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Amadi M, Erandi KKWH. Assessing the relationship between malaria incidence levels and meteorological factors using cluster-integrated regression. BMC Infect Dis 2024; 24:664. [PMID: 38961345 PMCID: PMC11220975 DOI: 10.1186/s12879-024-09570-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2024] [Accepted: 06/26/2024] [Indexed: 07/05/2024] Open
Abstract
This paper introduces a novel approach to modeling malaria incidence in Nigeria by integrating clustering strategies with regression modeling and leveraging meteorological data. By decomposing the datasets into multiple subsets using clustering techniques, we increase the number of explanatory variables and elucidate the role of weather in predicting different ranges of incidence data. Our clustering-integrated regression models, accompanied by optimal barriers, provide insights into the complex relationship between malaria incidence and well-established influencing weather factors such as rainfall and temperature.We explore two models. The first model incorporates lagged incidence and individual-specific effects. The second model focuses solely on weather components. Selection of a model depends on decision-makers priorities. The model one is recommended for higher predictive accuracy. Moreover, our findings reveal significant variability in malaria incidence, specific to certain geographic clusters and beyond what can be explained by observed weather variables alone.Notably, rainfall and temperature exhibit varying marginal effects across incidence clusters, indicating their differential impact on malaria transmission. High rainfall correlates with lower incidence, possibly due to its role in flushing mosquito breeding sites. On the other hand, temperature could not predict high-incidence cases, suggesting that other factors other than temperature contribute to high cases.Our study addresses the demand for comprehensive modeling of malaria incidence, particularly in regions like Nigeria where the disease remains prevalent. By integrating clustering techniques with regression analysis, we offer a nuanced understanding of how predetermined weather factors influence malaria transmission. This approach aids public health authorities in implementing targeted interventions. Our research underscores the importance of considering local contextual factors in malaria control efforts and highlights the potential of weather-based forecasting for proactive disease management.
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Affiliation(s)
- Miracle Amadi
- LUT School of Engineering Science, Lappeenranta-Lahti University of Technology LUT, Lappeenranta, FI-53850, Finland.
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Koanda O, Yonaba R, Tazen F, Karoui H, Sidibé ML, Lèye B, Diop M, Andrianisa HA, Karambiri H. Climate and COVID-19 transmission: a cross-sectional study in Africa. Sci Rep 2023; 13:18702. [PMID: 37907735 PMCID: PMC10618194 DOI: 10.1038/s41598-023-46007-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 10/26/2023] [Indexed: 11/02/2023] Open
Abstract
The role of climate in the Coronavirus disease 2019 (COVID-19) transmission appears to be controversial, as reported in earlier studies. In Africa, the subject is poorly documented. In this study, over the period from January 1st, 2020 to September 31, 2022, the daily variations in cumulative confirmed cases of COVID-19 for each African country (54 countries) are modelled through time-series-based approaches and using meteorological factors as covariates. It is suggested from the findings that climate plays a role in COVID-19 transmission since at least one meteorological factor is found to be significant in 32 countries. In decreasing order, the most often occurring meteorological factors are dewpoint temperature, relative and absolute humidity, average temperature and solar radiation. Most of these factors show a lagged effect with confirmed cases (between 0 and 28 days). Also, some meteorological factors exhibit contrasting effects on COVID-19 transmission, resulting in both positive and negative association with cumulative cases, therefore highlighting the complex nature of the interplay between climate and COVID-19 transmission.
