State-by-state analysis of COVID impact reveals driving forces behind variations in health, education, and economy thelancet TheLancet
The most comprehensive state-by-state analysis of the impacts of COVID-19 across the U.S., published today in, reveals the underlying reasons why the pandemic has played out in vastly different ways across the country.than any other country, and was ranked as best prepared for a pandemic in the Global Health Security Index in 2020 , it maintains the highest number of recorded COVID-19 deaths and one of the highest per capita fatality rates from COVID-19 globally.
The researchers stress that states with the lowest standardized COVID-19 death rates came from different geographies and partisan influence. And the same is true for the states with the highest standardized COVID-19 death rates. This set of factors was found to exist in states where COVID-19 has done the greatest damage—those with the highest populations of people who identify as Black and where high percentages of people voted for the Republican presidential candidate in the 2020 election, such as Texas, Mississippi, Georgia, and Alabama.
"Importantly, our results suggest that the more robust a health system, the better a state performed in the pandemic, but only in states where the public was willing to make use of health care services for vaccination or to get early treatment for their conditions," explains senior author Dr. Joseph Dieleman from IHME.
Despite wide variation across the U.S. in the relative decline in local GDP, employment rate, and math and reading, the study found no evidence of a trade-off between a state having a relatively strong economy or a good health performance in the pandemic. Specifically, the analysis found no links between GDP and most health mandates, lower infections, or fewer total deaths in the pandemic.
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