Travel Bans Research Articles

Characterizing load profile-based enterprise profiling under COVID-19 lockdown policy: A provincial case in China

The COVID-19 epidemic has led to devastating consequences worldwide due to strict social distancing measures, travel bans, city lockdowns, and other activity restrictions. Numerous lessons have been accumulated by various industries or sectors in the process of coping with COVID-19. In our paper, the actual electricity consumption of 1.145 million enterprises in a province of China is investigated in the normal period, the breakout period, and the recovery period. An artificial intelligence based enterprise profiling model is established to characterize power consumption profile geographically, temporally, and industrially. The recovery rate of enterprise power consumption is proposed as a key indicator representing the status of production resumption. Under lockdown measures, enterprise in different regions or sectors exhibits diversified responses in power consumption, the unsupervised learning model and the correlated coefficient extract the abstract characteristics and labels from various enterprise power profile. Ultimately, enterprises with similar electricity consumption characteristics are grouped and labeled to provide customized power services. Accurate enterprise profiling can effectively aid in facing with the challenges of insufficient orders, tight capital chains, and rising costs caused by the epidemic.

Provision and utilization of maternal health services during the COVID-19 pandemic in 16 hospitals in sub-Saharan Africa.

Maintaining provision and utilization of maternal healthcare services is susceptible to external influences. This study describes how maternity care was provided during the COVID-19 pandemic and assesses patterns of service utilization and perinatal health outcomes in 16 referral hospitals (four each) in Benin, Malawi, Tanzania and Uganda. We used an embedded case-study design and two data sources. Responses to open-ended questions in a health-facility assessment survey were analyzed with content analysis. We described categories of adaptations and care provision modalities during the pandemic at the hospital and maternity ward levels. Aggregate monthly service statistics on antenatal care, delivery, caesarean section, maternal deaths, and stillbirths covering 24 months (2019 and 2020; pre-COVID-19 and COVID-19) were examined. Declines in the number of antenatal care consultations were documented in Tanzania, Malawi, and Uganda in 2020 compared to 2019. Deliveries declined in 2020 compared to 2019 in Tanzania and Uganda. Caesarean section rates decreased in Benin and increased in Tanzania in 2020 compared to 2019. Increases in maternal mortality ratio and stillbirth rate were noted in some months of 2020 in Benin and Uganda, with variability noted between hospitals. At the hospital level, teams were assigned to respond to the COVID-19 pandemic, routine meetings were cancelled, and maternal death reviews and quality improvement initiatives were interrupted. In maternity wards, staff shortages were reported during lockdowns in Uganda. Clinical guidelines and protocols were not updated formally; the number of allowed companions and visitors was reduced. Varying approaches within and between countries demonstrate the importance of a contextualized response to the COVID-19 pandemic. Maternal care utilization and the ability to provide quality care fluctuated with lockdowns and travel bans. Women's and maternal health workers' needs should be prioritized to avoid interruptions in the continuum of care and prevent the deterioration of perinatal health outcomes.

Impact of Severe Weather on Operations of a Radiation Oncology Department

In 2022, two major storms in Western New York brought blizzard conditions and historic snowfall amounts to the region. Beyond the immediate impact to life and property, these weather events resulted in disruptions to cancer care as a result of hazardous travel conditions, and facility closures as a result of regional travel bans. We sought to understand the impact of these disruptive incidents on departmental operations to develop better contingency plans for future occurrences. The radiation treatment machine schedules for a large academic center in Western New York, as well as a neighboring affiliated satellite clinic were queried for daily treatment adherence rates from November 1, 2022 through February 4, 2023. We classified "severe weather days" based on travel advisories issued by the National Weather Service or from local county officials. Out of a total of 68 working days during the study period, 15 days were classified as having severe weather. We compared the percentage of scheduled patients treated (adherence rates) on severe weather days compared with days without severe weather. Statistical analysis was performed using a two-tailed Z-test for proportions. Under routine operating conditions, out of a total of 7045 scheduled treatment visits, we found a mean daily treatment adherence rate of 93.57%. On severe weather days, out of a total of 2093 scheduled treatments, we found a mean daily treatment adherence rate of 77.83%. Out of these 15 days, the satellite clinic closed for a total of 3 days, while the academic center closed for 1 day. Excluding the dates of facility closure, overall treatment adherence rate was 84.76% on severe weather days (Risk Ratio: 0.91). We found that the difference in treatment adherence rates between regular and severe weather days was statistically significant (p<0.001), even when excluding dates of facility closure. This study demonstrates a significant reduction in treatment adherence rates around severe winter storms, even when excluding dates of facility closure. We suggest that preparation for such incidents be a part of facility contingency planning. Weekend openings can be considered for closures ≥ 2 days, or sustained adherence rates of 85% or less for 3 or more days.

