The World Health Organization has attributed the rapid spread of Covid-19 to “alarming levels of inaction” by many countries.
Opponents of some of these public health measures, such as closure of schools, have argued a lack of evidence to support their implementation. In this study, researchers in the United States had examined whether city-to-city variation in mortality during the 1918-1919 influenza pandemic was associated with the timing, duration and combination of public health actions that were undertaken in 43 US cities.
What was striking was that while all the US cities eventually implemented some public health interventions, the timing of activation, duration and choice, or a combination of these interventions, were key determinants in their success or failure. Notably, the cities that had implemented earlier public health interventions also had greater delays in reaching peak mortality and attained lower peak mortality rates.
While this archival research offers valuable lessons for modern-day pandemic management, it is acknowledged that we live in a modern era where other factors also need consideration
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