@article{fdi:010089869,
  title = {{C}ovid-19 demography in {F}rance and {S}outh {A}frica : a comparative study of morbidity and mortality in 2020-2022},
  author = {{G}arenne, {M}ichel and {S}tiegler, {N}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground : {C}ovid-19 epidemics raged around the world in years 2020-2022. {T}he dynamics of the epidemics and their mortality varied by country depending on prevention, treatments, vaccination and health status of the population. {O}bjective : {T}he study compares {C}ovid-19 morbidity and mortality in {S}outh-{A}frica and in {F}rance, two countries with similar population size and with reliable reporting systems, in order to better understand the dynamics and impacts of the epidemics and the effects of health policies and programs. {D}ata and methods : {D}ata on cases, deaths, hospitalizations, vaccinations were drawn from national statistics. {P}ublished data on cases and deaths were corrected for undercount. {R}esults : {R}esults show a different epidemiology in the two countries in the first three years of the epidemic (2020-2022). {I}ncidence was higher in {S}outh {A}frica, and some 44% more people were infected by {D}ecember 2022 than in {F}rance. {M}ortality and case-fatality were also higher in {S}outh {A}frica despite a favourable age structure. {T}he age pattern of mortality showed higher values in {S}outh {A}frica among the young adults. {Y}oung women appeared somewhat disadvantaged in {S}outh {A}frica. {L}astly, vaccination appeared to have had no effect on incidence, but a large effect on case-fatality in {F}rance. {C}onclusions : {D}espite about the same population size and the same crude death rate at baseline, {S}outh {A}frica exhibited more cases and more deaths from {C}ovid-19 over the 2020-2022 period. {P}revention strategies (lockdown and vaccination) appear to have had large impacts on morbidity and mortality.},
  keywords = {{FRANCE} ; {AFRIQUE} {DU} {SUD}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {19},
  numero = {2},
  pages = {e0294870 [14 ]},
  ISSN = {1932-6203},
  year = {2024},
  DOI = {10.1371/journal.pone.0294870},
  URL = {https://www.documentation.ird.fr/hor/fdi:010089869},
}