First 100 Days of the COVID-19 Pandemic: An Evaluation of Preventive Measures Taken By Countries
Anadolu Kliniği Tıp Bilimleri Dergisi
Aim: The aim of the study is, evaluation of the pandemic data of and measures taken by 20 countries with the highest reported number of cases in the first 100 days of the pandemic, in terms of demographic data and healthcare resources. Materials and Methods: The data used in the study were obtained from ECDC, OECD and Oxford COVID-19 Government Response Tracker. The countries were categorized into two groups, early-onset and late-onset countries, in terms of their date of first confirmed cases
... st confirmed cases and Stringency Index (SI) were calculated. Results: United States has the highest number of cases (432,132). France was the first country to report death, outside of China. Top three countries with the highest Case Fatality Rate (CFR) are France (13.25), Italy (12.67) and United Kingdom (11.69). There was a strong negative correlation between "total death/total population proportion" and the intensive care unit bed per million population (r= -0.720; p= 0.008). The "proportion of ≥65 age" was found to have a moderately positive correlation with "total case / total population proportion" as well as "total death / total population proportion" (r= 0.687; p= 0.001; r= 0.635; p= 0.003, respectively). In the late-onset countries, the logarithmic growth of both case and death numbers is faster than the early-onset countries. The SI is higher in late-onset counties both on the dates of logarithmic growth in the number of cases and on the 100th day of the pandemic. Restrictions on international travel is the earliest measure taken by countries. Turkey is the only country to implement 3 of 9 measures before its first case. Discussion and Conclusion: The first encounter dates of countries with the pandemic are important in terms of preparedness. Despite, late-onset countries benefited from the experiences of early-onset countries and implemented measures, the emergence of cases and deaths could not be prevented. Moreover, the increase in cases and deaths was faster. Countries which have more elderly population are affected more adversely. Because the transmission patterns of the pandemic are related with country-specific characteristics, all variables that have an impact on the pandemic should be considered.