Page 101 - GHES-3-3
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Global Health Economics and
            Sustainability
                                                                  Pandemic effects on economy and public health management


            human history into three distinct phases, each exhibiting   increase  for  individuals  and  governments  during
            distinctive mortality and fertility patterns. The first phase   pandemics. Indirect expenses such as caring-related
            was characterized by widespread famine and devastating   obligations and loss of pay resulting from prolonged illness
            plagues, the occurrence of pandemics decreased in the   must particularly affect working individuals in their prime.
            second phase, and the third and current phase is marked   Any ailment that causes premature mortality or irreversible
            by the predominance of degenerative diseases (Omran,   incapacitation inevitably inflicts financial repercussions
            1971). We have previously experienced the fury of diseases,   on concerned households. The magnitude of such effects
            as manifested through four influenza pandemics in the last   escalates significantly during pandemics. Lockdowns
            200 years: the Spanish flu of 1918 (Gavrilova & Gavrilov,   and closures induce mass panic, disrupt social life, and
            2020), the Asian flu of 1957 (Agrawal et al., 2021), the Hong   impact the efficiency of manufacturing industries. Migrant
            Kong flu of 1968 (Au  et al., 2022), and the swine flu of   laborers are frequently subjected to social exclusion and
            2009 (Carvalho et al., 2020). The 1918 influenza pandemic   discrimination during pandemics. Historical and present
            significantly affected almost 500 million people across the   accounts mention instances of dramatic reverse migrations
            globe. It resulted in the unfortunate loss of 50 million lives,   caused by pandemics. An estimated 380,000 individuals
            which  accounted  for  approximately  2.1%  of  the  world’s   are said to have evacuated Bombay, a city with 850,000
            population at that time. This impact became more evident   residents, during the pandemic of 1896 (Arnold, 2020).
            due to the combined effects of the First World War. The 1957   The closure of educational institutions and nonessential
            pandemic in India caused approximately 4.5 million cases   companies significantly detrimentally impacts the
            of illness and more than 1,000 deaths (Viboud et al., 2016).  economic conditions of families and governments. A fall
              The global population suffered significant losses   in production could cause inflation to increase while
            during the period spanning from the early 18  to the early   decreasing demand would result in partial price reductions.
                                                th
            19  centuries, due to outbreaks of cholera and plague, in   The purchasing power of a substantial portion of the
              th
            addition to influenza. The task of tracing the origins of our   population would decline due to diminished employment
            current understanding of pandemics is challenging because   opportunities and business prospects. The 1918 influenza
            it predates the scientific elucidation of microbes, germ   pandemic resulted in a 0.8% decline in the gross domestic
            theory, and diagnostics. Further, the recording of crucial   product (GDP) of the United States, equaling around
            information such as deaths and why they occurred was   US$330 billion. In contrast, the impact on several poor
            not as meticulous or efficiently organized several thousand   countries was considerably more pronounced: their GDP
            years ago as now. These factors impede our understanding   decreased  by  up  to  50%.  The  populous  city  of  Bombay
            of the behaviors of past pandemics. However, most medical   experienced a significant economic downturn during the
            records document the occurrence of the three bubonic   1896 pandemic:  the incurred loss amounted to around
            plague pandemics. The Mediterranean states, Africa, and   12.6% of the worldwide GDP.
            Europe were severely affected in the fifth century by the   According to economists, the 1918 influenza pandemic
            Justinian Plague. The concept of pandemics transformed   wielded a greater impact on GDP than the First World War
            in modernity due to scientific progress and the increasing   and equivalently influenced climate change (Barro & Ursía,
            interconnectedness of the world, and India functioned   2008; Fan et al., 2018). The enduring economic impact of
            pivotally  in  this evolution.  India endured significant   the epidemic remained evident for 20 – 40 years, even in
            hardships during the British Raj: For instance, frequent   highly industrialized nations such as France, Germany,
            occurrences and widespread outbreaks of cholera t resulted   Italy, and the United Kingdom (Jordà et al., 2021).
            in the loss of 2 million people in 1896. In addition, India   However, certain sectors attained financial gains
            accounted for almost 90% of the global fatalities during the   resulting from the most recent pandemic. The recent
            black plague (Kumar, 2022).
                                                               COVID-19 pandemic financially boosted certain
            2. Effects of pandemics on the worldwide           businesses, for instance, computer hardware and software
            economy                                            companies, large-scale grocery delivery services such
                                                               as Amazon, and cottage industries as well as large-scale
            Pandemics exert far-reaching spatial and temporal   manufacturers of pharmaceutical products. Ayurveda is
            effects encompassing social, political, and economic   currently undergoing a revival in India. Reports about
            consequences. Unlike conflicts, the effects of pandemics   earlier pandemics also indicate that the 1918 influenza
            often persist for long periods. The identifiable data on   pandemic resulted in a scarcity of labor, thereby causing
            the effects of previous pandemics exist only in the form   an increase in salaries in comparison to before and after
            of approximations. Presumably, the costs of healthcare   pandemic.



            Volume 3 Issue 3 (2025)                         93                       https://doi.org/10.36922/ghes.4531
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