Nordic countriesCoronavirus: Why the Nordics Are Our Best Bet for Comparing Strategies

By Paul W Franks

Published 7 April 2020

Comparing the effectiveness of policies different countries employ to combat coronavirus is made difficult, if not meaningless, when comparing how different countries as different as South Korea, China, Italy, and the U.K., because we may find that the impression of how different interventions work is obscured by many other factors. From a scientific perspective, and in the absence of better models, the Nordic countries of Sweden, Denmark, Norway and Finland – which are culturally, economically, politically and geographically similar – may, serendipitously, represent a powerful intervention trial. Currently, 15 million people here have been assigned to a lockdown, while a further 10 million have been asked to simply act responsibly. While it is too early to have definite answers about what works best, interesting insights can already be gleaned.

Daily updated graphs illustrating the rising COVID-19 death rates in different countries raise hopes that we can understand the impact of the virus and work out how to stop it from spreading further. But when comparing countries as different as South Korea, China, Italy and the U.K., we may find the impression of how different interventions work is obscured by many other factors.

These countries differ in many important ways, including demographics, civil disobedience, population density, patterns of social interactions, air quality and genetics. Italy, for example, has regions with older populations than many other countries. And European societies are unlikely to ever accept the draconian interventions used in China and South Korea.

From a scientific perspective, and in the absence of better models, the Nordic countries of Sweden, Denmark, Norway and Finland – which are culturally, economically, politically and geographically similar – may, serendipitously, represent a powerful intervention trial.

Currently, 15 million people here have been assigned to a lockdown, while a further 10 million have been asked to simply act responsibly. While it is too early to have definite answers about what works best, interesting insights can already be gleaned.

The Swedish approach to COVID-19 could not be more different from its neighbors, placing much of the responsibility for delaying the spread of the virus and protecting the vulnerable in the hands of the public. It’s now April and, albeit with some restrictions, Swedish bars, restaurants and schools remain open.

Under the blue skies and blazing sun Sweden has enjoyed lately, people have flocked to parks and beaches, bars and cafes. Nevertheless, Sweden has a high number of people living in single households, and citizens are generally respectful of public health advice and guidelines.

This all contrasts the far more assertive physical restrictions imposed in the culturally similar neighboring countries. Across the borders in Denmark, Norway and Finland, schools closed weeks ago and movement has been severely restricted.

New Research
A report just out from the group leading the UK government’s COVID-19 simulations estimates the spread of the virus within 11 European nations. An important metric in this setting is the reproduction number: how many people someone with COVID-19 in turn infects. A number that is larger than one indicates that the epidemic is in its growth phase, whereas a number of one or less indicates the epidemic is fading.