Impact of COVID-19 pandemic on Tuberculosis and HIV services in Ghana: An interrupted time series analysis.

The Coronavirus disease 2019 (COVID-19) burden, coupled with unprecedented control measures including physical distancing, travel bans, and lockdowns of cities, implemented to stop the spread of the virus, have undoubtedly far-reaching aftereffects on other diseases. In low and middle-income countries (LMICs), a particular worry is the potential impact on Human Immunodeficiency Virus (HIV) and Tuberculosis (TB), as a consequence of possible disruption to health services and limiting access to needed life-saving health care. In Ghana, there is a paucity of information regarding the impact of COVID-19 on disease control, particularly TB and HIV control. This study sought to contribute to bridging this knowledge gap. The study involved the analysis of secondary data obtained from the District Health Information Management System-2 (DHIMS-2) database of Ghana Health Service, from 2016 to 2020. Data were analysed using an interrupted time-series regression approach to estimate the impact of COVID-19 on TB case notification, HIV testing, and Antiretroviral Therapy (ART) initiations, using March 2020 as the event period. The study showed that during the COVID-19 pandemic period, there was an abrupt decline of 20.5% (955CI: 16.0%, 24.5%) in TB case notifications in April and 32.7% (95%CI: 28.8%, 39.1%) in May 2020, with a median monthly decline of 21.4% from April-December 2020. A cumulative loss of 2,128 (20%; 95%CI: 13.3%, 26.7%) TB cases was observed nationwide as of December 2020. There was also a 40.3% decrease in people presenting for HIV tests in the first month of COVID-19 (April 2020) and a cumulative loss of 262620 (26.5%) HIV tests as of December 2020 attributable to the COVID-19 pandemic. ART initiations increased by 39.2% in the first month and thereafter decreased by an average of 10% per month from May to September 2020. Cumulatively, 443 (1.9%) more of the people living with HIV initiated ART during the pandemic period, however, this was not statistically significant. This study demonstrated that the COVID-19 pandemic negatively impacted TB case notifications and HIV testing and counselling services, However, ART initiation was generally not impacted during the first year of the pandemic. Proactive approaches aimed at actively finding the thousands of individuals with TB who were missed in 2020 and increasing HIV testing and counselling and subsequent treatment initiations should be prioritised.

E-Mental Health Program to Prevent Psychological Distress Among French-Speaking International Students in a Linguistic-Cultural Minority Context (Ottawa, Alberta, and Quebec): Protocol for the Implementation and Evaluation of Psy-Web.

Based on experiences with the COVID-19 pandemic, postsecondary institutions were most affected by the restrictions. Students, especially international students, have borne the brunt associated with in-person learning restrictions imposed by public health recommendations. Canada is among the top 3 countries hosting international students (ISs), including Francophone students in provinces such as Quebec and other anglophone regions. Academic restrictions were accompanied by other measures such as quarantine, self-isolation, social distancing, and travel ban, to cite some. This has had a wide-ranging impact on these ISs. The resulting psychological distress and burden may have a much greater impact on Francophone ISs in anglophone settings, many of whom had ordinarily limited access to active offers of care in French in addition to cultural barriers and low literacy of the health care system. In order to take advantage of the effectiveness of eHealth as a pertinent and promising avenue, our project intends to build a web-based application that is cost-effective, user-friendly, anonymous, and capable to prompt interactive interventions as a first-line resource for psychological distress. In fact, internet applications have been increasingly used for the management of psychological distresses, and internet-based cognitive behavioral therapy is one of the preferred methods to prevent or control them. The aims of this study are to (1) design, implement, and maintain Psy-Web for the psychological support of ISs and (2) analyze the results of the implementation of the Psy-Web platform, the additional resources solicited, and the results obtained. This interventional project will use a sequential mixed design in the exploratory phase (phase 1) including the construction of the Psy-Web platform. A quantitative prospective component (phase 2) will include the intervention content of the Psy-Web platform. In total, 105 ISs participants (study group) and 52 ISs (control group), based on a ratio of 1:2, will be considered. The control group participants include those who did not use the web platform. The project is at the data collection stage (phase 1). Psy-Web will be built in accordance with the DMAIC (Define, Measure, Analyze, Improve and Control) model with the perspective of boosting its robustness. As a first-line resource to prevent psychological distress and ultimately improve their academic performance, Psy-Web is an innovative opportunity for high education managers. The project involves a multisectoral and a multidisciplinary partnership. The project will develop a promising web-based solution to prevent psychological distress. Ultimately, Psy-Web will be operable in multiple languages including French. PRR1-10.2196/47059.

