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Authors’ reply to ‘assessments of the performance of pandemic preparedness measures must properly account for national income
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Authors’ reply to ‘assessments of the performance of pandemic preparedness measures must properly account for national income
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Authors’ reply to ‘assessments of the performance of pandemic preparedness measures must properly account for national income
Authors’ reply to ‘assessments of the performance of pandemic preparedness measures must properly account for national income
Journal Article

Authors’ reply to ‘assessments of the performance of pandemic preparedness measures must properly account for national income

2024
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Overview
Understanding the role of pandemic preparedness during the COVID-19 crisis is challenging considering substantial cross-country gaps in data sources, heterogeneity in reporting of COVID-19 outcomes and differences in population age structures and healthcare delivery systems. [...]this may be the most well-specified model considering that the residuals are substantially closer to being constant (studentised Breusch-Pagan (BPT=6.91; p=0.075)). Table 1 Country-level effect sizes of 2021 Global Health Security measures on comparative excess mortality ratio Coefficient (95% CI) P value Global Health Security Score −0.17 (−0.32 to −0.03) 0.0168*  Prevention score −0.07 (−0.17 to 0.03) 0.1580  Detection score −0.09 (−0.16 to −0.02) 0.0187*  Response score −0.11 (−0.27 to 0.04) 0.1612  Health system score −0.06 (−0.18 to 0.06) 0.3086  International norms score −0.13 (−0.26 to −0.01) 0.0407*  Risk environment score −0.25 (−0.40 to −0.10) 0.0014* Effect sizes compare a 5-score difference in each index. [...]taking into account age likely already adjusts for a substantial proportion of country-level income considering the very strong correlation between log income and fraction of population 65 years and greater in 2019 (Pearson’s r=0.74).