论文标题
面具,政策,行为对美国早期大流行的因果影响
Causal Impact of Masks, Policies, Behavior on Early Covid-19 Pandemic in the U.S
论文作者
论文摘要
本文评估了美国州采用的各种政策对确认的COVID-19案件和死亡的增长率以及由Google流动性报告所衡量的社会疏远行为的动态影响,我们考虑人们对人们对新传输风险的新信息的自愿行为反应。我们的分析发现,有关传播风险的政策和信息都是COVID-19案件和死亡的重要决定因素,并表明政策的变化解释了社会疏远行为的大量观察到的变化很大一部分。我们的反事实实验表明,4月1日,全国范围内为员工授权面具面具面具,可能在4月下旬将案件和死亡的增长率降低了10个百分点以上,并且可能在5月底到5月底在全国范围内降低了17%至55%的死亡,这将大致转化为17至55,000千名。我们的估计表明,在5月底之前,删除非必要的业务关闭(维持学校关闭,对电影院和餐馆的限制)可能导致-20%至60%的案件和死亡。我们还发现,如果没有全家命令,案件将会更大25%至170%,这意味着,如果未实施在家中,可能会感染0.5至340万美国人。最后,到5月底,在案件(和死亡)中,没有实施任何政策至少会导致7倍增加,而在美国的案件(和死亡)中,对学校关闭的影响的不确定性很小,而学校关闭的影响很少,横断面变化很少。
This paper evaluates the dynamic impact of various policies adopted by US states on the growth rates of confirmed Covid-19 cases and deaths as well as social distancing behavior measured by Google Mobility Reports, where we take into consideration people's voluntarily behavioral response to new information of transmission risks. Our analysis finds that both policies and information on transmission risks are important determinants of Covid-19 cases and deaths and shows that a change in policies explains a large fraction of observed changes in social distancing behavior. Our counterfactual experiments suggest that nationally mandating face masks for employees on April 1st could have reduced the growth rate of cases and deaths by more than 10 percentage points in late April, and could have led to as much as 17 to 55 percent less deaths nationally by the end of May, which roughly translates into 17 to 55 thousand saved lives. Our estimates imply that removing non-essential business closures (while maintaining school closures, restrictions on movie theaters and restaurants) could have led to -20 to 60 percent more cases and deaths by the end of May. We also find that, without stay-at-home orders, cases would have been larger by 25 to 170 percent, which implies that 0.5 to 3.4 million more Americans could have been infected if stay-at-home orders had not been implemented. Finally, not having implemented any policies could have led to at least a 7 fold increase with an uninformative upper bound in cases (and deaths) by the end of May in the US, with considerable uncertainty over the effects of school closures, which had little cross-sectional variation.