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Disaster Med Public Health Prep . A case for cross-border governance? A comparative trend assessment of COVID-19 transmission, vaccination, and out

tetano

Editor, Senior Moderator
Disaster Med Public Health Prep


. 2022 May 2;1-49.
doi: 10.1017/dmp.2022.108. Online ahead of print.
A case for cross-border governance? A comparative trend assessment of COVID-19 transmission, vaccination, and outcomes among 35 nations in Europe across 18 months


Sarah Cuschieri[SUP] 1 [/SUP], Andrea Cuschieri[SUP] 2 [/SUP], Elysia Farrugia[SUP] 2 [/SUP], Emily Diacono[SUP] 2 [/SUP], Elaine Balzan[SUP] 2 [/SUP], Miguel Grupetta[SUP] 2 [/SUP], Alessia Vella[SUP] 2 [/SUP], Catriona Cutajar[SUP] 2 [/SUP], Martina Formosa[SUP] 2 [/SUP], Matthias Barbara[SUP] 2 [/SUP], Franziska Mintoff[SUP] 2 [/SUP], Conor Shaw[SUP] 2 [/SUP], Samuel Fleri Soler[SUP] 2 [/SUP], Norbert Borg[SUP] 2 [/SUP], Gillian Pace[SUP] 2 [/SUP], Lauren Vella[SUP] 2 [/SUP], Robert Pisani[SUP] 2 [/SUP], Tamara Attard Mallia[SUP] 2 [/SUP], Mattea Gouder[SUP] 2 [/SUP], Rosie Attard[SUP] 2 [/SUP], Nicole Grixti[SUP] 2 [/SUP], Mark Scicluna[SUP] 2 [/SUP], Timothy Borda[SUP] 2 [/SUP], Katya Bartolo[SUP] 2 [/SUP], Ruben Chircop[SUP] 2 [/SUP], Etienne Degabrielle Ferrante[SUP] 2 [/SUP], Mariah Mallia[SUP] 2 [/SUP], Miguel Attard[SUP] 2 [/SUP], Naomi Frendo[SUP] 2 [/SUP], Gianluca Gatt[SUP] 2 [/SUP], Greta Damato[SUP] 2 [/SUP], Nicole Riolo[SUP] 2 [/SUP], Lorna Muscat Baron[SUP] 2 [/SUP], Matteo Galea[SUP] 2 [/SUP], Elizabeth Grech[SUP] 2 [/SUP]



Affiliations

Abstract

Objective: COVID-19 spread globally, including across Europe, resulting in different morbidity and mortality outcomes. The aim of this study was to explore the progression of the COVID-19 pandemic over 18 months in relation to the effect of COVID-19 vaccination at a population level across 35 nations in Europe, while evaluating the data for cross-border epidemiological trends to identify any pertinent lessons that can be implemented in the future.
Methods: Epidemiological data was obtained from European Centre for Disease Prevention and Control and Our World in Data databases while Ministry of Health websites of each respective country and local newspapers were utilized for COVID-19-related vaccination strategies. Case, mortality, and vaccination incidence comparative analyses were made across neighbouring countries.
Results: Similar morbidity and mortality outcomes were evident across neighbouring countries over 18 months, with a bidirectional relationship evident between cumulative fully vaccinated population and case fatality rates.
Conclusion: Countries' COVID-19 outcome is related on national mitigative measures, vaccination rollouts, and neighbouring countries' actions and COVID-19 situations. Mass population vaccination appeared to be effective in reducing COVID-19 case severity and mortality rates. Vaccination equity and pan-European commitment for cross-border governance appear to be the way forward to ensure populations' return to "normality".

Keywords: Coronavirus; Europe; epidemiology; mass vaccinations; morbidity; mortality.
 
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