Res. 2664 (U.N.S.C.) and Res. 52/13 (U.N.H.R.C.)

Under Article 41 of the UN Charter, the Security Council has established 31 sanctions regimes since 1966. Sanctions measures encompass a broad range of enforcement actions not involving the use of armed force. The measures have ranged from comprehensive economic and trade sanctions to more targeted measures such as arms embargoes, travel bans, and financial or commodity restrictions. In recent years, there have been increasing numbers of complaints from humanitarian organizations that sanctions cause or exacerbate humanitarian crises. The UN Office for the Coordination of Humanitarian Affairs (OCHA) has estimated that at least 222 million people were experiencing acute food insecurity at the end of 2022, the largest global food crisis in modern history. At the same time, the countries that need the most assistance are often subject to international sanctions regimes. As of March 2023, UN sanctions applied in nine of the top ten operations of the International Committee of the Red Cross.

The re-emergence of influenza following the COVID-19 pandemic in Victoria, Australia, 2021 to 2022.

BackgroundCOVID-19 pandemic mitigation measures, including travel restrictions, limited global circulation of influenza viruses. In Australia, travel bans for non-residents and quarantine requirements for returned travellers were eased in November 2021, providing pathways for influenza viruses to be re-introduced.AimWe aimed to describe the epidemiological and virological characteristics of the re-emergence of influenza in Victoria, Australia to inform public health interventions.MethodsFrom 1 November 2021 to 30 April 2022, we conducted an epidemiological study analysing case notification data from the Victorian Department of Health to describe case demographics, interviewed the first 200 cases to establish probable routes of virus reintroduction and examined phylogenetic and antigenic data to understand virus diversity and susceptibility to current vaccines.ResultsOverall, 1,598 notifications and 1,064 positive specimens were analysed. The majority of cases (61.4%) occurred in the 15-34 years age group. Interviews revealed a higher incidence of international travel exposure during the first month of case detections, and high levels of transmission in university residential colleges were associated with return to campus. Influenza A(H3N2) was the predominant subtype, with a single lineage predominating despite multiple importations.ConclusionEnhanced testing for respiratory viruses during the COVID-19 pandemic provided a more complete picture of influenza virus transmission compared with previous seasons. Returned international travellers were important drivers of influenza reemergence, as were young adults, a group whose role has previously been under-recognised in the establishment of seasonal influenza epidemics. Targeting interventions, including vaccination, to these groups could reduce future influenza transmission.

Primate field research during a pandemic: Lessons learned from the SARS-CoV-2 outbreak.

