7,990 Matching Annotations
- Aug 2020
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We assess the Covid-19 pandemic’s implications for state government sales and income tax revenues. We estimate that the economic declines implied by recent forecasts from the Congressional Budget Office will lead to a shortfall of roughly $106 billion in states’ sales and income tax revenues for the 2021 fiscal year. This is equivalent to 0.5 percent of GDP and 11.5 percent of our pre-Covid sales and income tax projection. Additional tax shortfalls from the second quarter of 2020 may amount to roughly $42 billion. We discuss how these revenue declines fit into several pieces of the broader economic context. These include other revenues (e.g., university tuition and fees) that are also at risk, as well as assets (e.g., pension plan holdings) that are at risk. Further dimensions of context include support enacted through several pieces of federal legislation, as well as spending needs necessitated by the public health crisis itself.
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As a consequence of missing data on tests for infection and imperfect accuracy of tests, reported rates of population infection by the SARS CoV-2 virus are lower than actual rates of infection. Hence, reported rates of severe illness conditional on infection are higher than actual rates. Understanding the time path of the COVID-19 pandemic has been hampered by the absence of bounds on infection rates that are credible and informative. This paper explains the logical problem of bounding these rates and reports illustrative findings, using data from Illinois, New York, and Italy. We combine the data with assumptions on the infection rate in the untested population and on the accuracy of the tests that appear credible in the current context. We find that the infection rate might be substantially higher than reported. We also find that the infection fatality rate in Italy is substantially lower than reported.
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www.nber.org www.nber.org
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Unlike most countries, Korea did not implement a lockdown in its battle against COVID-19, instead successfully relying on testing and contact tracing. Only one region, Daegu-Gyeongbuk (DG), had a significant number of infections, traced to a religious sect. This allows us to estimate the causal effect of the outbreak on the labor market using difference-in-differences. We find that a one per thousand increase in infections causes a 2 to 3 percent drop in local employment. Non-causal estimates of this coefficient from the US and UK, which implemented large-scale lockdowns, range from 5 to 6 percent, suggesting that at most half of the job losses in the US and UK can be attributed to lockdowns. We also find that employment losses caused by local outbreaks in the absence of lockdowns are (i) mainly due to reduced hiring by small establishments, (ii) concentrated in the accommodation/food, education, real estate, and transportation industries, and (iii) worst for the economically vulnerable workers who are less educated, young, in low-wage occupations, and on temporary contracts, even controlling for industry effects. All these patterns are similar to what we observe in the US and UK: The unequal effects of COVID-19 are the same with or without lockdowns. Our finding suggests that the lifting of lockdowns in the US and UK may lead to only modest recoveries in employment unless COVID-19 infection rates fall.
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www.nber.org www.nber.org
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Social distancing restrictions and demand shifts from COVID-19 are expected to shutter many small businesses, but there is very little early evidence on impacts. This paper provides the first analysis of impacts of the pandemic on the number of active small businesses in the United States using nationally representative data from the April 2020 CPS – the first month fully capturing early effects from the pandemic. The number of active business owners in the United States plummeted by 3.3 million or 22 percent over the crucial two-month window from February to April 2020. The drop in business owners was the largest on record, and losses were felt across nearly all industries and even for incorporated businesses. African-American businesses were hit especially hard experiencing a 41 percent drop. Latinx business owners fell by 32 percent, and Asian business owners dropped by 26 percent. Simulations indicate that industry compositions partly placed these groups at a higher risk of losses. Immigrant business owners experienced substantial losses of 36 percent. Female-owned businesses were also disproportionately hit by 25 percent. These findings of early-stage losses to small businesses have important policy implications and may portend longer-term ramifications for job losses and economic inequality.
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www.nber.org www.nber.org
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Since social distancing is the primary strategy for slowing the spread of many diseases, understanding why U.S. counties respond differently to COVID-19 is critical for designing effective public policies. Using daily data from about 45 million mobile phones to measure social distancing we examine how counties responded to both local COVID-19 cases and statewide shelter-in-place orders. We find that social distancing increases more in response to cases and official orders in counties where individuals historically (1) engaged less in community activities and (2) demonstrated greater willingness to incur individual costs to contribute to social objectives. Our work highlights the importance of these two features of social capital—community engagement and individual commitment to societal institutions—in formulating public health policies.
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www.nber.org www.nber.org
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We quantify the macroeconomic effects of COVID-19 for emerging markets using a SIR-multisector-small open economy model and calibrating it to Turkey. Domestic infection rates feed into both sectoral supply and sectoral demand shocks. Sectoral demand shocks also incorporate lower external demand due to foreign infection rates. Infection rates change endogenously with different lockdown policies. To calibrate the model, we use indicators of physical proximity and tele-workability of jobs to measure supply shocks. We use real-time credit card purchases to pin down demand shocks. Our results show that the optimal policy, which yields the lowest economic cost and saves the maximum number of lives, can be achieved under a full lockdown of 39 days. Partial and/or no lockdowns have higher economic costs as it takes longer to control the disease and hence to normalize the demand. Economic costs are much larger for an open economy because of the amplification role of international input-output linkages. Lower capital flows exacerbate this amplification as capital flows are the key form of financing for the production network. We document that sectors with stronger international input-output linkages and higher external debt suffer worse COVID losses and as a result have larger fiscal needs.
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div38healthpsychologist.com div38healthpsychologist.com
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The COVID-19 pandemic continues to have profound personal, public health and economic consequences worldwide. Since its onset, health care providers have worked tirelessly to treat adults and children facing this complex condition, and are consequently at increased risk for acute and long-term mental health conditions. Starting in late March, 2020, the Department of Psychiatry, University of Colorado School of Medicine, has launched COVID-19 related wellness programs for health care workers and staff across disciplines and medical settings. The services are designed to support colleagues in health care, promote their physical, emotional and relational well-being, and reduce their risk for adverse mental health issues. With funding from department, institutional, health system, philanthropic, state and federal sources, our interprofessional faculty and staff offer a range of wellness programs
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www.nature.com www.nature.com
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Researchers share how they have adapted fieldwork and collaborations in the face of travel bans and closed borders.
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onlinelibrary.wiley.com onlinelibrary.wiley.com
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Clinical prediction models to aid diagnosis, assess disease severity or prognosis have enormous potential to aid clinical decision making during the covid‐19 pandemic. A living systematic review has, so far, identified 145 covid‐19 prediction models published (or preprinted) between 03‐January‐2020 and 05‐May‐2020. Despite the considerable interest in developing covid‐19 prediction models, the review concluded that all models to date, with no exception, are at high risk of bias with concerns related to data quality, flaws in the statistical analysis and poor reporting, and none are recommended for use. Disappointingly, the recent study by Yang and colleagues describing the development of a prediction model to identify covid‐19 patients with severe disease, is no different. The study has failed to report important information needed to judge the study findings, but has numerous methodological concerns in design and analysis that deserve highlighting.
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www.newscientist.com www.newscientist.com
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Global lockdowns to halt the spread of the coronavirus will have a negligible impact on rising temperatures due to climate change, researchers have found. Lockdowns to stop the spread of the coronavirus caused huge falls in transport use, as well as reductions in industry and commercial operations, cutting the greenhouse gases and pollutants caused by vehicles and other activities. The impact is only short-lived, however, and analysis shows that even if some lockdown measures last until the end of 2021, global temperatures will only be 0.01°C lower than expected by 2030. Advertisement googletag.cmd.push(function() { googletag.display('mpu-mid-article'); }); But if countries choose a strong green stimulus route out of the pandemic, it could halve the temperature rises expected by 2050, says a team led by Piers Forster at the University of Leeds, UK. That gives the world a good chance of keeping temperature rises to the 1.5°C goal that countries signed up to under the international Paris climate agreement to prevent the most dangerous impacts of global warming.
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Deanna Montgomery realizes she doesn’t need to be at a laboratory bench to use her scientific experience — or to make a difference.
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www.thelancet.com www.thelancet.com
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The concepts of disease elimination and eradication mostly relate to immunisation programme outcomes. Disease eradication is the global reduction of infection to zero cases, whereas disease elimination is the absence of sustained endemic community transmission in a country or other geographical region.6WHOFramework for verifying elimination of measles and rubella.Wkly Epidemiol Rec. 2013; 88: 89-99PubMed Google Scholar With ongoing global SARS-CoV-2 transmission, reduction to zero cases in a defined region is only possible with stringent travel restrictions. For COVID-19, modelling estimates suggested that sustained restrictions that reduced travel by 90% to and from Wuhan, China, early in the spread of SARS-CoV-2, only modestly affected the epidemic trajectory to other regions of China.7Chinazzi M Davis JT Ajelli M et al.The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak.Science. 2020; 368: 395-400PubMed Google Scholar However, in Australia, travel bans were highly effective in controlling the spread of SARS-CoV-2 into Australia and averted a much larger epidemic.
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www.thelancet.com www.thelancet.com
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We know little about the dynamics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in African countries, including its infectiousness and the proportion of infected people who develop symptoms. Confined exposure of 2010 people on an aircraft carrier resulted in an infection rate of just 50%, and only 50% of infected people developed symptoms.2Lagneau L Covid-19: la contamination du porte-avions Charles de Gaulle garde ses mystères…pour le moment.http://www.opex360.com/2020/04/19/covid-19-la-contamination-du-porte-avions-charles-de-gaulle-garde-ses-mysteres-pour-le-moment/Date accessed: July 4, 2020Google Scholar Under less confined conditions, and similar to other circulating viruses that cause acute respiratory infections, SARS-CoV-2 might cause infection rates well below 30%, thus unable to provoke herd immunity but most probably causing recurring annual infections.Estimated infection fatality rates of around 0·3%3Streeck H Schulte B Kuemmerer B et al.Infection fatality rate of SARS-CoV-2 infection in a German community with a super-spreading event.medRxiv. 2020; (published online June 2.) (preprint).https://doi.org/10.1101/2020.05.04.20090076Google Scholar draw a much less dramatic picture of COVID-19-related deaths than predicted by Wells and colleagues, who presumed 95% of all Congolese will be infected, with an infection fatality rate of over 4%.1Wells CR Stearns JK Lutumba P Galvani AP COVID-19 on the African continent.Lancet Infect Dis. 2020; (published online May 6.)https://doi.org/10.1016/S1473-3099(20)30374-1Summary Full Text Full Text PDF Scopus (0) Google Scholar In DR Congo, we might thus estimate fewer than 40 000 attributable deaths compared with 800 000 Congolese people dying each year in the country.4countryeconomy.comGoogle ScholarDemocratic Republic of the Congo.https://countryeconomy.com/countries/democratic-republic-congoDate accessed: July 4, 2020Google Scholar Such estimates put the prioritisation of this disease over other health threats on the continent immediately into question.
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deviparikh.medium.com deviparikh.medium.com
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We frequently find ourselves giving the same advice to different students on how to write rebuttals. So we thought we’d write it up. Our experience is with AI conferences (e.g., CVPR, ECCV, ICCV, NeurIPS, ICLR, EMNLP).The core guiding principle is that the rebuttal should be thorough, direct, and easy for the Reviewers and Area Chair (RACs) to follow.
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www.tandfonline.com www.tandfonline.com
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Social media poses a threat to public health by facilitating the spread of misinformation. At the same time, however, social media offers a promising avenue to stem the distribution of false claims – as evidenced by real-time corrections, crowdsourced fact-checking, and algorithmic tagging. Despite the growing attempts to correct misinformation on social media, there is still considerable ambiguity regarding the ability to effectively ameliorate the negative impact of false messages. To address this gap, the current study uses a meta-analysis to evaluate the relative impact of social media interventions designed to correct health-related misinformation (k = 24; N = 6,086). Additionally, the meta-analysis introduces theory-driven moderators that help delineate the effectiveness of social media interventions. The mean effect size of attempts to correct misinformation on social media was positive and significant (d = 0.40, 95% CI [0.25, 0.55], p =.0005) and a publication bias could not be excluded. Interventions were more effective in cases where participants were involved with the health topic, as well as when misinformation was distributed by news organizations (vs. peers) and debunked by experts (vs. non-experts). The findings of this meta-analysis can be used not only to depict the current state of the literature but also to prescribe specific recommendations to better address the proliferation of health misinformation on social media.
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www.newscientist.com www.newscientist.com
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The UK faces a second wave of coronavirus infections this winter if the country’s testing and contact tracing system doesn’t improve by the time schools fully reopen and people return to workplaces, researchers have warned.
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www.pnas.org www.pnas.org
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Extensive empirical evidence suggests that there is a maximal number of people with whom an individual can maintain stable social relationships (the Dunbar number). We argue that this arises as a consequence of a natural phase transition in the dynamic self-organization among N individuals within a social system. We present the calculated size dependence of the scaling properties of complex social network models to argue that this collective behavior is an enhanced form of collective intelligence. Direct calculation establishes that the complexity of social networks as measured by their scaling behavior is nonmonotonic, peaking around 150, thereby providing a theoretical basis for the value of the Dunbar number. Thus, we establish a theory-based bridge spanning the gap between sociology and psychology.
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arxiv.org arxiv.org
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The COVID-19 pandemic has reshaped the demand for goods and services worldwide. The combination of a public health emergency, economic distress, and disinformation-driven panic have pushed customers and vendors towards the shadow economy. In particular Dark Web Marketplaces (DWMs), commercial websites easily accessible via free software, have gained significant popularity. Here, we analyse 472,372 listings extracted from 23 DWMs between January 1, 2020 and July 7, 2020. We identify 518 listings directly related to COVID-19 products and monitor the temporal evolution of product categories including Personal Protective Equipment (PPE), medicines (e.g., hydroxyclorochine), and medical frauds(e.g., vaccines). Finally, we compare trends in their temporal evolution with variations in public attention, as measured by Twitter posts and Wikipedia page visits. We reveal how the online shadow economy has evolved during the COVID-19 pandemic and highlight the importance of a continuous monitoring of DWMs, especially when real vaccines or cures become available and are potentially in short supply. We anticipate our analysis will be of interest both to researchers and public agencies focused on the protection of public health.
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Modern large engineered network systems normally work in cooperation and incorporate dependencies between their components for purposes of efficiency and regulation. Such dependencies may become a major risk since they can cause small-scale failures to propagate throughout the system. Thus, the dependent nodes could be a natural target for malicious attacks that aim to exploit these vulnerabilities. Here we consider a type of targeted attack that is based on the dependencies between the networks. We study strategies of attacks that range from dependency-first to dependency-last, where a fraction 1−p<math xmlns="http://www.w3.org/1998/Math/MathML"><mrow><mn>1</mn><mo>−</mo><mi>p</mi></mrow></math> of the nodes with dependency links, or nodes without dependency links, respectively, are initially attacked. We systematically analyze, both analytically and numerically, the percolation transition of partially interdependent networks, where a fraction q<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>q</mi></math> of the nodes in each network are dependent on nodes in the other network. We find that for a broad range of dependency strength q<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>q</mi></math>, the “dependency-first” attack strategy is actually less effective, in terms of lower critical percolation threshold pc<math xmlns="http://www.w3.org/1998/Math/MathML"><msub><mi>p</mi><mi>c</mi></msub></math>, compared with random attacks of the same size. In contrast, the “dependency-last” attack strategy is more effective, i.e., higher pc<math xmlns="http://www.w3.org/1998/Math/MathML"><msub><mi>p</mi><mi>c</mi></msub></math>, compared with a random attack. This effect is explained by exploring the dynamics of the cascading failures initiated by dependency-based attacks. We show that while “dependency-first” strategy increases the short-term impact of the initial attack, in the long term the cascade slows down compared with the case of random attacks and vice versa for “dependency-last.” Our results demonstrate that the effectiveness of attack strategies over a system of interdependent networks should be evaluated not only by the immediate impact but mainly by the accumulated damage during the process of cascading failures. This highlights the importance of understanding the dynamics of avalanches that may occur due to different scenarios of failures in order to design resilient critical infrastructures.
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www.washingtonpost.com www.washingtonpost.com
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Those who sense that this grand experiment in working from home comes with plenty of downsides — longer days, more meetings and more emails to answer — are now backed up by data
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www.thelancet.com www.thelancet.com
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There have been several attempts to predict mortality from COVID-19 in the UK, including calculation of age-based case fatality rates1Verity R Okell LC Dorigatti I et al.Estimates of the severity of coronavirus disease 2019: a model-based analysis.Lancet Infect Dis. 2020; 20: 669-677Summary Full Text Full Text PDF PubMed Scopus (191) Google Scholar and relative risk (RR) of mortality.2Banerjee A Pasea L Harris S et al.Estimating excess 1-year mortality associated with the COVID-19 pandemic according to underlying conditions and age: a population-based cohort study.Lancet. 2020; 395: 1715-1725Summary Full Text Full Text PDF PubMed Scopus (9) Google Scholar David Spiegelhalter said that “roughly speaking, we might say that getting COVID-19 is like packing a year's worth of risk into a week or two”.3Spiegelhalter D How much “normal” risk does COVID represent?.https://medium.com/wintoncentre/how-much-normal-risk-does-covid-represent-4539118e1196Date: March 21, 2020Date accessed: June 29, 2020Google ScholarIn response to these predictions, we decided to calculate the excess mortality in the Oxford Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) cohort. The RCGP RSC cohort has been recruited to be nationally representative,4de Lusignan S Dorward J Correa A et al.Risk factors for SARS-CoV-2 among patients in the Oxford Royal College of General Practitioners Research and Surveillance Centre primary care network: a cross-sectional study.Lancet Infect Dis. 2020; (published online May 15.)https://doi.org/10.1016/S1473-3099(20)30371-6Summary Full Text Full Text PDF PubMed Google Scholar and the mortality data for the cohort align well with those from the Office of National Statistics (ONS; appendix p 1).
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www.thelancet.com www.thelancet.com
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As the initial phase of the COVID-19 pandemic passes its peak in many countries, serological studies are becoming increasingly important in guiding public health responses. Antibody testing is crucial for monitoring the evolution of the pandemic, providing a more complete picture of the total number of people infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) than molecular diagnostic testing alone.1Cheng MP Yansouni CP Basta NE et al.Serodiagnostics for severe acute respiratory syndrome-related coronavirus-2.Ann Intern Med. 2020; (published online June 4.)https://doi.org/10.7326/M20-2854Crossref Scopus (44) Google Scholar All individuals with SARS-CoV-2-specific antibodies have been exposed to the virus, so antibody testing can highlight differences in past exposure between regions, demographic groups, and occupations.2Metcalf CJE Farrar J Cutts FT et al.Use of serological surveys to generate key insights into the changing global landscape of infectious disease.Lancet. 2016; 388: 728-730Summary Full Text Full Text PDF PubMed Google Scholar Seroprevalence estimates can also be used to estimate the infection fatality rate.3Erikstrup C Hother CE Pedersen OBV et al.Estimation of SARS-CoV-2 infection fatality rate by real-time antibody screening of blood donors.medRxiv. 2020; (published online April 28.) (preprint).https://doi.org/10.1101/2020.04.24.20075291Google Scholar Dashboards that visualise COVID-19 cases confirmed by diagnostic testing have been pivotal in enabling policy makers and researchers to monitor the pandemic.4Dong E Du H Gardner L An interactive web-based dashboard to track COVID-19 in real time.Lancet Infect Dis. 2020; 20: 533-534Summary Full Text Full Text PDF PubMed Scopus (387) Google Scholar Yet, despite the value of antibody testing, there is no unified resource for seroprevalence estimates.To address this need, we created SeroTracker, a custom-built dashboard that systematically monitors and synthesises findings from hundreds of global SARS-CoV-2 serological studies. The dashboard allows users to visualise seroprevalence estimates on a world map and compare estimates between regions, population groups, and testing modalities (eg, assay type or antibody isotype).
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psyarxiv.com psyarxiv.com
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Our understanding of how stress affects primary school children’s attention and learning has developed rapidly. We know that children experience differing levels of stressors (factors that cause stress) at home, and that this can influence how they respond to new stressors when they occur in educational contexts. Here, we review evidence showing that stress can increase children’s attention and learning capacities in some circumstance but hinder them in others. We show how children differ in their attention and learning styles, dependent on stress levels: for example, more highly stressed children may be more distracted by superficial features and may find it harder to engage in planning and voluntary control. We review intervention research on stress management techniques in children, concentrating on psychological techniques (such as mindfulness and stress reappraisal), physiological techniques (such as breathing exercises) and environmental factors (such as noise). At the current time, teachers’ awareness of the differing stress response of their pupils may be the most effective factor in helping them accommodate the needs of the children in their classrooms.