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Affiliation(s)
- Ousmane Koanda
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Roland Yonaba
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso.
| | - Fowé Tazen
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Héla Karoui
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Mohamed Lamine Sidibé
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Babacar Lèye
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Mamadou Diop
- Laboratoire Eco-Matériaux et Habitat Durable (LEMHaD), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Harinaivo Anderson Andrianisa
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
| | - Harouna Karambiri
- Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso
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3
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Murari A, Gelfusa M, Craciunescu T, Gelfusa C, Gaudio P, Bovesecchi G, Rossi R. Effects of environmental conditions on COVID-19 morbidity as an example of multicausality: a multi-city case study in Italy. Front Public Health 2023; 11:1222389. [PMID: 37965519 PMCID: PMC10642182 DOI: 10.3389/fpubh.2023.1222389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 10/06/2023] [Indexed: 11/16/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), broke out in December 2019 in Wuhan city, in the Hubei province of China. Since then, it has spread practically all over the world, disrupting many human activities. In temperate climates overwhelming evidence indicates that its incidence increases significantly during the cold season. Italy was one of the first nations, in which COVID-19 reached epidemic proportions, already at the beginning of 2020. There is therefore enough data to perform a systematic investigation of the correlation between the spread of the virus and the environmental conditions. The objective of this study is the investigation of the relationship between the virus diffusion and the weather, including temperature, wind, humidity and air quality, before the rollout of any vaccine and including rapid variation of the pollutants (not only their long term effects as reported in the literature). Regarding them methodology, given the complexity of the problem and the sparse data, robust statistical tools based on ranking (Spearman and Kendall correlation coefficients) and innovative dynamical system analysis techniques (recurrence plots) have been deployed to disentangle the different influences. In terms of results, the evidence indicates that, even if temperature plays a fundamental role, the morbidity of COVID-19 depends also on other factors. At the aggregate level of major cities, air pollution and the environmental quantities affecting it, particularly the wind intensity, have no negligible effect. This evidence should motivate a rethinking of the public policies related to the containment of this type of airborne infectious diseases, particularly information gathering and traffic management.
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Affiliation(s)
- Andrea Murari
- Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Padua, Italy
- Istituto per la Scienza e la Tecnologia dei Plasmi, CNR, Padua, Italy
| | - Michela Gelfusa
- Department of Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Teddy Craciunescu
- National Institute for Laser, Plasma and Radiation Physics, Măgurele, Romania
| | - Claudio Gelfusa
- Department of Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Pasquale Gaudio
- Department of Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Gianluigi Bovesecchi
- Department of Enterprise Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Riccardo Rossi
- Department of Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
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Zhai G, Qi J, Zhou W, Wang J. The non-linear and interactive effects of meteorological factors on the transmission of COVID-19: A panel smooth transition regression model for cities across the globe. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 84:103478. [PMID: 36505181 PMCID: PMC9721135 DOI: 10.1016/j.ijdrr.2022.103478] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 10/14/2022] [Accepted: 12/01/2022] [Indexed: 05/11/2023]
Abstract
The ongoing pandemic created by COVID-19 has co-existed with humans for some time now, thus resulting in unprecedented disease burden. Previous studies have demonstrated the non-linear and single effects of meteorological factors on viral transmission and have a question of how to exclude the influence of unrelated confounding factors on the relationship. However, the interactions involved in such relationships remain unclear under complex weather conditions. Here, we used a panel smooth transition regression (PSTR) model to investigate the non-linear interactive impact of meteorological factors on daily new cases of COVID-19 based on a panel dataset of 58 global cities observed between Jul 1, 2020 and Jan 13, 2022. This new approach offers a possibility of assessing interactive effects of meteorological factors on daily new cases and uses fixed effects to control other unrelated confounding factors in a panel of cities. Our findings revealed that an optimal temperature range (0°C-20 °C) for the spread of COVID-19. The effect of RH (relative humidity) and DTR (diurnal temperature range) on infection became less positive (coefficient: 0.0427 to -0.0142; p < 0.05) and negative (coefficient: -0.0496 to -0.0248; p < 0.05) with increasing average temperature(T). The highest risk of infection occurred when the temperature was -10 °C and RH was >80% or when the temperature was 10 °C and DTR was 1 °C. Our findings highlight useful implications for policymakers and the general public.
