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When Reality Bites: Local Deaths and Vaccine Take-Up

Author

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  • Zenou, Yves
  • Giulietti, Corrado
  • Vlassopoulos, Michael

Abstract

In this study, we investigate whether COVID-19 deaths that occurred before vaccination rollouts impact subsequent vaccination take-ups. We used data on local vaccination rates and COVID-19-related deaths from England measured at high geographic granularity. We found that vaccination take-up as of November 2021 was positively associated with pre-vaccine COVID-19-related deaths, controlling for demographic, economic, and health-related characteristics of the localities, while including geographic fixed effects. In addition, the share of ethnic minorities in a locality was negatively associated with vaccination rates, and that localities with a larger share of ethnic minorities increased their vaccination rates if they get exposed to more COVID-related-deaths. Further evidence on vaccination intention at the individual level from a representative sample corroborated these patterns. Overall, our evidence suggests that social proximity to victims of the disease triggers a desire to take protective measures against it.

Suggested Citation

  • Zenou, Yves & Giulietti, Corrado & Vlassopoulos, Michael, 2021. "When Reality Bites: Local Deaths and Vaccine Take-Up," CEPR Discussion Papers 16791, C.E.P.R. Discussion Papers.
  • Handle: RePEc:cpr:ceprdp:16791
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    2. Islam, Asad & Kusnadi, Gita & Rezki, Jahen & Sim, Armand & van Empel, Giovanni & Vlassopoulos, Michael & Zenou, Yves, 2024. "Addressing vaccine hesitancy using local ambassadors: A randomized controlled trial in Indonesia," European Economic Review, Elsevier, vol. 163(C).
    3. Thuilliez, Josselin & Touré, Nouhoum, 2024. "Opinions and vaccination during an epidemic," Journal of Mathematical Economics, Elsevier, vol. 111(C).
    4. Epstein, Gil S. & Heizler, Odelia & Israeli, Osnat, 2025. "Herding and the intention to vaccinate against COVID-19," GLO Discussion Paper Series 1578, Global Labor Organization (GLO).
    5. Josselin Thuilliez & Nouhoum Touré, 2024. "Opinions and vaccination during an epidemic," Post-Print hal-04490900, HAL.
    6. Deiana, Claudio & Geraci, Andrea & Mastrobuoni, Giovanni & Weidenholzer, Simon, 2025. "Running the risk: Immunity and mobility in response to a pandemic," European Economic Review, Elsevier, vol. 177(C).
    7. Bonsang, Eric & Pronkina, Elizaveta, 2023. "Family size and vaccination among older individuals: The case of COVID-19 vaccine," Economics & Human Biology, Elsevier, vol. 50(C).
    8. Laliotis, Ioannis & Mourelatos, Evangelos & Lohtander, Joona, 2025. "Religiosity, attitudes toward science, and public health: Evidence from Finland," Economics & Human Biology, Elsevier, vol. 56(C).
    9. Pronkina, Elizaveta & Rees, Daniel I., 2022. "Predicting COVID-19 Vaccine Uptake," IZA Discussion Papers 15625, Institute of Labor Economics (IZA).
    10. Epstein, Gil S. & Heizler, Odelia & Israeli, Osnat, 2025. "Herd behavior and the intention to vaccinate against COVID-19," European Economic Review, Elsevier, vol. 175(C).
    11. Josselin Thuilliez & Nouhoum Touré, 2024. "Opinions and vaccination during an epidemic," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-04490900, HAL.

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    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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