Dongarwar Deepa, Salihu Hamisu M
Center of Excellence in Health Equity, Training, and Research, Baylor College of Medicine, Houston, TX, USA.
Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA.
Int J MCH AIDS. 2020;9(2):213-216. doi: 10.21106/ijma.389. Epub 2020 May 15.
Since its outbreak, COVID-19 pandemic has been the biggest global concern with exponentially increasing number of cases and associated deaths across all habitable continents. Various countries around the world with their diverse health care systems, have responded to the pandemic in very distinctive ways. In this paper, we: compared COVID-19 mortality rates across global geographic regions; and assessed differences in COVID-19-related case fatality rate (CFR) based on presence or absence of Universal Health Coverage (UHC). We found that as of May 6, 2020, Europe had experienced the highest CFR globally of 9.6%, followed by 5.9% in North America. Although the pandemic originated in Asia, the continent ranked second to the last in terms of CFR (3.5%). Countries with UHC had lower number of cases of 37.6%, but the CFR of countries with UHC was twice that of countries without UHC (10.5% versus 4.9%). In conclusion, UHC does not appear to protect against mortality in a pandemic environment such as with COVID-19.
自新冠疫情爆发以来，它一直是全球最大的担忧，所有宜居大陆的病例数和相关死亡人数都呈指数级增长。世界各国有着不同的医疗体系，对疫情的应对方式也截然不同。在本文中，我们：比较了全球各地理区域的新冠死亡率；并根据是否存在全民健康覆盖（UHC）评估了新冠相关病死率（CFR）的差异。我们发现，截至2020年5月6日，欧洲的全球CFR最高，为9.6%，其次是北美的5.9%。尽管疫情起源于亚洲，但该大陆的CFR在各洲中排名倒数第二（3.5%）。拥有全民健康覆盖的国家病例数较少，为37.6%，但拥有全民健康覆盖国家的CFR是没有全民健康覆盖国家的两倍（10.5%对4.9%）。总之，全民健康覆盖在新冠这样的大流行环境中似乎无法预防死亡。
