, and ADI interact in their effects on disparities of the two accessibility measures.

The Local Food Paradox: A Second Study of Local Food Affordability in Canada

The price of food has been affected in recent months in response to events such as the war in Ukraine, energy costs, inflation, the COVID-19 pandemic, and climate change. Indeed, supply problems, as well as the repercussions of global issues, have had an impact on grocery bills. Just between September and October 2022, the price of food increased by 11.4% and 11% year-to-year. In addition, with the pandemic, buying locally has become a key factor for some in choosing which products to consume. This second edition of the report aims to answer the question Does eating local in Quebec cost more? More precisely, our objective was to identify if local products in the food sector, especially in Quebec, were competitive in their price points compared to foods coming from other regions of the world. To answer this, we used AI and machine learning to harvest data from 99 local products and 335 comparable nonlocal products, totaling 198,990 data points and 3745 prices across six data collection dates. The results showed that a total of 25 categories displayed an advantage for the local product or a neutrality, out of a total of 45 categories identified. Our results demonstrated that 55.6% of the categories that contained the local foods analyzed were price competitive with comparable products or less expensive than them.

Real estate investment decisions in COVID-19 crisis: the effect of perception and behavioral biases

Purpose: This study aims to examine the interconnectedness between investors' perceptions of assets and their behavioral factors with investment decisions during the COVID-19 pandemic in the real estate business in Pakistan. In this regard, this study predicted investment decisions using individuals' perceptions of the asset (perceived asset quality, perceived asset price and perceived asset value [PAV]),and behavioral biases (overconfidence [OC], herding [HD], disposition effect [DE] and risk aversion [RA]). Design/methodology/approach: This study used a survey-based instrument to gather a total of 189 usable samples. The sample data were analyzed using partial least square structural equation modeling. Findings: The findings of this study indicated that PAV, OC and HD significantly predicted the investment decision, whereas DE and RA had an insignificant impact on investment decisions in the real estate business. In addition, this study found that PAV is the most important factor to predict investment decisions in real estate during the COVID-19 crisis. Originality/value: The authors are certain that the study findings reinforce policy implications for regulators, policymakers and financial institutions. The study findings are also useful and relevant if the real estate sector experiences a crisis in the future. © 2023, Emerald Publishing Limited.

Effectiveness of online teaching and learning in Indian universities during the COVID-19 pandemic

Purpose: This study aims to analyze the effectiveness of online teaching and learning in the higher education sector during the COVID-19 pandemic and thereby design and formulate strategies to overcome the lacunas, if any, to enhance teaching effectiveness. Design/methodology/approach: A survey was conducted to analyze how far students were able to adapt to online teaching and learning, access teaching platforms and afford it. It was also studied whether they were able to grasp and apply the concepts learned. A total of 600 questionnaires were given, and 372 complete responses were received. Structural equation modeling is employed to test the hypothesis. Confirmatory factor analysis (CFA) was conducted to test the model fit and measurement model. Findings: This study is first of its kind in India which aims to analyze the effectiveness of online teaching and learning environments. This research model is designed to identify the determinants of effective online learning and to overcome the lacunas existing in the prevailing online teaching methods. It can be applied not just during crises like the pandemic but also during normal times to make teaching and learning more economical, innovative and impactful. The present study examined the impact of five major determinants—adaptability, affordability, bandwidth, grasping and interaction—on online learning and its effectiveness during COVID-19. It was observed that all the determinants positively influence online learning effectiveness. Research limitations/implications: The scope of the study was restricted to three centrally funded Indian Universities. Other institutions were not part of the study. Originality/value: This study is the first of its kind done in the current COVID-19 scenario, and the outcome would help overcome the lacunas in the prevailing online teaching scenario across the globe and make it more effective. © 2023, Emerald Publishing Limited.

Did Household Income Loss Have an Immediate Impact on Animal-Source Foods Consumption during the Early Stage of the COVID-19 Pandemic?

