Department of Economics, OECD, Paris, France.
Labour and Social Affairs, OECD, Paris, France.
Health Econ. 2022 Sep;31(9):1823-1843. doi: 10.1002/hec.4502. Epub 2022 Jun 27.
Governments around the world have adopted unprecedented policies to deal with COVID-19. This paper zooms in on business shutdowns and investigates their effectiveness in reducing mortality. We leverage highly granular death registry data for almost 5000 Italian municipalities in a diff-in-diff approach that allows us to mitigate endogeneity concerns credibly. Our results, which are robust to controlling for a host of co-factors, offer strong evidence that business shutdowns effectively curb mortality. We calculate that they may have reduced the death toll from the first wave of COVID-19 in Italy by about 40%. Our findings also highlight that timeliness is key - by acting 1 week earlier, their effectiveness could have been increased by an additional 5%. Finally, shutdowns should be targeted. Closing service activities with a high degree of interpersonal contact saves the most lives. Shutting down production activities, while substantially reducing mobility, only has mild effects on mortality.
各国政府已采取前所未有的政策来应对 COVID-19。本文聚焦于企业关闭,并研究其降低死亡率的效果。我们利用意大利近 5000 个市镇的高度细化死亡登记数据,采用差异中的差异方法,这使我们能够可信地缓解内生性问题。我们的结果在控制了一系列共同因素后仍然稳健,为企业关闭有效遏制死亡率提供了有力证据。我们计算出,它们可能使意大利第一波 COVID-19 的死亡人数减少了约 40%。我们的研究结果还强调,及时性是关键——提前 1 周采取行动,其效果可额外提高 5%。最后,关闭应具有针对性。关闭人际接触程度高的服务活动可挽救最多的生命。关闭生产活动虽然大幅降低了流动性,但对死亡率的影响很小。