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ropensci.org ropensci.org
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osfr provides a (hopefully) convenient R interface to OSF (Open Science Framework, https://www.osf.io), a free service for managing research developed by the Center for Open Science (COS). osfr completed its rOpenSci peer-review earlier this year and has been available on CRAN since February. Throughout its development and since its release I’ve had numerous conversations with members of the R community about OSF (and osfr), and through these interactions a couple recurring patterns emerged. First, it seems that many R users have heard of OSF but relatively few have first-hand experience with it. Second, I’m often asked how OSF compares to GitHub and whether it would even be useful for someone who already uses GitHub to manage their research. In a future post I’ll highlight some features of osfr and demonstrate how it can help form the basis of efficient and inclusive research workflows. However, before you can extract any value from osfr, you need to be an OSF user first. And so, I wanted to take this opportunity to provide a little background about OSF, what it offers, how it differs from something like GitHub, and where it might fit into your workflow as an R/GitHub user. Before diving in, I want to acknowledge that OSF is a multi-faceted product, and includes a number of services under its umbrella, including things like pre-print servers and a research registration repository, which, while incredibly cool and noteworthy, fall outside the scope of this post, which focuses on project management.
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psyarxiv.com psyarxiv.com
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Research on health misinformation has grown rapidly as concerns about the potential harmful effects of health misinformation on individuals and society intensify amid a “post-truth” era. In this chapter, we provide a broad overview of current research and evidence concerning the many facets of health misinformation, including its sources, prevalence, characteristics (both content and diffusion features), impact, and mitigation. We conclude that health misinformation originates from many sources, most notably mass and social media, is fairly prevalent, both in interpersonal and mediated settings, and tends to feature negative sentiments, anecdotal evidence, and anti-science narratives. While there is no conclusive evidence that health misinformation spreads more broadly than scientific information, health misinformation reliably leads to misperceptions on health issues. Efforts to mitigate the impact of health misinformation show early promise in correcting misperceptions. We offer several directions for future research, including a call for more investigations on the impact of health misinformation and correcting messages on actual behaviors.
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www.nber.org www.nber.org
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We provide an interim report on the Indian lockdown provoked by the covid-19 pandemic. The main topics — ranging from the philosophy of lockdown to the provision of relief measures — transcend the Indian case. A recurrent theme is the enormous visibility of covid-19 deaths worldwide, with Governments everywhere propelled to respect this visibility, developing countries perhaps even more so. In advanced economies, the cost of achieving this reduction in visible deaths is “merely” a dramatic reduction in overall economic activity, coupled with far-reaching measures to compensate those who bear such losses. But for India, a developing country with great sectoral and occupational vulnerabilities, this dramatic reduction is more than economic: it means lives lost. These lost lives, through violence, starvation, indebtedness and extreme stress (both psychological and physiological) are invisible. It is this conjunction of visibility and invisibility that drives the Indian response. The lockdown meets all international standards so far; the relief package none.
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We show that unexpected changes in the trajectory of COVID-19 infections predict US stock returns, in real time. Parameter estimates indicate that an unanticipated doubling (halving) of projected infections forecasts next-day decreases (increases) in aggregate US market value of 4 to 11 percent, indicating that equity markets may begin to rebound even as infections continue to rise, if the trajectory of the disease becomes less severe than initially anticipated. Using the same variation in unanticipated projected cases, we find that COVID-19-related losses in market value at the firm level rise with capital intensity and leverage, and are deeper in industries more conducive to disease transmission. These relationships provide important insight into current record job losses. Measuring US states' drops in market value as the employment weighted average declines of the industries they produce, we find that states with milder drops in market value exhibit larger initial jobless claims per worker. This initially counter-intuitive result suggests that investors value the relative ease with which labor versus capital costs can be shed as revenues decline.
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www.nber.org www.nber.org
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In the early stages of the COVID-19 pandemic, international testing efforts tended to target individuals whose symptoms and/or jobs placed them at a high presumed risk of infection. Testing regimes of this sort potentially result in a high proportion of cases going undetected. Quantifying this parameter, which we refer to as the undetected rate, is an important contribution to the analysis of the early spread of the SARS-CoV-2 virus. We show that partial identification techniques can credibly deal with the data problems that common COVID-19 testing programs induce (i.e. excluding quarantined individuals from testing and low participation in random screening programs). We use public data from two Icelandic testing regimes during the first month of the outbreak and estimate an identified interval for the undetected rate. Our main approach estimates that the undetected rate was between 89% and 93% before the medical system broadened its eligibility criteria and between 80% and 90% after.
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Sparked by the killing of George Floyd in police custody, the 2020 Black Lives Matter protests have brought a new wave of attention to the issue of inequality within criminal justice. However, many public health officials have warned that mass protests could lead to a reduction in social distancing behavior, spurring a resurgence of COVID-19. This study uses newly collected data on protests in 315 of the largest U.S. cities to estimate the impacts of mass protests on social distancing, COVID-19 case growth, and COVID-19-related deaths. Event-study analyses provide strong evidence that net stay-at-home behavior increased following protest onset, consistent with the hypothesis that non-protesters’ behavior was substantially affected by urban protests. This effect was not fully explained by the imposition of city curfews. Estimated effects were generally larger for persistent protests and those accompanied by media reports of violence. Furthermore, we find no evidence that urban protests reignited COVID-19 case or death growth after more than five weeks following the onset of protests. We conclude that predictions of population-level spikes in COVID-19 cases from Black Lives Matter protests were too narrowly conceived because of failure to account for non-participants’ behavioral responses to large gatherings.
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We analyze the effectiveness of preventive investments aimed at increasing agents' life expectancy, with a focus on influenza and COVID-19 mitigation. Maximizing overall life expectancy requires allocating resources across hazards so as to equalize investments' marginal effectiveness. Based on estimates for the marginal effectiveness of influenza vaccines, we determine the level of COVID-19 mitigation investments that would imply such equalization. Given current projections for COVID-19 mitigation costs, our results suggest that wide-spread influenza vaccination would be an effective life-preserving investment.
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What would a hypothetical one million US deaths in the Covid-19 epidemic mean for mortality of individuals at the population level? To put estimates of Covid-19 mortality into perspective, we estimate age-specific mortality for an epidemic claiming for illustrative purposes one million US lives, with results scalable over a broad range of deaths. We calculate the impact on period life expectancy (down 3 years) and remaining life-years (12.3 years per death), which for one million deaths can be valued at six to 10 trillion dollars. The age-patterns of Covid-19 mortality observed in other countries are remarkably similar and exhibit the typical rate of increase by age of normal mortality. The scenario of one million Covid-19 deaths is similar in scale to the decades-long HIV/AIDS and opioid-overdose epidemics but considerably smaller than the Spanish Flu of 1918. Unlike HIV/AIDS and opioid epidemics, the Covid-19 deaths will be concentrated in months rather than spread out over decades.
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www.nber.org www.nber.org
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Both the White House and state governors have explicitly linked thresholds of reduced COVID-19 case growth to the lifting of statewide shelter-in-place orders (SIPOs). This “hardwired” policy endogeneity creates empirical challenges in credibly isolating the causal effect of lifting a statewide SIPO on COVID-19-related health. To break this simultaneity problem, the current study exploits a unique natural experiment generated by a Wisconsin Supreme Court decision. On May 13, 2020, the Wisconsin Supreme Court abolished the state’s “Safer at Home” order, ruling that the Wisconsin Department of Health Services unconstitutionally usurped legislative authority to review COVID-19 regulations. We capitalize on this sudden, dramatic, and largely unanticipated termination of a statewide SIPO to estimate its effect on social distancing and COVID-19 case growth. Using a synthetic control design, we find no evidence that the repeal of the state SIPO impacted social distancing, COVID-19 cases, or COVID-19-related mortality during the fortnight following enactment. Estimated effects were economically small and nowhere near statistically different from zero. We conclude that the impact of shelter-in-place orders is likely not symmetric across enactment and lifting of the orders.
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Covid-19 is the single largest threat to global public health since the Spanish Influenza pandemic of 1918-20. Was the world better prepared in 2020 than it was in 1918? After a century of public health and basic science research, pandemic response and mortality outcomes should be better than in 1918-20. We ask whether mortality from historical pandemics has any predictive content for mortality in the ongoing Covid-19 pandemic. We find a strong persistence in public health performance in the early days of the Covid-19 pandemic. Places that performed poorly in terms of mortality in 1918 were more likely to have higher mortality today. This is true across countries and across a sample of US cities. Experience with SARS is associated with lower mortality today. Distrust of expert advice, lack of cooperation at many levels, over-confidence, and health care supply shortages have likely promoted higher mortality today as in the past.
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journals.plos.org journals.plos.org
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This paper seeks to understand whether a catastrophic and urgent event, such as the first months of the COVID-19 pandemic, accelerates or reverses trends in international collaboration, especially in and between China and the United States. A review of research articles produced in the first months of the COVID-19 pandemic shows that COVID-19 research had smaller teams and involved fewer nations than pre-COVID-19 coronavirus research. The United States and China were, and continue to be in the pandemic era, at the center of the global network in coronavirus related research, while developing countries are relatively absent from early research activities in the COVID-19 period. Not only are China and the United States at the center of the global network of coronavirus research, but they strengthen their bilateral research relationship during COVID-19, producing more than 4.9% of all global articles together, in contrast to 3.6% before the pandemic. In addition, in the COVID-19 period, joined by the United Kingdom, China and the United States continued their roles as the largest contributors to, and home to the main funders of, coronavirus related research. These findings suggest that the global COVID-19 pandemic shifted the geographic loci of coronavirus research, as well as the structure of scientific teams, narrowing team membership and favoring elite structures. These findings raise further questions over the decisions that scientists face in the formation of teams to maximize a speed, skill trade-off. Policy implications are discussed.
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www.biorxiv.org www.biorxiv.org
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Hydroxychloroquine, used to treat malaria and some autoimmune disorders, potently inhibits viral infection of SARS coronavirus (SARS-CoV-1) and SARS-CoV-2 in cell-culture studies. However, human clinical trials of hydroxychloroquine failed to establish its usefulness as treatment for COVID-19. This compound is known to interfere with endosomal acidification necessary to the proteolytic activity of cathepsins. Following receptor binding and endocytosis, cathepsin L can cleave the SARS-CoV-1 and SARS-CoV-2 spike (S) proteins, thereby activating membrane fusion for cell entry. The plasma membrane-associated protease TMPRSS2 can similarly cleave these S proteins and activate viral entry at the cell surface. Here we show that the SARS-CoV-2 entry process is more dependent than that of SARS-CoV-1 on TMPRSS2 expression. This difference can be reversed when the furin-cleavage site of the SARS-CoV-2 S protein is ablated. We also show that hydroxychloroquine efficiently blocks viral entry mediated by cathepsin L, but not by TMPRSS2, and that a combination of hydroxychloroquine and a clinically-tested TMPRSS2 inhibitor prevents SARS-CoV-2 infection more potently than either drug alone. These studies identify functional differences between SARS-CoV-1 and -2 entry processes, and provide a mechanistic explanation for the limited in vivo utility of hydroxychloroquine as a treatment for COVID-19.
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science.sciencemag.org science.sciencemag.org
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The COVID-19 pandemic has led to accelerated efforts to develop therapeutics and vaccines. A key target of these efforts is the spike (S) protein, which is metastable and difficult to produce recombinantly. Here, we characterized 100 structure-guided spike designs and identified 26 individual substitutions that increased protein yields and stability. Testing combinations of beneficial substitutions resulted in the identification of HexaPro, a variant with six beneficial proline substitutions exhibiting ~10-fold higher expression than its parental construct and the ability to withstand heat stress, storage at room temperature, and three freeze-thaw cycles. A 3.2 Å-resolution cryo-EM structure of HexaPro confirmed that it retains the prefusion spike conformation. High-yield production of a stabilized prefusion spike protein will accelerate the development of vaccines and serological diagnostics for SARS-CoV-2.
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www.cdc.gov www.cdc.gov
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What is already known about this topic? Older adults and those with chronic obstructive pulmonary disease, heart disease, diabetes, chronic kidney disease, and obesity are at higher risk for severe COVID-19–associated illness. What is added by this report? The median model-based estimate of the prevalence of any of five underlying medical conditions associated with increased risk for severe COVID-19–associated illness among U.S. adults was 47.2% among 3,142 U.S. counties. The estimated number of persons with these conditions followed population distributions, but prevalence was higher in more rural counties. What are the implications for public health practice? The findings can help local decision-makers identify areas at higher risk for severe COVID-19 illness in their jurisdictions and guide resource allocation and implementation of community mitigation strategies.
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www.thelancet.com www.thelancet.com
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BackgroundThis is the first randomised controlled trial for assessment of the immunogenicity and safety of a candidate non-replicating adenovirus type-5 (Ad5)-vectored COVID-19 vaccine, aiming to determine an appropriate dose of the candidate vaccine for an efficacy study.MethodsThis randomised, double-blind, placebo-controlled, phase 2 trial of the Ad5-vectored COVID-19 vaccine was done in a single centre in Wuhan, China. Healthy adults aged 18 years or older, who were HIV-negative and previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection-free, were eligible to participate and were randomly assigned to receive the vaccine at a dose of 1 × 1011 viral particles per mL or 5 × 1010 viral particles per mL, or placebo. Investigators allocated participants at a ratio of 2:1:1 to receive a single injection intramuscularly in the arm. The randomisation list (block size 4) was generated by an independent statistician. Participants, investigators, and staff undertaking laboratory analyses were masked to group allocation. The primary endpoints for immunogenicity were the geometric mean titres (GMTs) of specific ELISA antibody responses to the receptor binding domain (RBD) and neutralising antibody responses at day 28. The primary endpoint for safety evaluation was the incidence of adverse reactions within 14 days. All recruited participants who received at least one dose were included in the primary and safety analyses. This study is registered with ClinicalTrials.gov, NCT04341389.Findings603 volunteers were recruited and screened for eligibility between April 11 and 16, 2020. 508 eligible participants (50% male; mean age 39·7 years, SD 12·5) consented to participate in the trial and were randomly assigned to receive the vaccine (1 × 1011 viral particles n=253; 5 × 1010 viral particles n=129) or placebo (n=126). In the 1 × 1011 and 5 × 1010 viral particles dose groups, the RBD-specific ELISA antibodies peaked at 656·5 (95% CI 575·2–749·2) and 571·0 (467·6–697·3), with seroconversion rates at 96% (95% CI 93–98) and 97% (92–99), respectively, at day 28. Both doses of the vaccine induced significant neutralising antibody responses to live SARS-CoV-2, with GMTs of 19·5 (95% CI 16·8–22·7) and 18·3 (14·4–23·3) in participants receiving 1 × 1011 and 5 × 1010 viral particles, respectively. Specific interferon γ enzyme-linked immunospot assay responses post vaccination were observed in 227 (90%, 95% CI 85–93) of 253 and 113 (88%, 81–92) of 129 participants in the 1 × 1011 and 5 × 1010 viral particles dose groups, respectively. Solicited adverse reactions were reported by 183 (72%) of 253 and 96 (74%) of 129 participants in the 1 × 1011 and 5 × 1010 viral particles dose groups, respectively. Severe adverse reactions were reported by 24 (9%) participants in the 1 × 1011 viral particles dose group and one (1%) participant in the 5 × 1010 viral particles dose group. No serious adverse reactions were documented.InterpretationThe Ad5-vectored COVID-19 vaccine at 5 × 1010 viral particles is safe, and induced significant immune responses in the majority of recipients after a single immunisation.
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www.nature.com www.nature.com
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The COVID-19 pandemic, which is caused by the novel coronavirus SARS-CoV-2, has been associated with more than 470,000 fatal cases worldwide. In order to develop antiviral interventions quickly, drugs used for treatment of unrelated diseases are currently being repurposed to combat COVID-19. Chloroquine is a anti-malaria drug that is frequently employed for COVID-19 treatment since it inhibits SARS-CoV-2 spread in the kidney-derived cell line Vero1–3. Here, we show that engineered expression of TMPRSS2, a cellular protease that activates SARS-CoV-2 for entry into lung cells4, renders SARS-CoV-2 infection of Vero cells insensitive to chloroquine. Moreover, we report that chloroquine does not block SARS-CoV-2 infection of the TMPRSS2-positive lung cell line Calu-3. These results indicate that chloroquine targets a pathway for viral activation that is not operative in lung cells and is unlikely to protect against SARS-CoV-2 spread in and between patients.
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www.medrxiv.org www.medrxiv.org
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As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads, the susceptible subpopulation declines causing the rate at which new infections occur to slow down. Variation in individual susceptibility or exposure to infection exacerbates this effect. Individuals that are more susceptible or more exposed tend to be infected and removed from the susceptible subpopulation earlier. This selective depletion of susceptibles intensifies the deceleration in incidence. Eventually, susceptible numbers become low enough to prevent epidemic growth or, in other words, the herd immunity threshold is reached. Here we fit epidemiological models with inbuilt distributions of susceptibility or exposure to SARS-CoV-2 outbreaks to estimate basic reproduction numbers (R_0) alongside coefficients of individual variation (CV) and the effects of containment strategies. Herd immunity thresholds are then calculated as 1-(1⁄R_0 )^(1⁄((1+〖CV〗^2 ) )) or 1-(1⁄R_0 )^(1⁄((1+〖2CV〗^2 ) )), depending on whether variation is on susceptibility or exposure. Our inferences result in herd immunity thresholds around 10-20%, considerably lower than the minimum coverage needed to interrupt transmission by random vaccination, which for R_0 higher than 2.5 is estimated above 60%. We emphasize that the classical formula, 1-1⁄R_0 , remains applicable to describe herd immunity thresholds for random vaccination, but not for immunity induced by infection which is naturally selective. These findings have profound consequences for the governance of the current pandemic given that some populations may be close to achieving herd immunity despite being under more or less strict social distancing measures.
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jamanetwork.com jamanetwork.com
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Importance Reported cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection likely underestimate the prevalence of infection in affected communities. Large-scale seroprevalence studies provide better estimates of the proportion of the population previously infected.Objective To estimate prevalence of SARS-CoV-2 antibodies in convenience samples from several geographic sites in the US.Design, Setting, and Participants This cross-sectional study performed serologic testing on a convenience sample of residual sera obtained from persons of all ages. The serum was collected from March 23 through May 12, 2020, for routine clinical testing by 2 commercial laboratory companies. Sites of collection were San Francisco Bay area, California; Connecticut; south Florida; Louisiana; Minneapolis-St Paul-St Cloud metro area, Minnesota; Missouri; New York City metro area, New York; Philadelphia metro area, Pennsylvania; Utah; and western Washington State.Exposures Infection with SARS-CoV-2.Main Outcomes and Measures The presence of antibodies to SARS-CoV-2 spike protein was estimated using an enzyme-linked immunosorbent assay, and estimates were standardized to the site populations by age and sex. Estimates were adjusted for test performance characteristics (96.0% sensitivity and 99.3% specificity). The number of infections in each site was estimated by extrapolating seroprevalence to site populations; estimated infections were compared with the number of reported coronavirus disease 2019 (COVID-19) cases as of last specimen collection date.Results Serum samples were tested from 16 025 persons, 8853 (55.2%) of whom were women; 1205 (7.5%) were 18 years or younger and 5845 (36.2%) were 65 years or older. Most specimens from each site had no evidence of antibodies to SARS-CoV-2. Adjusted estimates of the proportion of persons seroreactive to the SARS-CoV-2 spike protein antibodies ranged from 1.0% in the San Francisco Bay area (collected April 23-27) to 6.9% of persons in New York City (collected March 23-April 1). The estimated number of infections ranged from 6 to 24 times the number of reported cases; for 7 sites (Connecticut, Florida, Louisiana, Missouri, New York City metro area, Utah, and western Washington State), an estimated greater than 10 times more SARS-CoV-2 infections occurred than the number of reported cases.Conclusions and Relevance During March to early May 2020, most persons in 10 diverse geographic sites in the US had not been infected with SARS-CoV-2 virus. The estimated number of infections, however, was much greater than the number of reported cases in all sites. The findings may reflect the number of persons who had mild or no illness or who did not seek medical care or undergo testing but who still may have contributed to ongoing virus transmission in the population.