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Affiliation(s)
- Guangyu Zhai
- School of Economics and Management, Lanzhou University of Technology, Lanzhou, 730050, China
| | - Jintao Qi
- School of Economics and Management, Lanzhou University of Technology, Lanzhou, 730050, China
| | - Wenjuan Zhou
- Gansu Provincial Hospital, Lanzhou, 730000, China
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Alaniz AJ, Carvajal MA, Carvajal JG, Vergara PM. Effects of air pollution and weather on the initial COVID-19 outbreaks in United States, Italy, Spain, and China: A comparative study. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2023; 43:8-18. [PMID: 36509703 PMCID: PMC9877606 DOI: 10.1111/risa.14080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 08/03/2022] [Accepted: 11/05/2022] [Indexed: 06/17/2023]
Abstract
Contrasting effects have been identified in association of weather (temperature and humidity) and pollutant gases with COVID-19 infection, which could be derived from the influence of lockdowns and season change. The influence of pollutant gases and climate during the initial phases of the pandemic, before the closures and the change of season in the northern hemisphere, is unknown. Here, we used a spatial-temporal Bayesian zero-inflated-Poisson model to test for short-term associations of weather and pollutant gases with the relative risk of COVID-19 disease in China (first outbreak) and the countries with more cases during the initial pandemic (the United States, Spain and Italy), considering also the effects of season and lockdown. We found contrasting association between pollutant gases and COVID-19 risk in the United States, Italy, and Spain, while in China it was negatively associated (except for SO2 ). COVID-19 risk was positively associated with specific humidity in all countries, while temperature presented a negative effect. Our findings showed that short-term associations of air pollutants with COVID-19 infection vary strongly between countries, while generalized effects of temperature (negative) and humidity (positive) with COVID-19 was found. Our results show novel information about the influence of pollution and weather on the initial outbreaks, which contribute to unravel the mechanisms during the beginning of the pandemic.
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Affiliation(s)
- Alberto J. Alaniz
- Departamento de Ingeniería Geoespacial y Ambiental, Facultad de IngenieríaUniversidad de Santiago de ChileSantiagoChile
- Facultad de Ciencias BiológicasPontificia Universidad Católica de ChileSantiagoChile
- Departamento de Gestión Agraria, Facultad TecnológicaUniversidad de Santiago de ChileSantiagoChile
- Centro de Estudios en Ecología Espacial y Medio AmbienteEcogeografíaSantiagoChile
| | - Mario A. Carvajal
- Facultad de Ciencias BiológicasPontificia Universidad Católica de ChileSantiagoChile
- Departamento de Gestión Agraria, Facultad TecnológicaUniversidad de Santiago de ChileSantiagoChile
| | - Jorge G. Carvajal
- Departamento de Gestión Agraria, Facultad TecnológicaUniversidad de Santiago de ChileSantiagoChile
- Centro de Estudios en Ecología Espacial y Medio AmbienteEcogeografíaSantiagoChile
| | - Pablo M. Vergara
- Departamento de Gestión Agraria, Facultad TecnológicaUniversidad de Santiago de ChileSantiagoChile
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Nair AN, Anand P, George A, Mondal N. A review of strategies and their effectiveness in reducing indoor airborne transmission and improving indoor air quality. ENVIRONMENTAL RESEARCH 2022; 213:113579. [PMID: 35714688 PMCID: PMC9192357 DOI: 10.1016/j.envres.2022.113579] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 04/25/2022] [Accepted: 05/26/2022] [Indexed: 06/15/2023]
Abstract
Airborne transmission arises through the inhalation of aerosol droplets exhaled by an infected person and is now thought to be the primary transmission route of COVID-19. Thus, maintaining adequate indoor air quality levels is vital in mitigating the spread of the airborne virus. The cause-and-effect flow of various agents involved in airborne transmission of viruses has been investigated through a systematic literature review. It has been identified that the airborne virus can stay infectious in the air for hours, and pollutants such as particulate matter (PM10, PM2.5), Nitrogen dioxide (NO2), Sulphur dioxide (SO2), Carbon monoxide (CO), Ozone (O3), Carbon dioxide (CO2), and Total Volatile Organic Compounds (TVOCs) and other air pollutants can enhance the incidence, spread and mortality rates of viral disease. Also, environmental quality parameters such as humidity and temperature have shown considerable influence in virus transmission in indoor spaces. The measures adopted in different research studies that can curb airborne transmission of viruses for an improved Indoor Air Quality (IAQ) have been collated for their effectiveness and limitations. A diverse set of building strategies, components, and operation techniques from the recent literature pertaining to the ongoing spread of COVID-19 disease has been systematically presented to understand the current state of techniques and building systems that can minimize the viral spread in built spaces This comprehensive review will help architects, builders, realtors, and other organizations improve or design a resilient building system to deal with COVID-19 or any such pandemic in the future.
