Czech Republic and Low COVID-19 Mortality in the Heart of Europe: Possible Explanations

Jiri Benes, M.D., PhD; Alexander M. Celko, M.D., PhD; Petr Widimsky, MD., DrSc., FESC., FACC


Eur Heart J. 2020;41(40):3876-3879. 

In This Article

Abstract and Introduction


Three months after the onset of the explosive spread of COVID-19 disease in Europe, the Czech Republic is among the few European countries with only a very limited burden of this serious infection and low case fatality rates (Figures 1 and 2). The country is very active in PCR testing, including all suspicious contacts for SARS-CoV-2 virus, and hospitals test most incoming patients. There is an ongoing discussion, about how to explain the difference compared with most the other European countries.4

Figure 1.

Total confirmedCOVID-19 deaths per population in European countries.

Figure 2.

Case fatality rates in European countries.

We attempted to assess several possible reasons for the mild course of COVID-19 in our country that could be helpful for epidemic control in other countries or for the future. The possible explanations are listed in Table 1 and Table 2.