Preventing COVID-19 Fatalities: State versus Federal Policies

Abstract

Are policies implemented in individual states to prevent pandemic deaths effective when there is no policy coordination by the federal government? We answer this question by developing a stochastic extension of a SIRD epidemiological model for a country composed of multiple states. Our model allows for interstate mobility. We consider three policies: mask mandates, stay-at-home orders, and interstate travel bans. We fit our model to daily U.S. state-level COVID-19 death counts and exploit our estimates to produce various policy counterfactuals. While the restrictions imposed by some states inhibited a significant number of virus deaths, we find that more than two-thirds of U.S. COVID-19 deaths could have been prevented by late September 2020 had the federal government imposed federal mandates as early as some of the earliest states did. Our results highlight the need for a coordination-aimed approach by a federal government for the successful containment of a pandemic.