Does the Prosperity of a Country Play a Role in COVID-19 Outcomes?

Disaster Med Public Health Prep. 2022 Feb;16(1):177-186. doi: 10.1017/dmp.2020.304. Epub 2020 Aug 12.


Objective: This study aims to clarify the association between prosperity and the coronavirus disease (COVID-19) outcomes and its impact on the future management of pandemics.

Methods: This is an observational study using information from 2 online registries. The numbers of infected individuals and deaths and the prosperity rank of each country were obtained from and the Legatum Institute's Prosperity Index, respectively.

Results: There is a combination of countries with high and low prosperity on the list of COVID-19-infected countries. The risk of the virus pandemic seems to be more extensive in countries with high prosperity. A Spearman's rho test confirmed a significant correlation between prosperity, the number of COVID-19 cases, and the number of deaths at the 99% level.

Conclusion: New emerging pandemics affect all nations. In order to increase the likelihood of successfully managing future events, it is important to consider preexisting health security, valid population-based management approaches, medical decision-making, communication, continuous assessment, triage, treatment, early and complete physical distancing strategies, and logistics. These elements cannot be taught on-site and on occasion. There is a need for innovative and regular educational activities for all stakeholders committed to safeguarding our future defense systems concerning diagnostic, protection, treatment, and rehabilitation in pandemics, as well as other emergencies.

Keywords: COVID-19; mortality; pandemic; prosperity; public health emergencies.

Publication types

  • Observational Study

MeSH terms

  • COVID-19* / epidemiology
  • Humans
  • Pandemics / prevention & control
  • Physical Distancing
  • SARS-CoV-2*
  • Triage