The outbreak of COVID-19 in 2020 caused extensive impact on household income and foods consumption. However, little attention has been paid to the immediate impact of income loss on animal-source foods consumption in the early stage of the COVID-19 pandemic. This paper aims to narrow this gap, and a total of 1301 valid samples of household food consumption surveys in Wuhan and Nanjing were obtained through specially designed online questionnaires. The surveys show that there were 69.6% (Wuhan) and 42.2% (Nanjing) of surveyed households whose animal-source foods consumption were affected, and there were 47.4% (Wuhan) and 18.9% (Nanjing) of surveyed households who suffered income loss. Furthermore, this paper makes an empirical study on the linkage between income loss and animal-source foods consumption. The results show that the pandemic affected household income, resulting in an immediate impact on animal-source foods consumption. This immediate impact may have been due to the combination of price increases, income loss and insufficient savings, which led to a "perfect storm" for animal-source foods consumption. Moreover, household income loss affected various animal-source foods consumption differently. For households suffering income losses, the odds of pork, beef and mutton, poultry, aquatic products, eggs and dairy products consumption being affected were increased by a factor of 1.894, 2.140, 2.773, 2.345, 1.802, 2.835, respectively, holding other variables constant. The results may be related to residents' consumption habits and food prices. During the COVID-19 pandemic, the reduction of animal-source foods consumption may have led to a state of tension concerning an increase in the development of nutrition intake and health, which may have led to increased food security risks.

A Needle in a Haystack? Human Rights Framing at the World Trade Organization for Access to COVID-19 Vaccines

How and why is implicit and explicit human rights language used by World Trade Organization (WTO) negotiators in debates about intellectual property, know-how, and technology needed to manufacture COVID-19 vaccines, and how do these findings compare with negotiators' human rights framing in 2001? Sampling 26 WTO members and two groups of members, this study uses document analysis and six key informant interviews with WTO negotiators, a representative of the WTO Secretariat, and a nonstate actor. In WTO debates about COVID-19 medicines, negotiators scarcely used human rights frames (e.g., "human rights" or "right to health"). Supporters used both human rights frames and implicit language (e.g., "equity," "affordability," and "solidarity") to garner support for the TRIPS waiver proposal, while opponents and WTO members with undetermined positions on the waiver used only implicit language to advocate for alternative proposals. WTO negotiators use human rights frames to appeal to previously agreed language about state obligations;for coherence between their domestic values and policy on one hand, and their global policy positions on the other;and to catalyze public support for the waiver proposal beyond the WTO. This mixed-methods design yields a rich contextual understanding of the modern role of human rights language in trade negotiations relevant for public health.

