The role of vaccines in COVID-19 control strategies in Singapore and China

Health Policy Technol. 2022 Jun;11(2):100620. doi: 10.1016/j.hlpt.2022.100620. Epub 2022 Mar 26.

Abstract

Objectives: In this article, we critically review the development and implementation of COVID-19 vaccination in Singapore and China during the pandemic.

Methods: We collect and analyze data from a range of sources, including scholarly articles, statistics and documents from national governments in the two countries, and reports from international organizations.

Results: There are important differences in the two countries' approaches to the evolving pandemic, and thus the roles that COVID-19 vaccination plays in the overall response strategies in these two countries.

Conclusions: Whereas Singapore adopted a "living with the virus" strategy, China continued to pursue a COVID-zero strategy. The overall COVID-19 response strategy of Singapore was largely shared by many countries in the world, while that of China was more unique and hardly imitated elsewhere. Nevertheless, vaccination played a significant role in both countries' responses to the pandemic. A comparison and contrast between the vaccination processes in these two countries thus shed important light on the drivers and outcomes of COVID-19 vaccination in different settings.

Keywords: COVID-zero strategy; Domestic vaccine production capacity; Living with COVID; Population density; Vaccine rollouts.