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      Fighting COVID-19 in Hong Kong: The effects of community and social mobilization

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      a , * , b , c , d
      World Development
      Elsevier Ltd.

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          Highlights

          • Terrific SARS experience and citizens’ distrust to government have remarkable impacts on COVID-19 in Hong Kong.

          • Self-discipline of citizens contributes to the low infection rate.

          • Districts with pro-democratic councilors are more proactive in community mobilization in anti-pandemic.

          Abstract

          The globalized world economy has been affected by the COVID-19 pandemic since early February 2020. In the midst of this global public health crisis, a prompt review of the counterinsurgencies that have occurred in different jurisdictions is helpful. This article examines the experience of Hong Kong (HKSAR), which successfully limited its number of confirmed cases to approximately 1100 until early June 2020. Considering the limited actions that the government has taken against the pandemic, we emphasize the prominent role of Hong Kong’s civil society through highlighting the strong and spontaneous mobilization of its local communities originating from their experiences during the SARS outbreak in 2003 and the social unrest in 2019, as well as their doubts regarding the pandemic assessments and recommendations of the HKSAR and WHO authorities. This article suggests that the influence of civil society should not be overlooked in the context of pandemic management. (147 words)

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          Most cited references14

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          Response to COVID-19 in Taiwan: Big Data Analytics, New Technology, and Proactive Testing

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            The role of community-wide wearing of face mask for control of coronavirus disease 2019 (COVID-19) epidemic due to SARS-CoV-2

            Background Face mask usage by the healthy population in the community to reduce risk of transmission of respiratory viruses remains controversial. We assessed the effect of community-wide mask usage to control coronavirus disease 2019 (COVID-19) in Hong Kong Special Administrative Region (HKSAR). Methods Patients presenting with respiratory symptoms at outpatient clinics or hospital wards were screened for COVID-19 per protocol. Epidemiological analysis was performed for confirmed cases, especially persons acquiring COVID-19 during mask-off and mask-on settings. The incidence of COVID-19 per-million-population in HKSAR with community-wide masking was compared to that of non-mask-wearing countries which are comparable with HKSAR in terms of population density, healthcare system, BCG vaccination and social distancing measures but not community-wide masking. Compliance of face mask usage in the HKSAR community was monitored. Findings Within first 100 days (31 December 2019 to 8 April 2020), 961 COVID-19 patients were diagnosed in HKSAR. The COVID-19 incidence in HKSAR (129.0 per-million-population) was significantly lower (p<0.001) than that of Spain (2983.2), Italy (2250.8), Germany (1241.5), France (1151.6), U.S. (1102.8), U.K. (831.5), Singapore (259.8), and South Korea (200.5). The compliance of face mask usage by HKSAR general public was 96.6% (range: 95.7% to 97.2%). We observed 11 COVID-19 clusters in recreational ‘mask-off’ settings compared to only 3 in workplace ‘mask-on’ settings (p = 0.036 by Chi square test of goodness-of-fit). Conclusion Community-wide mask wearing may contribute to the control of COVID-19 by reducing virus shedding in saliva and respiratory droplets from individuals with subclinical or mild COVID-19.
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              Presidential Popularity from Truman to Johnson

              I think [my grandchildren] will be proud of two things. What I did for the Negro and seeing it through in Vietnam for all of Asia. The Negro cost me 15 points in the polls and Vietnam cost me 20.
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                Author and article information

                Contributors
                Journal
                World Dev
                World Dev
                World Development
                Elsevier Ltd.
                0305-750X
                0305-750X
                25 June 2020
                25 June 2020
                : 105055
                Affiliations
                [a ]Department of Government and Public Administration, The Chinese University of Hong Kong, Hong kong
                [b ]Department of Social Science, The Education University of Hong Kong, Hong kong
                [c ]Department of Public Policy, City University of Hong Kong, Hong kong
                [d ]Department of Sociology, University of Warwick, United Kingdom
                Author notes
                [* ]Corresponding Author. kmwan@ 123456link.cuhk.edu.hk
                Article
                S0305-750X(20)30181-9 105055
                10.1016/j.worlddev.2020.105055
                7315977
                32834373
                05e0b40a-fdb8-4619-887f-8eaad2e63e98
                © 2020 Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 15 April 2020
                : 19 June 2020
                : 21 June 2020
                Categories
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                Economic development
                Economic development

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