Understanding how policy settings affect developer decisions

Key points Private sector residential development is driven by profit. Developers want policy certainty so they can factor these policy settings into their assessment of the potential financial feasibility of a development site. The complexity of the development process, the structure of development organisations, the variety of products delivered, and land ownership issues mean the development decision-making process varies by organisation and site by site. Therefore, it is too simplistic to assume policy settings will have exactly the same impact on each and every developer and on each and every site. Housing market conditions drive private sector development. Policies that stimulate or restrict market demand will impact levels of housing supply. Once a developer has purchased land for development, any new costs introduced through regulation will impact profitability. Developers will try and pass these costs onto consumers through higher prices in order to maintain profit but their ability to do so will depend on market conditions. Reducing development costs will not automatically result in a more affordable end product. Such cost reductions could end up in a higher price paid for the land, additional profits for the developer or a combination. Reducing development approval timelines has a positive impact on profitability outcomes. New construction technologies that reduce development timelines can also have a positive impact on profitability outcomes. Affordable housing contributions required from a development site need to be known by a developer well in advance of land purchase so they can be factored into assessments of profitability and land price. Mandatory affordable housing contributions are the most likely source of large-scale affordable housing contributions in Australia and many sites would be able to absorb the costs of such delivery under a well-designed, efficient and consistent policy. Key findings This research examined how policy settings affect developer decisions, necessary to provide policy makers with an understanding of how private sector housing supply is likely to react to settings and events which affect development costs, revenues and timeframes. The research also examines the issue of new construction technologies and processes to establish their potential for reducing development costs and timelines, improving affordability. The development industry is incredibly complex, made up of hundreds of different organisations with a myriad of different structures. As such, a project like this can only take a broad-brush approach to highlight the impact of a range of settings on traditional approaches to development. The general findings show the importance of market conditions in driving supply and how factors such as infrastructure costs, delays in development approvals and construction timelines have a negative impact on profit outcomes if they cannot be factored into a developer's initial assessment of site profitability. Such assessments are conducted through a discounted cash-flow based feasibility modelling process. Factors that are certain to the developer, such as prevailing taxes and construction costs, can be carefully considered in a decision to develop, it is the unknowns that developers fear. Clear and consistent policy settings, certainty in development timeframes and certainty in policy advice create the ideal conditions for development. The rest is dependent on market conditions. Private sector development is driven by profit, specifically the balance between risk and return. There are a number of factors that affect this balance: Market conditions: strong demand, rising prices, cheap and accessible credit and high levels of consumer confidence are the perfect conditions for developers. Unexpected price rises during a development period will result in higher than anticipated profits for a developer. Risk: there are a number of factors developers consider when assessing risk and the level of return required to compensate for that risk. Market conditions is one, with the other being related to costs and timelines that a developer in unable to fully predict in their feasibility modelling. Those settings are fixed and easy to predict, and therefore assess. If costs are too high for the level of return required from a given site, the site will not be considered profitable and no development will occur. It is those factors that may vary after a developer has set the development process in motion that are problematic. Unforeseen delays caused by development approval processes, unexpected infrastructure costs, new taxes, labour and/or supply shortages, weather events and changes to design requirements can mean an increase in costs or a decrease in revenue and result in a lower than expected return. Landowner expectations: landowners will often be well aware of prevailing market values in an area and will engage consultants who will adopt feasibility modelling processes to come up with what they believe is a realistic price. Add additional costs into the development process and a developer may not be able to meet the landowner's price expectations, preventing development on a site until the landowner lowers their expectations, a developer is somehow able to reduce costs or predicted revenues rise. The current model of determining land purchase price benefits the landowner rather than the developer as the landowner benefits from the uplift in value associated with re-zoning and development approval. Reducing the land cost input could enable a developer to deliver a dwelling product to the market at a lower price. However the prices of new dwellings are generally set with reference to the comparable products in the local market, meaning there is little incentive for the developer to price below market other than to increase sales rates. Cost certainty and price setting: the costs of development will be factored into the price a developer pays for land. Unexpected cost increases post land purchase will need to be either absorbed by the developer in the form of lower profits, or passed onto the end consumer to maintain predicted profit levels. In some cases, developments will be profitable enough to absorb unexpected increases, but in a competitive development industry these are the exception rather than the norm. While the development industry often states that increased costs will end in higher prices for the end consumer, the ability of developers to pass on these costs depends on market conditions. Prices are determined in the local market and unless the developer has created an entirely new market with no local competition, that market will determine prices, i.e. how much consumers are prepared to pay. In a market with strong local supply and weak local demand, a developer will be lucky to maintain prices predicted at the start of the development process let alone increase prices to absorb costs. This research conducted feasibility modelling to examine how changes to key input variables affect development return outcomes. The modelling was based on a developer purchasing the land upfront with their own equity. While there are many other models of the development process and the timing of land purchase, this is considered the most common. The modelling outputs can be summarised as follows: Small increases or reductions in end sales prices have major implications for Internal Rate of Return (IRR) outcomes. A 10 per cent fall in revenue can mean a 50 per cent drop in the IRR. This means end sale prices are the biggest risk factor in the development process. Small increases or reductions in direct costs of construction can also have major implications for returns. A 10 per cent increase in costs can mean a 40 per cent reduction in the IRR. Significant reductions in the time taken from the commencement to completion of construction can have a positive impact on feasibility. Even a one or two month reduction in a 24 month build time can mean the difference between a profitable and unprofitable development. An increase in the time taken for development approval after land purchase will have a modest, ne ative impact on return outcomes. The longer the delay, the greater the impact. Policy development options Stimulating the market The Australian Government's response to COVID-19 through HomeBuilder and associated state government grants showed how quickly demand side incentives can stimulate the housing industry and deliver new housing supply. Grants increase a consumer's capacity to buy while also increasing confidence in the market. This reduces risk for the developer, which along with higher prices, stimulates the development of new sites. If governments are to use such spending to stimulate housing markets in the future, they must learn from HomeBuilder and how sharp increases in supply puts pressure on the building industry through labour shortages and material price increases. Smoothing housing supply over a longer period rather than a HomeBuilder-like rush would help the industry cope and avoid capacity constraints. A stimulus scheme operating across the entire industry, rather than concentrating on detached homebuilding, would also be more equitable. But what HomeBuilder has shown is demand side grants are an effective way of boosting housing supply in the short term and bringing forward development activity reliant on greater certainty and improved market conditions. Inclusionary zoning The introduction of affordable housing contribution requirements through inclusionary zoning can have a major impact on development feasibility. While density and height bonuses can help replace revenue, the developer needs to be able to pass costs onto the landowner and that means knowing well in advance what such requirements are likely to be. It will then be up to the landowner to determine if the resulting land price is sufficient to stimulate a sale. © AustralianHousing and Urban Research Institute Limited 2022.

