2. IMPLEMENTATION RESULTS AND IMPACT OF THE ZERO-COVID STRATEGY IN THE COVID-19 PANDEMIC: A SCOPING REVIEW

Dinh Thai Son1, Phan Thanh Hai1, Cao Thi Ngoc Anh1, Tran Ngoc Anh1, Le Phuc Thanh1, Nguyen Thi Hanh1, Le Xuan Hung1, Luu Ngoc Minh1, Nguyen Ha Thu1, Do Thi Thanh Toan1
1 School of Preventive Medicine and Public Health, Hanoi Medical University

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Tóm tắt

Objectives: Describe the advantages and impacts of the Zero-COVID strategy.


Method: The search strategy includes terms related to (1) Zero-COVID and (2) COVID-19 in PubMed/MEDLINE, and Science Direct. Original research papers on the advantages and impacts of the Zero-COVID strategy in English were selected for the study. Data from selected studies were extracted and classified into themes and topics. The PRISMA principles were used to perform a scoping evaluation of several medical databases.


Results: In total, this research includes nine studies. The Zero-Covid strategy has brought some positive impacts, including significantly reducing morbidity, mortality, and environmental pollution. However, the Zero-Covid strategy also brought certain restrictions, which had negative effects on mental health, job loss, and reduced income.


Conclusion: While the strategy achieved its healthcare and national security objectives to a certain extent, it also led to substantial and unpredictable social and economic repercussions. The long-term effects on GDP and education remain uncertain. This scoping review can help governments consider preventative measures should the COVID-19 pandemic return.

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Tài liệu tham khảo

[1] WHO Coronavirus (COVID-19) Dashboard.
Accessed: Oct. 05, 2023. [Online]. Available:
https://covid19.who.int
[2] A. Cheshmehzangi, T. Zou, and Z. Su,
Commentary: China’s Zero-COVID Approach
Depends on Shanghai’s Outbreak Control, Front
Public Health, vol. 10, p. 912992, Jun. 2022, doi:
10.3389/fpubh.2022.912992.
[3] H. Jin et al., Economic burden of COVID-19,
China, January-March, 2020: a cost-of-illness
study, Bull World Health Organ, vol. 99,
no. 2, pp. 112–124, Feb. 2021, doi: 10.2471/
BLT.20.267112.
[4] M. König and A. Winkler, The impact of
government responses to the COVID-19
pandemic on GDP growth: Does strategy
matter?, PLoS One, vol. 16, no. 11, p. e0259362,
2021, doi: 10.1371/journal.pone.0259362.
[5] B. Mason, S. Stott, R. Beamish, Reduced
presentations with fractures or orthopaedic
infections to a major children’s hospital during
a national COVID‐19 elimination strategy, ANZ
J Surg, vol. 92, no. 1–2, pp. 206–211, 2022, doi:
10.1111/ans.17354.
[6] W. Wang et al., Influence of COVID-19 lockdown
on the variation of organic aerosols: Insight
into its molecular composition and oxidative
potential, Environ Res, vol. 206, p. 112597, Apr.15
2022, doi: 10.1016/j.envres.2021.112597.
[7] B. J. Hall, G. Li, W. Chen, D. Shelley, W. Tang,
Prevalence of depression, anxiety, and suicidal
ideation during the Shanghai 2022 Lockdown:
A cross-sectional study, J Affect Disord, vol.
330, pp. 283–290, Jun. 2023, doi: 10.1016/j.
jad.2023.02.121.
[8] H. Wang et al., Tracking the effects of COVID-19
in rural China over time, Int J Equity Health, vol.
20, no. 1, p. 35, Jan. 2021, doi: 10.1186/s12939-
020-01369-z.
[9] Z. Su et al., The Advantages of the ZeroCOVID-19
Strategy, Int J Environ Res Public Health, vol. 19,
no. 14, p. 8767, Jul. 2022, doi: 10.3390/ijerph19148767.