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www.thelancet.com www.thelancet.com
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BackgroundThe risk of vertical and perinatal transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, which causes COVID-19), the most appropriate management, and the neonate's risk of developing COVID-19 during the perinatal period are unknown. Therefore, we aimed to elucidate best practices regarding infection control in mother–newborn dyads, and identify potential risk factors associated with transmission.MethodsIn this observational cohort study, we identified all neonates born between March 22 and May 17, 2020, at three New York Presbyterian Hospitals in New York City (NY, USA) to mothers positive for SARS-CoV-2 at delivery. Mothers could practice skin-to-skin care and breastfeed in the delivery room, but had to wear a surgical mask when near their neonate and practice proper hand hygiene before skin-to-skin contact, breastfeeding, and routine care. Unless medically required, neonates were kept in a closed Giraffe isolette in the same room as their mothers, and were held by mothers for feeding after appropriate hand hygiene, breast cleansing, and placement of a surgical mask. Neonates were tested for SARS-CoV-2 by use of real-time PCR on nasopharyngeal swabs taken at 24 h, 5–7 days, and 14 days of life, and were clinically evaluated by telemedicine at 1 month of age. We recorded demographics, neonatal, and maternal clinical presentation, as well as infection control practices in the hospital and at home.FindingsOf 1481 deliveries, 116 (8%) mothers tested positive for SARS-CoV-2; 120 neonates were identified. All neonates were tested at 24 h of life and none were positive for SARS-CoV-2. 82 (68%) neonates completed follow-up at day 5–7 of life. Of the 82 neonates, 68 (83%) roomed in with the mothers. All mothers were allowed to breastfeed; at 5–7 days of life, 64 (78%) were still breastfeeding. 79 (96%) of 82 neonates had a repeat PCR at 5–7 days of life, which was negative in all; 72 (88%) neonates were also tested at 14 days of life and none were positive. None of the neonates had symptoms of COVID-19.InterpretationOur data suggest that perinatal transmission of COVID-19 is unlikely to occur if correct hygiene precautions are undertaken, and that allowing neonates to room in with their mothers and direct breastfeeding are safe procedures when paired with effective parental education of infant protective strategies.
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www.nationalgeographic.com www.nationalgeographic.com
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Health officials are concerned about why some people who test positive for the coronavirus never feel sick. Could it be the luck of genetics? The blessings of youth? Or something else?
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abcnews.go.com abcnews.go.com
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DeVos has falsely claimed the children are "stoppers" of COVID-19.
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www.nytimes.com www.nytimes.com
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Reports of reinfection instead may be cases of drawn-out illness. A decline in antibodies is normal after a few weeks, and people are protected from the coronavirus in other ways.
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www.theatlantic.com www.theatlantic.com
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Biologically, a vaccine against the COVID-19 virus is unlikely to offer complete protection. Logistically, manufacturers will have to make hundreds of millions of doses while relying, perhaps, on technology never before used in vaccines and competing for basic supplies such as glass vials. Then the federal government will have to allocate doses, perhaps through a patchwork of state and local health departments with no existing infrastructure for vaccinating adults at scale. The Centers for Disease Control and Prevention, which has led vaccine distribution efforts in the past, has been strikingly absent in discussions so far—a worrying sign that the leadership failures that have characterized the American pandemic could also hamper this process. To complicate it all, 20 percent of Americans already say they will refuse to get a COVID-19 vaccine, and with another 31 percent unsure, reaching herd immunity could be that much more difficult.
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Radical public health responses to the pandemic around the world have asked us to make unprecedented changes to our daily lives. Social distancing measures require compliance with recommendations, instructions, and legal orders that come with undeniable sacrifices for almost all of us (though these sacrifices are far from equally distributed). These extreme public measures depend for their success on public trust.
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covid-19.iza.org covid-19.iza.org
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The UK is ‘locked down’ because of coronavirus (COVID-19). No clear exit strategy currently exists. This paper suggests a possible way forward that combines elements from economics and epidemiology. The paper proposes as a policy a ‘release’ from lockdown of the young cohort of UK citizens aged between age 20 and 30 who do not live with parents. The paper calculates that there are approximately 4.2 million UK individuals who fall into this 20-30 ageband and who live outside the original parental home. Of those, 2.6 million work in the private sector, so unless some corrective action is taken they are likely to be extremely harshly affected, financially, when compared to employees in the public sector. The paper argues that a young-workforce release of this kind would lead to substantial economic and societal benefits without enormous health costs to the country. In this way, the nation might begin to move forward in the footsteps of the young. The paper’s key concept could in principle be implemented in other countries.
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www.fastcompany.com www.fastcompany.com
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Preprint servers have existed for decades, but the fight against the coronavirus has seen their use soar. They’re changing how science is done—but need important guardrails.
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covid-19.iza.org covid-19.iza.org
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COVID-19 is spreading and has reached the state of a worldwide pandemic and health systems are or will be tested in how they can deal with it. So far, during this early phase of the pandemic, outcomes in terms of case-fatality rates (CFR) differ widely across countries. We explore how differences in living arrangements of generations within families contribute to the cross country differences. We document a strong positive correlation between countries’ CFRs and the share of working-age families living with their parents. This suggest that policy needs to focus on inter-generational social distance when combating this pandemic.
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covid-19.iza.org covid-19.iza.org
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New York City is the hot spot of the COVID-19 pandemic in the United States. This paper merges information on the number of tests and the number of infections at the New York City zip code level with demographic and socioeconomic information from the decennial census and the American Community Surveys. People residing in poor or immigrant neighborhoods were less likely to be tested; but the likelihood that a test was positive was larger in those neighborhoods, as well as in neighborhoods with larger households or predominantly black populations. The rate of infection in the population depends on both the frequency of tests and on the fraction of positive tests among those tested. The non-randomness in testing across New York City neighborhoods indicates that the observed correlation between the rate of infection and the socioeconomic characteristics of a community tells an incomplete story of how the pandemic evolved in a congested urban setting.
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covid-19.iza.org covid-19.iza.org
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It is almost certain that the world economy is entering a recession of historic proportions; how bad things get will depend on how governments manage the Covid-19 pandemic. At the core of the problem lies a very difficult choice: whether to “flatten the curve” of the epidemic or whether to flatten the curve of the recession. It is unlikely that both can be achieved and, in this case, it is better to address the tradeoff heads-on rather than try to ignore it or assume it doesn’t exist. Because developing countries are less prepared to deal with the consequences of an economic downturn, they might not be able to afford “social distancing” policies for extended periods.
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covid-19.iza.org covid-19.iza.org
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What is the response of US governors to the COVID-19 pandemic? In this research note, we explore the determinants of implementing stay-at-home orders, focusing on governors’ characteristics. In our most conservative estimate, being a Democratic governor increases the probability of implementing a stay-at-home order by more than 50 percent. Moreover, we find that the probability of implementing a statewide stay-at-home order is about 40 percent more likely for governors without a term limit than governors with a term limit. We also find that Democratic governors and governors without a term limit are significantly faster to adopt statewide orders than Republican governors and governors with a term limit. There is evidence of politics as usual in these unusual times.
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covid-19.iza.org covid-19.iza.org
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Which jobs are more likely to be affected by mobility restrictions due to the Covid-19 pandemic? This paper uses American Time Use Survey data to measure the share of the work hours that are spent at home for different job categories. We compute and provide home-working shares by occupation (US census classification, SOC and international ISCO classification), and by industry (US census classification, NAICS and international ISIC classification).
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covid-19.iza.org covid-19.iza.org
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Using the 2012-13 American Time Use Survey, I find that both who people spend time with and how they spend it affect their happiness, adjusted for numerous demographic and economic variables. Satisfaction among married individuals increases most with additional time spent with spouse. Among singles, satisfaction decreases most as more time is spent alone. Assuming that lockdowns constrain married people to spend time solely with their spouses, simulations show that their happiness may have been increased compared to before the lockdowns; but sufficiently large losses of work time and income reverse this inference. Simulations demonstrate clearly that, assuming lockdowns impose solitude on singles, their happiness was reduced, reductions that are made more severe by income and work losses.
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covid-19.iza.org covid-19.iza.org
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Many countries consider the lifting of restrictions of social contacts (RSC). We quantify the effects of RSC for Germany. We initially employ a purely statistical approach to predicting prevalence of COVID19 if RSC were upheld after April 20. We employ these findings and feed them into our theoretical model. We find that the peak of the number of sick individuals would be reached already in April. The number of sick individuals would fall below 1,000 at the beginning of July. When restrictions are lifted completely on April 20, the number of sick should rise quickly again from around April 27. A balance between economic and individual costs of RSC and public health objectives consists in lifting RSC for activities that have high economic benefits but low health costs. In the absence of large-scale representative testing of CoV-2 infections, these activities can most easily be identified if federal states of Germany adopted exit strategies that differ across states.
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covid-19.iza.org covid-19.iza.org
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Due to the COVID-19 crisis and the related “social distancing” measures, working from home (WfH) has suddenly become a crucial lever of economic activity. This paper combines survey and administrative data to compute measures for the feasibility of working from home among German employees. Breaking down the data by occupation, region, industry, and employee characteristics, we document considerable variation in the potential to WfH across all dimensions. We find that WfH is feasible for roughly 56 percent of the overall German workforce, while less than half of this potential was exploited in the pre-pandemic economy.
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covid-19.iza.org covid-19.iza.org
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In this ongoing project, we examine the short-term consequences of COVID-19 on employment and wages in the United States. Guided by a pre-analysis plan, we document the impact of COVID-19 at the national-level using a simple difference and test whether states with relatively more confirmed cases/deaths were more affected. Our findings suggest that COVID-19 increased the unemployment rate, decreased hours of work and labor force participation and had no significant impacts on wages. The negative impacts on labor market outcomes are larger for men, younger workers, Hispanics and less-educated workers. This suggest that COVID-19 increases labor market inequalities. We also investigate whether the economic consequences of this pandemic were larger for certain occupations. We built three indexes using ACS and O*NET data: workers relatively more exposed to disease, workers that work with proximity to coworkers and workers who can easily work remotely. Our estimates suggest that individuals in occupations working in proximity to others are more affected while occupations able to work remotely are less affected. We also find that occupations classifed as more exposed to disease are less affected, possibly due to the large number of essential workers in these occupations.
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covid-19.iza.org covid-19.iza.org
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On March 19, 2020, California Governor Gavin Newsom issued Executive Order N-33-20 2020, which required all residents of the state of California to shelter in place for all but essential activities such as grocery shopping, retrieving prescriptions from a pharmacy, or caring for relatives. This shelter-in-place order (SIPO), the first such statewide order issued in the United States, was designed to reduce COVID-19 cases and mortality. While the White House Task Force on the Coronavirus has credited the State of California for taking early action to prevent a statewide COVID-19 outbreak, no study has examined the impact of California’s SIPO. Using daily state-level coronavirus data and a synthetic control research design, we find that California’s statewide SIPO reduced COVID-19 cases by 125.5 to 219.7 per 100,000 population by April 20, one month following the order. We further find that California’s SIPO led to as many as 1,661 fewer COVID-19 deaths during the first four weeks following its enactment. Back-of-the-envelope calculations suggest that there were about 400 job losses per life saved during this short-run post-treatment period.
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covid-19.iza.org covid-19.iza.org
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This study is the first in the world to investigate the expected impact of the COVID-19 crisis on career outcomes and career aspirations. To this end, high-quality survey research with a relevant panel of Belgian employees was conducted. About 21% of them fear losing their jobs due to the crisis—14% are concerned that they will even lose their jobs in the near future. In addition, 26% expect to miss out on promotions that they would have received had the COVID-19 crisis not occurred. This fear of a negative impact is higher in vulnerable groups, such migrants. In addition, we observe that many panel members believe they will look at the labour market differently and will have different work-related priorities in the future. In this respect, more than half of the panel members indicate that they have attached more importance to working conditions and work-life balance since the COVID-19 crisis.
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covid-19.iza.org covid-19.iza.org
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Artificial Intelligence (AI) is a potentially powerful tool in the fight against the COVID- 19 pandemic. Since the outbreak of the pandemic, there has been a scramble to use AI. This article provides an early, and necessarily selective review, discussing the contribution of AI to the fight against COVID-19, as well as the current constraints on these contributions. Six areas where AI can contribute to the fight against COVID-19 are discussed, namely i) early warnings and alerts, ii) tracking and prediction, iii) data dashboards, iv) diagnosis and prognosis, v) treatments and cures, and vi) social control. It is concluded that AI has not yet been impactful against COVID-19. Its use is hampered by a lack of data, and by too much data. Overcoming these constraints will require a careful balance between data privacy and public health, and rigorous human-AI interaction. It is unlikely that these will be addressed in time to be of much help during the present pandemic. In the meantime, extensive gathering of diagnostic data on who is infectious will be essential to save lives, train AI, and limit economic damages.
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covid-19.iza.org covid-19.iza.org
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Food production and distribution is essential for human well-being, but the food sector has experienced a number of difficulties maintaining worker health and productivity during the COVID-19 pandemic. We examine employment status changes of persons recently employed in the U.S. food sector with a focus on food manufacturing and grocery stores. We find that the pandemic significantly reduced the probability of continued active employment for previous workers in both food manufacturing and grocery stores. Individual-level analysis confirms that the COVID-19 infection rate in an individual’s local labor market is a strong and significant factor. The employment changes are not just due to unemployment during facility closures. Previous workers increasingly exit the labor force as the severity of the COVID-19 infection rate in their local area worsens. The considerable risk of infection drives many previous food sector workers to stop working altogether. Maintaining worker health and safety is essential for a stable food supply.
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covid-19.iza.org covid-19.iza.org
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In response to the Covid-19 pandemic, governments around the world have provided a massive fiscal and monetary stimulus. While this policy is welcome in the short run, it does not address the underlying problem in the medium and long run. The reason is that the pandemic has not given rise to a generalized shortfall in aggregate demand. Rather, it has generated a Great Economic Mismatch, characterized by deficient demand for things requiring close physical interactions among people and deficient supply of things compatible with social distancing, where appropriate. Expansive macroeconomic policy can stimulate aggregate demand, but when social distancing is enforced, it will not stimulate production and consumption whenever this demand is satisfied through physically interactive activities. To overcome the Great Economic Mismatch, “readaptation policies” are called for. In the medium run, these policies promote a redirection of resources to activities compatible with social distancing; the long run, these policies make economies more resilient to unforeseen shocks that generate a Great Economic Mismatch. Once the pandemic is over, a more profound rethinking of decision making – in public policy, business and civil society – is called for. First, decision makers will need to supplement the current focus on economic efficiency by greater emphasis on economic resilience. Second, economic policies and business strategies will need to focus less on incentives for selfish individuals and more on the mobilization of people’s prosocial motives. Finally, to encourage people around the world to cooperate globally in tackling global problems, policy makers at local, national and global levels will need to encourage people around the world to cooperate globally in tackling global problems, with the aid of two powerful tools that humans throughout history have used to coordinate their efforts: identity-shaping narratives and institutions of multi-level governance.
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covid-19.iza.org covid-19.iza.org
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Disease spread is in part a function of individual behavior. We examine the factors predicting individual behavior during the Covid-19 pandemic in the United States using novel data collected by Belot et al. (2020). Among other factors, we show that people with lower income, less flexible work arrangements (e.g., an inability to tele-work) and lack of outside space at home are less likely to engage in behaviors, such as social distancing, that limit the spread of disease. We also find evidence that region, gender and beliefs predict behavior. Broadly, our findings align with typical relationships between health and socio-economic status. Moreover, they suggest that the burden of measures designed to stem the pandemic are unevenly distributed across socio-demographic groups in ways that affect behavior and thus potentially the spread of illness. Policies that assume otherwise are unlikely to be effective or sustainable.
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covid-19.iza.org covid-19.iza.org
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We investigate the impacts of COVID-19 on domestic violence and family stress. Our empirical analysis relies on a unique online survey, Canadian Perspective Survey Series, that allow us to disentangle the mechanisms through which COVID-19 may affect family stress and domestic violence. We find no evidence that employment status and work arrangements are related to higher self-reported levels of family stress and violence in the home due to confinement, suggesting that remote working on a large scale does not lead to family violence. In contrast, we find that the inability to meet financial obligations and maintaining social ties significantly increase reported family stress and domestic violence. These findings are consistent with two alternative mechanisms: social isolation and decreased bargaining power for women. Last, we provide suggestive evidence that receiving financial relief does not mitigate the effect of financial worries on domestic violence and family stress. We conclude that targeted programs supporting victims of domestic violence may be more effective.
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covid-19.iza.org covid-19.iza.org
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Worries about the impact of COVID-19 on pregnant mothers and their offspring are wide-spread. As a comparison, the Spanish Flu pandemic had devastating health impacts on pregnant mothers and in-utero exposure to influenza is known to have negative short- and long-term consequences for children. The existing evidence from the COVID-19 pandemic, however, allows for cautious optimism about the impacts of COVID-19 on pregnant women and their children.
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covid-19.iza.org covid-19.iza.org
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This review of UK economic policy responses to the Covid-19 crisis identifies serious problems with existing measures. We describe alternative policies which could alleviate hardship, protect business from destruction in the growing depression, facilitate recovery with full employment in a Green New Deal, and redistribute income and power with economic democracy in the workplace. Only such policies can ensure high quality work for all, the natural rights of self-determination at work, and equitable sharing of the surplus that is produced by all employees as intentional agents. The proposed reforms are opposed by the strong vested interests which currently hold most power, so mobilising popular support and achieving real change will require a long struggle, just as attaining political democracy a century ago did.
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covid-19.iza.org covid-19.iza.org
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In an effort to contain the spread of the COVID-19 pandemic, many countries around the globe adopted social distancing measures. Previous studies have relied on the geographical and temporal variation in the adoption of non-pharmaceutical interventions (NPIs) to show that early adoption of NPIs is correlated to lower infection and mortality rates. However, due to the non-random adoption of NPIs, the findings may not be interpreted as causal. We address this limitation using a different source of identification –namely, the regional variation in the placement on the pandemic curve at the time of a nationwide lockdown. Our results reveal how, relative to regions for which the lockdown arrived 10+ days after the pandemic’s outbreak, regions where the outbreak had just started were able to lower their daily fatality rate by 2.5 deaths per 100,000 inhabitants. We also provide suggestive evidence of contagion deceleration as the main mechanism behind the effectiveness of the early adoption of NPIs in lowering the death rate, rather than increased healthcare capacity.
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covid-19.iza.org covid-19.iza.org
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Both the White House and state governors have explicitly linked thresholds of reduced COVID-19 case growth to the lifting of statewide shelter-in-place orders (SIPOs). This “hardwired” policy endogeneity creates empirical challenges in credibly isolating the causal effect of lifting a statewide SIPO on COVID-19-related health. To break this simultaneity problem, the current study exploits a unique natural experiment generated by a Wisconsin Supreme Court decision. On May 13, 2020, the Wisconsin Supreme Court abolished the state’s “Safer at Home” order, ruling that the Wisconsin Department of Health Services unconstitutionally usurped legislative authority to review COVID-19 regulations. We capitalize on this sudden, dramatic, and largely unanticipated termination of a statewide SIPO to estimate its effect on social distancing and COVID-19 case growth. Using a synthetic control design, we find no evidence that the repeal of the state SIPO impacted social distancing, COVID-19 cases, or COVID-19-related mortality during the fortnight following enactment. Estimated effects were economically small and nowhere near statistically different from zero. We conclude that the impact of shelter-in-place orders is likely not symmetric across enactment and lifting of the orders.
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covid-19.iza.org covid-19.iza.org
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The COVID-19 pandemic has resulted in income and employment loss in many countries around the world. Yet, hardly any formal study exists on household finance and future economic expectations in poorer countries. To fill in this gap, we implemented and analyzed a web-based rapid assessment survey immediately after the removal of lockdown measures in Vietnam, a lower-middle-income country that has received widespread recognition for its successful fight against the pandemic. We find that having a job is strongly and positively associated with better finance and more income and savings, as well as more optimism about the resilience of the economy. Further disaggregating employment into different types of jobs such as self-employment and jobs with permanent and short-term contracts, we find those with permanent job contracts to be more strongly associated with better assessments and fewer job worries. Individuals with good health and higher educational levels also have more positive evaluations for their current and future finance. These findings are relevant for post-outbreak economic policies, especially regarding the labor market in a developing country context
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covid-19.iza.org covid-19.iza.org
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This paper models the local and cross-city transmissions of the novel coronavirus in China between January 19 and February 29 in 2020. We examine the role of various socioeconomic mediating factors, including public health measures that encourage social distancing in local communities. Weather characteristics two weeks ago are used as instrumental variables for causal inference. Stringent quarantine, city lockdown, and local public health measures imposed since late January significantly decreased the virus transmission rate. The virus spread was contained by the middle of February. Population outflow from the outbreak source region posed a higher risk to the destination regions than other factors including geographic proximity and similarity in economic conditions. We quantify the effects of different public health measures in reducing the number of infections through counterfactual analyses. Over 1.4 million infections and 56,000 deaths could have been avoided as a result of the national and provincial public health measures imposed in late January in China.
