导言:对感染控制的经济贡献

IF 1.2 Q3 ECONOMICS National Institute Economic Review Pub Date : 2021-01-01 DOI:10.1017/nie.2021.28
Flavio Toxvaerd, M. Makris
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引用次数: 1

摘要

2019冠状病毒病危机颠覆了许多人的生活,迄今已造成全球近2亿人感染,400多万人死亡,数百万人的生计受到难以估量的损害。尽管最近在世界一些地区推出的疫苗提供了一些乐观的空间,但该流行病仍远未被击败,发展中国家的许多人仍然面临着严重的感染风险。这场危机的性质表面上与公共卫生有关,但事实证明是多管齐下的,经济和社会行为、公共卫生政策和经济政策密切交织在一起,两者都对这一流行病的未来走向作出反应,并对其作出调节。Chadha(2021年)很好地阐述了疫情带来的政策挑战。COVID-19的严重程度和特点意味着人们自发地和自愿地改变了他们的工作、购物和社交方式。反过来,这些决定产生了严重的社会和经济后果,许多企业在客户害怕并避开零售、酒店和公共交通等拥挤空间的环境中挣扎求生。正如预期的那样,大多数政府都在寻求积极干预,帮助民众和企业抵御疫情带来的最严重影响。然而,许多政府一直在努力弄清楚应该向谁寻求建议,甚至不知道如何制定应对危机所需的专业知识。作为一个案例,英国政府主要由三组不同的专家提供建议,分别是科学大流行流感建模小组(SPI-M)、科学大流行行为洞察小组(SPI-B)和英国财政部。SPI-M是紧急情况科学咨询小组(SAGE)的一个子小组,由技术流行病学家和建模专家组成,根据流行病的复杂数学模型,通过考虑和模拟不同可能的情况,为政府提供预测和决策支持。值得注意的是,SPI-M考虑的模型主要是机械性的、不考虑个人行为的非行为模型。此外,SPI-M的职权范围明确忽视了不同公共卫生措施的影响,例如保持社会距离和封锁对整体经济的影响。事实上,SPI-M制定的建议似乎特别忽视了经济方面的考虑。SPI-B是SAGE的另一个小组,其任务是考虑危机的行为方面。这个小组主要由行为科学家和心理学家组成,他们考虑了不同的政策措施如何可能被公众接受,以及应该如何提出不同的政策干预措施。虽然以行为科学的经验和理论工作为基础,但SPI-B提供的建议似乎没有直接纳入SPI-M进行的流行病建模,而是在建模建议的同时由决策者考虑。此外,SPI-B的任务并不是确定行为对流行病发展路径的总体后果,也不是确定行为改变对宏观经济可能产生的影响。最后,在英国财政部工作的经济学家的任务是照顾经济。据报道,财政部几乎没有从SPI-M或SPI-B的直接进口,因此将疫情视为
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INTRODUCTION: ECONOMIC CONTRIBUTIONS TO INFECTION CONTROL
The COVID-19 crisis has upended the lives of many, causing almost 200M global infections to date, over 4M deaths and untold damage to the livelihoods of millions. Although the recent vaccine rollout in some parts of the world offers some room for optimism, the epidemic is still far from defeated andmany in the developing world are still at significant risk of infection. The nature of the crisis, ostensibly one related to public health, has proved to be multi-pronged, with economic and social behaviour, public health policy and economic policy closely intertwined and both reacting to and conditioning the future path of the epidemic. The policy challenged posed by the epidemic were well articulated by Chadha (2021). The severity and characteristics of COVID-19 have meant that people have spontaneously and voluntarily changed how they work, shop and socialise. In turn, these decisions have had severe social and economic consequences, with many businesses struggling to stay afloat in an environment where customers have feared and avoided crowded spaces such as retail, hospitality and public transport. As expected,most governments have sought to actively intervene and cushion people and businesses against the worst fallout from the epidemic. Yet, many governments have struggled to understand who to ask for advice and even to formulate the kind of expertise needed to navigate the crisis. As a point in case, the government of the UK has been advised primarily by three different sets of experts, namely the Scientific Pandemic Influenza Group on Modelling (SPI-M), the Scientific Pandemic Insights Group on Behaviours (SPI-B) and HM Treasury, respectively. SPI-M, a subgroup of Scientific Advisory Group for Emergencies (SAGE) consisting of technical epidemiologists and modelling experts, have provided forecasting and decision support to the government by considering and simulating different possible scenarios, based on complicated mathematical models of the epidemic. Notably, the models considered by SPI-M are largely mechanistic, non-behavioural models that do not take individual behaviour into account. In addition, the remit of SPI-M explicitly disregarded the effects of different public healthmeasures, such as social distancing and lockdowns on the overall economy. In fact, it appears that economic considerations were specifically disregarded in advice formulated by SPI-M. SPI-B, another subgroup of SAGE, was tasked with considering the behavioural aspects of the crisis. Consisting primarily of behavioural scientists and psychologists, this group considered how different policy measures would likely be received by the public and how different policy interventions should be presented. Although grounded in empirical and theoretical work in behavioural sciences, the advice given by SPI-B appears not to have been directly integrated into the epidemic modelling carried out by SPI-M but rather was considered by decision makers alongside the modelling advice. In addition, SPI-B was not tasked with determining the aggregate consequences of behaviour on either the path of the epidemic nor on the likely impact of behaviour change on the macroeconomy. Last, economists working at HM Treasury were tasked with looking after the economy. Reportedly, the Treasury has scarce direct import from either SPI-M or SPI-B and thus treated the epidemic as
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期刊介绍: The National Institute Economic Review is the quarterly publication of the National Institute of Economic and Social Research, one of Britain"s oldest and most prestigious independent research organisations. The Institutes objective is to promote, through quantitative research, a deeper understanding of the interaction of economic and social forces that affect peoples" lives so that they may be improved. It has no political affiliation, and receives no core funding from government. Its research programme is organised under the headings of Economic Modelling and Analysis; Productivity; Education and Training and the International Economy.
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