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Affiliation(s)
- Ajith N Nair
- Department of Architecture and Regional Planning, IIT, Kharagpur, India
| | - Prashant Anand
- Department of Architecture and Regional Planning, IIT, Kharagpur, India.
| | - Abraham George
- Department of Architecture and Regional Planning, IIT, Kharagpur, India
| | - Nilabhra Mondal
- Department of Architecture and Regional Planning, IIT, Kharagpur, India
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González-Val R, Marcén M. Mass gathering events and the spread of infectious diseases: Evidence from the early growth phase of COVID-19. ECONOMICS AND HUMAN BIOLOGY 2022; 46:101140. [PMID: 35525103 PMCID: PMC9027297 DOI: 10.1016/j.ehb.2022.101140] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 03/31/2022] [Accepted: 04/12/2022] [Indexed: 06/01/2023]
Abstract
This paper studies the impact on reported coronavirus 2019 (COVID-19) cases and deaths in Spain resulting from large mass gatherings that occurred from March 6 to March 8, 2020. To study these outcomes, the geographic differences in the planned pre-pandemic major events that took place on these dates were exploited, which is a quasi-random source of variation for identification purposes. We collected daily and detailed information about the number of attendees at football (soccer) and basketball matches in addition to individuals participating in the Women's Day marches across Spain, which we merged with daily data on reported COVID-19 cases and deaths at the provincial level. Our results reveal evidence of non-negligible COVID-19 cases related to the differences in the percentage of attendees at these major events from March 6 to March 8. In a typical province, approximately 31% of the average daily reported COVID-19 cases per 100,000 inhabitants between mid-March and early April 2020 can be explained by the participation rate in those major events. A back-of-the-envelope calculation suggests that this implies almost five million euros (169,000 euros/day) of additional economic cost in the health system of a typical province with one million inhabitants in the period under consideration. Several mechanisms behind the spread of COVID-19 are also examined.
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Oliva C, Favato G. From 15 Minutes to 15 Seconds: How the Delta Variant Changed the Risk of Exposure to COVID-19. A Comparative Epidemiological Investigation Using Community Mobility Data From the Metropolitan Area of Genoa, Italy. Front Public Health 2022; 10:872698. [PMID: 35865252 PMCID: PMC9294394 DOI: 10.3389/fpubh.2022.872698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 06/13/2022] [Indexed: 11/13/2022] Open
Abstract
The Delta variant became dominant during the second wave of the Covid-19 pandemic due to its competitive advantage, the ability to reduce close contact duration from minutes to seconds, and, consequently, increase the risk of exposure to COVID-19. We used game theory to model the most effective public health response to this new threat. We compared the absolute and relative risk of exposure to COVID-19 before and after the emergence of the Delta variant. The absolute risk of exposure was defined as the product of crowding (people within a six feet distance) and visit duration. Our epidemiological investigation used aggregated and anonymized mobility data from Google Maps to estimate the visit duration for 808 premises in the metropolitan area of Genoa, Italy, in June 2021. The relative risk of exposure was obtained by dividing the risk of exposure of each activity by the lowest value (gas stations = 1). The median absolute risk of exposure to COVID-19 increased by sixty-fold in the first semester of 2021, while the relative risk did not significantly differ from the risk of exposure to the ancestral form of Covid-19 (5.9 in 2021 vs. 2.5 in 2021). The Delta variant represents an evolution of the game against COVID-19, but it is not a game-changer. The best response is to commit to our original strategy based on population-wide vaccination and social distancing. Unilateral deviations from the dominant strategy could offer COVID-19 a fighting chance against humanity.
