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COVID-19 excess deaths in Eastern European countries associated with weaker regulation implementation and lower vaccination coverage / Alban Ylli;Genc Burazeri;Yan Yan Wu;Tetine Sentell

Tác giả : Alban Ylli;Genc Burazeri;Yan Yan Wu;Tetine Sentell

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2022

Chủ đề : 1. Betacoronavirus. 2. Coronavirus Disease (COVID-19). 3. COVID-19 -- prevention and control. 4. Disease Outbreaks. 5. Vaccination Coverage. 6. Journal / periodical articles.

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Tóm tắt :

Background: Since winter 2020, excess deaths due to COVID-19 have been higher in Eastern Europe than most of Western Europe, partly because regulatory enforcement was poor. Methods: This paper analysed data from 50 countries in the WHO European Region, in addition to data from USA and Canada. Excess mMortality and vaccination data were retrieved from “Our World In Data” and regulation implementation was assessed using standard methods. Multiple linear regression was used to assess the association between mortality and each covariate. Results: Excess mortality increased by 4.1 per 100 000 (P = 0.038) for every percentage decrease in vaccination rate and with 6/100 000 (p=0.011) for every decreased unit in the regulatory implementation score a country achieved in the Rule of Law Index. Conclusion: Degree of regulation enforcement, likely including public health measure enforcement, may be an important factor in controlling COVID-19’s deleterious health impacts.

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https://iris.who.int/handle/10665/367758