Short- and medium-term impacts of strict anti-contagion policies on non-COVID-19 mortality in China
The effects of coronavirus disease-19 (COVID-19) public health policies on non-COVID-19-related mortality are unclear. Here, using death registries based on 300 million Chinese people and a difference-in-differences design, we find that China’s strict anti-contagion policies during the COVID-19 pand...
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| Veröffentlicht in: | Nature human behaviour 2022-01, Vol.6 (1), p.55-63 |
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| creator | Qi, Jinlei Zhang, Dandan Zhang, Xiang Takana, Tanakao Pan, Yuhang Yin, Peng Liu, Jiangmei Liu, Shuocen Gao, George F. He, Guojun Zhou, Maigeng |
| description | The effects of coronavirus disease-19 (COVID-19) public health policies on non-COVID-19-related mortality are unclear. Here, using death registries based on 300 million Chinese people and a difference-in-differences design, we find that China’s strict anti-contagion policies during the COVID-19 pandemic significantly reduced non-COVID-19 mortality outside Wuhan (by 4.6%). The health benefits persisted and became even greater after the measures were loosened: mortality was reduced by 12.5% in the medium term. Significant changes in people’s behaviours (for example, wearing masks and practising social distancing) and reductions in air pollution and traffic accidents could have driven these results. We estimate that 54,000 lives could have been saved from non-COVID-19 causes during the 50 days of strict policies and 293,000 in the subsequent 115 days. The results suggest that virus countermeasures not only effectively controlled COVID-19 in China but also brought about unintended and substantial public health benefits.
Do restrictive measures to control the spread of COVID-19 also reduce non-COVID-19-related mortality? Here, the authors show that, in China, non-COVID-19-related mortality declined by 4.6% during periods of stringent non-pharmaceutical interventions. |
| doi_str_mv | 10.1038/s41562-021-01189-3 |
| format | Article |
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Do restrictive measures to control the spread of COVID-19 also reduce non-COVID-19-related mortality? Here, the authors show that, in China, non-COVID-19-related mortality declined by 4.6% during periods of stringent non-pharmaceutical interventions.</description><identifier>ISSN: 2397-3374</identifier><identifier>EISSN: 2397-3374</identifier><identifier>DOI: 10.1038/s41562-021-01189-3</identifier><identifier>PMID: 34845358</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>4014/4013 ; 692/308/174 ; 692/700/478/174 ; Accidents ; Accidents, Traffic - trends ; Adolescent ; Adult ; Aged ; Air pollution ; Air Pollution - statistics & numerical data ; Behavior change ; Behavioral Sciences ; Biomedical and Life Sciences ; Cardiovascular Diseases - mortality ; Cause of Death ; Child ; Child, Preschool ; China - epidemiology ; Communicable Disease Control - methods ; Contagion ; Coronaviruses ; COVID-19 ; COVID-19 - prevention & control ; Experimental Psychology ; Female ; Humans ; Infant ; Infant, Newborn ; Life Sciences ; Male ; Masks ; Microeconomics ; Middle Aged ; Mortality ; Mortality - trends ; Neoplasms - mortality ; Neurosciences ; Outdoor air quality ; Pandemics ; Personality and Social Psychology ; Physical Distancing ; Public Health ; Registries ; Respiratory Tract Infections - mortality ; SARS-CoV-2 ; Wounds and Injuries - mortality ; Young Adult</subject><ispartof>Nature human behaviour, 2022-01, Vol.6 (1), p.55-63</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature Limited.</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-5b27de8f48a615697f23412f29ab0c58435fd202bc8f747609bebda2f5c6e4ef3</citedby><cites>FETCH-LOGICAL-c485t-5b27de8f48a615697f23412f29ab0c58435fd202bc8f747609bebda2f5c6e4ef3</cites><orcidid>0000-0001-6402-6347 ; 0000-0003-1726-622X ; 0000-0003-2391-9493 ; 0000-0003-3443-9946 ; 0000-0002-8013-6535 ; 0000-0002-4037-4272 ; 0000-0002-0514-1844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41562-021-01189-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41562-021-01189-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34845358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qi, Jinlei</creatorcontrib><creatorcontrib>Zhang, Dandan</creatorcontrib><creatorcontrib>Zhang, Xiang</creatorcontrib><creatorcontrib>Takana, Tanakao</creatorcontrib><creatorcontrib>Pan, Yuhang</creatorcontrib><creatorcontrib>Yin, Peng</creatorcontrib><creatorcontrib>Liu, Jiangmei</creatorcontrib><creatorcontrib>Liu, Shuocen</creatorcontrib><creatorcontrib>Gao, George F.</creatorcontrib><creatorcontrib>He, Guojun</creatorcontrib><creatorcontrib>Zhou, Maigeng</creatorcontrib><title>Short- and medium-term impacts of strict anti-contagion policies on non-COVID-19 mortality in China</title><title>Nature human behaviour</title><addtitle>Nat Hum Behav</addtitle><addtitle>Nat Hum Behav</addtitle><description>The effects of coronavirus disease-19 (COVID-19) public health policies on non-COVID-19-related mortality are unclear. Here, using death registries based on 300 million Chinese people and a difference-in-differences design, we find that China’s strict anti-contagion policies during the COVID-19 pandemic significantly reduced non-COVID-19 mortality outside Wuhan (by 4.6%). The health benefits persisted and became even greater after the measures were loosened: mortality was reduced by 12.5% in the medium term. Significant changes in people’s behaviours (for example, wearing masks and practising social distancing) and reductions in air pollution and traffic accidents could have driven these results. We estimate that 54,000 lives could have been saved from non-COVID-19 causes during the 50 days of strict policies and 293,000 in the subsequent 115 days. The results suggest that virus countermeasures not only effectively controlled COVID-19 in China but also brought about unintended and substantial public health benefits.