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covid-19.iza.org covid-19.iza.org
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This note describes the contribution of migrant workers to the ongoing effort to keep basic services running in the Union during the COVID-19 epidemic. We quantify the prevalence of migrant workers in the so called “key professions” that the Commission and Member States have identified using the most recent wave of the EU Labour Force Survey. Our results show that migrant “key workers” are essential for critical functions in European societies.
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covid-19.iza.org covid-19.iza.org
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We present real time survey evidence from the UK, US and Germany showing that the labor market impacts of COVID-19 differ considerably across countries. Employees in Germany, which has a well-established short-time work scheme, are substantially less likely to be affected by the crisis. Within countries, the impacts are highly unequal and exacerbate existing inequalities. Workers in alternative work arrangements and in occupations in which only a small share of tasks can be done from home are more likely to have reduced their hours, lost their jobs and suffered falls in earnings. Less educated workers and women are more affected by the crisis.
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covid-19.iza.org covid-19.iza.org
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It is politicians who have to decide when to release the lockdown, and in what way. In doing so, they have to balance many considerations (as with any decision). Often the different considerations appear incommensurable so that only the roughest of judgements can be made. For example, in the case of COVID-19, one has to compare the economic benefits of releasing the lockdown with the social and psychological benefits, and then compare the total of these with the increase in deaths that would result from an early exit. We here propose a way of doing this more systematically.
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covid-19.iza.org covid-19.iza.org
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Shelter in place orders (SIPOs) require residents to remain home for all but essential activities such as purchasing food or medicine, caring for others, exercise, or traveling for employment deemed essential. Between March 19 and April 20, 2020, 40 states and the District of Columbia adopted SIPOs. This study explores the impact of SIPOs on health, with particular attention to heterogeneity in their impacts. First, using daily state-level social distancing data from SafeGraph and a difference-in-differences approach, we document that adoption of a SIPO was associated with a 5 to 10 percent increase in the rate at which state residents remained in their homes full-time. Then, using daily state-level coronavirus case data collected by the Centers for Disease Control and Prevention, we find that approximately three weeks following the adoption of a SIPO, cumulative COVID-19 cases fell by 44 percent. Event-study analyses confirm common COVID-19 case trends in the week prior to SIPO adoption and show that SIPO-induced case reductions grew larger over time. However, this average effect masks important heterogeneity across states — early adopters and high population density states appear to reap larger benefits from their SIPOs. Finally, we find that statewide SIPOs were associated with a reduction in coronavirus-related deaths, but estimated mortality effects were imprecisely estimated.
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covid-19.iza.org covid-19.iza.org
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This note describes some of the early policy developments in the UK and the way in which the framing and understanding of a novel economic problem evolved to include a focus on livelihoods combining social protection and business support orientations. It highlights various points including the rapid iterative nature of policy development based on consultation in the face of uncertainty, as well as a trade-off between risk-sharing with commercial banks to limit adverse selection and the rapid prevention of insolvencies. We consider some of the policy-making lessons to date and conclude with suggestions for issues that policy makers might consider to support workers in the near and medium term.
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covid-19.iza.org covid-19.iza.org
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In response to the COVID-19 pandemic, many states have adopted stay-at-home orders, rendering a large segment of the workforce unable to continue doing their jobs. These policies have distributional consequences, as workers in some occupations may be better able to continue their work from home. I identify the segments of the U.S. workforce that can plausibly work from home by linking occupation data from O*NET to the American Community Survey. I find that lower-wage workers are up to three times less likely to be able to work from home than higher-wage workers. Those with lower levels of education, younger adults, ethnic minorities, and immigrants are also concentrated in occupations that are less likely to be performed from home.
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covid-19.iza.org covid-19.iza.org
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We study how the differential timing of local lockdowns due to COVID-19 causally affects households’ spending and macroeconomic expectations at the local level using several waves of a customized survey with more than 10,000 respondents. About 50% of survey participants report income and wealth losses due to the corona virus, with the average losses being $5,293 and $33,482 respectively. Aggregate consumer spending dropped by 31 log percentage points with the largest drops in travel and clothing. We find that households living in counties that went into lockdown earlier expect the unemployment rate over the next twelve months to be 13 percentage points higher and continue to expect higher unemployment at horizons of three to five years. They also expect lower future inflation, report higher uncertainty, expect lower mortgage rates for up to 10 years, and have moved out of foreign stocks into liquid forms of savings. The imposition of lockdowns can account for much of the decline in employment in recent months as well as declines in consumer spending. While lockdowns have pronounced effects on local economic conditions and households’ expectations, they have little impact on approval ratings of Congress, the Fed, or the Treasury but lead to declines in the approval of the President.
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covid-19.iza.org covid-19.iza.org
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Using a large-scale survey of U.S. households during the Covid-19 pandemic, we study how new information about fiscal and monetary policy responses to the crisis affects households’ expectations. We provide random subsets of participants in the Nielsen Homescan panel with different combinations of information about the severity of the pandemic, recent actions by the Federal Reserve, stimulus measures, as well as recommendations from health officials. This experiment allows us to assess to what extent these policy announcements alter the beliefs and spending plans of households. In short, they do not, contrary to the powerful effects they have in standard macroeconomic models.
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covid-19.iza.org covid-19.iza.org
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Social contacts are a key transmission channel of infectious diseases spread by the respiratory or close-contact route, such as COVID-19. There is no evidence, however, on the question of whether the nature and the organisation of work affect the spread of COVID-19 in different countries. I have developed a methodology to measure country-specific levels of occupational exposure to contagion driven by social contacts. I combined six indicators based on Occupation Information Network (O*NET) and the European Working Condition Survey (EWCS) data. I then applied them to 26 European countries, and found substantial cross-country differences in levels of exposure to contagion in comparable occupations. The resulting country-level measures of levels of exposure to contagion (excluding health professions) predict the growth in COVID-19 cases, and the number of deaths from COVID-19 in the early stage of pandemic (up to four weeks after the 100th case). The relationship between levels of occupational exposure to contagion and the spread of COVID-19 is particularly strong for workers aged 45-64. I found that 20-25% of the cross-country variance in numbers of COVID-19 cases and deaths can be attributed to cross-country differences in levels of occupational exposure to contagion in European countries. My findings are robust to controlling for the stringency of containment policies, such as lockdowns and school closures. They are also driven by country-specific patterns of social contacts at work, rather than by occupational structures. Thus, I conclude that measuring workplace interactions may help to predict the next waves of the COVID-19 pandemic.
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covid-19.iza.org covid-19.iza.org
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While a considerable number of employees across the globe are being forced to work from home due to the COVID-19 crisis, it is a guessing game as to how they are experiencing this current surge in telework. Therefore, we examined employee perceptions of telework on various life and career aspects, distinguishing between typical and extended telework during the COVID-19 crisis. To this end, we conducted a state-of-the-art web survey among Flemish employees. Notwithstanding this exceptional time of sudden, obligatory and high-intensity telework, our respondents mainly attribute positive characteristics to teleworking, such as increased efficiency and a lower risk of burnout. The results also suggest that the overwhelming majority of the surveyed employees believe that teleworking (85%) and digital conferencing (81%) are here to stay. In contrast, some fear that telework diminishes their promotion opportunities and weakens ties with their colleagues and employer.
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covid-19.iza.org covid-19.iza.org
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In light of the existing preliminary evidence of a link between Covid-19 and poor air quality, which is largely based upon correlations, we estimate the relationship between long term air pollution exposure and Covid-19 in 355 municipalities in the Netherlands. Using detailed secondary and administrative data we find compelling evidence of a positive relationship between air pollution, and particularly PM2.5 concentrations, and Covid-19 cases, hospital admissions and deaths. This relationship persists after controlling for a wide range of explanatory variables. Our results indicate that a 1 μ/m3 increase in PM2.5 concentrations is associated with 9.4 more Covid-19 cases, 3.0 more hospital admissions, and 2.3 more deaths. The relationship between Covid-19 and air pollution withstands a number of sensitivity and robustness exercises including instrumenting pollution to mitigate potential endogeneity and modelling spatial spillovers using spatial econometric techniques.
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www.theguardian.com www.theguardian.com
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The evolutionary biologist on data manipulation, fake news, and the importance of using science as a lie detector
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covid-19.iza.org covid-19.iza.org
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We explore the role of social capital in the spread of the recent Covid-19 pandemic in independent analyses for Austria, Germany, Italy, the Netherlands, Sweden, Switzerland and the UK. Exploiting within-country variation, we show that a one standard deviation increase in social capital leads to 12% and 32% fewer Covid-19 cases per capita accumulated from mid-March until mid-May. Using Italy as a case study, we find that high-social-capital areas exhibit lower excess mortality and a decline in mobility. Our results have important implications for the design of local containment policies in future waves of the pandemic.
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We consider several economic uncertainty indicators for the US and UK before and during the COVID-19 pandemic: implied stock market volatility, newspaper-based economic policy uncertainty, twitter chatter about economic uncertainty, subjective uncertainty about future business growth, and disagreement among professional forecasters about future GDP growth. Three results emerge. First, all indicators show huge uncertainty jumps in reaction to the pandemic and its economic fallout. Indeed, most indicators reach their highest values on record. Second, peak amplitudes differ greatly – from a rise of around 100% (relative to January 2020) in two-year implied volatility on the S&P 500 and subjective uncertainty around year-ahead sales for UK firms to a 20-fold rise in forecaster disagreement about UK growth. Third, time paths also differ: Implied volatility rose rapidly from late February, peaked in mid-March, and fell back by late March as stock prices began to recover. In contrast, broader measures of uncertainty peaked later and then plateaued, as job losses mounted, highlighting the difference in uncertainty measures between Wall Street and Main Street.
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www.nber.org www.nber.org
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Nursing homes and other long term-care facilities account for a disproportionate share of COVID-19 cases and fatalities worldwide. Outbreaks in U.S. nursing homes have persisted despite nationwide visitor restrictions beginning in mid-March. An early report issued by the Centers for Disease Control and Prevention identified staff members working in multiple nursing homes as a likely source of spread from the Life Care Center in Kirkland, Washington to other skilled nursing facilities. The full extent of staff connections between nursing homes---and the crucial role these connections serve in spreading a highly contagious respiratory infection---is currently unknown given the lack of centralized data on cross-facility nursing home employment. In this paper, we perform the first large-scale analysis of nursing home connections via shared staff using device-level geolocation data from 30 million smartphones, and find that 7 percent of smartphones appearing in a nursing home also appeared in at least one other facility---even after visitor restrictions were imposed. We construct network measures of nursing home connectedness and estimate that nursing homes have, on average, connections with 15 other facilities. Controlling for demographic and other factors, a home's staff-network connections and its centrality within the greater network strongly predict COVID-19 cases. Traditional federal regulatory metrics of nursing home quality are unimportant in predicting outbreaks, consistent with recent research. Results suggest that eliminating staff linkages between nursing homes could reduce COVID-19 infections in nursing homes by 44 percent.
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www.nber.org www.nber.org
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Even when, objectively speaking, death is on the line, partisan bias still colors beliefs about facts. We show that a higher share of Trump voters in a county is associated with lower perceptions of risk during the COVID-19 pandemic. As Trump voter share rises, individuals search less for information on the virus, and engage in less social distancing behavior, as measured by smartphone location patterns. These patterns persist in the face of state-level mandates to close schools and businesses or to “stay home,” and reverse only when conservative politicians are exposed and the White House releases federal social distancing guidelines.
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www.nber.org www.nber.org
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Assessing the economic impact of the COVID-19 pandemic is essential for policymakers, but challenging because the crisis has unfolded with extreme speed. We identify three indicators – stock market volatility, newspaper-based economic uncertainty, and subjective uncertainty in business expectation surveys – that provide real-time forward-looking uncertainty measures. We use these indicators to document and quantify the enormous increase in economic uncertainty in the past several weeks. We also illustrate how these forward-looking measures can be used to assess the macroeconomic impact of the COVID-19 crisis. Specifically, we feed COVID-induced first-moment and uncertainty shocks into an estimated model of disaster effects developed by Baker, Bloom and Terry (2020). Our illustrative exercise implies a year-on-year contraction in U.S. real GDP of nearly 11 percent as of 2020 Q4, with a 90 percent confidence interval extending to a nearly 20 percent contraction. The exercise says that about half of the forecasted output contraction reflects a negative effect of COVID-induced uncertainty.
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www.nber.org www.nber.org
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We use high frequency internet search data to study in real time how US households sought out online learning resources as schools closed due to the Covid-19 pandemic. By April 2020, nationwide search intensity for both school- and parent-centered online learning resources had roughly doubled relative to baseline. Areas of the country with higher income, better internet access and fewer rural schools saw substantially larger increases in search intensity. The pandemic will likely widen achievement gaps along these dimensions given schools' and parents' differing engagement with online resources to compensate for lost school-based learning time. Accounting for such differences and promoting more equitable access to online learning could improve the effectiveness of education policy responses to the pandemic. The public availability of internet search data allows our analyses to be updated when schools reopen and to be replicated in other countries.
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www.nber.org www.nber.org
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The outbreak of COVID-19 has called for swift action by governments, often involving the adoption of restrictive measures such as lockdowns. In this context, leaders have faced a trade-off between imposing stringent measures to limit the contagion, and minimizing the costs on their national economy, which could impact their electoral prospects. Leveraging on both the timing of elections and the constitutional term limits faced by leaders, we document how incumbents who can run for re-election implement less stringent restrictions when the election is closer in time. The effect is driven by measures more likely to have a negative economic impact. This shows how electoral concerns help explain the observed differences in the response to COVID-19 across different countries.
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www.nber.org www.nber.org
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The covid-19 crisis has led to a sharp deterioration in firm and bank balance sheets. The government has responded with a massive intervention in corporate credit markets. We study equilibrium dynamics of macroeconomic quantities and prices, and how they are affected by government policy. The interventions prevent a much deeper crisis by reducing corporate bankruptcies by about half and short-circuiting the doom loop between corporate and financial sector fragility. The additional fiscal cost is zero since program spending replaces what would otherwise have been spent on intermediary bailouts. The model predicts rising interest rates on government debt and slow debt pay-down. We analyze an alternative intervention that targets aid to firms at risk of bankruptcy. While this policy prevents more bankruptcies and has lower fiscal cost, it only enjoys marginally higher welfare. Finally, we study longer-run consequences for firm leverage and intermediary health when pandemics become the new normal.
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www.nber.org www.nber.org
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Using original data from two waves of a survey conducted in March and April 2020 in eight OECD countries (N = 21,649), we show that women are more likely to see COVID-19 as a very serious health problem, to agree with restraining public policy measures adopted in response to it, and to comply with them. Gender differences in attitudes and behavior are substantial in all countries, robust to controlling for a large set of sociodemographic, employment, psychological, and behavioral factors, and only partially mitigated for individuals who cohabit or have direct exposure to COVID-19. The results are not driven by differential social desirability bias. They carry important implications for the spread of the pandemic and may contribute to explain gender differences in vulnerability to it.
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www.nber.org www.nber.org
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Social distancing restrictions and demand shifts from COVID-19 shuttered many small businesses and entrepreneurs in the first month of widespread shelter-in-place restrictions. Fairlie (2020) finds that 22 percent of small business owners were inactive in April 2020 with disproportionate impacts on African-American, Latinx, immigrant, and female business owners. What happened in the second month of social distancing restrictions? Were there further closures or a rebound? This paper provides the first analysis of impacts of the pandemic on the number of active small businesses in the United States using nationally representative data from the May 2020 CPS – the second month capturing effects from mandated restrictions. The number of active business owners in the United States is down by 2.2 million or 15 percent from February 2020, but up 7 percent since the low in April. The continued losses in May and partial rebound from April were felt across nearly all industries and were not sensitive to using alternative restrictions on hours worked and measures. African-American business owners continue to be the hardest hit by COVID-19 experiencing a drop of 26 percent in business activity from pre-COVID-19 levels. Latinx business owners fell by 19 percent, and Asian business owners dropped by 21 percent. Immigrant business owners experienced substantial losses of 25 percent. Simulations indicate that industry compositions partly placed black, Latinx and immigrant businesses at a higher risk of losses. All of these demographic groups, however, experienced partial rebounds in business activity from April lows. These findings of the continued early-stage losses to small businesses have important policy implications and may portend longer-term ramifications for job losses and economic inequality.
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www.nber.org www.nber.org
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New York City is the hot spot of the COVID-19 pandemic in the United States. This paper merges information on the number of tests and the number of infections at the New York City zip code level with demographic and socioeconomic information from the decennial census and the American Community Surveys. People residing in poor or immigrant neighborhoods were less likely to be tested; but the likelihood that a test was positive was larger in those neighborhoods, as well as in neighborhoods with larger households or predominantly black populations. The rate of infection in the population depends on both the frequency of tests and on the fraction of positive tests among those tested. The non-randomness in testing across New York City neighborhoods indicates that the observed correlation between the rate of infection and the socioeconomic characteristics of a community tells an incomplete story of how the pandemic evolved in a congested urban setting.
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The success of non-pharmaceutical interventions to contain pandemics often depends greatly upon voluntary compliance with government guidelines. What explains variation in voluntary compliance? Using mobile phone and survey data, we show that during the early phases of COVID-19, voluntary social distancing was higher when individuals exhibit a higher sense of civic duty. This is true for U.S. individuals, U.S. counties, and European regions. We also show that after U.S. states began re-opening, social distancing remained more prevalent in high civic capital counties. Our evidence points to the importance of civic capital in designing public policy responses to pandemics.
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We conducted a large-scale survey covering 58 countries and over 100,000 respondents between late March and early April 2020 to study beliefs and attitudes towards citizens’ and governments’ responses to the COVID-19 pandemic. Most respondents reacted strongly to the crisis: they report engaging in social distancing and hygiene behaviors, and believe that strong policy measures, such as shop closures and curfews, are necessary. They also believe that their government and their country’s citizens are not doing enough and underestimate the degree to which others in their country support strong behavioral and policy responses to the pandemic. The perception of a weak government and public response is associated with higher levels of worries and depression. Using both cross-country panel data and an event-study, we additionally show that strong government reactions correct misperceptions, and reduce worries and depression. Our findings highlight that policy-makers not only need to consider how their decisions affect the spread of COVID-19, but also how such choices influence the mental health of their population.
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www.nber.org www.nber.org
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This note seeks the socioeconomic roots of racial disparities in COVID-19 mortality, using county-level mortality, economic, and demographic data from 3,140 counties. For all minorities, the minority's population share is strongly correlated with total COVID-19 deaths. For Hispanic/Latino and Asian minorities those correlations are fragile, and largely disappear when we control for education, occupation, and commuting patterns. For African Americans and First Nations populations, the correlations are very robust. Surprisingly, for these two groups the racial disparity does not seem to be due to differences in income, poverty rates, education, occupational mix, or even access to healthcare insurance. A significant portion of the disparity can, however, be sourced to the use of public transit.
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www.nber.org www.nber.org
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Reductions in ambient pollution have been taken as an indisputable "silver lining" to the COVID-19 Pandemic. Indeed, worldwide economic contraction induced by COVID-19 lockdowns should generate global air quality improvements ceteris paribus, including to China's notoriously-poor air quality. We analyze China's official pollution monitor data and account for the large, recurrent improvement in air quality following Lunar New Year (LNY), which essentially coincided with lock-downs in 2020. With the important exception of NO2, China's air quality improvements in 2020 are smaller than we should expect near the pandemic's epicenter: Hubei province. Compared with LNY improvements experienced in 2018 and 2019 in Hubei, we see smaller improvements in SO2 while ozone concentrations increased in both relative and absolute terms (roughly doubling). Similar patterns are found for the six provinces neighboring Hubei. We conclude that COVID-19 had ambiguous impacts on China's pollution, with evidence of relative deterioration in air quality near the Pandemic's epicenter.
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We analyze the correlates of COVID-19 cases and deaths across US counties. We consider a wide range of correlates - population density, public transportation, age structure, nursing home residents, connectedness to source countries, etc. - finding that these variables are important predictors of variation in disease severity. Many of the effects are persistent - even increasing - through time. We also show that there are fewer deaths and cases in counties where Donald Trump received a high share of the vote in 2016, partly explaining the emerging political divide over lockdown and reopening policies, but that this correlation is reversed when controlling for shares of minority groups. The patterns we identify are meant to improve our understanding of the drivers of the spread of COVID-19, with an eye toward helping policymakers design responses that are sensitive to the specificities of different locations.
