Do prevention and control measures work? Evidence from the outbreak of COVID-19 in China

Cities. 2021 Nov:118:103347. doi: 10.1016/j.cities.2021.103347. Epub 2021 Jul 16.

Abstract

In the face of COVID-19, an emerging infectious disease, in addition to the classic non-pharmaceutical interventions such as isolation, quarantine, social, China also adopted strict mobility restrictions including inter-administrative districts travel restrictions, which severely affect residents' lives and almost completely stopped production activities at cost of a huge economic and social cost. In this paper, we develop the model of Dirk Brockmann and Dirk Helbing (2013) to theoretically explain the impact mechanism of prevention and control measures on the spread of the epidemic. Then, we divide the measures taken in China into two categories: mobility restrictions and other non-pharmacological interventions (O-NPI), and apply econometric approach to empirically test the effects of them. We find that although both of the two measures play a good role in controlling the development of the epidemic, the effect shows significant difference in different regions, and both the two measures had no significant effects in low-risk regions; Further, we prove that measures taken in a low-risk region is mainly against the imported cases, while a high-risk region has to defend against both imported cases and spread from within; The rapid and accurate transmission of information, a higher protection awareness of the public, and a stronger confidence of residents can promote the implementation of the measures.

Keywords: COVID-19; Mobility restrictions; Non-pharmacological interventions; Targeted epidemic prevention.