Evidence map›Paper›PMID 34978569›Full record

ArticleEuropean journal of public health2022

A year of Covid-19: experiences and lessons learnt by small European island states-Cyprus, Iceland and Malta.

Sarah Cuschieri, Elena Pallari, Amalia Hatziyianni, Rannveig Sigurvinsdottir, Inga Dora Sigfusdottir, Árún Kristín Sigurðardóttir

Abstract read
In one paragraph

Article in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. The COVID-19 pandemic in Greenland, epidemic features and impact of early strict measures, March 2020 to June 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah CuschieriDepartment of Anatomy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.ORCID 0000-0003-2012-9234
Elena PallariMRC Clinical Trials and Methodology Unit, University College London, London, England.ORCID 0000-0003-1967-6345
Amalia HatziyianniAmmochostos General Hospital, Paralimni, Cyprus.
Rannveig SigurvinsdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Inga Dora SigfusdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Árún Kristín SigurðardóttirSchool of Health Science, University of Akureyri, Sólborg, Iceland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 became a global pandemic within weeks, as every country including small states and islands experienced a surge in cases. Small islands are known to face several challenges in the quest to curb the viral spread, but with the absence of land boarders and small population size, these factors should have played to their advantage to minimize the spread. The aim of this article was to compare and contrast the COVID-19 situation, restrictions, preparedness, management and the healthcare systems between the small population island states of Cyprus, Iceland and Malta.

methodsData were obtained from Ministry of Health websites and COVID dashboards of the three respective Island states in Europe. Comparisons were made between the reported cases, deaths, excess deaths, years of life lost, swabbing rates, restrictive measures, vaccination roll-out and healthcare system structures.

resultsCyprus and Malta contained the COVID-19 spread better than Iceland during the first wave. However, a significantly higher viral spread and mortality rates were observed in Malta during the second waves. Similar healthcare preparedness and services, restrictions and relaxation measures were implemented across the three islands with some exceptions. Covid-19 vaccination has initiated across all Islands with Malta leading the vaccination roll-out.

conclusionThe small population size and island status proved to be an asset during the first wave of COVID-19, but different governance approaches led to a different COVID-19 outcomes, including high mortality rates during the transition phases and the subsequent waves.

Indexed as

COVID-19COVID-19 VaccinesCyprusHumansIcelandMaltaCOVID-19 Vaccines

Identifiers

PMID34978569
PMCPMC8755372

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.