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www.nber.org www.nber.org
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Drawing on firm-level expectations at a one-year forecast horizon in the Survey of Business Uncertainty (SBU), we construct novel, forward-looking reallocation measures for jobs and sales. These measures rise sharply after February 2020, reaching rates in April that are 2.4 (3.9) times the pre-COVID average for jobs (sales). We also draw on special questions in the April SBU to quantify the near-term impact of the COVID-19 shock on business staffing. We find 3 new hires for every 10 layoffs caused by the shock and estimate that 42 percent of recent layoffs will result in permanent job loss. Our survey evidence aligns well with anecdotal evidence of large pandemic-induced demand increases at some firms, with contemporaneous evidence on gross business formation, and with a sharp pandemic-induced rise in equity return dispersion across firms. After developing the evidence, we consider implications of our evidence for the economic outlook and for policy responses to the pandemic. Unemployment benefit levels that exceed worker earnings, policies that subsidize employee retention, occupational licensing restrictions, and regulatory barriers to business formation will impede reallocation responses to the COVID-19 shock.
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www.nber.org www.nber.org
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How quickly will American businesses reopen after COVID-19 lockdowns end? We use a nationwide survey of small businesses to measure firms’ expectations about their re-opening and future demand. A plurality of firms in our sample expect to reopen within days of the end of legal restrictions, but a sizable minority expect to delay their reopening. While health-related variables, such as COVID-19 case rates and physical proximity of workers, do explain the prevalence and expected duration of regulated lockdown, these variables have little or no correlation with post-lockdown reopening intentions. Instead, almost one half of closed or partially open businesses said that their reopening would depend on the reopening of related businesses, including customers and suppliers. Owners expect demand to be one-third lower than before the crisis through autumn. Firms with more pessimistic expectations about demand predict a later reopening. Using an instrumental variables strategy, we estimate the relationship between demand expectations and reopening. These estimates suggest that post-lockdown delays in reopening can be explained by low levels of expected demand.
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www.nber.org www.nber.org
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In the decade following the financial crisis of 2008, investment funds in corporate bond markets became prominent market players and generated concerns of financial fragility. The COVID-19 crisis provides an opportunity to inspect their resilience in a major stress event. Using daily microdata, we document major outflows in these funds during this period, far greater than anything they experienced in past events. Large outflows were sustained over several weeks and were widespread across funds. Inspecting the role of sources of fragility, we show that both the illiquidity of fund assets and the vulnerability to fire sales were important factors in explaining outflows in this episode. The exposure to sectors most hurt by the COVID-19 crisis was also important. Two policy announcements by the Federal Reserve about extraordinary direct interventions in corporate-bond markets seem to have played an important role in calming down the panic and reversing the outflows.
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www.nber.org www.nber.org
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This paper provides the first nationally representative estimates of vulnerability to severe com-plications from COVID-19 overall and across race-ethnicity and socioeconomic status. We use the Panel Study of Income Dynamics (PSID) to examine the prevalence of specific health condi-tions associated with complications from COVID-19 and to calculate, for each individual, an index of the risk of severe complications from respiratory infections developed by DeCaprio et al. (2020). We show large disparities across race-ethnicity and socioeconomic status in the prev-alence of conditions which are associated with the risk of severe complications from COVID-19. Moreover, we show that these disparities emerge early in life, prior to age 65, leading to higher vulnerability to such complications. While vulnerability is highest among older adults regardless of their race-ethnicity or socioeconomic status, our results suggest particular attention should also be given to the risk of adverse outcomes in midlife for non-Hispanic Blacks, adults with a high school degree or less, and low-income Americans.
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www.nber.org www.nber.org
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Big data on job-vacancy postings reveal several dimensions of the impact of COVID-19 on the U.S. job market. Firms have cut back on postings for high-skill jobs more than for low-skill jobs, with small firms nearly halting their new hiring altogether. New-hiring cuts and downskilling are most pronounced in local labor markets lacking depth (where employment is concentrated within a few firms), in low-income areas, and in areas with greater income inequality. Cuts are deeper in industries where workers are more unionized and in the non-tradable sector. Access to finance modulates corporate hiring, with credit-constrained firms curtailing their job postings the most. Our study shows how the early-2020 global pandemic is shaping the dynamics of hiring, identifying the firms, jobs, places, industries, and labor markets most affected by it. Our results point to important challenges to the scale and speed of a recovery.
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Key factors in modeling a pandemic and guiding policy-making include mortality rates associated with infections; the ability of government policies, medical systems, and society to adapt to the changing dynamics of a pandemic; and institutional and demographic characteristics affecting citizens’ perceptions and behavioral responses to stringent policies. This paper traces the cross-country associations between COVID-19 mortality, policy interventions aimed at limiting social contact, and their interactions with institutional and demographic characteristics. We document that, with a lag, more stringent pandemic policies were associated with lower mortality growth rates. The association between stricter pandemic policies and lower future mortality growth is more pronounced in countries with a greater proportion of the elderly population and urban population, greater democratic freedoms, and larger international travel flows. Countries with greater policy stringency in place prior to the first death realized lower peak mortality rates and exhibited lower durations to the first mortality peak. In contrast, countries with higher initial mobility saw higher peak mortality rates in the first phase of the pandemic, and countries with a larger elderly population, a greater share of employees in vulnerable occupations, and a higher level of democracy took longer to reach their peak mortalities. Our results suggest that policy interventions are effective at slowing the geometric pattern of mortality growth, reducing the peak mortality, and shortening the duration to the first peak. We also shed light on the importance of institutional and demographic characteristics in guiding policy-making for future waves of the pandemic.
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www.nber.org www.nber.org
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COVID-19 may accelerate the automation of jobs, as employers invest in technology to adapt the production process to safeguard against current and potential future pandemics. We identify occupations that have high automation potential and also exhibit a high degree of risk of viral infection. We then examine regional variation in terms of which local labor markets are most at risk. Next we outline the differential impact that COVID-19 may have on automatable jobs for different demographic groups. We find that occupations held by mid-educated females are at highest risk, notably including some healthcare, office and administrative support, and protective service occupations.
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www.nber.org www.nber.org
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We build a publicly available platform that tracks economic activity at a granular level in real time using anonymized data from private companies. We report daily statistics on consumer spending, business revenues, employment rates, and other key indicators disaggregated by county, industry, and income group. Using these data, we study the mechanisms through which COVID-19 affected the economy by analyzing heterogeneity in its impacts across geographic areas and income groups. We first show that high-income individuals reduced spending sharply in mid-March 2020, particularly in areas with high rates of COVID-19 infection and in sectors that require physical interaction. This reduction in spending greatly reduced the revenues of businesses that cater to high-income households in person, notably small businesses in affluent ZIP codes. These businesses laid off most of their low-income employees, leading to a surge in unemployment claims in affluent areas. Building on this diagnostic analysis, we use event study designs to estimate the causal effects of policies aimed at mitigating the adverse impacts of COVID. State-ordered reopenings of economies have little impact on local employment. Stimulus payments to low-income households increased consumer spending sharply, but had modest impacts on employment in the short run, perhaps because very little of the increased spending flowed to businesses most affected by the COVID-19 shock. Paycheck Protection Program loans have also had little impact on employment at small businesses. These results suggest that traditional macroeconomic tools – stimulating aggregate demand or providing liquidity to businesses – may have diminished capacity to restore employment when consumer spending is constrained by health concerns. During a pandemic, it may be more fruitful to mitigate economic hardship through social insurance. More broadly, this analysis illustrates how real-time economic tracking using private sector data can help rapidly identify the origins of economic crises and facilitate ongoing evaluation of policy impacts.
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www.nber.org www.nber.org
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We report the results of a nationally-representative sample of the US population during the COVID-19 pandemic. The survey ran in two waves from April 1-5, 2020 and May 2-8, 2020. Of those employed pre-COVID-19, we find that about half are now working from home, including 35.2% who report they were commuting and recently switched to working from home. In addition, 10.1% report being laid-off or furloughed since the start of COVID-19. There is a strong negative relationship between the fraction in a state still commuting to work and the fraction working from home. We find that the share of people switching to remote work can be predicted by the incidence of COVID-19 and that younger people were more likely to switch to remote work. Furthermore, states with a higher share of employment in information work including management, professional and related occupations were more likely to shift toward working from home and had fewer people laid off or furloughed. We find no substantial change in results between the two waves, suggesting that most changes to remote work manifested by early April.
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www.nber.org www.nber.org
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One of the most common policy prescriptions to reduce the spread of COVID-19 has been to legally enforce social distancing through state or local shelter-in-place orders (SIPOs). This paper is the first to explore the comparative effectiveness of early county-level SIPOs versus later statewide mandates in curbing COVID-19 growth. We exploit the unique laboratory of Texas, a state in which the early adoption of local SIPOs by densely populated counties covered almost two-thirds of the state’s population prior to Texas’s adoption of a statewide SIPO on April 2, 2020. Using an event study framework, we document that countywide SIPO adoption is associated with a 14 percent increase in the percent of residents who remain at home full-time, a social distancing effect that is largest in urbanized and densely populated counties. Then, we find that in early adopting counties, COVID-19 case growth fell by 19 to 26 percentage points two-and-a-half weeks following adoption of a SIPO, a result robust to controls for county-level heterogeneity in outbreak timing, coronavirus testing, and border SIPO policies. This effect is driven nearly entirely by highly urbanized and densely populated counties. We find that approximately 90 percent of the curbed growth in COVID-19 cases in Texas came from the early adoption of SIPOs by urbanized counties, suggesting that the later statewide shelter-in-place mandate yielded relatively few health benefits.
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Using tools described in our earlier work (Hassan et al., 2019, 2020), we develop text-based measures of the costs, benefits, and risks listed firms in the US and over 80 other countries associate with the spread of Covid-19 and other epidemic diseases. We identify which firms expect to gain or lose from an epidemic disease and which are most affected by the associated uncertainty as a disease spreads in a region or around the world. As Covid-19 spread globally in the first quarter of 2020, firms' primary concerns relate to the collapse of demand, increased uncertainty, and disruption in supply chains. Other important concerns relate to capacity reductions, closures, and employee welfare. Financing concerns were mentioned relatively rarely in the first quarter but appear to become a more important concern in the second quarter. We also identify some firms that foresee opportunities in new or disrupted markets due to the spread of the disease. Finally, we find some evidence that firms that have experience with SARS or H1N1 have more positive expectations about their ability to deal with the coronavirus outbreak.
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www.nber.org www.nber.org
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We study the impact of non-pharmaceutical policy interventions (NPIs) like “stay-at-home” orders on the spread of infectious disease. Local policies have little impact on the economy nor on local public health. Stay-at-home is only weakly associated with slower growth of Covid-19 cases. Reductions in observed “mobility” are not associated with slower growth of Covid-19 cases. Stay-at-home is associated with lower workplace and more residential activity, but common shocks matter much more. Moreover, job losses have been no higher in US states that implemented stay-at-home during the Covid-19 pandemic than in states that did not have stay-at-home. All of these results demonstrate that the Covid-19 pandemic is a common economic and public health shock. They also show that policy spillovers and behavioral responses are important. The tradeoff between the economy and public health in a pandemic depends strongly on what is happening elsewhere. This underscores the importance of coordinated economic and public health responses.
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There is growing concern that the COVID-19 pandemic may have severe, adverse effects on the health care sector, a sector of the economy that historically has been somewhat shielded from the business cycle. In this paper, we study one aspect of this issue by estimating the magnitude of the COVID-19 pandemic on use of outpatient health services. We use 2010-2020 data from the Outpatient Influenza-like Illness Surveillance Network (ILINet). Our findings indicate that the COVID-19 pandemic is associated with about a 67 percent decline in the total number of outpatient visits per provider by the week of April 12-18th, 2020 relative to the same week in prior years. Effects become apparent earlier in the pandemic for outpatient visits for non-flu symptoms, but we find negative effects on outpatient visits for flu symptoms as well.
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Little is known about individual beliefs concerning the Coronavirus Disease 2019 (COVID-19). Still less is known about how these beliefs influence the spread of the virus by determining social distancing behaviors. To shed light on these questions, we conduct an online experiment (n = 3,610) with participants in the US and UK. Participants are randomly allocated to a control group, or one of two treatment groups. The treatment groups are shown upper- or lower-bound expert estimates of the infectiousness of the virus. We present three main empirical findings. First, individuals dramatically overestimate the infectiousness of COVID-19 relative to expert opinion. Second, providing people with expert information partially corrects their beliefs about the virus. Third, the more infectious people believe that COVID-19 is, the less willing they are to take social distancing measures, a finding we dub the “fatalism effect”. We estimate that small changes in people's beliefs can generate billions of dollars in mortality benefits. Finally, we develop a theoretical model that can explain the fatalism effect.
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www.nber.org www.nber.org
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The threat of COVID-19 has increased the health risks of going to an office or factory, leading more workers to do their jobs remotely. In this paper, we provide results from firm surveys on both small and large businesses on the prevalence and productivity of remote work, and expectations about the persistence of remote work once the COVID-19 crisis ends. We present four main findings. First, while overall levels of remote work are high, there is considerable variation across industries. The Dingel and Neiman (2020) measure of suitability for remote work does a remarkably good job of predicting the industry level patterns of remote work - highlighting the challenge of moving many industries to remote work. Second, remote work is much more common in industries with better educated and better paid workers. Third, in our larger survey, employers think that there has been less productivity loss from remote working in better educated and higher paid industries. Fourth, more than one-third of firms that had employees switch to remote work believe that remote work will remain more common at their company even after the COVID-19 crisis ends.
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www.nber.org www.nber.org
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We summarize some of the early effects and discuss possible future effects of the COVID-19 pandemic and recession on the employment outcomes of older workers in the United States. We start by discussing what we know about how older workers faired in prior recessions in the United States and how COVID-19 and this recession may differ. We then estimate some early effects of the COVID-19 pandemic and recession on employment and unemployment rates by age group and sex using Current Population Survey data. We calculate employment and unemployment rates multiple ways to account for the complicated employment situation and possible errors in survey enumeration. We find that while previous recessions, in some ways, did not affect employment outcomes for older workers as much, this recession disproportionately affected older workers of ages 65 and older. For example, we find that unemployment rates in April 2020 increased to 15.43% for those ages 65 and older, compared to 12.99% for those ages 25-44. We also find that COVID-19 and the recession disproportionately affected women, where women have reached higher unemployment rates than men, which was consistent for all age groups and unemployment rate measures we used.
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www.nber.org www.nber.org
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We make several contributions to understanding how the COVID-19 epidemic and policy responses have affected U.S. labor markets, benchmarked against two previous recessions. First, monthly Current Population Survey (CPS) data show greater declines in employment in April 2020 (relative to February) for Hispanics, workers aged 20 to 24, and those with high school degrees and some college. Second, we show that job loss was larger in occupations that require more interpersonal contact and that cannot be performed remotely. Pre-epidemic sorting into occupations with more potential for remote work and industries that are currently essential explain a large share of gaps in recent unemployment for key racial, ethnic, age, and education sub-populations. However, there is a larger unexplained component to the gender employment gaps. We also address measurement issues known to have affected the March and April 2020 CPS. In particular, non-response increased dramatically, especially among the incoming rotation groups. Some of the increase appears non-random, but is not likely to be driving our conclusions. We also demonstrate the importance of tracking workers who report having a job but being absent, in addition to tracking employed and unemployed workers. We conclude with a discussion of policy priorities implied by the disparities in labor market losses from the COVID-19 crisis that we identify.
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www.nber.org www.nber.org
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During health crises, like COVID-19, individuals are inundated with messages promoting health-preserving behavior. Does additional light-touch messaging by a credible individual change behavior? Do the features of the message matter? To answer this, we conducted a large-scale messaging campaign in West Bengal, India. Twenty-five million individuals were sent an SMS containing a 2.5-minute clip, delivered by West Bengal native and 2019 Nobel laureate Abhijit Banerjee. All messages encouraged reporting symptoms to the local public health worker. In addition, each message emphasizes one health-preserving behavior (distancing or hygiene) and one motivation for action (effects on everyone or just on self). Further, some messages addressed concerns about ostracism of the infected. Messages were randomized at the PIN code level. As control, three million individuals received a message pointing them to government information. The campaign (i) doubled the reporting of health symptoms to the community health workers (p = 0.001 for fever, p = 0.024 for respiratory symptoms); (ii) decreased travel beyond one’s village in the last two days by 20% (p = 0.026) (on a basis of 37% in control) and increased estimated hand-washing when returning home by 7% (p = 0.044) (67.5% in control); (iii) spilled over to behaviors not mentioned in the message – mask-wearing was never mentioned but increased 2% (p = 0.042), while distancing and hygiene both increased in the sample where they were not mentioned by similar amounts as where they were mentioned; (iv) spilled over onto nonrecipients within the same community, with effects similar to those for individuals who received the messages.
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today.law.harvard.edu today.law.harvard.edu
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Harvard Law faculty and alumni weigh in on what it will take to run safe and reliable elections in the age of COVID-19 (function (window, $, undefined) { WebFont.load({ google: { families: ['Playfair Display'] } }); $(document).ready(function () { $('#feature-title').css({ 'font-family': 'Playfair Display', 'font-size': '2.625em', 'font-weight': 900, 'font-style': 'normal', 'text-transform': 'none' }); $('#feature-subtitle').css({ 'font-family': '"franklin-gothic-urw", sans-serif', 'font-size': '1.3125em', 'clear': 'both' }) }); })(window, jQuery);
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covid-19.iza.org covid-19.iza.org
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We use the synthetic control method to analyze the effect of face masks on the spread of Covid-19 in Germany. Our identification approach exploits regional variation in the point in time when face masks became compulsory. Depending on the region we analyse, we find that face masks reduced the cumulative number of registered Covid-19 cases between 2.3% and 13% over a period of 10 days after they became compulsory. Assessing the credibility of the various estimates, we conclude that face masks reduce the daily growth rate of reported infections by around 40%.
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covid-19.iza.org covid-19.iza.org
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We use a repeated large-scale survey of households in the Nielsen Homescan panel to characterize how labor markets are being affected by the covid-19 pandemic. We document several facts. First, job loss has been significantly larger than implied by new unemployment claims: we estimate 20 million lost jobs by April 8th, far more than jobs lost over the entire Great Recession. Second, many of those losing jobs are not actively looking to find new ones. As a result, we estimate the rise in the unemployment rate over the corresponding period to be surprisingly small, only about 2 percentage points. Third, participation in the labor force has declined by 7 percentage points, an unparalleled fall that dwarfs the three percentage point cumulative decline that occurred from 2008 to 2016. Early retirement almost fully explains the drop in labor force participation both for those survey participants previously employed and those previously looking for work.
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www.nature.com www.nature.com
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Look beyond gender — if research thrives on collaboration, a book asks, why do we reward individualism?
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covid-19.iza.org covid-19.iza.org
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Employment rates in the United States fell dramatically between February 2020 and April 2020 as the initial repercussions of the COVID-19 pandemic reverberated through the labor market. This paper uses data from the CPS Basic Monthly Files to document that the employment decline was particularly severe for immigrants. Historically, immigrant men were more likely to be employed than native men. The COVID-related labor market disruptions eliminated the immigrant employment advantage. By April 2020, immigrant men had lower employment rates than native men. The reversal occurred both because the rate of job loss for at-work immigrant men rose relative to that of natives, and because the rate at which out-of-work immigrants could find jobs fell relative to the native job-finding rate. A small part of the relative increase in the immigrant rate of job loss arises because immigrants were less likely to work in jobs that could be performed remotely and suffered disparate employment consequences as the lockdown permitted workers with more “remotable” skills to continue their work from home.
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context-cdn.washingtonpost.com context-cdn.washingtonpost.com
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Limited data are available about transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), among youths. During June 17–20, an overnight camp in Georgia (camp A) held orientation for 138 trainees and 120 staff members; staff members remained for the first camp ses-sion, scheduled during June 21–27, and were joined by 363 campers and three senior staff members on June 21. Camp A adhered to the measures in Georgia’s Executive Order* that allowed overnight camps to operate beginning on May 31, including requiring all trainees, staff members, and campers to provide documentation of a negative viral SARS-CoV-2 test ≤12 days before arriving. Camp A adopted most† components of CDC’s Suggestions for Youth and Summer Camps§ to minimize the risk for SARS-CoV-2 introduction and transmis-sion. Measures not implemented were cloth masks for campers and opening windows and doors for increased ventilation in buildings. Cloth masks were required for staff members. Camp attendees were cohorted by cabin and engaged in a variety of indoor and outdoor activities, including daily vigorous singing and cheering. On June 23, a teenage staff member left camp A after developing chills the previous evening. The staff member was tested and reported a positive test result for SARS-CoV-2 the following day (June 24).
