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Tytuł pozycji:

Not far enough: Public health policies to combat COVID-19 in Mexico's states.

Tytuł :
Not far enough: Public health policies to combat COVID-19 in Mexico's states.
Autorzy :
Knaul F; Institute for the Advances Study of the Americas, University of Miami, Miami, Florida, United States of America.; Leonard M. Miller School of Medicine, University of Miami, Miami, Florida, United States of America.; Tómatelo a Pecho, A.C., Ciudad de México, México.; Consejo Promotor de Universalidad y Competitividad en Salud, Fundación Mexicana para la Salud, A.C., Ciudad de México, México.
Arreola-Ornelas H; Institute for the Advances Study of the Americas, University of Miami, Miami, Florida, United States of America.; Tómatelo a Pecho, A.C., Ciudad de México, México.; Consejo Promotor de Universalidad y Competitividad en Salud, Fundación Mexicana para la Salud, A.C., Ciudad de México, México.; Research Center for Health Sciences, Anahuac University North Campus, Mexico City, Mexico.
Porteny T; Institute for the Advances Study of the Americas, University of Miami, Miami, Florida, United States of America.; Department of Community Health, Tufts University, Medford, MA, United States of America.
Touchton M; Institute for the Advances Study of the Americas, University of Miami, Miami, Florida, United States of America.; Department of Political Science, School of Arts and Sciences, University of Miami, Miami, Florida, United States of America.
Sánchez-Talanquer M; Division of Political Science, Colegio de Mexico, Mexico City, Mexico.
Méndez Ó; Institute for the Advances Study of the Americas, University of Miami, Miami, Florida, United States of America.; Consejo Promotor de Universalidad y Competitividad en Salud, Fundación Mexicana para la Salud, A.C., Ciudad de México, México.
Chertorivski S; Division of Public Administration, Center for Economic Research and Teaching (CIDE), Mexico City, Mexico.
Ortega S; Tómatelo a Pecho, A.C., Ciudad de México, México.; Consejo Promotor de Universalidad y Competitividad en Salud, Fundación Mexicana para la Salud, A.C., Ciudad de México, México.
Chudnovsky M; Division of Public Administration, Center for Economic Research and Teaching (CIDE), Mexico City, Mexico.
Kuri P; Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
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Corporate Authors :
group from the Observatory for the Containment of COVID-19 in the Americas
Źródło :
PloS one [PLoS One] 2021 Jun 01; Vol. 16 (6), pp. e0251722. Date of Electronic Publication: 2021 Jun 01 (Print Publication: 2021).
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: San Francisco, CA : Public Library of Science
MeSH Terms :
Government Regulation*
Pandemics*
Physical Distancing*
COVID-19/*epidemiology
COVID-19/*prevention & control
Health Policy/*legislation & jurisprudence
SARS-CoV-2/*pathogenicity
COVID-19/transmission ; Humans ; Masks/supply & distribution ; Mexico/epidemiology ; Quarantine/legislation & jurisprudence ; Quarantine/organization & administration ; Travel
References :
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Entry Date(s) :
Date Created: 20210601 Date Completed: 20210611 Latest Revision: 20210612
Update Code :
20210623
PubMed Central ID :
PMC8168889
DOI :
10.1371/journal.pone.0251722
PMID :
34061864
Czasopismo naukowe
Background: Mexican state governments' actions are essential to control the COVID-19 pandemic within the country. However, the type, rigor and pace of implementation of public policies have varied considerably between states. Little is known about the subnational (state) variation policy response to the COVID-19 pandemic in Mexico.
Material and Methods: We collected daily information on public policies designed to inform the public, as well as to promote distancing, and mask use. The policies analyzed were: School Closure, Workplace Closure, Cancellation of Public Events, Restrictions on Gatherings, Stay at Home Order, Public Transit Suspensions, Information Campaigns, Internal Travel Controls, International Travel Controls, Use of Face Masks We use these data to create a composite index to evaluate the adoption of these policies in the 32 states. We then assess the timeliness and rigor of the policies across the country, from the date of the first case, February 27, 2020.
Results: The national average in the index during the 143 days of the pandemic was 41.1 out of a possible 100 points on our index. Nuevo León achieved the highest performance (50.4); San Luis Potosí the lowest (34.1). The differential between the highest versus the lowest performance was 47.4%.
Conclusions: The study identifies variability and heterogeneity in how and when Mexican states implemented policies to contain COVID-19. We demonstrate the absence of a uniform national response and widely varying stringency of state responses. We also show how these responses are not based on testing and do not reflect the local burden of disease. National health system stewardship and a coordinated, timely, rigorous response to the pandemic did not occur in Mexico but is desirable to contain COVID-19.
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