The COVID-19 pandemic abruptly halted most primate field research in early 2020. While international travel bans and regional travel restrictions made continuing primate field research impossible early on in the pandemic, ethical concerns of transmitting the virus from researchers to primates and surrounding human communities informed decisions regarding the timing of resuming research. Between June and September 2020, we surveyed field primatologists regarding the impacts of the pandemic on their research. We received 90 completed surveys from respondents residing in 21 countries, though most were from the United States and Canada. These data provide a valuable window into the perspectives and actions taken by researchers during the early stages of the pandemic as events were still unfolding. Only 2.4% of projects reported continuing research as usual, 33.7% continued with some decrease in productivity, 42.2% reported postponing research projects, and 21.7% reported canceling projects or postponing research indefinitely. Respondents most severely impacted by the pandemic were those establishing new field sites and graduate students whose projects were postponed or canceled due to pandemic-related shutdowns. Fears about increased poaching, the inability to pay local assistants, frozen research funds, declining habituation, disruptions to data collection, and delays in student projects were among the top concerns of respondents. Nearly all the projects able to continue research in any capacity during the early months of the pandemic were run by or employed primate habitat country primatologists. This finding is a major lesson learned from the pandemic; without habitat country scientists, primate research is not sustainable.

Modelling the effect of travel-related policies on disease control in a meta-population structure.

Travel restrictions, while delaying the spread of an emerging disease from the source, could inflict substantial socioeconomic burden. Travel-related policies, such as quarantine and testing of travelers, may be considered as alternative strategies to mitigate the negative impact of travel bans. We developed a meta-population, delay-differential model to evaluate a strategy that combines testing of travelers prior to departure from the source of infection with quarantine and testing at exit from quarantine in the destination population. Our results, based on early parameter estimates of SARS-CoV-2 infection, indicate that testing travelers at exit from quarantine is more effective in delaying case importation than testing them before departure or upon arrival. We show that a 1-day quarantine with an exit test could outperform a longer, 3-day quarantine without testing in delaying the outbreak peak. Rapid, large-scale testing capacities with short turnaround times provide important means of detecting infectious cases and reducing case importation, while shortening quarantine duration for travelers at destination.

‘It’s a disaster, nobody is coming’: International travel bans’ effect on Cape Town's informal traders

ABSTRACT The COVID-19 crisis has been one of the most significant events in recent history. Informal traders who depend on a thriving tourist market have been especially vulnerable to COVID-19. The resultant travel bans affected South Africa’s tourism-related informal economic activities. The aim of this study was to determine the effects of the pandemic on informal traders’ livelihoods and resilience in Cape Town, South Africa. Tourists have always constituted a large proportion of informal traders’ customer base. They are often willing and able to spend more than locals. The impact of travel bans on traders’ income, profit margins, and livelihoods has been disastrous. However, many traders have shown commendable resilience. There were obviously limits to the effectiveness of their mitigating strategies. There is an urgent need (from a social justice and a pure economic perspective) for further relief and assistance to supplement street traders’ efforts to survive as international tourism recovers.

Impact of United States refugee ban and discrimination on the mental health of hypertensive Arabic-speaking refugees.

Hypertension is a global leading cause of death which disproportionately affects refugees. This chronic disease increases the risk of heart disease, stroke, brain, and other end-organ disease, if left uncontrolled. The 2017 United States travel or "Muslim" ban prevented immigrants and refugees from seven Muslim-majority countries from entering the United States, including Syria and Iraq; two major contributors to the global refugee population. As of 2020, the United States has admitted more than 133,000 and 22,000 Iraqi and Syrian refugees, respectively. Studies on the health effects of this policy on refugees are lacking. This study qualitatively explores the impact of the refugee ban on United States resettled Syrian and Iraqi refugees with hypertension. Participants were recruited through a federally qualified health center system that is the largest healthcare provider for refugees in San Diego, CA. All participants were Arabic-speaking refugees diagnosed with hypertension from Syria and Iraq. In-depth interviews took place between April 2021 and April 2022. Inductive thematic analysis was used to analyze data from semi-structured interviews. Participants (N = 109) include 53 women and 56 men (23 Syrian, 86 Iraqi). The average age was 61.3 years (SD: 9.7) and stay in the United States was 9.5 years (SD 5.92). Four themes emerged linking the travel ban's impact on health, in line with the society to cells framework: (1) family factors: the refugee ban resulted in family separation; (2) physiological factors: the refugee ban worsened participants' mental health, exacerbating hypertension and perceived health outcomes; (3) community factors: perpetuation of Islamophobia, xenophobia, and perceived discrimination were structural barriers with links to poorer health; and (4) individual factors: trickle down consequences led to worsened participant self-image and self-perception within their host community. The refugee ban negatively impacted the mental and physical health of United States resettled Arabic-speaking refugees through perceived discrimination, stress, and poor social integration. It continues to have long-lasting effects years after the ban was instated. Centering family reunification within the United States Refugee Admissions Program and tailoring interventions through the healthcare and public health systems are warranted to reduce hypertension disparities in this growing and overlooked population.