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covid-19.iza.org covid-19.iza.org
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We model the evolution of the number of individuals that are reported to be sick with COVID-19 in Germany. Our theoretical framework builds on a continuous time Markov chain with four states: healthy without infection, sick, healthy after recovery or after infection but without symptoms and dead. Our quantitative solution matches the number of sick individuals up to the most recent observation and ends with a share of sick individuals following from infection rates and sickness probabilities. We employ this framework to study inter alia the expected peak of the number of sick individuals in a scenario without public regulation of social contacts. We also study the effects of public regulations. For all scenarios we report the expected end of the CoV-2 epidemic
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covid-19.iza.org covid-19.iza.org
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We study how intentions to comply with the self-isolation restrictions enacted in Italy in response to the COVID-19 crisis respond to the length of their possible extension. Based on a survey of a representative sample of Italian residents (N=894), we find that respondents who are positively surprised by a given hypothetical extension (i.e. the extension is shorter than what they expected) are more willing to increase their self-isolation. In contrast, negative surprises (extensions longer than expected) relate with a lower willingness to comply. In a context where individual compliance has collective benefits, but full enforcement is costly and controversial, communication and persuasion have a fundamental role. Our findings provide insights to public authorities on how to announce lockdown measures and manage people’s expectations.
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covid-19.iza.org covid-19.iza.org
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The COVID19 crisis has hit labor markets. School and child-care closures have put families with children in challenging situations. We look at Germany and quantify the macroeconomic importance of working parents. We document that 26 percent of the German workforce have children aged 14 or younger and estimate that 11 percent of workers and 8 percent of all working hours are affected if schools and child-care centers remain closed. In most European countries, the share of affected working hours is even higher. Policies to restart the economy have to accommodate the concerns of these families.
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covid-19.iza.org covid-19.iza.org
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The COVID-19 pandemic has wrought havocs on economies around the world. Yet, barely any evidence currently exists on the distributional impacts of the pandemic. We provide the first study that offers new theoretical and empirical evidence on the distributional impacts of the pandemic on different income groups in a multi-country setting. Analyzing rich individual-level data from a six-country survey, we find that while the outbreak has no impacts on household income losses, it results in a 65-percent reduction in the expected own labor income for the second-poorest income quintile. The impacts of the pandemic are most noticeable in terms of savings, with all the four poorer income quintiles suffering reduced savings ranging between 5 and 7 percent compared to the richest income quintile. The poor are also less likely to change their behaviors, both in terms of immediate prevention measures against COVID-19 and healthy activities. We also find countries to exhibit heterogeneous impacts. The United Kingdom has the least household income loss and expected labor income loss, and the most savings. Japanese are least likely to adapt behavioral changes, but Chinese, Italians, and South Koreans wash their hands and wear a mask more often than Americans.
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covid-19.iza.org covid-19.iza.org
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What will be political legacy of the Coronavirus pandemic? We find that epidemic exposure in an individual’s “impressionable years” (ages 18 to 25) has a persistent negative effect on confidence in political institutions and leaders. We find similar negative effects on confidence in public health systems, suggesting that the loss of confidence in political leadership and institutions is associated with healthcare-related policies at the time of the epidemic. In line with this argument, our results are mostly driven by individuals who experienced epidemics under weak governments with less capacity to act against the epidemic, disappointing their citizens. We provide evidence of this mechanism by showing that weak governments took longer to introduce policy interventions in response to the COVID-19 outbreak. These results imply that the Coronavirus may leave behind a long-lasting political scar on the current young generation (“Generation Z”).
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covid-19.iza.org covid-19.iza.org
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We study the gender dimension of occupational exposure to contagious diseases spread by the respiratory or close-contact route. We show that in Europe, women are more exposed to contagion, as they are more likely than men to work in occupations that require contact with diseases, frequent contact with clients, and high levels of physical proximity at work. Women are also more likely than men to be unable to work from home, which contributes to their increased exposure. Gender is a more important factor in workers’ exposure to contagion than their education or age. This gender difference in exposure can be largely attributed to patterns of sectoral segregation, and to the segregation of women within sectors into occupations that require more interpersonal interactions. While workers in Southern European countries are the most exposed to contagion, the gender differences in exposure are greatest in the Nordic and Continental European countries.
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covid-19.iza.org covid-19.iza.org
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Using a survey module administered in late March 2020, we analyze how working hours change under the social distancing regulations enacted to fight the CoViD-19 pandemic. We study the Netherlands, which are a prototypical Western European country, both in terms of its welfare system and its response to the pandemic. We show that total hours decline and more so for the self-employed and those with lower educational degrees. The education gradient appears because workers with a tertiary degree work a much higher number of hours from home. The strength of this effect is dampened by the government defining some workers to be essential for the working of the economy. Across sectors, we show that there are two clusters: One dominated by office-type occupations with high shares of academics, home-office hours, and low fractions of essential workers; and one where manual tasks and social interactions are prevalent with low shares of academics, home office hours, and often high shares of essential workers. Short-term expectations show that workers expect current patterns to prevail and that they expect a lot from government support schemes. In particular, many workers expect to keep their jobs in early June due to government support and the expected unemployment response is far lower than in the U.S. or the U.K..
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ftp.iza.org ftp.iza.org
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We analyze the consequences of the decision of French government to maintain the first round of the municipal elections on March 15, 2020 on local excess mortality in the following weeks. We exploit heterogeneity across municipalities in voter turnout, which we instrument using a measure of the intensity of local competition. The results reveal that a higher turnout was associated with a significantly higher death counts for the elderly population in the five weeks after the elections. If the historically low turnout in 2020 had been at its 2014 level, the number of deaths would have been 21.8 percent higher than the one that was recorded. More than three quarters of these additional deaths would have occurred among the individuals aged 80 and above
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www.theguardian.com www.theguardian.com
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Exclusive: experts say decisions apparently being made on ideological grounds
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covid-19.iza.org covid-19.iza.org
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Covid-19 and the measures taken to contain it have led to unprecedented constraints on work and leisure activities, across the world. This paper uses nationally representative surveys to document how people of different ages and incomes have been affected across six countries (China, South Korea, Japan, Italy, UK and US). We first document changes in income/work and leisure. Second, we document self-reported negative and positive non-financial effects of the crisis. We then examine attitudes towards recommendations (wearing a mask in particular) and the approach taken by public authorities. We find similarities across countries in how people of different generations have been affected. Young people have experienced more drastic changes to their lives, and overall they are less supportive of these measures. These patterns are less clear across income groups: while some countries have managed to shield lower income individuals from negative consequences, others have not. We also show that how people have been affected by the crisis (positively or negatively) does little to explain whether or not they support measures implemented by the public authorities. Young people are overall less supportive of such measures independently of how they have been affected.
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covid-19.iza.org covid-19.iza.org
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A firm’s expectation about the future business cycle is an important determinant of the decision to train apprentices. As German firms typically train apprentices to either fill future skilled worker positions, or as a substitute for other types of labor, the current coronavirus crisis will have a strong and negative impact on the German economy according to the current business cycle expectations of German firms. To the extent that the training decision of a firm depends on its perception of the business cycle, we expect a downward shift in the firm’s demand for apprentices and consequently also a decrease in the equilibrium number of apprenticeship contracts. We analyze German data on the apprenticeship from 2007 to 2019 and apply firstdifferences regressions to account for unobserved heterogeneity across states and occupations, allowing us to identify the association between changes in two popular measures of business cycle expectations (the ifo Business Climate Index and the ifo Employment Barometer) and subsequent changes in the demand for apprentices, the number of new apprenticeship contracts, unfilled vacancies and unsuccessful applicants. Taking into account the most recent data on business cycle expectations up to May 2020, we estimate that the coronavirus-related decrease in firms’ expectations about the business cycle can be associated with a predicted 9% decrease in firm demand for apprentices and an almost 7% decrease in the number of new apprenticeship positions in Germany in 2020 (-34,700 apprenticeship contracts; 95% confidence interval: +/- 8,800).
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covid-19.iza.org covid-19.iza.org
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The COVID-19 virus, also known as the coronavirus, is currently spreading around the world. While a growing literature suggests that exposure to pollution can cause respiratory illness and increase deaths among the elderly, little is known about whether increases in pollution could cause additional or more severe infections from COVID-19, which typically manifests as a respiratory infection. Using variation in pollution induced by a rollback of enforcement of environmental regulations by the Environmental Protection Agency (EPA) and a difference in differences design, we estimate the effects of increased pollution on county-level COVID-19 deaths and cases. Despite popular media coverage to the contrary, we find that counties with more Toxic Release Inventory (TRI) sites saw increases in pollution following the EPA’s rollback of enforcement, while counties with fewer sites saw a smaller increase in pollution. We find that increases in pollution are associated with increases in cases and deaths from COVID-19.
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covid-19.iza.org covid-19.iza.org
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Better understanding whether and how communities respond to government decisions is crucial for policy makers and health officials in response to the COVID-19 pandemic. In this study, we document the socioeconomic determinants of COVID-19 stay-at-home orders’ compliance in the U.S. Using cell phone data measuring changes in average distance traveled and non-essential visitation, we find that: stay-at-home orders reduce mobility by about 8–10 percentage points; high-trust counties decrease their mobility significantly more than low-trust counties post-lockdown; and counties with relatively more self-declared democrats decrease significantly more their mobility. We also provide evidence that the estimated eeffct on compliance post-lockdown is especially large for trust in the press, and relatively smaller for trust in science, medicine or government.
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www.forbes.com www.forbes.com
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I was wrong. After reading many of the responses to my article, some of them outlining the risks in greater detail, I have concluded that (1) the risks are greater than I presented them, and (2) the benefits are not as great as I had thought.
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covid-19.iza.org covid-19.iza.org
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Given the rapid spread of the COVID-19 virus, the State has had to respond rapidly and quite severely to flatten the curve and slow the spread of the virus. This has had significant implications for many aspects of life with differential impacts across the population. The lack of timely available data constrains the estimation of the scale and direction of recent changes in the income distribution, which in turn constrain policymakers seeking to monitor such developments. We overcome the lack of data by proposing a dynamic calibrated microsimulation approach to generate counterfactual income distributions as a function of more timely external data than is available in dated income surveys. We combine nowcasting methods using publicly available data and a household income generation model to perform the first calibrated simulation based upon actual data aiming to assess the distributional implications of the COVID-19 crisis in Ireland. We extend the standard definition of disposable income by adjusting for work-related expenditure, housing costs and capital losses. We find that market incomes decreased along the distribution of disposable income, but decreases in euro terms were more pronounced at the top than at the bottom. Despite this, inequality in market incomes as measured by the Gini coefficient increased over the crisis. Once we account for the decline in housing and work-related expenses, households situated among the bottom 70% of the distribution actually improved their financial situation on average, whereas losses are recorded for the top 30%.
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covid-19.iza.org covid-19.iza.org
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This paper measures the job-search responses to the COVID-19 pandemic using realtime data on vacancy postings and ad views on Sweden’s largest online job board. First, the labour demand shock in Sweden is as large as in the US, and affects industries and occupations heterogeneously. Second, the scope and direction of search change. Job seekers respond to the shock by searching less intensively and by redirecting their search towards less severely hit occupations, beyond what changes in labour demand would predict. The redirection of job search changes relative hiring costs, and has the potential to amplify labour demand shifts.
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covid-19.iza.org covid-19.iza.org
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The public health measures implemented by governments to limit the spread of the COVID-19 pandemic will produce significant economic consequences that are likely to exacerbate social and economic inequalities. In this paper we provide a framework to analyse how income inequality, besides other structural and policy-related features, shapes the trade-off between economic lockdown and contagion. We then supply empirical evidence, by means of simulation analysis, on the distributive effects of the lockdown for 31 European countries. Our results confirm that the lockdown is likely to significantly increase inequality and poverty and that the magnitude of the change is larger in more unequal countries. Such a cumulative process shapes a serious challenge for social and economic stability in the most vulnerable countries, which needs adequate policy response. However, the magnitude of the compensating measures is likely to be financially unsustainable, forcing them to lift necessary public health measures prematurely in order to avoid social collapse. This is likely to increase the risk of a new spread of the pandemic that might easily spill over to other countries. A supranational, coordinated health and fiscal policy effort is therefore in the interest of all economies willing to be part of a globalised economy.
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covid-19.iza.org covid-19.iza.org
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This paper studies the determinants of firms’ business outlook and managerial mitigation strategies in the wake of the COVID-19 crisis using a representative panel of German firms. We first demonstrate that the crisis amplifies pre-crisis weaknesses: Firms that appear relatively weak before the crisis are harder hit initially, and, on top of the initial impact, expect more difficulties for their businesses going forward. Consequently, such firms are first to cut employment and investment. Second, our results highlight that expectations regarding the duration of the shutdown—which, at this point of the crisis, exhibit plausibly random variation—are an important determinant of the chosen mitigation strategies: Firms that expect the shutdown to last longer are more likely to lay off workers and to cancel or postpone investment projects.
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covid-19.iza.org covid-19.iza.org
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In this paper, we document the short-term impact of COVID-19 on labour market outcomes in Canada. Following a pre-analysis plan, we investigate the negative impact of the pandemic on unemployment, labour force participation, hours and wages in Canada. We find that COVID-19 had drastic negative effects on labour market outcomes, with the largest effects for younger, not married, and less educated workers. We investigate whether the economic consequences of this pandemic were larger for certain occupations. We then built indices for whether (1) workers are relatively more exposed to disease, (2) work with proximity to coworkers, (3) are essential workers, and (4) can easily work remotely. Our estimates suggest that the impact of the pandemic was significantly more severe for workers more exposed to disease and workers that work in proximity to coworkers, while the effects are significantly less severe for essential workers and workers that can work remotely. Last, we rely on a unique survey, the Canadian Perspective Survey, and show that reported mental health is significantly lower among the most affected workers during the pandemic. We also find that those who were absent form work because of COVID-19 are more concerned with meeting their financial obligations and with losing their job than those who remain working outside of home, while those who transition from working outside the home to from home are not as concerned with job loss.
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covid-19.iza.org covid-19.iza.org
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We conduct a unique, Amazon MTurk-based global experiment to investigate the importance of an exponential-growth prediction bias (EGPB) in understanding why the COVID-19 outbreak has exploded. The scientific basis for our inquiry is the received wisdom that infectious disease spread, especially in the initial stages, follows an exponential function meaning few positive cases can explode into a widespread pandemic if the disease is sufficiently transmittable. We define prediction bias as the systematic error arising from faulty prediction of the number of cases x-weeks hence when presented with y-weeks of prior, actual data on the same. Our design permits us to identify the root of this under-prediction as an EGPB arising from the general tendency to underestimate the speed at which exponential processes unfold. Our data reveals that the “degree of convexity” reflected in the predicted path of the disease is significantly and substantially lower than the actual path. The bias is significantly higher for respondents from countries at a later stage relative to those at an early stage of disease progression. We find that individuals who exhibit EGPB are also more likely to reveal markedly reduced compliance with the WHO-recommended safety measures, find general violations of safety protocols less alarming, and show greater faith in their government’s actions. A simple behavioral nudge which shows prior data in terms of raw numbers, as opposed to a graph, causally reduces EGPB. Clear communication of risk via raw numbers could increase accuracy of risk perception, in turn facilitating compliance with suggested protective behaviors.
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covid-19.iza.org covid-19.iza.org
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Given the prevalence of informal labor, most countries have combined contributory social insurance programs (pensions, unemployment benefits, and health insurance), with non-contributory insurance programs and several types of “safety nets.” All of these programs involve different types of subsidies and taxes, sometimes implicit. Because of design problems and the lack of coordination/integration between programs, these subsidies/taxes tend to cause four problems: 1) they can reduce incentives to contribute to mandatory insurance programs and to create formal jobs; 2) they can be regressive since redistribution often benefits middle/high income workers more than low income workers 3) they do not provide continuous protection as workers change occupations and constrain rather than facilitate, labor mobility; and 4) coverage tends to exclude many informal sector workers in the middle of the income distribution. As such, existing programs are not well prepared to deal with a world of labor characterized by persistent low productivity jobs, more frequent labor market transitions including across sectors and geographic regions and higher equilibrium unemployment rates for some groups of workers. This paper develops a policy framework to integrate, in a transparent way, the insurance function (actuarially-fair risk pooling or savings) and the redistributive function (transfers) of the social protection system in order to expand coverage, improve equity, and reduce labor market distortions. We illustrate this type of integration with the case of old-age pensions which is typically the most important intervention, at least from a fiscal perspective.
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covid-19.iza.org covid-19.iza.org
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Stay-at-home orders (SAHOs) have been implemented in most U.S. states to mitigate the spread of COVID-19. This paper quantifies the short-run impact of these containment policies on the supply of and demand for child care. The child care market may be particularly vulnerable to a SAHO-type policy shock, given that many providers are liquidity-constrained. Using plausibly exogenous variation from the staggered adoption of SAHOs across states, we find that online job postings for early care and education teachers declined by 13% after enactment. This effect is driven exclusively by private-sector services. Indeed, hiring by public programs like Head Start and pre-kindergarten has not been influenced by SAHOs. In addition, we find little evidence that child care search behavior among households has been altered. Because forced supply-side changes appear to be at play, our results suggest that households may not be well-equipped to insure against the rapid transition to the production of child care. We discuss the implications of these results for child development and parental employment decisions.
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virtual.acc.org virtual.acc.org
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The Summer COVID-19 Education Series kicked off on Saturday, June 6 and will continue throughout the summer to offer quick dissemination of key findings and best practices in a timely and relevant way to address the global impact of COVID-19 on health care workers and patients. Join us every Thursday at 12 pm ET to participate in a virtual live session, where faculty will be on hand to answer your questions or catch the video On-Demand.Log in with your ACC account to gain access to this valuable information on COVID-19 and the subsequent impact on you and your patients. If you do not have an account, you can register for free
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www.youtube.com www.youtube.com
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Sir David Spiegelhalter joins us to discuss all things risk-related and his work as the Winton Professor of Public Understanding of Risk at Cambridge University.
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covid-19.iza.org covid-19.iza.org
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This paper presents a new data set collected on representative samples across 6 countries: China, South Korea, Japan, Italy, the UK and the four largest states in the US. The information collected relates to work and living situations, income, behavior (such as social-distancing, hand-washing and wearing a face mask), beliefs about the Covid 19 pandemic and exposure to the virus, socio-demographic characteristics and pre-pandemic health characteristics. In each country, the samples are nationally representative along three dimensions: age, gender, and household income, and in the US, it is also representative for race. The data were collected in the third week of April 2020. The data set could be used for multiple purposes, including calibrating certain parameters used in economic and epidemiological models, or for documenting the impact of the crisis on individuals, both in financial and psychological terms, and for understanding the scope for policy intervention by documenting how people have adjusted their behavior as a result of the Covid-19 pandemic and their perceptions regarding the measures implemented in their countries. The data is publicly available.
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covid-19.iza.org covid-19.iza.org
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Aggressive behavior against out-group members often rises during periods of economic hardship and health pandemics. Here, we test the widespread concern that the Covid-19 crisis may fuel hostility against people from other nations or ethnic minorities. Using a controlled money-burning task, we elicited hostile behavior among a nationally representative sample (n=2,186) in the Czech Republic, at a time when the entire population was under lockdown. We provide causal evidence that exogenously elevating salience of the Covid-19 crisis magnifies hostility against foreigners. This behavioral response is similar across various demographic sub-groups. The results underscore the importance of not inflaming anti-foreigner sentiments and suggest that efforts to restore international trade and cooperation will need to address both social and economic damage.
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covid-19.iza.org covid-19.iza.org
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One of the most common policy prescriptions to reduce the spread of COVID-19 has been to legally enforce social distancing through state or local shelter-in-place orders (SIPOs). This paper is the first to explore the comparative effectiveness of early county-level SIPOs versus later statewide mandates in curbing COVID-19 growth. We exploit the unique laboratory of Texas, a state in which the early adoption of local SIPOs by densely populated counties covered almost two-thirds of the state’s population prior to Texas’s adoption of a statewide SIPO on April 2, 2020. Using an event study framework, we document that countywide SIPO adoption is associated with a 14 percent increase in the percent of residents who remain at home full-time, a social distancing effect that is largest in urbanized and densely populated counties. Then, we find that in early adopting counties, COVID-19 case growth fell by 19 to 26 percentage points two-and-a-half weeks following adoption, a result robust to controls for county-level heterogeneity in outbreak timing, coronavirus testing, and border SIPO policies. This effect is driven nearly entirely by highly urbanized and densely populated counties. In total, we find that approximately 90 percent of the curbed growth in statewide COVID-19 cases in Texas came from the early adoption of SIPOs by urbanized counties. These results suggest that the later statewide mandate yielded relatively few health benefits.
