Is the Unequal COVID-19 Burden in Canada Due to Unequal Levels of Citizen Discipline across Provinces?

The unequal burden of the coronavirus disease 2019 (COVID-19) crisis (e.g., in terms of infection and death rates) across Canadian provinces is important and puzzling. Some have speculated that differences in levels of citizen compliance with public health preventive measures are central to understanding cross-provincial differences in pandemic-related health outcomes. However, no systematic empirical test of this hypothesis has been conducted. In this research, we make use of an exceptionally large dataset that includes 23 survey waves (N = 22,610) fielded in Canada across 12 months (April 2020-April 2021) to answer the question "Is there evidence of substantial cross-provincial differences in citizen compliance with basic public health measures designed to prevent the spread of infection?" We find that regional differences in self-reported behaviour are few and very modest, suggesting that interprovincial differences in COVID-19-related health outcomes have little to do with differences in citizen compliance, at least in the first year of the pandemic. These results have important implications. Although it is crucial that we continue to study regional variations related to the COVID-19 burden, public health agency officials, pundits, and politicians should be cautious when musing about the role of citizen compliance as the primary explanation of interprovincial pandemic health outcomes.

L'inégalité des effets de la maladie du coronavirus 2019 (COVID -19) à travers les provinces canadiennes (notamment quant au taux d'infection et de décès) est importante et intrigante. Certains ont postulé que pour mieux comprendre les écarts dans les effets de la pandémie entre les provinces, il faudrait étudier les écarts dans l'application, par les citoyens, des mesures préventives de santé publique. Toutefois, aucun test empirique systématique n'a été effectué pour valider ce postulat. Dans cette recherche, nous utilisons un base de données de taille exceptionnelle, comprenant 23 vagues d'enquêtes (N= 22,610) réalisées sur 12 mois (avril 2020- avril 2021) pour répondre à la question « Existe-t-il une preuve de différences considérables entre les provinces dans l'application par les citoyens des mesures sanitaires de base en vue de prévenir la transmission de l'infection? ¼ Nous constatons que les différences régionales dans le comportement autodéclaré sont très faibles, ce qui veut dire que l'écart des effets de la COVID-19 sur la santé entre les provinces n'avait pas grand-chose à voir avec l'application des mesures par les citoyens, du moins pendant la première année de la pandémie. Ces résultats ont des implications importantes. Même s'il est capital de continuer à étudier les variations régionales reliées au fléau de la COVID-19, les autorités publiques de la santé, les spécialistes et les politiciens, doivent être vigilants quand ils présentent l'application des mesures par les citoyens comme étant la première explication de l'écart des effets sur la santé entre les provinces.

Citizens' Willingness to Support New Taxes for COVID-19 Measures and the Role of Trust.

The COVID-19 public health pandemic has seen governments spend trillions of dollars to limit the spread of the COVID-19 virus as well as to soften the economic blow from the shutting down of national economies. Subsequent budget shortfalls raise the question of how governments will pay for the direct and indirect costs associated with the COVID-19 pandemic. In this article, we study the public's willingness to contribute through paying a new tax, with a focus on Canada. We find that both generalized social and political trust are associated with a greater willingness to support a COVID-related tax and that generalized social trust, in particular, attenuates the negative effect of an experimentally manipulated, specified level of tax burden on policy support. These findings entail important implications for the public opinion and tax policies literature, as well as for policy makers. RELATED ARTICLES: Gainous, Jason, Stephen C. Craig, and Michael D. Martinez. 2008. "Social Welfare Attitudes and Ambivalence about the Role of Government." Politics & Policy 36 (6): 972-1004. https://doi.org/10.1111/j.1747-1346.2008.00147 Shock, David R. 2013. "The Significance of Opposition Entrepreneurs on Local Sales Tax Referendum Outcomes." Politics & Policy 41 (4): 588-614. https://doi.org/10.1111/polp.12028 Wagle, Udaya R. 2013. "The Heterogeneity Politics of the Welfare State: Changing Population Heterogeneity and Welfare State Policies in High-Income OECD Countries, 1980-2005." Politics & Policy 41 (6): 947-984. https://doi.org/10.1111/polp.12053.

VOLUNTAD DE LOS CIUDADANOS PARA APOYAR NUEVOS IMPUESTOS PARA LAS MEDIDAS COVID­19 Y EL PAPEL DE LA CONFIANZA: La pandemia de salud pública COVID­19 hizo que los gobiernos gastaran billones de dólares para limitar la propagación del virus COVID­19, así como para suavizar el golpe económico del cierre de las economías nacionales. Los posteriores déficits presupuestarios plantean la cuestión de cómo pagarán los gobiernos los costos directos e indirectos asociados con la pandemia de COVID­19. En este documento, estudiamos la disposición del público a contribuir mediante el pago de un nuevo impuesto. Encontramos que tanto la confianza social como política generalizada se asocian con una mayor disposición a apoyar un impuesto relacionado con COVID y que la confianza social generalizada en particular atenúa el efecto negativo de un nivel especificado de carga tributaria manipulado experimentalmente sobre el apoyo a las políticas. Estos hallazgos tienen implicaciones importantes para la opinión pública y la literatura sobre políticas fiscales, y también para los responsables de la formulación de políticas.

A guilt-free strategy increases self-reported non-compliance with COVID-19 preventive measures: Experimental evidence from 12 countries.

Studies of citizens' compliance with COVID-19 preventive measures routinely rely on survey data. While such data are essential, public health restrictions provide clear signals of what is socially desirable in this context, creating a potential source of response bias in self-reported measures of compliance. In this research, we examine whether the results of a guilt-free strategy recently proposed to lessen this constraint are generalizable across twelve countries, and whether the treatment effect varies across subgroups. Our findings show that the guilt-free strategy is a useful tool in every country included, increasing respondents' proclivity to report non-compliance by 9 to 16 percentage points. This effect holds for different subgroups based on gender, age and education. We conclude that the inclusion of this strategy should be the new standard for survey research that aims to provide crucial data on the current pandemic.

Novel in vitro model for studying ureteric stent-induced cell injury.

OBJECTIVE: To develop a novel in vitro model for the study of bladder and kidney epithelial cell injury akin to stent movement, as ureteric stents are associated with urinary tract complications that can significantly add to patient morbidity. These sequelae may be linked to inflammation triggered by stent-mediated mechanical injury to the urinary tract. MATERIALS AND METHODS: T24 bladder and A498 kidney cell line monolayers were damaged mechanically by segments of either Percuflex Plus (PP) or Triumph (triclosan-eluting) stents (both from Boston Scientific Corporation Inc. Natick, MA, USA) and the resulting expression profiles of several pro-inflammatory cytokines and growth factors were analysed. RESULTS: After control injury using the PP stent, supernatants of both cell lines had significantly increased levels of interleukin (IL)-6, IL-8, basic fibroblast growth factor and platelet-derived growth factor BB, and A498 cells also had increased tumour necrosis factor alpha. In almost all cases, the presence of triclosan within the media abrogated the pro-inflammatory cytokine increases, while its effects on growth factors varied. CONCLUSION: This study suggests that stent-related symptoms in the bladder and kidney may be partially due to a local inflammatory response to epithelial damage caused by the presence and movement of the stent. Future stent design should take these inflammatory responses, with respect to physical injury, into consideration, using either more biocompatible materials or anti-inflammatory compounds such as triclosan.