It was the best of times, it was the worst of times: a tale of two cities—Beijing and Shanghai—why the divergent COVID-19 control outcomes?

Author:

Su Z12ORCID,Cheshmehzangi A34,McDonnell D5,Bentley B L67,Ahmad J8,Šegalo S9,da Veiga C P10ORCID,Xiang Y -T11

Affiliation:

1. School of Public Health, Southeast University , Nanjing, 210009, China

2. Center on Smart and Connected Health Technologies , Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, TX 78229, USA

3. Faculty of Science and Engineering , University of Nottingham Ningbo China, Ningbo, Zhejiang, 315100, China

4. Network for Education and Research on Peace and Sustainability (NERPS) , Hiroshima University, Hiroshima, 739-8530, Japan

5. Department of Humanities, South East Technological University , Ireland, R93 V960

6. Cardiff School of Technologies, Cardiff Metropolitan University , Cardiff, UK

7. Collaboration for the Advancement of Sustainable Medical Innovation , University College London, London, UK

8. Prime Institute of Public Health, Peshawar Medical College , Peshawar, Warsak Road, Peshawar, 25160, Pakistan

9. Faculty of Health Studies, University of Sarajevo , 71000 Sarajevo, Bosnia and Herzegovina

10. Fundação Dom Cabral - FDC, Av. Princesa Diana , 760 Alphaville, Lagoa dos Ingleses, Nova Lima, MG, 34018-006, Brazil

11. Unit of Psychiatry, Department of Public Health and Medicinal Administration ; Institute of Translational Medicine, Faculty of Health Sciences; Centre for Cognitive and Brain Sciences; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China

Abstract

Summary Coronavirus disease 2019 (COVID-19) both creates and complicates public health challenges. Yet, the pandemic also provides a unique lens for dissecting complex issues in global health that could benefit society in the long run. In this article, we discuss the underlying reasons that can help explain the divergent COVID-19 control outcomes between Beijing and Shanghai—two advanced metropolises that are similar in their municipal capacity, administrative capability and pandemic strategy. We hope insights from this investigation contribute to the development of disease prevention systems, such as context-specific and data-driven public health strategies that could yield optimal pandemic control outcomes with minimal unintended consequences, both amid and beyond COVID-19.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Reference10 articles.

1. China's ‘dynamic zero COVID-19 strategy’ will face greater challenges in the future;Cai;J Infect,2022

2. Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients;Liu;J Infect,2020

3. Are older adults the key to ending China's lockdowns?;The Lancet Healthy Longevity;Lancet Healthy Longev,2022

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