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covid-19.iza.org covid-19.iza.org
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COVID-19 abruptly impacted the labor market with the unemployment rate jumping to 14.7 percent less than two months after state governments began adopting social distancing measures. Unemployment of this magnitude has not been seen since the Great Depression. This paper provides the first study of how the pandemic impacted minority unemployment using CPS microdata through April 2020. African-Americans experienced an increase in unemployment to 16.6 percent, less than anticipated based on previous recessions. In contrast, Latinx, with an unemployment rate of 18.2 percent, were disproportionately hard hit by COVID-19. Adjusting for concerns of the BLS regarding misclassification of unemployment, we create an upper-bound measure of the national unemployment rate of 26.5 percent, which is higher than the peak observed in the Great Depression. The April 2020 upper-bound unemployment rates are an alarming 31.8 percent for blacks and 31.4 percent for Latinx. Difference-in-difference estimates suggest that blacks were, at most, only slightly disproportionately impacted by COVID-19. Non-linear decomposition estimates indicate that a slightly favorable industry distribution partly protected them being hit harder by COVID-19. The most impacted group are Latinx. Difference-in-difference estimates unequivocally indicate that Latinx were disproportionately impacted by COVID-19. An unfavorable occupational distribution and lower skills contributed to why Latinx experienced much higher unemployment rates than whites. These findings of early impacts of COVID-19 on unemployment raise important concerns about long-term economic effects for minorities.
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covid-19.iza.org covid-19.iza.org
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This paper investigates the role of testing and age-composition in the Covid-19 epidemic. We augment a standard SIR epidemiological model with individual choices regarding how much time to spend working and consuming outside the house, both of which increase the risk of transmission. Individuals who have flu symptoms are unsure whether they caught Covid-19 or simply a common cold. Testing reduces the time of uncertainty. Individuals are heterogeneous with respect to age. Younger people are less likely to die, exacerbating their willingness to take risks and to impose externalities on the old. We explore heterogeneous policy responses in terms of testing, confinements, and selective mixing by age group.
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covid-19.iza.org covid-19.iza.org
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COVID-19 substantially decreased employment, but the effects vary among demographic and socioeconomic groups. We document the employment losses in April 2020 across various groups using the U.S. Current Population Survey. The unemployment rate understates employment losses. We focus on the percentage of the civilian population that is employed and at work. Young persons experienced the largest employment losses. Individuals with less education and lower family income experienced much larger employment losses than their more educated and higher income counterparts. Hispanics and blacks were more adversely affected than whites.
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covid-19.iza.org covid-19.iza.org
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Governments across the globe have responded to the threat of the Covid-19 virus by imposing substantial lockdown measures largely guided by epidemiological concerns. These lockdowns come at significant economic costs with increased risk of e.g. mass unemployment. Recently, debates have emerged on how to design reopening strategies that achieve the largest possible economic gains while constraining the spread of the virus. The present paper identifies five central challenges economists face in delineating the trade-off between containing the virus from spreading and the economic consequences and costs of lockdown measures. While the principle of tradeoffs is at the core of economics, the road to actually operationalizing this perspective on Covid-19-related lockdown measures is still unpaved. We present several workarounds to the identified challenges based on a recently prepared economic expert assessment commissioned by the Danish government. A reduced form indicator for virus spread pressure is developed and mapped against economic indicators. The resulting tool captures the trade-off between health and economic concerns and can guide the design of reopening strategies.
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covid-19.iza.org covid-19.iza.org
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Capital income subsidies, and reliance on indirect consumption taxes have created an increasingly regressive overall tax system in the UK, US and elsewhere, with proportionately much greater impact on the poor than on the rich, and welfare cuts under ten years of austerity have had the largest impact on the most vulnerable and poorest, now magnified by the Covid-19 pandemic. We show how a progressive wealth tax combined with a uniform, linear tax on all incomes and a modest basic income, with no exemptions or reliefs and no indirect taxes except excise taxes such as fuel duties, could be highly progressive overall, as well as much fairer and simpler than the present system. Such reform would render the economy much more resilient, and potentially devastating economic consequences of the pandemic could be mitigated by an emergency basic income and suspension of rental payments.
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covid-19.iza.org covid-19.iza.org
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Some commentators argue for a fairly general release from COVID-19 lockdown. That has a troubling flaw. It ignores the fatality risks that will then be faced by citizens in midlife and older. This paper provides information on the strong age-pattern in the risk of death from three countries (China, Italy, the UK). If politicians want an imminent removal of the lockdown, the safest approach in our judgment would be a rolling age-release strategy combined with the current principle of social distancing. But even if that is not the policy adopted, citizens need to be shown graphs of the kind in this paper. Honest guidance ought to be given to those in midlife and beyond. Governments have to allow people to understand their personal risk after any release from lockdown.
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covid-19.iza.org covid-19.iza.org
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While degraded trust and cohesion within a country are often shown to have large socioeconomic impacts, they can also have dramatic consequences when compliance is required for collective survival. We illustrate this point in the context of the COVID-19 crisis. Policy responses all over the world aim to reduce social interaction and limit contagion. Using data on human mobility and political trust at regional level in Europe, we examine whether the compliance to these containment policies depends on the level of trust in policy makers prior to the crisis. Using a double difference approach around the time of lockdown announcements, we find that high-trust regions decrease their mobility related to non-necessary activities significantly more than low-trust regions. We also exploit country and time variation in treatment using the daily strictness of national policies. The efficiency of policy stringency in terms of mobility reduction significantly increases with trust. The trust effect is nonlinear and increases with the degree of stringency. We assess how the impact of trust on mobility potentially translates in terms of mortality growth rate.
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www.theguardian.com www.theguardian.com
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The threat of coronavirus should kindle global cooperation, not a new cold war
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www.thelancet.com www.thelancet.com
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BackgroundHealth-care workers are thought to be highly exposed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to investigate the prevalence of antibodies against SARS-CoV-2 in health-care workers and the proportion of seroconverted health-care workers with previous symptoms of COVID-19.MethodsIn this observational cohort study, screening was offered to health-care workers in the Capital Region of Denmark, including medical, nursing, and other students who were associated with hospitals in the region. Screening included point-of-care tests for IgM and IgG antibodies against SARS-CoV-2. Test results and participant characteristics were recorded. Results were compared with findings in blood donors in the Capital Region in the study period.FindingsBetween April 15 and April 23, 2020, we screened 29 295 health-care workers, of whom 28 792 (98·28%) provided their test results. We identified 1163 (4·04% [95% CI 3·82–4·27]) seropositive health-care workers. Seroprevalence was higher in health-care workers than in blood donors (142 [3·04%] of 4672; risk ratio [RR] 1·33 [95% CI 1·12–1·58]; p<0·001). Seroprevalence was higher in male health-care workers (331 [5·45%] of 6077) than in female health-care workers (832 [3·66%] of 22 715; RR 1·49 [1·31–1·68]; p<0·001). Frontline health-care workers working in hospitals had a significantly higher seroprevalence (779 [4·55%] of 16 356) than health-care workers in other settings (384 [3·29%] of 11 657; RR 1·38 [1·22–1·56]; p<0·001). Health-care workers working on dedicated COVID-19 wards (95 [7·19%] of 1321) had a significantly higher seroprevalence than other frontline health-care workers working in hospitals (696 [4·35%] of 15 983; RR 1·65 [1·34–2·03]; p<0·001). 622 [53·5%] of 1163 seropositive participants reported symptoms attributable to SARS-CoV-2. Loss of taste or smell was the symptom that was most strongly associated with seropositivity (377 [32·39%] of 1164 participants with this symptom were seropositive vs 786 [2·84%] of 27 628 without this symptom; RR 11·38 [10·22–12·68]). The study is registered at ClinicalTrials.gov, NCT04356560.InterpretationThe prevalence of health-care workers with antibodies against SARS-CoV-2 was low but higher than in blood donors. The risk of SARS-CoV-2 infection in health-care workers was related to exposure to infected patients. More than half of seropositive health-care workers reported symptoms attributable to COVID-19.FundingLundbeck Foundation.
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psyarxiv.com psyarxiv.com
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How can online communication most effectively respond to misinformation posted on social media? Recent studies examining the content of corrective messages provide mixed results – several studies suggest that politer, hedged messages may increase engagement with corrections, while others favor direct messaging which does not shed doubt on the credibility of the corrective message. Furthermore, common debunking strategies often include keeping the message simple and clear, while others recommend including a detailed explanation of why the initial misinformation is incorrect. To shed more light on how correction style affects correction efficacy, we manipulated both correction strength (direct, hedged) and type (negation, explanation) in response to participants from Amazon Mechanical Turk (N = 2,228) who indicated they would share a false story in a survey experiment. We found minimal evidence suggesting that correction strength or type affects correction engagement, both in terms of likelihood of replying, and accepting or resisting corrective information. However, we do find that analytic thinking and active open-minded thinking are associated with greater updating of beliefs in response to corrective messages, regardless of correction style. Our results help shed light on the efficacy of user-generated corrections of misinformation on social media.
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psyarxiv.com psyarxiv.com
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Resilience, as a trait, process, or outcome, is an important factor to explain behavioral diversity between individuals and population groups in face of stress and adversity. Individuals and groups who can bounce back shorty after stressful events, experience less severe negative emotions (depression, anxiety) and manage situations through efficient problem-solving strategies are categorized as resilient. Enhancing populations’ and individuals’ resilience becomes a central strategy for prevention of maladaptive behaviors, especially among adolescents. Several psychosocial interventions, mostly taking a positive psychology approach, improve resilience and reduce disruptive behaviors (e.g., using illicit drug and alcohol or self-harm behaviors) among adolescents. However, the role of brain awareness and training interventions targeting cognitive underpinning of resilience is not fully explored. In this chapter, we firstly review the existing literature and address the interventions that indirectly increase cognitive resilience among school-aged adolescents. Then we introduce the Promoting Cognitive Resilience (ProCoRe), a new multi-modal cognitive resilience training program, that taps different cognitive functions that are documented to be effective in the neuroscience literature. Clinical and public health implications of the ProCoRe as a prevention program to empower adolescents to avoid high risk behaviors in face of stressful through effective emotion regulation and impulse control. are discussed.
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Political polarization, or the ideological distance between the political left and right, has grown steadily in recent decades. There is a rising concern over the role that ‘bad actors’ or trolls may play in polarization in online networks. In this research, we examine the processes by which trolls may sow intergroup conflict through polarizing rhetoric. We developed a dictionary to gauge online polarization by measuring language associated with communications that display partisan bias in their diffusion. We validated the polarized language dictionary in three different contexts and across multiple time periods. We found the polarization dictionary made out-of-set predictions, generalized to new political contexts (#BlackLivesMatter), and predicted partisan differences in public polls about COVID-19. Then we analyzed 383,510 tweets from a known Russian troll source (the Internet Research Agency) and found that their use of polarized language has increased over time. We also compared troll tweets from 3 different countries (N = 798,33) and found that they all utilize more polarized language on average than a control dataset of tweets from regular Americans (N = 1,507,300) and trolls have dramatically increased their use of polarized rhetoric over time. These results illustrate how trolls leverage polarized language. We also provide an open-source, simple tool for exploration of polarized communications on social media.
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psyarxiv.com psyarxiv.com
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This study empirically investigates the complex interplay between the severity of the coronavirus pandemic, mobility changes in retail and recreation, transit stations, workplaces, and residential areas, and lockdown measures in 88 countries of the word. To conduct the study, data on mobility patterns, socioeconomic and demographic characteristics of people, lockdown measures, and coronavirus pandemic were collected from multiple sources (e.g., Google, UNDP, UN, BBC, Oxford University, Worldometer). A Structural Equation Modeling (SEM) technique is used to investigate the direct and indirect effects of independent variables on dependent variables considering the intervening effects of mediators. Results show that lockdown measures have significant effects to encourage people to maintain social distancing. However, pandemic severity and socioeconomic and institutional factors have limited effects to sustain social distancing practice. The results also explain that socioeconomic and institutional factors of urbanity and modernity have significant effects on pandemic severity. Countries with a higher number of elderly people, employment in the service sector, and higher globalization trend are the worst victims of the coronavirus pandemic (e.g., USA, UK, Italy, and Spain). Social distancing measures are reasonably effective at tempering the severity of the pandemic.
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psyarxiv.com psyarxiv.com
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Higher educational institutions around the world were affected by COVID-19 pandemic. The applicability of social distancing measures requires an adaptation from in-person teaching in the classroom to remote teaching. This context demands extra planning for both the professors and the students. In this article, we have created guidelines to support the work of university managers, to assess and deal with difficulties and restrictions imposed by the emergency situation, caused by the pandemic, to promote viable and safe working and pedagogical conditions to teachers and students. We draw these guidelines based on a higher education conception oriented to the development of professional performance (as opposed to the transmission of educational content) and on variables that interfere in the educational process.
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www.thelancet.com www.thelancet.com
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BackgroundData for front-line health-care workers and risk of COVID-19 are limited. We sought to assess risk of COVID-19 among front-line health-care workers compared with the general community and the effect of personal protective equipment (PPE) on risk.MethodsWe did a prospective, observational cohort study in the UK and the USA of the general community, including front-line health-care workers, using self-reported data from the COVID Symptom Study smartphone application (app) from March 24 (UK) and March 29 (USA) to April 23, 2020. Participants were voluntary users of the app and at first use provided information on demographic factors (including age, sex, race or ethnic background, height and weight, and occupation) and medical history, and subsequently reported any COVID-19 symptoms. We used Cox proportional hazards modelling to estimate multivariate-adjusted hazard ratios (HRs) of our primary outcome, which was a positive COVID-19 test. The COVID Symptom Study app is registered with ClinicalTrials.gov, NCT04331509.FindingsAmong 2 035 395 community individuals and 99 795 front-line health-care workers, we recorded 5545 incident reports of a positive COVID-19 test over 34 435 272 person-days. Compared with the general community, front-line health-care workers were at increased risk for reporting a positive COVID-19 test (adjusted HR 11·61, 95% CI 10·93–12·33). To account for differences in testing frequency between front-line health-care workers and the general community and possible selection bias, an inverse probability-weighted model was used to adjust for the likelihood of receiving a COVID-19 test (adjusted HR 3·40, 95% CI 3·37–3·43). Secondary and post-hoc analyses suggested adequacy of PPE, clinical setting, and ethnic background were also important factors.InterpretationIn the UK and the USA, risk of reporting a positive test for COVID-19 was increased among front-line health-care workers. Health-care systems should ensure adequate availability of PPE and develop additional strategies to protect health-care workers from COVID-19, particularly those from Black, Asian, and minority ethnic backgrounds. Additional follow-up of these observational findings is needed.
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covid-19.iza.org covid-19.iza.org
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The global spread of COVID-19 is one of the largest threats to people and governments since the Second World War. The on-going pandemic and its countermeasures have led to varying physical, psychological, and emotional experiences, shaping not just public health and the economy but also societies. We focus on one pillar of society—trust—and explore how trust correlates with the individual experiences of the pandemic. The analysis is based on a new global survey—‘Life with Corona’—and uses simple correlational statistics. We show that those who have had contact with sick people and those that are unemployed exhibit lower trust in people, institutions, and in general. By contrast, no such differences exist for those who have personally experienced symptoms of the disease. These associations vary across contexts and are not driven by concerns about personal health or the health of loved ones, but rather by increased levels of worry and stress. Our findings suggest that the effects of the pandemic go well beyond immediate health concerns, leading to important normative changes that are likely to shape how societies will emerge from the pandemic.
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covid-19.iza.org covid-19.iza.org
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We investigate the impact on work absence of a massive reduction in paid sick leave benefits. We exploit a policy change that only affected public sector workers in Spain and compare changes in the number and length of spells they take relative to unaffected private sector workers. Our results highlight a large drop in frequency mostly offset by increases in average duration. Overall, the policy did reduce number of days lost to sick leave. For some, however, return to work may have been premature as we document huge increases in both the proportion of relapses and working accidents rates.
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covid-19.iza.org covid-19.iza.org
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As the number of cases increases globally, governments and authorities have continued to use mobility restrictions that were, and still are, the only effective tool to control for the viral transmission. Yet, the relationship between public orders and behavioral parameters of social distancing observed in the community is a complex process and an important policy question. The evidence shows that adherence to public orders about the social distancing is not stable and fluctuates with degree of spatial differences in information and the level of risk aversion. This study aims to uncover the behavioural parameters of change in mobility dynamics in major Canadian cities and questions the role of people’s beliefs about how contagious the disease is on the level of compliancy to public orders. Our findings reveal that the degree of social distancing under strict restrictions is bound by choice, which is affected by the departure of people’s beliefs from the public order about how severe the effects of disease are. Understanding the dynamics of social distancing thus helps reduce the growth rate of the number of infections, compared to that predicted by epidemiological models.
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covid-19.iza.org covid-19.iza.org
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This paper investigates the effect of the lockdown on COVID-19 infections. After the 22nd of March 2020, the Italian government shut down many economic activities to limit the contagion. Sectors deemed essentials for the economy were, however, allowed to remain active. We exploit the distribution of the density of essential workers across provinces and rich administrative data in a difference in difference framework. We find that a standard deviation increase in essential workers per square kilometre leads to an additional daily registered case per 100,000 inhabitants. This is a sizeable impact, and it represents about 18% of the daily increase in COVID-19 cases after the 22nd of March. Back of envelope computations suggest that the about one third of the cases considered could be attributed to the less stringent lockdown for essential sectors, with an additional 107 million Euros in direct expenditure. Although this assessment should be taken with caution, this suggests that the less stringent lockdown came at moderate public health related economic costs. In addition, we find that these effects are heterogeneous across sectors, with services having a much larger impact than Manufacturing, while there are only small differences across geographic areas. These results are stable across a wide range of specifications and robustness check.
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covid-19.iza.org covid-19.iza.org
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Using large, geographically representative surveys from the US and UK, we document variation in the percentage of tasks workers can do from home. We highlight three dimensions of heterogeneity that have previously been neglected. First, the share of tasks that can be done from home varies considerably both across as well as within occupations and industries. The distribution of the share of tasks that can be done from home within occupations, industries, and occupation-industry pairs is systematic and remarkably consistent across countries and survey waves. Second, as the pandemic has progressed, the share of workers who can do all tasks from home has increased most in those occupations in which the pre-existing share was already high. Third, even within occupations and industries, we find that women can do fewer tasks from home. Using machine-learning methods, we extend our working-from-home measure to all disaggregated occupation-industry pairs. The measure we present in this paper is a critical input for models considering the possibility to work from home, including models used to assess the impact of the pandemic or design policies targeted at reopening the economy.
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www.theguardian.com www.theguardian.com
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Britain tops Europe’s excess deaths league table. But it will take years to fully assess the effectiveness of national responses
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www.theguardian.com www.theguardian.com
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One of the country’s most senior scientists has criticised government for the “shroud of secrecy” drawn over major decisions in the coronavirus crisis and urged ministers to be more open about the reasons behind their policies.Sir Paul Nurse, the nobel laureate and director of the Francis Crick Institute in London, said important decisions throughout the pandemic had been made in what appeared to be a “black box” of scientists, civil servants and politicians, and called for more transparency and scrutiny.