The Influence of Technology Innovation Adoption on Customer Perceived Health Risk and Customer Hotel Selection Behaviour During a Pandemic Period in Malaysia

During the critical COVID-19 pandemic period, many governments, including the Malaysian government, imposed domestic and international travel bans. People were discouraged from travelling due to safety and regulations. The hotel industry was severely affected by the COVID-19 pandemic, and the government decision impacted the nature of hospitality services. Customers interacted face-to-face with hotel employees, thus increasing the possibility of being infected as the virus is primarily transmitted between human respiratory droplets and physical contact routes. Many hotels focused on improving their safety techniques and implementing risk-reduction strategies to encourage customers to visit their hotels. Some strategies include adopting technology innovation to minimise guest contact with hotel employees (e.g., contactless check-in and check-out) and improving cleanliness to minimise health risks (e.g., regularly sanitising hotel rooms and public areas). This study investigated the influence of technology innovation adoption on customers' perceived health risks and customers’ hotel selection behaviour during the pandemic period in Malaysia. An online self-reported questionnaire was developed and conveniently distributed via social media platforms between December 2021 to February 2022. The data obtained showed that 420 individuals were interested in staying at four- or five-star hotels in Kuala Lumpur, Malaysia. Most of the respondents have had their second and third doses of vaccination. Based on the analysis, this study found that the adoption of technology innovation significantly influenced customer-perceived health risk and hotel selection behaviour. Findings from this study will benefit many stakeholders, such as hotel operators, and help them understand the influence of technology-based services on customer behaviour and in considering whether to invest in technology to maximise their businesses.

Effects of Covid-19 Pandemic on the Livelihood Activities of Iwo Inhabitants in Osun State

Recently, the world has been confronted with unprecedented global pandemic which has resulted in many deaths, fears, shocks and effects on people’s livelihood. In Nigeria, the measures taken to curtail the spread of the Covid-19 during the lockdown affected means of livelihoods undertaken by people. This study measured the effects of Covid19 pandemic on the livelihood of farmers and business owners of Iwo inhabitants in Osun State. The study also examined the challenges posed by the pandemic and assessed the effects of government's strategies implemented for the disease control on the livelihoods of the farmers and business owners. A total number of 200 well-structured questionnaires were administered to the respondents in the study area using snowball sampling technique. The questionnaires were all returned amounting to 100% response rate. Data was analysed using descriptive method with the aid of SPSS. Findings revealed that Covid-19 negatively affected the lives of people, ranging from suspension of businesses and other daily activities that requires physical contacts, travel ban effects on business, inflation in price of goods and services, suspension of farming activities, increased cost of labour and agrochemicals amongst others. It was observed that diversification into other business interest is among the reasons why some of the respondents survived during the Pandemic. The study recommends that measures taken to curtail the effects of Covid19 through vaccination be adhered to for prevention of cases that may warrant further shutdown of activities which may hamper livelihoods engagement.

Contemporary Mirror Imaging between American and Iranian Citizens: An Exploratory Mixed-Method Research Study

In this study, an exploratory mixed-method approach was employed to investigate the attitudes of Iranians and Americans toward each other, specifically focusing on two critical incidents in their modern history. Drawing from quantitative and qualitative data collected in relation to the hostage crisis in 1979, the missile attack on an Iranian passenger plane (Iran Air 655) in 1988, and the travel ban (Executive Order 13780) in 2018, the study aimed to uncover any changes in attitudes over the course of history. Unlike previous research, the majority of participants had a more balanced and less biased viewpoint toward each other and approached the incidents by considering the consequences and ethical aspects associated with each event. These findings challenge the notion of a mirror image effect, which suggests that people tend to adopt their government’s attitude toward other nations. Instead, participants demonstrated a tendency to rely on their own judgment and critically evaluate information, rather than blindly accepting media narratives.