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An analysis of the dynamic spatial spread of COVID-19 across South Korea. Sci Rep 2022; 12:9364. [PMID: 35672439 PMCID: PMC9171729 DOI: 10.1038/s41598-022-13301-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 05/23/2022] [Indexed: 11/08/2022] Open
Abstract
The first case of coronavirus disease 2019 (COVID-19) in South Korea was confirmed on January 20, 2020, approximately three weeks after the report of the first COVID-19 case in Wuhan, China. By September 15, 2021, the number of cases in South Korea had increased to 277,989. Thus, it is important to better understand geographical transmission and design effective local-level pandemic plans across the country over the long term. We conducted a spatiotemporal analysis of weekly COVID-19 cases in South Korea from February 1, 2020, to May 30, 2021, in each administrative region. For the spatial domain, we first covered the entire country and then focused on metropolitan areas, including Seoul, Gyeonggi-do, and Incheon. Moran's I and spatial scan statistics were used for spatial analysis. The temporal variation and dynamics of COVID-19 cases were investigated with various statistical visualization methods. We found time-varying clusters of COVID-19 in South Korea using a range of statistical methods. In the early stage, the spatial hotspots were focused in Daegu and Gyeongsangbuk-do. Then, metropolitan areas were detected as hotspots in December 2020. In our study, we conducted a time-varying spatial analysis of COVID-19 across the entirety of South Korea over a long-term period and found a powerful approach to demonstrating the current dynamics of spatial clustering and understanding the dynamic effects of policies on COVID-19 across South Korea. Additionally, the proposed spatiotemporal methods are very useful for understanding the spatial dynamics of COVID-19 in South Korea.
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Stepanov I, Komendantova N. Analyzing Russian Media Policy on Promoting Vaccination and Other COVID-19 Risk Mitigation Measures. Front Public Health 2022; 10:839386. [PMID: 35570928 PMCID: PMC9100573 DOI: 10.3389/fpubh.2022.839386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 03/29/2022] [Indexed: 11/15/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has resulted in many tangible and intangible losses. To manage the risk of the pandemic and to mitigate its further spread, governments of many countries applied various pandemic risk mitigation measures. Media campaigns played a particularly large role during the pandemic, too. In addition, social media grew in importance because of the spread of technologies and as a result of the increased attention to information about COVID-19. Media information strongly influenced both the public perception of COVID-19 risk and decision-making processes and choices, which people made regarding risk reduction measures during the pandemic. Moreover, media information has had a major impact on the effectiveness and efficiency of various countries' risk management actions. Therefore, the purpose of this article is to investigate the influence of the Russian media on the population's perception of risk, and to address the question about which linguistic and psychological methods they used to shape different media discourses about the COVID-19 pandemic. Thus, we analyzed media discourses as a part of the case study of COVID-19 risk management in the Russian Federation. The theoretical basis of the study includes mass communication theories. The methodological basis consists of linguo-cognitive analysis of empirical materials for specific political-philosophical, linguistic-publicistic, and sociopsychological functioning.
