Affiliations 

  • 1 Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA
  • 2 Department of Statistics, Quaid-i-Azam University, Islamabad, Pakistan
  • 3 Department of Public Health & Prevention Sciences, Baldwin Wallace University, Berea, OH, USA
  • 4 Center for Natural Resources Studies, Dhaka, Bangladesh
  • 5 Department of Sociology and Anthropology, St Louis University, St. Louis, MO, USA
  • 6 Data analytics division, Zarrin Jam Marina, Tehran, Iran
  • 7 Centre for Epidemiology and Evidence-based Practice, Department of Social and Preventive Medicine, University of Malaya Kuala Lumpur, Malaysia
  • 8 Faculty of Applied Science, School of Engineering, The University of British Columbia (UBC), Okanagan, BC V1V 1V7, Canada
One Health, 2020 Dec 20;11:100180.
PMID: 33072836 DOI: 10.1016/j.onehlt.2020.100180

Abstract

Globalization has altered the way we live and earn a livelihood. Consequently, trade and travel have been recognized as significant determinants of the spread of disease. Additionally, the rise in urbanization and the closer integration of the world economy have facilitated global interconnectedness. Therefore, globalization has emerged as an essential mechanism of disease transmission. This paper aims to examine the potential impact of COVID-19 on globalization and global health in terms of mobility, trade, travel, and countries most impacted. The effect of globalization were operationalized in terms of mobility, economy, and healthcare systems. The mobility of individuals and its magnitude was assessed using airline and seaport trade data and travel information. The economic impact was measured based on the workforce, event cancellations, food and agriculture, academic institutions, and supply chain. The healthcare capacity was assessed by considering healthcare system indicators and preparedness of countries. Utilizing a technique for order of preference by similarity to ideal solution (TOPSIS), we calculated a pandemic vulnerability index (PVI) by creating a quantitative measure of the potential global health. The pandemic has placed an unprecedented burden on the world economy, healthcare, and globalization through travel, events cancellation, employment workforce, food chain, academia, and healthcare capacity. Based on PVI results, certain countries were more vulnerable than others. In Africa, more vulnerable countries included South Africa and Egypt; in Europe, they were Russia, Germany, and Italy; in Asia and Oceania, they were India, Iran, Pakistan, Saudi Arabia, and Turkey; and for the Americas, they were Brazil, USA, Chile, Mexico, and Peru. The impact on mobility, economy, and healthcare systems has only started to manifest. The findings of this study may help in the planning and implementation of strategies at the country level to help ease this emerging burden.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.