Aspects Regarding the Influence of Recent Crises on the Performance of Tourism Companies - Empirical Evidence

The COVID-19 pandemic has triggered an economic crisis with a global impact, affecting entities from many fields of activity, but particularly those from the production, transport, tourism, technological services sectors (Donthu &amp; Gustafsson, 2020). Most countries have responded to this pandemic with travel bans, restrictions, and a series of health regulations aimed at managing the pandemic situation (Jones &amp; Nguyen, 2021). The study aims to explore how and to what extent the capital structure and other financial characteristics of tourism organizations (one of the most affected sectors) influenced their financial performance during the 2007- 2008 global financial crisis and the COVID-19 pandemic. In this sense, a sample represented by 15 organizations in the field of tourism, listed on the Bucharest Stock Exchange (BSE), was subjected to analysis, the analysis period being 2007-2021. Ten independent variables were included in the study (cash ratio, current ratio, financial stability coefficient, debt-to-assets ratio, degree of coverage, total assets turnover, current assets turnover, accounts receivables turnover, cost to income ratio, and gross profit margin) from 2007-2021, for the evaluation of the capital structure and other financial characteristics of tourism organizations. After processing the data, it was found that the financial performance of organizations in the field of tourism is significantly influenced by the indicators of total asset turnover, debt-to-assets ratio, cash ratio, and financial stability coefficient.

Data Sharing During Pandemics: Reciprocity, Solidarity, and Limits to Obligations

South Africa shared with the world the warning of a new strain of SARS-CoV2, Omicron, in November 2021. As a result, many high-income countries (HICs) instituted complete travel bans on persons leaving South Africa and other neighbouring countries. These bans were unnecessary from a scientific standpoint, and they ran counter to the International Health Regulations. In short, South Africa was penalized for sharing data. Data sharing during pandemics is commonly justified by appeals to solidarity. In this paper, we argue that solidarity is, at best, an aspirational ideal to work toward but that it cannot ground an obligation to share data. Instead, low-and-middle income countries (LIMCs) should be guided by the principle of reciprocity, which states that we ought to return good for good received. Reciprocity is necessarily a conditional principle. LMICs, we argue, should only share data during future pandemics on the condition that HICs provide enforceable assurances that the benefits of data sharing will be equitably distributed and that LMICs won’t be penalized for sharing information.

Heritage and the COVID-19 pandemic: the meaning of visitation

The onset of the COVID-19 pandemic has impacted global mobility. ‘Lockdowns’ and travel bans have been used as control measures by international governments. Consequently, the ways that we use buildings have also been impacted by these actions. Thus, this paper explores the roles of heritage sites in a post-COVID-19 pandemic society. This research is part of the Urban Heritage and Community Resilience: Conservation, Tourism, and Pandemic project, and it employs methods such as semistructured interviews, participant observations, archival research, and focus group discussions (FGDs). This paper is based on semistructured interviews conducted with one hundred eighteen participants across ten popular heritage sites in Banda Aceh and Aceh Besar, Indonesia. The findings confirm the debated claim in postdisaster studies asserting that some of these Acehnese heritage sites, especially those imbued with religious values, have become places of resilience. Specifically, during the pandemic, these sites have facilitated community resilience by helping people feel closer to God. For practising Acehnese Muslims, prayer at home is culturally acceptable, but praying at the mosque, which is one of the essential heritages of the Acehnese, has contributed to and strengthened the sense of community resilience. Therefore, visitation and participation in heritage sites that include experiencing the sense of place and conducting religious and cultural activities is integral to community resilience.

Seasonal analysis and mapping of air pollution (PM10 and SO2) during Covid-19 lockdown in Kocaeli (Türkiye)

The Covid-19 epidemic has adversely affected the world in terms of health, education, economic, tourism, social and psychological. During to the epidemic, different measures were taken to prevent the epidemic, such as travel bans, curfews, stopping in production. These measures have reduced and improved air pollution. Within the scope of this study, the change in air pollution in Kocaeli between 2019 and 2021 was examined monthly. PM10 and SO2 maps were created with inverse distance weighted (IDW) technique using geographic information systems technology (GIS). The year 2020, when Covid-19 measures were taken, was compared with 2019 and 2021. Change maps were created by taking the difference between 2020-2019 and 2021-2020 with GIS technology. As a result of the research, it was determined that the level of air pollution decreased in 2020. On the contrary, in 2021, an increase in air pollution levels was observed. In the study, a decrease was observed in PM10 concentration during the Covid-19 lockdowns, however a decrease was not observed for SO2.

