Local public health officials and COVID-19: evidence from China

Abstract

Did Chinese cities whose public health departments are headed by medical professionals fare better in fighting coronavirus disease 2019 (COVID-19)?

Design/methodology/approach

The authors collected the professional background of the directors of the public health departments of 350 Chinese cities, which include 87% of the Chinese population. Excluding Wuhan, the epicenter of COVID-19, the authors analyzed the infection rates and death rates from COVID-19 between 131 Chinese cities whose public health departments are led by medical professionals and 218 cities whose public health departments are led by nonprofessionals. The authors employed a multivariate regression controlling for the number of people that traveled from Wuhan to each city, the local economic development and the number of hospital beds.

Findings

Chinese cities whose public health departments are led by medical professionals had 21 fewer confirmed cases per 10 million as of January 31, 2020 [95% CI, −40 to −3], 58 fewer cases per 10 million in the next 10 days [95% CI, −116 to 0], similar new cases between February 11 and February 20, 2020, and 3 fewer deaths per 10 million as of February 20, 2020 [95% CI, −7 to 0].

Research limitations/implications

Association could not make a strong causal claim.

Practical implications

Local public health authorities are critical for combating a pandemic. The authors found that Chinese cities whose public health departments are headed by medical professionals were associated with lower infection rates and fewer death rates from COVID-19. The results were significant only at the start of the outbreak. This study’s results suggest that to better combat a pandemic, local public health authorities should be led by competent people who have a medical background.

Originality/value

The authors provide the first empirical evidence about the association between a local public health head's competence and the infection rate and death rate of COVID-19. The authors’ manually collected data also show that only 38% of the heads of the public health departments of Chinese cities have a medical background.

Article activity feed

SciScore for 10.1101/2020.07.18.20156828: (What is this?)

Please note, not all rigor criteria are appropriate for all manuscripts.

Table 1: Rigor

Institutional Review Board Statement	not detected.
Randomization	not detected.
Blinding	not detected.
Power Analysis	not detected.
Sex as a biological variable	not detected.

Table 2: Resources

No key resources detected.

Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

Results from TrialIdentifier: No clinical trial numbers were referenced.

Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

Results from JetFighter: We did not find any issues relating to colormaps.

Results from rtransparent:

Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
No protocol registration statement was detected.

Read the original source