A sharp increase in the number of COVID-19 cases and case fatality rates after lifting the lockdown in Kurdistan region of Iraq

Hussein N.R.,
Naqid I.A.,
Saleem Z.S.M.,
Almizori L.A.,
Musa D.H.,
Ibrahim N.
Document Type
Source Title
Annals of Medicine and Surgery
Elsevier Ltd


With the appearance of first cases of Coronavirus disease (COVID-19), strict control measures were implemented in the Kurdistan Region of Iraq to combat the infection. These measures included the closure of schools and universities, the closure of borders and airports, cancellation of public and religious gatherings, and mandatory quarantine for persons returning from traveling abroad. Such measures have played a major role in the control of COVID-19 spread. However, due to social and economic pressures, the government relaxed the lockdown. After relaxing the measures, a sharp increase in the number of patients was noticed. Besides, there was a significant increase in the number of symptomatic patients and the case fatality rate was doubled. In addition, the outbreak and outbreak response led to the loss of trust and a breakdown in relations between the society and local authority. To minimize the consequences for population health, local authority should have a plan that balances between health imperatives and socioeconomic imperatives. Finally, to be successful in controlling the infection, the government must rebuild public trust in the handling of COVID-19 outbreak and compensate people for lost earnings. © 2020 The Author(s)

Migration angle
Region/Country (by coverage)
Index Keywords

Article; case fatality rate; coronavirus disease 2019; epidemic; government regulation; high risk population; human; infection prevention; lockdown; morbidity; mortality; priority journal; quarantine; social distance; socioeconomics