From Health Affairs: Limits of relying on subs

Latin America has been one of the regions of the world most affected by the COVID-19 pandemic: although it is home to only 8% of the world’s population, it accounts for more than 30% of all deaths from to COVID-19 in mid-May 2021. To better understand the impact of non-pharmaceutical interventions in the response to COVID-19 in regions of several Latin American countries, Felicia Marie Knaul and Michael Touchton of the University of Miami, and co-authors from across Latin America, examine subnational data for Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico and Peru. For public health measures such as school closures, work and event cancellations, and the use of face masks, the authors found a high variation in how these measures were enacted in Argentina, the United Kingdom. Brazil, Colombia and Mexico, but have documented centralized national policies in Bolivia, Chile and Peru. In this first national study covering day-to-day and sub-national policy responses to the COVID-19 pandemic, the authors observe that sub-national responses cannot replace national policy and conclude that governments should focus on data-driven national policies while coordinating with subnational governments to adapt local responses. to changing local conditions.


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