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Coronavirus disease 2019 (COVID-19) is the most devastating pandemic to affect humanity in a century. In this article, we assessed tests as a policy instrument and policy enactment to contain COVID-19 and potentially reduce mortalities. A model was devised to estimate the factors that influenced the death rate across 121 nations and by income group. Nations with a higher proportion of people aged 65+ years had a higher fatality rate (P=0.00014). Delaying policy enactment led to a higher case fatality rate (P=0.0013). A