COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?

COVID-19 can be described as a heat-seeking missile speeding toward the most vulnerable in society. That metaphor applies not just to the vulnerable in the rich world; the vulnerable in the rest of the world are not more immune. Yet, despite the ex...

Full description

Bibliographic Details
Main Authors: Schellekens, Philip, Sourrouille, Diego
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2020
Subjects:
Online Access:http://documents.worldbank.org/curated/en/559181590712052524/COVID-19-Mortality-in-Rich-and-Poor-Countries-A-Tale-of-Two-Pandemics
http://hdl.handle.net/10986/33844
id okr-10986-33844
recordtype oai_dc
spelling okr-10986-338442022-09-20T00:10:34Z COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics? Schellekens, Philip Sourrouille, Diego CORONAVIRUS COVID-19 MORTALITY CAUSE OF DEATH CHRONIC OBSTRUCTIVE PULMONARY DISEAS HEART DISEASE CASE FATALITY RATE RISK OF DEATH HEALTH PANDEMIC DEMOGRAPHICS COVID-19 can be described as a heat-seeking missile speeding toward the most vulnerable in society. That metaphor applies not just to the vulnerable in the rich world; the vulnerable in the rest of the world are not more immune. Yet, despite the extensive spread of the virus, the mortality toll remains highly concentrated in high-income countries. Developing countries represent 85 percent of the global population, but only 21 percent of the pandemic's death toll. This unusual inequality creates the impression that the world is subjected to two different pandemics in terms of their impact. This paper documents the observed inequality with a new indicator that expresses severity relative to pre-pandemic patterns. It argues that the excessive skew towards rich countries is inconsistent with demography. Simulations based on reasonable ranges for infectivity and fatality suggest that the developing country share in global fatalities could rise by a factor of three (from 21 to 69 percent). Environmental and host-specific factors will influence these results but are unlikely to overturn them. While data quality has a role in explaining ‘excess inequality’, the more compelling explanation is that the pandemic has yet to run its course through the age distributions of the world. 2020-06-04T13:48:14Z 2020-06-04T13:48:14Z 2020-05 Working Paper http://documents.worldbank.org/curated/en/559181590712052524/COVID-19-Mortality-in-Rich-and-Poor-Countries-A-Tale-of-Two-Pandemics http://hdl.handle.net/10986/33844 English Policy Research Working Paper;No. 9260 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic CORONAVIRUS
COVID-19
MORTALITY
CAUSE OF DEATH
CHRONIC OBSTRUCTIVE PULMONARY DISEAS
HEART DISEASE
CASE FATALITY RATE
RISK OF DEATH
HEALTH
PANDEMIC
DEMOGRAPHICS
spellingShingle CORONAVIRUS
COVID-19
MORTALITY
CAUSE OF DEATH
CHRONIC OBSTRUCTIVE PULMONARY DISEAS
HEART DISEASE
CASE FATALITY RATE
RISK OF DEATH
HEALTH
PANDEMIC
DEMOGRAPHICS
Schellekens, Philip
Sourrouille, Diego
COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
relation Policy Research Working Paper;No. 9260
description COVID-19 can be described as a heat-seeking missile speeding toward the most vulnerable in society. That metaphor applies not just to the vulnerable in the rich world; the vulnerable in the rest of the world are not more immune. Yet, despite the extensive spread of the virus, the mortality toll remains highly concentrated in high-income countries. Developing countries represent 85 percent of the global population, but only 21 percent of the pandemic's death toll. This unusual inequality creates the impression that the world is subjected to two different pandemics in terms of their impact. This paper documents the observed inequality with a new indicator that expresses severity relative to pre-pandemic patterns. It argues that the excessive skew towards rich countries is inconsistent with demography. Simulations based on reasonable ranges for infectivity and fatality suggest that the developing country share in global fatalities could rise by a factor of three (from 21 to 69 percent). Environmental and host-specific factors will influence these results but are unlikely to overturn them. While data quality has a role in explaining ‘excess inequality’, the more compelling explanation is that the pandemic has yet to run its course through the age distributions of the world.
format Working Paper
author Schellekens, Philip
Sourrouille, Diego
author_facet Schellekens, Philip
Sourrouille, Diego
author_sort Schellekens, Philip
title COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
title_short COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
title_full COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
title_fullStr COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
title_full_unstemmed COVID-19 Mortality in Rich and Poor Countries : A Tale of Two Pandemics?
title_sort covid-19 mortality in rich and poor countries : a tale of two pandemics?
publisher World Bank, Washington, DC
publishDate 2020
url http://documents.worldbank.org/curated/en/559181590712052524/COVID-19-Mortality-in-Rich-and-Poor-Countries-A-Tale-of-Two-Pandemics
http://hdl.handle.net/10986/33844
_version_ 1764479640980684800