Do restrictive measures to control the spread of COVID-19 also reduce non-COVID-19-related mortality? Here, the authors show that, in China, non-COVID-19-related mortality declined by 4.6% during periods of stringent non-pharmaceutical interventions.</description><subject>4014/4013</subject><subject>692/308/174</subject><subject>692/700/478/174</subject><subject>Accidents</subject><subject>Accidents, Traffic - trends</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Air pollution</subject><subject>Air Pollution - statistics & numerical data</subject><subject>Behavior change</subject><subject>Behavioral Sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cause of Death</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China - epidemiology</subject><subject>Communicable Disease Control - methods</subject><subject>Contagion</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - prevention & control</subject><subject>Experimental Psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Masks</subject><subject>Microeconomics</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Mortality - 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Here, using death registries based on 300 million Chinese people and a difference-in-differences design, we find that China’s strict anti-contagion policies during the COVID-19 pandemic significantly reduced non-COVID-19 mortality outside Wuhan (by 4.6%). The health benefits persisted and became even greater after the measures were loosened: mortality was reduced by 12.5% in the medium term. Significant changes in people’s behaviours (for example, wearing masks and practising social distancing) and reductions in air pollution and traffic accidents could have driven these results. We estimate that 54,000 lives could have been saved from non-COVID-19 causes during the 50 days of strict policies and 293,000 in the subsequent 115 days. The results suggest that virus countermeasures not only effectively controlled COVID-19 in China but also brought about unintended and substantial public health benefits.
Do restrictive measures to control the spread of COVID-19 also reduce non-COVID-19-related mortality? Here, the authors show that, in China, non-COVID-19-related mortality declined by 4.6% during periods of stringent non-pharmaceutical interventions.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34845358</pmid><doi>10.1038/s41562-021-01189-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6402-6347</orcidid><orcidid>https://orcid.org/0000-0003-1726-622X</orcidid><orcidid>https://orcid.org/0000-0003-2391-9493</orcidid><orcidid>https://orcid.org/0000-0003-3443-9946</orcidid><orcidid>https://orcid.org/0000-0002-8013-6535</orcidid><orcidid>https://orcid.org/0000-0002-4037-4272</orcidid><orcidid>https://orcid.org/0000-0002-0514-1844</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 4014/4013 692/308/174 692/700/478/174 Accidents Accidents, Traffic - trends Adolescent Adult Aged Air pollution Air Pollution - statistics & numerical data Behavior change Behavioral Sciences Biomedical and Life Sciences Cardiovascular Diseases - mortality Cause of Death Child Child, Preschool China - epidemiology Communicable Disease Control - methods Contagion Coronaviruses COVID-19 COVID-19 - prevention & control Experimental Psychology Female Humans Infant Infant, Newborn Life Sciences Male Masks Microeconomics Middle Aged Mortality Mortality - trends Neoplasms - mortality Neurosciences Outdoor air quality Pandemics Personality and Social Psychology Physical Distancing Public Health Registries Respiratory Tract Infections - mortality SARS-CoV-2 Wounds and Injuries - mortality Young Adult |
| title | Short- and medium-term impacts of strict anti-contagion policies on non-COVID-19 mortality in China |
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