Landlords' rental businesses before and after the COVID-19 pandemic: Evidence from a National Cross-Site Survey.

This paper uses a survey of over 2500 rental property owners in ten cities across the United States to determine the impact of the COVID-19 pandemic on landlords' rent collection and business behavior. Our findings show that yearly rent collection was down significantly in 2020 relative to 2019-both within and across rental markets-and that an increasing number of owners have a large share of their portfolio behind on rent. Small owners and owners of color faced the highest exposure to deep tenant arrears in 2020, challenges they were also more likely to face prior to pandemic. Our findings show that owner business practices changed dramatically in 2020, with a higher share of landlords granting tenants rent extensions or forgiving back rent during the pandemic relative to prior. However, many owners also disinvested in their rental properties through deferred maintenance, missed mortgage payments, and property sale listings. Landlords of color pursued disinvestment strategies during the pandemic at an elevated rate compared to white landlords. Owners of properties in neighborhoods with more non-white residents were both more likely to experience decreased rent collection and more likely to pursue evictions and rental late fees holding constant rental payment rates, implying the pandemic has disproportionately affected renters in communities of color. Overall, our findings highlight the strain the pandemic has placed on the housing stock, which has implications for the long-term viability and affordability of many of these units. More concerningly, our results show that households of color-which have been disproportionately affected by the pandemic in other domains-were more likely to face punitive measures from landlords in both 2019 and 2020, suggesting the pandemic has exacerbated existing racial inequality in housing markets.

Health Departments and PrEP: A Missed Opportunity for Public Health.

The paper identifies common barriers and challenges to Pre-Exposure Prophylaxis (PrEP) uptake and offers considerations for state and local public health departments to address barriers and retool infrastructure to increase access to PrEP to new users. Authors identify synergistic opportunities with federal agencies and funders to advance PrEP-related HIV prevention efforts, that prioritize strategies and investments to provide PrEP to people who could benefit from the intervention but are unaware of PrEP or struggle to access it. Barriers discussed and examined include financing strategies to reduce financial burden of PrEP medication, expanding PrEP access and outreach beyond clinical settings, and increasing the network and reach of the provider community to serve people we oppress through policy choices and discourses of racial and socioeconomic inferiority.

Assessing the impacts of COVID-19 vaccination programme's timing and speed on health benefits, cost-effectiveness, and relative affordability in 27 African countries.

