Resilience of countries to COVID-19 correlated with trust.

ABSTRACT

We characterized > 150 countries' resilience to COVID-19 as the nationwide decay rate of daily cases or deaths from peak levels. Resilience to COVID-19 varies by a factor of ~ 40 between countries for cases/capita and ~ 25 for deaths/capita. Trust within society is positively correlated with country-level resilience to COVID-19, as is the adaptive increase in stringency of government interventions when epidemic waves occur. By contrast, countries where governments maintain greater background stringency tend to have lower trust within society and tend to be less resilient. All countries where > 40% agree "most people can be trusted" achieve a near complete reduction of new cases and deaths, but so do several less-trusting societies. As the pandemic progressed, resilience tended to decline, as adaptive increases in stringency also declined. These results add to evidence that trust can improve resilience to epidemics and other unexpected disruptions, of which COVID-19 is unlikely to be the last.