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Affiliation(s)
- Ivan Stepanov
- School of International Relations, St. Petersburg State University, St. Petersburg, Russia
| | - Nadejda Komendantova
- Cooperation and Transformative Governance Research Group, Advancing Systems Analysis Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
- *Correspondence: Nadejda Komendantova
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Lundberg AL, Lorenzo-Redondo R, Hultquist JF, Hawkins CA, Ozer EA, Welch SB, Prasad PVV, Achenbach CJ, White JI, Oehmke JF, Murphy RL, Havey RJ, Post LA. Overlapping Delta and Omicron Outbreaks: Dynamic Panel Data (Preprint). JMIR Public Health Surveill 2022; 8:e37377. [PMID: 35500140 PMCID: PMC9169703 DOI: 10.2196/37377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/25/2022] [Accepted: 04/29/2022] [Indexed: 11/17/2022] Open
Abstract
Background The Omicron variant of SARS-CoV-2 is more transmissible than prior variants of concern (VOCs). It has caused the largest outbreaks in the pandemic, with increases in mortality and hospitalizations. Early data on the spread of Omicron were captured in countries with relatively low case counts, so it was unclear how the arrival of Omicron would impact the trajectory of the pandemic in countries already experiencing high levels of community transmission of Delta. Objective The objective of this study is to quantify and explain the impact of Omicron on pandemic trajectories and how they differ between countries that were or were not in a Delta outbreak at the time Omicron occurred. Methods We used SARS-CoV-2 surveillance and genetic sequence data to classify countries into 2 groups: those that were in a Delta outbreak (defined by at least 10 novel daily transmissions per 100,000 population) when Omicron was first sequenced in the country and those that were not. We used trend analysis, survival curves, and dynamic panel regression models to compare outbreaks in the 2 groups over the period from November 1, 2021, to February 11, 2022. We summarized the outbreaks in terms of their peak rate of SARS-CoV-2 infections and the duration of time the outbreaks took to reach the peak rate. Results Countries that were already in an outbreak with predominantly Delta lineages when Omicron arrived took longer to reach their peak rate and saw greater than a twofold increase (2.04) in the average apex of the Omicron outbreak compared to countries that were not yet in an outbreak. Conclusions These results suggest that high community transmission of Delta at the time of the first detection of Omicron was not protective, but rather preluded larger outbreaks in those countries. Outbreak status may reflect a generally susceptible population, due to overlapping factors, including climate, policy, and individual behavior. In the absence of strong mitigation measures, arrival of a new, more transmissible variant in these countries is therefore more likely to lead to larger outbreaks. Alternately, countries with enhanced surveillance programs and incentives may be more likely to both exist in an outbreak status and detect more cases during an outbreak, resulting in a spurious relationship. Either way, these data argue against herd immunity mitigating future outbreaks with variants that have undergone significant antigenic shifts.
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Affiliation(s)
- Alexander L Lundberg
- Buehler Center for Health Policy and Economics, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
- Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Ramon Lorenzo-Redondo
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Center for Pathogen Genomics and Microbial Evolution, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - Judd F Hultquist
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Center for Pathogen Genomics and Microbial Evolution, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - Claudia A Hawkins
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Center for Global Communicable and Emerging Infectious Diseases, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - Egon A Ozer
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Center for Pathogen Genomics and Microbial Evolution, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - Sarah B Welch
- Buehler Center for Health Policy and Economics, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
- Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - P V Vara Prasad
- Sustainable Intensification Innovation Lab, Kansas State University, Manhattan, KS, United States
| | - Chad J Achenbach
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Robert J Havey, MD Institute for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Janine I White
- Buehler Center for Health Policy and Economics, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - James F Oehmke
- Buehler Center for Health Policy and Economics, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
| | - Robert L Murphy
- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Robert J Havey, MD Institute for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Robert J Havey
- Robert J Havey, MD Institute for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Department of Medicine, General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Lori A Post
- Buehler Center for Health Policy and Economics, Robert J Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United States
- Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
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Tao S, Bragazzi NL, Wu J, Mellado B, Kong JD. Harnessing Artificial Intelligence to assess the impact of nonpharmaceutical interventions on the second wave of the Coronavirus Disease 2019 pandemic across the world. Sci Rep 2022; 12:944. [PMID: 35042945 PMCID: PMC8766477 DOI: 10.1038/s41598-021-04731-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Accepted: 12/23/2021] [Indexed: 02/07/2023] Open
Abstract
In the present paper, we aimed to determine the influence of various non-pharmaceutical interventions (NPIs) enforced during the first wave of COVID-19 across countries on the spreading rate of COVID-19 during the second wave. For this purpose, we took into account national-level climatic, environmental, clinical, health, economic, pollution, social, and demographic factors. We estimated the growth of the first and second wave across countries by fitting a logistic model to daily-reported case numbers, up to the first and second epidemic peaks. We estimated the basic and effective (second wave) reproduction numbers across countries. Next, we used a random forest algorithm to study the association between the growth rate of the second wave and NPIs as well as pre-existing country-specific characteristics. Lastly, we compared the growth rate of the first and second waves of COVID-19. The top three factors associated with the growth of the second wave were body mass index, the number of days that the government sets restrictions on requiring facial coverings outside the home at all times, and restrictions on gatherings of 10 people or less. Artificial intelligence techniques can help scholars as well as decision and policy-makers estimate the effectiveness of public health policies, and implement "smart" interventions, which are as efficacious as stringent ones.