BACKGROUND: The COVID-19 vaccine supply shortage in 2021 constrained roll-out efforts in Africa while populations experienced waves of epidemics. As supply improves, a key question is whether vaccination remains an impactful and cost-effective strategy given changes in the timing of implementation. METHODS: We assessed the impact of vaccination programme timing using an epidemiological and economic model. We fitted an age-specific dynamic transmission model to reported COVID-19 deaths in 27 African countries to approximate existing immunity resulting from infection before substantial vaccine roll-out. We then projected health outcomes (from symptomatic cases to overall disability-adjusted life years (DALYs) averted) for different programme start dates (01 January to 01 December 2021, n = 12) and roll-out rates (slow, medium, fast; 275, 826, and 2066 doses/million population-day, respectively) for viral vector and mRNA vaccines by the end of 2022. Roll-out rates used were derived from observed uptake trajectories in this region. Vaccination programmes were assumed to prioritise those above 60 years before other adults. We collected data on vaccine delivery costs, calculated incremental cost-effectiveness ratios (ICERs) compared to no vaccine use, and compared these ICERs to GDP per capita. We additionally calculated a relative affordability measure of vaccination programmes to assess potential nonmarginal budget impacts. RESULTS: Vaccination programmes with early start dates yielded the most health benefits and lowest ICERs compared to those with late starts. While producing the most health benefits, fast vaccine roll-out did not always result in the lowest ICERs. The highest marginal effectiveness within vaccination programmes was found among older adults. High country income groups, high proportions of populations over 60 years or non-susceptible at the start of vaccination programmes are associated with low ICERs relative to GDP per capita. Most vaccination programmes with small ICERs relative to GDP per capita were also relatively affordable. CONCLUSION: Although ICERs increased significantly as vaccination programmes were delayed, programmes starting late in 2021 may still generate low ICERs and manageable affordability measures. Looking forward, lower vaccine purchasing costs and vaccines with improved efficacies can help increase the economic value of COVID-19 vaccination programmes.

Widening the gap: the differential impact of COVID-19 on tenants and homeowners

In this article, we study how the COVID-19 pandemic has affected the housing inequalities between Flemish tenants and homeowners in terms of housing affordability, security and adequacy. Analyzing online survey data, we find that the pandemic increased the existing affordability gap in Flanders between homeowners and tenants. These differences between tenants and homeowners are explained by heterogeneous unemployment and income shocks. We find similar results for the differential impact on housing insecurity. Furthermore, relatively more tenants experience problems with the size of their dwelling due to the pandemic compared to homeowners. We find that these differences are best explained by the dwelling type as well as the household size, unemployment and work-from-home. The analysis shows that the COVID-19 crisis had a significant effect on the housing conditions of Flemish tenants and homeowners and exacerbated existing inequalities. © 2022 Informa UK Limited, trading as Taylor & Francis Group.

Sociobehavioural Factors Associated With Child Oral Health During COVID-19.

OBJECTIVES: The aim of this study was to identify the sociobehavioural factors that influenced children's oral health during the COVID-19 pandemic. METHODS: The online cross-sectional study was conducted in Al Jouf Province in the northern region of Saudi Arabia. A total of 960 parents of children aged 5 to 14 years were invited by multistage stratified random sampling. Descriptive, multinomial, and multiple logistic regression analyses were performed to estimate odds ratios and determine the relationship between independent and dependent variables. P < .05 was considered statistically significant. RESULTS: Of the 960 participants, 693 (72.1%) reported that their child had 1 or more untreated dental decay. The children of uneducated parents were 1.6-fold more likely to have 1 or more untreated dental decay (adjusted odds ratio [AOR], 1.66; 95% CI, 0.74-3.73; P < .001). The children of unemployed parents were 4.3-fold more likely to have a financial burden for a child dental visit (AOR, 4.34; 95% CI, 2.73-6.89; P < .001). Parents from a rural area were 26.3-fold more likely to have spent a lag period of over 2 years since their child's last dental visit (AOR, 26.34; 95% CI, 7.48-92.79; P < .001). Nursery-level children were 5.4-fold more likely to need immediate care (AOR, 5.38; 95% CI, 3.01-9.60; P < .001). CONCLUSIONS: The present study demonstrated a very high prevalence of 1 or more untreated dental decay in our cohort. Children of rural areas, uneducated, unemployed, widow/divorced, low- and middle-income parents and nursery school children were linked to poorly predictive outcomes of child oral health during the pandemic.