An exploration of the political, social, economic and cultural factors affecting how different global regions initially reacted to the COVID-19 pandemic

Author:

Tang Julian W.1ORCID,Caniza Miguela A.2,Dinn Mike3,Dwyer Dominic E.4,Heraud Jean-Michel5ORCID,Jennings Lance C.6,Kok Jen4,Kwok Kin On78910,Li Yuguo11ORCID,Loh Tze Ping12,Marr Linsey C.13ORCID,Nara Eva Megumi14ORCID,Perera Nelun15,Saito Reiko16,Santillan-Salas Carlos17,Sullivan Sheena1819,Warner Matt3,Watanabe Aripuanã20,Zaidi Sabeen Khurshid21

Affiliation:

1. Respiratory Sciences, University of Leicester, Leicester, UK

2. St Jude Children's Research Hospital, Memphis, TN, USA

3. British Antarctic Survey Medical Unit, Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK

4. NSW Health Pathology - Institute for Clinical Pathology and Medical Research, and University of Sydney, Westmead, New South Wales, Australia

5. Virology Department, Institut Pasteur de Dakar, Dakar, Senegal

6. Department of Pathology and Biomedical Science, University of Otago, and Canterbury Health Laboratories, Christchurch, New Zealand

7. JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China

8. Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China

9. Hong Kong Institute of Asia-Pacific Studies, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China

10. Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, People's Republic of China

11. Department of Mechanical Engineering, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China

12. Laboratory Medicine, National University Hospital, Singapore, Singapore

13. Civil and Environmental Engineering, Virginia Tech, VA, USA

14. Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay

15. Clinical Microbiology, University Hospitals of Leicester NHS Trust, Leicester, UK

16. Division of International Health, Niigata University, Niigata, Japan

17. Hospital Niño San Borja, Lima, Perú

18. WHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, Melbourne, Australia

19. Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia

20. Department of Parasitology, Microbiology and Immunology, Federal University of Juiz de Fora, Juiz de Fora, Brazil

21. Karachi Institute of Medical Sciences affiliated with National University of Medical Sciences, Karachi, Pakistan

Abstract

Responses to the early (February–July 2020) COVID-19 pandemic varied widely, globally. Reasons for this are multiple but likely relate to the healthcare and financial resources then available, and the degree of trust in, and economic support provided by, national governments. Cultural factors also affected how different populations reacted to the various pandemic restrictions, like masking, social distancing and self-isolation or self-quarantine. The degree of compliance with these measures depended on how much individuals valued their needs and liberties over those of their society. Thus, several themes may be relevant when comparing pandemic responses across different regions. East and Southeast Asian populations tended to be more collectivist and self-sacrificing, responding quickly to early signs of the pandemic and readily complied with most restrictions to control its spread. Australasian, Eastern European, Scandinavian, some Middle Eastern, African and South American countries also responded promptly by imposing restrictions of varying severity, due to concerns for their wider society, including for some, the fragility of their healthcare systems. Western European and North American countries, with well-resourced healthcare systems, initially reacted more slowly, partly in an effort to maintain their economies but also to delay imposing pandemic restrictions that limited the personal freedoms of their citizens.

Publisher

The Royal Society

Subject

Biomedical Engineering,Biomaterials,Biochemistry,Bioengineering,Biophysics,Biotechnology

Reference296 articles.

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2. World Health Organization (WHO). 2020 WHO Director-General's opening remarks at the media briefing on COVID-19 — 11 March 2020. See https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—11-march-2020 (accessed 15 September 2021).

3. Johns Hopkins Bloomberg School of Public Health. 2019 GHS Index. Global Health Security Index. See https://www.ghsindex.org/wp-content/uploads/2020/04/2019-Global-Health-Security-Index.pdf (accessed 16 September 2021).

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5. Masks and medical care: Two keys to Taiwan's success in preventing COVID-19 spread

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