IDEAS home Printed from https://ideas.repec.org/p/imf/imfwpa/2021-205.html
   My bibliography  Save this paper

Mask Mandates Save Lives

Author

Listed:
  • Mr. Niels-Jakob H Hansen
  • Rui Mano

Abstract

We quantify the effect of mask mandates in the United States. Our regression discontinuity design exploits county-level variation in COVID-19 cases, hospital admissions, and deaths across the border between states with and without mandates. We find a significant and substantial effect—mask mandates reduced new weekly COVID-19 cases, hospital admissions, and deaths by 55, 11 and 0.7 per 100,000 inhabitants on average. Crucially, we find that the effect of mask mandates depends on the attitudes toward mask wearing at the county level, with larger effects in counties more positively inclined towards mask wearing. Our results imply that mandates saved 87,000 lives through December 19, 2020, while a nationwide mandate could have saved 58,000 additional lives. These large effects suggest that mask mandates are a crucial tool to counter pandemics, particularly if accepted widely by the population. Our results are thus also relevant for countries who will not be able to immunize large swaths of their population in the short term.

Suggested Citation

  • Mr. Niels-Jakob H Hansen & Rui Mano, 2021. "Mask Mandates Save Lives," IMF Working Papers 2021/205, International Monetary Fund.
  • Handle: RePEc:imf:imfwpa:2021/205
    as

