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Lockdown benefit varies among countries and sub-national units: a reanalysis of the data by Bendavid et al. (2021)

Boesch, L.

2021-02-23 health policy
10.1101/2021.02.17.21251898 medRxiv
Show abstract

Are the lockdown measures limiting the propagation of COVID-19? Recent analyses on the effectiveness of non-pharmaceutical interventions in reducing COVID-19 growth rates delivered conflicting conclusions. While Haug et al. (2020) did find strong empirical support for reductions in COVID-19 growth rates, Bendavid et al. (2021) did not. Here, I present the results of a reanalysis of the data by Bendavid et al. (2021). Instead of relying on pairwise comparisons between 10 countries with fixed-effects regression models to isolate the effect of lockdown measures, I modelled the development of the pandemic with and without lockdown measures for the entire period and all countries included in the data with one mixed-effects regression model. My results reconciled the conflicting conclusions of Haug et al. (2020) and Bendavid et al. (2021): while mandatory business closure orders did not affect COVID-19 growth rates, a general decrease in COVID-19 growth rates was attributable to the implementation of mandatory stay-at-home orders. However, the effect of mandatory stay-at-home orders varied, being weaker, even zero, in some countries and sub-national units and stronger in others, where COVID-19 growth rates only decreased due to the implementation of mandatory stay-at-home orders. The heterogeneity in the effect of mandatory stay-at-home orders on the spread of COVID-19 is challenging from a scientific and political point of view.

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