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www.theguardian.com www.theguardian.com
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Oxford professor says institutions are being forced to reopen but fears student arrivals on campus will trigger Covid-19 outbreaks
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www.theguardian.com www.theguardian.com
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Your questions answered on what type of mask to wear to cut the risk of getting Covid-19
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psyarxiv.com psyarxiv.com
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Background The COVID-19 outbreak is severely affecting overall mental health with unknown psychological consequences. The Italian Government has implemented a massive lockdown to decrease the spread of the virus. Although a strong psychological impact is possible, few evidences are still available. Past studies have shown that resilience decreases the negative effects of stress promoting mental health. For these reasons, this study aimed to examine depression, anxiety, and stress among the Italian general population during the phase characterizing by lockdown, and to investigate the role of resilience as a potential predictor. Methods A total sample of 6314 Italian people participated in this study. Participants were recruited between March 10 and May 4 2020 through an online survey, the majority of whom from Northern Italy. The Depression Anxiety Stress Scales-21 (DASS-21) (a measure of mental health status) and the Resilience Scale (RS) (a measure of resilience) were administered. Also, demographic data and lockdown related information were collected. DASS-21 cut-off scores were used to verify the mental status among the participants. Subsequently, a correlational analysis was carried out to examine relationships between DASS-21 and RS. Lastly, three hierarchical regression analyses were conducted using the three DASS-21 scales as dependent variables and the RS scales as independent variables controlling for age, gender, and education. Results The prevalence of moderate to extremely severe symptoms among participants was 36.1% for depression, 28.7% for anxiety, and 35.6% for stress. Results of correlational analysis showed that resilience factors, such as meaningfulness, self-reliance, existential aloneness, and equanimity, are inversely associated with depression, anxiety, and stress. Results of regression analyses indicated that all the resilience factors were statistically significant in predicting anxiety, while meaningfulness, perseverance, existential aloneness, and equanimity predicted depression and stress. Conclusions During the lockdown following the COVID-19 outbreak, about a third of respondents reported moderate to extremely severe depression, anxiety, and stress. The present study suggests that psychological resilience may independently contribute to low emotional distress and psychological ill-being. These findings can help explain the variability of individual responses during the COVID-19 outbreak. Psychological interventions to enhance resilience might provide useful approaches to overcome COVID-related emotional impact.
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www.wired.com www.wired.com
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Studies from around the world suggest that success depends on class size, distancing, the age of the students, and how prevalent the virus is locally.
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www.nature.com www.nature.com
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The pandemic is sabotaging the careers of researchers from under-represented groups, but institutions can help to staunch the outflow.
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psyarxiv.com psyarxiv.com
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We examined archival data from 98 countries (Study 1) and the 48 contiguous United States (Study 2) on country/state-level collectivism, COVID-19 case/death rates, relevant covariates (per-capita GDP, population density, spatial dependence), and in the U.S., percent of non-Whites. In Study 1, country-level collectivism negatively related to both cases (r = -.28) and deaths (r = -.40) in simple regressions; however, after controlling for covariates, the former became non-significant (rp = -.07), but the later remained significant (rp = -.20). In Study 2, state-level collectivism positively related to both cases (r = .56) and deaths (r = .41) in simple regressions, and these relationships persisted after controlling for all covariates except race, where a state’s non-White population dominated all other predictors of COVID-19 cases (rp = .35) and deaths (rp = .31). We discuss the strong link between race and collectivism in U.S. culture, and its implications for understanding COVID-19 responses.
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psyarxiv.com psyarxiv.com
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Critically ill patients with the Coronavirus disease 2019 (COVID-19) are dying in isolation without the comfort of their family or other social support in unprecedented numbers. Recently, healthcare teams at COVID-19 epicenters have been inundated with critically ill patients. Patients isolated for COVID-19 have had no contact with their family or loved ones and may have likely experienced death without closure. This situation highlights concerns about the psychological and spiritual well-being of patients with COVID-19 and their families, as they permanently part ways. While palliative care has advanced to address these patients' needs adequately, the COVID-19 pandemic presents several barriers that force healthcare teams to deprioritize these essential aspects of patient care. The severe acute respiratory syndrome (SARS) outbreak in 2003 gave us a glimpse of these challenges as these patients were also isolated in hospitals. Here, we discuss the importance of the biopsychosocial spiritual model in end-of-life care and its implications on patients dying with COVID-19. Furthermore, we outline an integrative approach to address the unique and holistic needs of critically ill patients dying with COVID-19. These include intentional and increased coordination with trained palliative care staff, early and frequent goals of care including discussion of end-of-life plans, broader use of technology to improve connectedness and shared decision making with patients’ families.
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www.nber.org www.nber.org
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The Federal Reserve has reacted swiftly to the COVID-19 pandemic. It has resuscitated many of its programs from the last crisis by lending to the financial sector, which we refer to as “Wall Street QE.” The Fed is now proposing to also lend directly to, and purchase debt directly from, non-financial firms, which we label “Main Street QE.” Our paper develops a new framework to compare and contrast these different policies. In a situation in which financial intermediary balance sheets are impaired, such as the Great Recession, Main Street and Wall Street QE are perfect substitutes and both stimulate aggregate demand. In contrast, for situations like the one we are now facing due to COVID-19, where the production sector is facing significant cash flow shortages, Wall Street QE becomes almost completely ineffective, whereas Main Street QE can be highly stimulative.
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academic.oup.com academic.oup.com
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Issue/problemPoor health behaviours are at the centre of most non-communicable chronic diseases and account for a significant amount of morbidity and mortality. Healthcare professionals, and especially physicians, are in a unique position to be able to positively influence their patients and aid them in changing poor health behaviours. However, most physicians report having low confidence or a lack of skills to effectively achieve this.Description of the problemThe main approach that physicians take to influence their patients’ poor health behaviours is to provide them with advice and evidence about the impact of the poor health behaviours. This strategy has been shown to have limited impact on changing patient behaviour. As such, there is a need to develop effective interventions that target changing physician health behaviour counselling behaviours, effectively, a behaviour change intervention for physicians so that they are better at helping patients change their behaviour.ResultsUsing a structured stakeholder-oriented approach (the ORBIT model for developing behavioural interventions) we have systematically developed a robust behaviour change-based continuing medical education curriculum (leveraging motivational communication), and online assessment tool to improve physician competency. These were developed by a pan-Canadian team with notable international input through the IBTN.LessonsThe use of a structured stakeholder-driven process, we have developed an intervention which seems to have greater relevancy to the target audience, lead to greater engagement, and a higher probability of implementation than a researcher led approach. Whilst the studies are still ongoing, it is anticipated that this intervention will be able to dramatically improve the health of individuals through effective health behaviour change interventions by healthcare professionals.
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www.sciencedirect.com www.sciencedirect.com
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Physician payment models are perceived to be an important strategy for improving health, access, quality, and the value of health care. Evidence is predominantly from primary care, and little is known regarding whether specialists respond similarly.We conducted a systematic review to synthesize evidence on the impact of specialist physician payment models across the domains of health care quality; clinical outcomes; utilization, access, and costs; and patient and physician satisfaction. We searched Medline, Embase, and six other databases from their inception through October 2018. Eligible articles addressed specialist physicians, payment models, outcomes of interest, and used an experimental or quasi-experimental design.Of 11,648 studies reviewed for eligibility, 11 articles reporting on seven payment reforms were included. Fee-for-service (FFS) was associated with increased desired utilization and fewer adverse outcomes (in the case of hemodialysis patients) and better access to care (in the case of emergency department services). Replacing FFS with capitation and salary models led to fewer elective surgical procedures (cataracts and tubal ligations) and, with an episode-based model, appeared to increase the use of less costly resources. Four of the seven reforms met their goals but many had unintended consequences.Payment model appears to affect utilization of specialty care, although the association with other outcomes is unclear due to mixed results or lack of evidence. Studies of salary and salary-based reforms point to specialists responding to some incentives differently than theory would predict. Additional research is warranted to improve the evidence driving specialist payment policy.
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www.sciencedirect.com www.sciencedirect.com
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Handwashing is widely accepted as being key to the prevention of hospital-acquired infection but the frequency of handwashing by healthcare workers has been found to be low. A systematic critical literature review was conducted to establish the effectiveness of interventions aimed at increasing compliance with handwashing in healthcare workers.The results showed that one-off educational interventions have a very short-term influence on handwashing behaviour. Use of strategically placed reminders, or asking patients to remind staff of the need to conduct handwashing can have a modest but more sustained effect. Feedback of performance can increase levels of handwashing but if feedback is not repeated regularly, then this effect is not maintained over long periods. Automated sinks increase the quality of handwashing but healthcare workers can be discouraged from using these because of the additional time involved. Provision of moisturized soaps appears to make little difference to handwashing behaviour but providing 'dry' hand rubs near patient beds may lead to a minimal increase in the frequency with which staff decontaminate their hands. Multifaceted approaches which combine education with written material, reminders and continued feedback of performance can have an important effect on handwashing compliance and rates of hospital-acquired infection.
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www.cambridge.org www.cambridge.org
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The frequency of handwashing in two intensive care units (ICUs) was observed. Handwashing after direct contact with patients or their support equipment was recorded. The ratio of beds to sinks was 1:1 in the medical ICU and 4:1 in the surgical ICU. Surveillance of physicians, nurses, and other personnel demonstrated a greater frequency of handwashing by nurses (63%) compared with physicians (19%) and other personnel (25%). The nurses in the unit with one sink per bed had a significantly greater number of handwashes (76%) than those in the unit with fewer sinks (51%).
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www.cambridge.org www.cambridge.org
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Objective:To determine the motivating and behavioral factors responsible for improving compliance with hand washing among physicians.Design:Five unobtrusive, observational studies recording hand washing after direct patient contact, with study results reported to physicians.Setting:A 450-bed hospital in a health maintenance organization with an 18-bed medical-surgical intensive care unit (ICU) and a 12-bed cardiac care unit.Methods:An infectious disease physician met individually with participants to report study results and obtain a commitment to hand washing guidelines. Follow-up interviews were conducted to evaluate behavioral factors and educational programs. Hand washing study results were presented to all staff physicians by live and videotaped inservice presentations and electronic mail (e-mail) newsletters. The importance of influencing factors and the educational effectiveness of the hand washing program were evaluated.Results:Five observational hand washing studies were conducted in the ICU between April 1999 and September 2000. Rates of physician compliance with hand washing were 19%, 85%, 76%, 74%, and 68%, respectively. There were 71 initial encounters and 55 follow-up interviews with the same physicians. Physician interviews revealed that 73% remembered the initial encounter, 70% remembered the hand washing inservice presentations, and 18% remembered the e-mail newsletters. Personal commitment and meeting with an infectious disease physician had the most influence on hand washing behavior. Direct inservice presentations (either live or videotaped) had more influence than did e-mail information. Rates of ventilator-associated pneumonia did not significantly change before and during the study periods. A decrease in the rate of central-line–related bloodstream infections from 3.2 to 1.4 per 1,000 central-line days was found, but could not be solely attributed to improved physician compliance with hand washing.Conclusions:Physician compliance with hand washing can improve. Personal encounters, direct meetings with an infectious disease physician, and videotaped presentations had the greatest impact on physician compliance with hand washing at our medical center, compared with newsletters sent via e-mail. Local data on compliance with hand washing and physician involvement are factors to be considered for physician hand washing compliance programs in other medical centers.
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journals.plos.org journals.plos.org
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The modeling of the spreading of communicable diseases has experienced significant advances in the last two decades or so. This has been possible due to the proliferation of data and the development of new methods to gather, mine and analyze it. A key role has also been played by the latest advances in new disciplines like network science. Nonetheless, current models still lack a faithful representation of all possible heterogeneities and features that can be extracted from data. Here, we bridge a current gap in the mathematical modeling of infectious diseases and develop a framework that allows to account simultaneously for both the connectivity of individuals and the age-structure of the population. We compare different scenarios, namely, i) the homogeneous mixing setting, ii) one in which only the social mixing is taken into account, iii) a setting that considers the connectivity of individuals alone, and finally, iv) a multilayer representation in which both the social mixing and the number of contacts are included in the model. We analytically show that the thresholds obtained for these four scenarios are different. In addition, we conduct extensive numerical simulations and conclude that heterogeneities in the contact network are important for a proper determination of the epidemic threshold, whereas the age-structure plays a bigger role beyond the onset of the outbreak. Altogether, when it comes to evaluate interventions such as vaccination, both sources of individual heterogeneity are important and should be concurrently considered. Our results also provide an indication of the errors incurred in situations in which one cannot access all needed information in terms of connectivity and age of the population.
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debunkingdenialism.com debunkingdenialism.com
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There is currently a tsunami of misinformation out there about how Sweden handled the coronavirus pandemic. Sweden did not opt to use a brief hard lockdown like many other countries, but instead put into place a robust set of long-term restrictions that combined both legal bans and voluntary guidelines. This was because leaving a hard lockdown would probably cause a major increase in number of cases as societies opened up again.
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www.bloomberg.com www.bloomberg.com
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The U.S. economy suffered its sharpest downturn since at least the 1940s in the second quarter, highlighting how the pandemic has ravaged businesses across the country and left millions of Americans out of work.Gross domestic product shrank 9.5% in the second quarter from the first, a drop that equals an annualized pace of 32.9%, the Commerce Department’s initial estimate showed on Thursday. That’s the steepest annualized decline in quarterly records dating back to 1947 and compares with analyst estimates for a 34.5% contraction. Personal spending, which makes up about two-thirds of GDP, slumped an annualized 34.6%, also the most on record.
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Up until 2019, `psychological reform' mostly meant methodological and statistical reform of empirical research practices in psychology. Since then, however, we have seen a surge of proposals for theoretical reform. While those calling for theoretical reform may agree on many things, they also do not form a monolith. One aim of the present commentary is to highlight some of this diversity by commenting on Fried's target article in this broader context.
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www.youtube.com www.youtube.com
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In response to the COVID-19 crisis, the MyData community is hosting weekly & bi-weekly calls to showcase the latest human-centric solutions, apps & initiatives.
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www.youtube.com www.youtube.comYouTube2
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Jane Greatorex is Senior Tutor, Undergraduate and Graduate Tutor and Director of Studies in Pre-Clinical Medical and Veterinary Sciences at Lucy Cavendish College. She has had a long career in academic and clinical science, specializing in the blood borne viruses and, until September 2017, was responsible for streamlining and improving HIV diagnostic services at Addenbrookes Hospital, Cambridge. As a scientist used to working in high containment laboratories, she was a team leader in Sierra Leone during the Ebola outbreak in 2015 and remains on the list of scientists that may be called upon to respond in the event of a similar occurrence. She remains involved in a number of research projects, specifically exploring the use of next generation sequencing for the identification of resistance mutations in HIV and human herpes viruses. Jane also maintains an active research interest in the Influenza virus, most recently working on the shedding and survival of H1N1v (“swine ‘flu”).
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How will COVID-19 shape the future of our cities? What are the most important priorities for our cities as a result of this pandemic? Join experts Richard Florida, Nathalie Des Rosiers, Anita McGahan and Shauna Brail as they discuss cities after COVID with Marcia Young, host of CBC’s World Report.
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We propose an index of the adequacy of home environments for protection (HEP) from COVID-19, and we compare our index across developing countries using data for one million sampled households from the latest Demographic and Health Surveys. We find that prevailing WHO recommendations for protection posit unrealistic home environments. 90% of households have inadequate HEP by one or more dimensions considered. 40% do not have a formal health-care facility within 5km. A strong wealth effect is indicated within and between countries. Only 6% of the poorest 40% have an adequate HEP, and the proportion is virtually zero in sub-Saharan Africa.
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We study targeted lockdowns in a multi-group SIR model where infection, hospitalization and fatality rates vary between groups—in particular between the “young”, “the middle-aged” and the “old”. Our model enables a tractable quantitative analysis of optimal policy. For baseline parameter values for the COVID-19 pandemic applied to the US, we find that optimal policies differentially targeting risk/age groups significantly outperform optimal uniform policies and most of the gains can be realized by having stricter lockdown policies on the oldest group. Intuitively, a strict and long lockdown for the most vulnerable group both reduces infections and enables less strict lockdowns for the lower-risk groups. We also study the impacts of group distancing, testing and contract tracing, the matching technology and the expected arrival time of a vaccine on optimal policies. Overall, targeted policies that are combined with measures that reduce interactions between groups and increase testing and isolation of the infected can minimize both economic losses and deaths in our model.
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The COVID pandemic found policymakers facing constraints on their ability to react to an exceptionally large negative shock. The current low interest rate environment limits the tools the central bank can use to stabilize the economy, while the large public debt curtails the efficacy of fiscal interventions by inducing expectations of costly fiscal adjustments. Against this background, we study the implications of a coordinated fiscal and monetary strategy aiming at creating a controlled rise of inflation to wear away a targeted fraction of debt. Under this coordinated strategy, the fiscal authority introduces an emergency budget with no provisions on how it will be balanced, while the monetary authority tolerates a temporary increase in inflation to accommodate the emergency budget. In our model the coordinated strategy enhances the efficacy of the fiscal stimulus planned in response to the COVID pandemic and allows the Federal Reserve to correct a prolonged period of below-target inflation. The strategy results in only moderate levels of inflation by separating long-run fiscal sustainability from a short-run policy intervention.
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www.nber.org www.nber.org
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COVID-19 convalescent plasma (CCP) therapy is currently a leading treatment for COVID-19. At present, there is a shortage of CCP relative to demand. We develop and analyze a model of centralized CCP allocation that incorporates both donation and distribution. In order to increase CCP supply, we introduce a mechanism that utilizes two incentive schemes, respectively based on principles of “paying it backward” and “paying it forward.” Under the first scheme, CCP donors obtain treatment vouchers that can be transferred to patients of their choosing. Under the latter scheme, patients obtain priority for CCP therapy in exchange for a future pledge to donate CCP if possible. We show that in steady-state, both principles generally increase overall treatment rates for all patients—not just those who are voucher-prioritized or pledged to donate. Our results also hold under certain conditions if a fraction of CCP is reserved for patients who participate in clinical trials. Finally, we examine the implications of pooling blood types on the efficiency and equity of CCP distribution.
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www.nber.org www.nber.org
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We use a five-age epidemiological model, combined with 66-sector economic accounting, to address a variety of questions concerning the economic reopening. We calibrate/estimate the model using contact survey data and data on weekly historical individual actions and non-pharmaceutical interventions in the weeks ending March 8 – May 16, 2020. Going forward, we model a decision-maker (governor) as following reopening guidelines like those proposed by the White House and the CDC. The sectoral accounting, combined with information on personal proximity and ability to work from home by sector, make it possible to construct a GDP-to-Risk index of which sectors provide the greatest increment in GDP per marginal increase in R0. Through simulations, we find that: a strong economic reopening is possible; a “smart” reopening, preferencing some sectors over others, makes only modest improvements over a broad reopening; and all this hinges on retaining strong restrictions on non-work social contacts. If non-work contacts – going to bars, shopping without social distancing and masks, large group gatherings, etc. – return only half-way to the pre-COVID-19 baseline, the current decline in deaths reverses leading to a second wave of business closures.
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psyarxiv.com psyarxiv.com
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An increasing number of studies have addressed the psychological impact of the COVID-19 crisis in the general population. Nevertheless, far less is known about the impact in specific populations such as university students, whose psychological vulnerability has been shown in previous research. This study sought to examine different indicators of mental health in university students during the Spanish lockdown; we also analyzed the main sources of stress perceived by students in relation to the COVID-19 crisis, and the coping strategies adopted when faced with the situation. Data was collected from 932 students (704 women) through a web-based platform. Measures of anxiety (i.e., GAD-7), depression (PHQ-9), irritability and self-perceived change in mental health were administered, as well as ad hoc measures of stressors and coping strategies. Results indicated that students experienced considerable psychological problems during the confinement, with higher rates of emotional difficulties in women and undergraduate students than in men and postgraduates, respectively. Psychological distress was mainly related to several specific domains of stressors, as perceived by the participants: academic future, task overload, worsening of interpersonal conflicts, and restrictions in pleasant social contact; and far less related to the spread of the disease and its consequences for physical health. As regards coping strategies, both reframing skills and daily routines were shown to be the most effective. A path-analysis model integrating stressors, coping, and mental health revealed that coping strategies partially channeled the effect of stressors on psychological health. In general, results suggest that students’ psychological health was substantially affected by the COVID-19 situation and that the academic and relational changes were the most notable sources of stress. This study reinforces the need to monitor and promote mental health in university students to boost resilience in times of crisis. Our results on effective coping strategies may inform preventive programs aimed at helping students to deal with challenges like the COVID-19 pandemic.
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www.nature.com www.nature.com
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The US government needs to strengthen the agency charged with preventing the spread of disease — not undermine it.
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jasp-stats.org jasp-stats.org
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JASP 0.11 has been released and is now available on our download page. This version adds the Machine Learning module with 13 brand new analyses that can be used for supervised and unsupervised learning. With supervised learning, the goal is to predict a target variable by learning from existing labeled data. The goal of unsupervised learning, on the other hand, is to look for underlying patterns/structures in unlabeled data. For supervised learning, the Machine Learning module differentiates between regression and classification purposes. A supervised learning problem tries to find the underlying relationship between a target variable and possibly many predictor variables. When the target is continuous (e.g., housing prices) we use a regression method to model this relation, and when the target is nominal (e.g., “deceased” or “survived”) we use a classification method. The Machine Learning module contains the following four analyses for regression:Boosting RegressionK-Nearest Neighbors RegressionRandom Forest Regression
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