    Download full text from publisher

    File URL: http://www.imf.org/external/pubs/cat/longres.aspx?sk=460123
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Rocío Titiunik, 2019. "Regression Discontinuity Designs Using Covariates," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 442-451, July.
    2. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    3. Mitze, Timo & Kosfeld, Reinhold & Rode, Johannes & Wälde, Klaus, 2020. "Face masks considerably reduce COVID-19 cases in Germany," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 124130, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    4. Mitze, Timo & Kosfeld, Reinhold & Rode, Johannes & Wälde, Klaus, 2020. "Face masks considerably reduce COVID-19 cases in Germany," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 124587, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    5. Steven Dieterle & Otávio Bartalotti & Quentin Brummet, 2020. "Revisiting the Effects of Unemployment Insurance Extensions on Unemployment: A Measurement-Error-Corrected Regression Discontinuity Approach," American Economic Journal: Economic Policy, American Economic Association, vol. 12(2), pages 84-114, May.
    6. Austin L. Wright & Geet Chawla & Luke Chen & Anthony Farmer, 2020. "Tracking Mask Mandates during the COVID-19 Pandemic," Working Papers 2020-104, Becker Friedman Institute for Research In Economics.
    7. Jason Abaluck & Laura H Kwong & Ashley Styczynski & Md. Ashraful Haque & Alamgir Kabir & Ellen Bates-Jeffries & Emily Crawford & Jade Benjamin-Chung & Salim Benhachmi & Shabib Raihan & Shadman Rahman , 2021. "Normalizing Community Mask-Wearing: A Cluster Randomized Trial in Bangladesh," Cowles Foundation Discussion Papers 2284, Cowles Foundation for Research in Economics, Yale University.
    8. Karaivanov, Alexander & Lu, Shih En & Shigeoka, Hitoshi & Chen, Cong & Pamplona, Stephanie, 2021. "Face masks, public policies and slowing the spread of COVID-19: Evidence from Canada," Journal of Health Economics, Elsevier, vol. 78(C).
    9. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Roc ́ıo Titiunik, 2017. "rdrobust: Software for regression-discontinuity designs," Stata Journal, StataCorp LP, vol. 17(2), pages 372-404, June.
    10. Chernozhukov, Victor & Kasahara, Hiroyuki & Schrimpf, Paul, 2021. "Causal impact of masks, policies, behavior on early covid-19 pandemic in the U.S," Journal of Econometrics, Elsevier, vol. 220(1), pages 23-62.
    11. Andrey Simonov & Szymon Sacher & Jean-Pierre Dube & Shirsho Biswas, 2020. "The Persuasive Effect of Fox News: Non-Compliance with Social Distancing During the COVID-19 Pandemic," Working Papers 2020-67, Becker Friedman Institute for Research In Economics.
    12. Anton Gollwitzer & Cameron Martel & William J. Brady & Philip Pärnamets & Isaac G. Freedman & Eric D. Knowles & Jay J. Van Bavel, 2020. "Partisan differences in physical distancing are linked to health outcomes during the COVID-19 pandemic," Nature Human Behaviour, Nature, vol. 4(11), pages 1186-1197, November.
    13. Jean-Paul Renne & Guillaume Roussellet & Gustavo Schwenkler, 2020. "Preventing COVID-19 Fatalities: State versus Federal Policies," Papers 2010.15263, arXiv.org, revised Dec 2020.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Herby, Jonas & Jonung, Lars & Hanke, Steve, 2022. "A Literature Review and Meta-Analysis of the Effects of Lockdowns on Covid-19 Mortality - II," MPRA Paper 113732, University Library of Munich, Germany.
    2. Barro, Robert J., 2022. "Non-pharmaceutical interventions and mortality in U.S. cities during the great influenza pandemic, 1918–1919," Research in Economics, Elsevier, vol. 76(2), pages 93-106.
    3. Hurley, James & Walker, Daniel, 2021. "Did the Covid-19 local lockdowns reduce business activity? Evidence from UK SMEs," Bank of England working papers 943, Bank of England.
    4. Barro, Robert J., 2022. "Vaccination rates and COVID outcomes across U.S. states," Economics & Human Biology, Elsevier, vol. 47(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Seres, Gyula & Balleyer, Anna Helen & Cerutti, Nicola & Danilov, Anastasia & Friedrichsen, Jana & Liu, Yiming & Süer, Müge, 2021. "Face masks increase compliance with physical distancing recommendations during the COVID-19 pandemic," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7(2), pages 139-158.
    2. Cooper, Daniel & Garga, Vaishali & Luengo-Prado, María José & Tang, Jenny, 2023. "The mitigating effect of masks on the spread of Covid-19," Economics & Human Biology, Elsevier, vol. 48(C).
    3. Grimalda, Gianluca & Murtin, Fabrice & Pipke, David & Putterman, Louis & Sutter, Matthias, 2023. "The politicized pandemic: Ideological polarization and the behavioral response to COVID-19," European Economic Review, Elsevier, vol. 156(C).
    4. Florian Dorn & Sahamoddin Khailaie & Marc Stoeckli & Sebastian C. Binder & Tanmay Mitra & Berit Lange & Stefan Lautenbacher & Andreas Peichl & Patrizio Vanella & Timo Wollmershäuser & Clemens Fuest & , 2023. "The common interests of health protection and the economy: evidence from scenario calculations of COVID-19 containment policies," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(1), pages 67-74, February.
    5. Seres, Gyula & Balleyer, Anna & Cerutti, Nicola & Friedrichsen, Jana & Süer, Müge, 2021. "Face mask use and physical distancing before and after mandatory masking: No evidence on risk compensation in public waiting lines," Journal of Economic Behavior & Organization, Elsevier, vol. 192(C), pages 765-781.
    6. Léa BOU SLEIMAN & Germain GAUTHIER, 2020. "COVID-19: Reduced forms have gone viral, but what do they tell us?," Working Papers 2020-32, Center for Research in Economics and Statistics, revised 18 Jan 2021.
    7. Daniel H. Cooper & Vaishali Garga & Maria Jose Luengo-Prado & Jenny Tang, 2020. "The Roles of Mobility and Masks in the Spread of COVID-19," Current Policy Perspectives 89224, Federal Reserve Bank of Boston.
    8. Milosh, Maria & Painter, Marcus & Sonin, Konstantin & Van Dijcke, David & Wright, Austin L., 2021. "Unmasking partisanship: Polarization undermines public response to collective risk," Journal of Public Economics, Elsevier, vol. 204(C).
    9. Germain Gauthier, 2021. "On the Use of Two-Way Fixed Effects Models for Policy Evaluation During Pandemics," Papers 2106.10949, arXiv.org.
    10. Fetzer, T. & Rauh, C., 2022. "Pandemic pressures and public health care: evidence from England," Janeway Institute Working Papers 2204, Faculty of Economics, University of Cambridge.
    11. Atı̇la Abdulkadı̇roğlu & Joshua D. Angrist & Yusuke Narita & Parag Pathak, 2022. "Breaking Ties: Regression Discontinuity Design Meets Market Design," Econometrica, Econometric Society, vol. 90(1), pages 117-151, January.
    12. Mellace, Giovanni & Ventura, Marco, 2019. "Intended and unintended effects of public incentives for innovation. Quasi-experimental evidence from Italy," Discussion Papers on Economics 9/2019, University of Southern Denmark, Department of Economics.
    13. Raphael Bruce & Alexsandros Cavgias & Luis Meloni & Mario Remigio, 2021. "Under Pressure: Women's Leadership During the COVID-19 Crisis," Working Papers, Department of Economics 2021_19, University of São Paulo (FEA-USP).
    14. Pastore, Chiara & Jones, Andrew M., 2023. "Human capital consequences of missing out on a grammar school education," Economic Modelling, Elsevier, vol. 126(C).
    15. Austin L. Wright & Geet Chawla & Luke Chen & Anthony Farmer, 2020. "Tracking Mask Mandates during the COVID-19 Pandemic," Working Papers 2020-104, Becker Friedman Institute for Research In Economics.
    16. Hansen, Benjamin & Miller, Keaton & Weber, Caroline, 2020. "Federalism, partial prohibition, and cross-border sales: Evidence from recreational marijuana," Journal of Public Economics, Elsevier, vol. 187(C).
    17. Crespo Cristian, 2020. "Beyond Manipulation: Administrative Sorting in Regression Discontinuity Designs," Journal of Causal Inference, De Gruyter, vol. 8(1), pages 164-181, January.
    18. Adrien Montalbo, 2019. "Education and economic development. The influence of primary schooling on municipalities in nineteenth-century France," Working Papers halshs-02286126, HAL.
    19. Karaivanov, Alexander & Lu, Shih En & Shigeoka, Hitoshi & Chen, Cong & Pamplona, Stephanie, 2021. "Face masks, public policies and slowing the spread of COVID-19: Evidence from Canada," Journal of Health Economics, Elsevier, vol. 78(C).
    20. Roy Cerqueti & Raffaella Coppier & Alessandro Girardi & Marco Ventura, 2022. "The sooner the better: lives saved by the lockdown during the COVID-19 outbreak. The case of Italy [Using synthetic controls: Feasibility, data requirements, and methodological aspects]," The Econometrics Journal, Royal Economic Society, vol. 25(1), pages 46-70.

    More about this item

    Keywords

    COVID-19; public health measures; face masks; regression discontinuity.; mask mandate; discontinuity design; nationwide mandate; mask border; mask wearing; COVID-19; Global;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:imf:imfwpa:2021/205. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Akshay Modi (email available below). General contact details of provider: https://edirc.repec.org/data/imfffus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.