Table 1. Framework for policy trade-offs in the Covid-19 response (with examples).
Policy choices/
public goals |
Health | Economic welfare | Social welfare | |
---|---|---|---|---|
Impact on Covid-19
related health |
Impact on other
diseases |
|||
Physical
distancing # |
Reduced infections
in overall population |
Increased mental
health problems because of isolation; improved health through improved air pollution |
Reduced household income
and consumption through reduced tourism, export, foreign direct investment and inflationary pressure |
Compromised civil liberties; unrest; food
insecurity |
School closure | Reduced infections
in children; reduced infections in overall population |
Increased mental
health problems because of isolation Increased morbidity and mortality from delayed presentation and treatment delays |
Reduced income if parents
have to take time off work without compensation; loss of income for education sector workers if they are not compensated; increased demand for substitutes like online education |
Increased exposure of children to
violence and exploitation; poor nutrition if children rely on meals provided at schools; stress for teachers for creating and maintaining online learning; challenges measuring and validating learning. |
Expanded
health sector response |
Reduced mortality
and morbidity |
Treatment delays | Increased health insurance
premiums |
Displacement of other public
expenditure, such as on culture. |
# Various physical distancing policies are possible, depending on duration and restrictions. Such policies have different impacts on public goals and could be listed as different policy choices here.