Covid-19 Pandemic and Future of Democratic Governance: Policy Responses and Way Forward

The COVID-19 pandemic has changed the world not only socially but economically and politically. It has challenged the capacity of the high income economies of the world, the preparedness of public health management and the capacity for outbreak response. The conceptualization of the study is closely aligned with the concept of the capacity of the state. That is how effectively the state is making policies to secure public health and physical infrastructure because the pandemic has also witnessed coercive policy responses from the public. The state's policy measures like forced lockdowns, market shutdowns, isolation strategies, travel bans and wearing masks are not welcomed throughout the world. These strategies are considered as the change of democratic values of freedom of expression, free movement and a right to live independently. Amid the pandemic where nobody can predict a logical conclusion, this study aimed to unravel some fundamental questions. First, whether democracies failed to effectively manage the pandemic because some authoritarian systems won praise for their effective response. Secondly, why some democracies have successfully managed it and whether the regime types matter in dealing with the pandemic. A qualitative method has been applied to build the argument and a comparative approach has enabled the researcher to suggest a way out for the future.

Assessing the impact of the COVID‑19 pandemic health protocols on the hygiene status of swimming pools of hotel units.

With the onset of the coronavirus disease 2019 (COVID-19) pandemic, numerous countries imposed strict lockdown measures and travel bans, resulting in the closure of hotels. Over time, the opening of hotel units was gradually allowed, and new strict regulations and protocols were issued to ensure the hygiene and safety of swimming pools in the era of COVID-19. The present study aimed to evaluate the implementation of strict health COVID-19-related protocols in hotel units during the 2020 summer tourist season concerning microbiological hygiene and physicochemical parameters of water, and to compare the data with those from the 2019 tourist season. For this reason, 591 water samples from 62 swimming pools were analyzed, of which 381 samples were for the 2019 tourist season and 210 samples were for the 2020 tourist season. To examine the presence of Legionella spp, 132 additional samples were taken from 14 pools, of which 49 in 2019 and 83 in 2020. In 2019, 2.89% (11/381) of the samples were out of legislative limits (0/250 mg/l) regarding the presence of Escherichia coli (E. coli), 9.45% (36/381) were out of acceptable limits (0/250 mg/l) regarding the presence of Pseudomonas aeruginosa (P. aeruginosa) and 8.92% (34/381) had residual chlorine levels <0.4 mg/l. In 2020, 1.43% (3/210) of the samples were out of the legislative limits as regards the presence of E. coli, 7.14% (15/210) were out of acceptable limits regarding the presence of P. aeruginosa and 3.33% (7/210) of the samples measured residual chlorine levels <0.4 mg/l. The risk ratio (RR) in relation to the presence of E. coli due to incorrect compliance with the requirements for residual chlorine was calculated for 2019 at 8.50, while in 2020 it was calculated at 14.50 (P=0.008). The RR of the presence of P. aeruginosa due to inappropriate residual chlorine requirements was calculated in 2019 at 2.04 (P=0.0814), while in 2020 it was calculated at 2.07 (P=0.44). According to the microbiological hygiene and physicochemical parameters of the water samples studied, there was a significant improvement due to the strict protocols for the swimming pools in the summer season of 2020 compared to the tourist season of 2019, namely 72.72% (E. coli), 58.33% (P. aeruginosa), 79.41% (of residual chlorine <0.4 mg/l) in the three main parameters studied. Finally, an increased colonization by Legionella spp. detected in the internal networks of the hotels due to the non-operation of the hotels during the lockdown, the improper disinfection and stagnant water in the internal water supply networks. Specifically, in 2019, 95.92% (47/49) of the samples tested negative and 4.08% (2/49) tested positive (≥50 CFU/l) for Legionella spp., compared to 2020 where 91.57% (76/83) of the samples tested negative and 8.43% (7/83) tested positive.