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Affiliation(s)
| | - Nicola Luigi Bragazzi
- Africa-Canada Artificial Intelligence and Data Innovation Consortium, Department of Mathematics and Statistics, York University, Toronto, ON, M3J 1P3, Canada
| | - Jianhong Wu
- Africa-Canada Artificial Intelligence and Data Innovation Consortium, Department of Mathematics and Statistics, York University, Toronto, ON, M3J 1P3, Canada
| | - Bruce Mellado
- School of Physics, Institute for Collider Particle Physics, University of the Witwatersrand, Johannesburg, South Africa
- iThemba LABS, National Research Foundation, Somerset West, South Africa
| | - Jude Dzevela Kong
- Africa-Canada Artificial Intelligence and Data Innovation Consortium, Department of Mathematics and Statistics, York University, Toronto, ON, M3J 1P3, Canada.
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Ganegoda NC, Wijaya KP, Páez Chávez J, Aldila D, Erandi KKWH, Amadi M. Reassessment of contact restrictions and testing campaigns against COVID-19 via spatio-temporal modeling. NONLINEAR DYNAMICS 2021; 107:3085-3109. [PMID: 34955605 PMCID: PMC8686823 DOI: 10.1007/s11071-021-07111-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 11/28/2021] [Indexed: 06/14/2023]
Abstract
Since the earliest outbreak of COVID-19, the disease continues to obstruct life normalcy in many parts of the world. The present work proposes a mathematical framework to improve non-pharmaceutical interventions during the new normal before vaccination settles herd immunity. The considered approach is built from the viewpoint of decision makers in developing countries where resources to tackle the disease from both a medical and an economic perspective are scarce. Spatial auto-correlation analysis via global Moran's index and Moran's scatter is presented to help modulate decisions on hierarchical-based priority for healthcare capacity and interventions (including possible vaccination), finding a route for the corresponding deployment as well as landmarks for appropriate border controls. These clustering tools are applied to sample data from Sri Lanka to classify the 26 Regional Director of Health Services (RDHS) divisions into four clusters by introducing convenient classification criteria. A metapopulation model is then used to evaluate the intra- and inter-cluster contact restrictions as well as testing campaigns under the absence of confounding factors. Furthermore, we investigate the role of the basic reproduction number to determine the long-term trend of the regressing solution around disease-free and endemic equilibria. This includes an analytical bifurcation study around the basic reproduction number using Brouwer Degree Theory and asymptotic expansions as well as related numerical investigations based on path-following techniques. We also introduce the notion of average policy effect to assess the effectivity of contact restrictions and testing campaigns based on the proposed model's transient behavior within a fixed time window of interest.
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Affiliation(s)
| | | | - Joseph Páez Chávez
- Center for Applied Dynamical Systems and Computational Methods (CADSCOM), Faculty of Natural Sciences and Mathematics, Escuela Superior Politécnica del Litoral, P.O. Box 09-01-5863, Guayaquil, Ecuador
- Center for Dynamics, Department of Mathematics, TU Dresden, D–01062 Dresden, Germany
| | - Dipo Aldila
- Department of Mathematics, University of Indonesia, Depok, 16424 Indonesia
| | | | - Miracle Amadi
- Department of Mathematics and Physics, Lappeenranta University of Technology, FI–53851 Lappeenranta, Finland
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