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Fong FC, Smith DR. Exposure-lag response of air temperature on COVID-19 incidence in twelve Italian cities: A meta-analysis. ENVIRONMENTAL RESEARCH 2022; 212:113099. [PMID: 35305982 DOI: 10.21203/rs.3.rs-536878/v1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 03/04/2022] [Accepted: 03/06/2022] [Indexed: 05/23/2023]
Abstract
The exposure-lag response of air temperature on daily COVID-19 incidence is unclear and there have been concerns regarding the robustness of previous studies. Here we present an analysis of high spatial and temporal resolution using the distributed lag non-linear modelling (DLNM) framework. Utilising nearly two years' worth of data, we fit statistical models to twelve Italian cities to quantify the delayed effect of air temperature on daily COVID-19 incidence, accounting for several categories of potential confounders (meteorological, air quality and non-pharmaceutical interventions). Coefficients and covariance matrices for the temperature term were then synthesised using random effects meta-analysis to yield pooled estimates of the exposure-lag response with effects presented as the relative risk (RR) and cumulative RR (RRcum). The cumulative exposure response curve was non-linear, with peak risk at 15.1 °C and declining risk at progressively lower and higher temperatures. The lowest RRcum at 0.2 °C is 0.72 [0.56,0.91] times that of the highest risk. Due to this non-linearity, the shape of the lag response curve necessarily varied by temperature. This work suggests that on a given day, air temperature approximately 15 °C maximises the incidence of COVID-19, with the effects distributed in the subsequent ten days or more.
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Affiliation(s)
- Fang Chyi Fong
- Newcastle University Medicine Malaysia, No. 1, Jalan Sarjana 1, Kota Ilmu, EduCity@Iskandar, 79200, Iskandar Puteri, Johor, Malaysia.
| | - Daniel Robert Smith
- Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
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Fong FC, Smith DR. Exposure-lag response of air temperature on COVID-19 incidence in twelve Italian cities: A meta-analysis. ENVIRONMENTAL RESEARCH 2022; 212:113099. [PMID: 35305982 PMCID: PMC8925100 DOI: 10.1016/j.envres.2022.113099] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 03/04/2022] [Accepted: 03/06/2022] [Indexed: 05/20/2023]
Abstract
The exposure-lag response of air temperature on daily COVID-19 incidence is unclear and there have been concerns regarding the robustness of previous studies. Here we present an analysis of high spatial and temporal resolution using the distributed lag non-linear modelling (DLNM) framework. Utilising nearly two years' worth of data, we fit statistical models to twelve Italian cities to quantify the delayed effect of air temperature on daily COVID-19 incidence, accounting for several categories of potential confounders (meteorological, air quality and non-pharmaceutical interventions). Coefficients and covariance matrices for the temperature term were then synthesised using random effects meta-analysis to yield pooled estimates of the exposure-lag response with effects presented as the relative risk (RR) and cumulative RR (RRcum). The cumulative exposure response curve was non-linear, with peak risk at 15.1 °C and declining risk at progressively lower and higher temperatures. The lowest RRcum at 0.2 °C is 0.72 [0.56,0.91] times that of the highest risk. Due to this non-linearity, the shape of the lag response curve necessarily varied by temperature. This work suggests that on a given day, air temperature approximately 15 °C maximises the incidence of COVID-19, with the effects distributed in the subsequent ten days or more.
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Affiliation(s)
- Fang Chyi Fong
- Newcastle University Medicine Malaysia, No. 1, Jalan Sarjana 1, Kota Ilmu, EduCity@Iskandar, 79200, Iskandar Puteri, Johor, Malaysia.
| | - Daniel Robert Smith
- Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
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Carta MG, Orrù G, Peracchia A, Cossu G, Velluzzi F, Atzori L, Ferreli C, Ivan Aviles Gonzalez C, Romano F, Littera R, Puxeddu R, Chessa L, Firinu D, Del Giacco S, Restivo A, Deidda S, Scano A, Coghe F, Minerba L, Manconi M, Saba L. Differences in lethality and diffusion of Covid-19 in countries using different kinds of vaccines. J Public Health Res 2022; 11:22799036221107062. [PMID: 36105780 PMCID: PMC9465600 DOI: 10.1177/22799036221107062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 05/19/2022] [Indexed: 11/17/2022] Open
Abstract
To verify if lethality and diffusivity of Covid-19 correlated with percentage of
people vaccinated in different countries and whether results on these indicators
were comparable under different types of vaccines. A linear regression analysis
was conducted between vaccines/inhabitant, new cases/inhabitants and ratio
deaths/cases. A comparison between the three indicators was carried out in
countries subdivided by kind of vaccine. The proportion of
vaccinations/inhabitants correlates negatively with proportion of deaths × 100
cases (R = −3.90, p < 0.0001), but didn’t
on incidence of new cases. Countries with prevalence of mRNA vaccines were
similar to others on incidence of new cases; but a lower lethality of Sars-Cov2
was found than in countries with prevalence of viral vehicle vaccines
(F = 6.064, p = 0.0174) but didn’t against
countries with prevalence of inactivated vaccines. The higher is the proportion
of vaccine/inhabitant in a given country, the less is the fraction of infected
people who die.
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Affiliation(s)
- Mauro Giovanni Carta
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Germano Orrù
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | - Ambra Peracchia
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Giulia Cossu
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Fernanda Velluzzi
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Laura Atzori
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Caterina Ferreli
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | | | - Ferdinando Romano
- Department of Hygiene and Preventive Medicine, Sapienza University of Rome, Rome, Italy
| | - Roberto Littera
- Department of Medical Genetic, R. Binaghi Hospital of Cagliari, Cagliari, Italy
| | - Roberto Puxeddu
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | - Luchino Chessa
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Davide Firinu
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Stefano Del Giacco
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Angelo Restivo
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | - Simona Deidda
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | - Alessandra Scano
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | | | - Luigi Minerba
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
| | - Maria Manconi
- Department of Life and Environmental Sciences, University of Cagliari, Cagliari, Italy
| | - Luca Saba
- Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy
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Aviles-Gonzalez CI, Scano A, Cossu G, Littera R, Campagna M, Deidda S, Romano F, Kalcev G, Firinu D, Meloni F, Carta MG, Del Giacco S, Restivo A, Zorcolo L, Marongiu L, Tamburini G, Maleci A, Orrù G, Chessa L, Brasesco MV. Verifying the Theory of Climate Affecting Lethality of COVID-19 by an Analysis in Two Climatic Zones of Chile. THE OPEN PUBLIC HEALTH JOURNAL 2022; 15. [DOI: 10.2174/18749445-v15-e2204140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 02/08/2022] [Accepted: 03/02/2022] [Indexed: 09/22/2023]
Abstract
Introduction:
The study of seasonal influences on the COVID-19 pandemic can take advantage of the unique position of Chile and its different climatic profiles in the north-south extension. The purpose is to verify the influence of seasonal climate changes on the COVID-19 in the temperate and sub-arctic areas of Chile.
Methods:
We monitored the evolution of CFR in temperate versus sub-boreal regions, reporting from the John Hopkins University COVID-19 Center on the CFR in each province in midwinter, spring, and early summer.
Results:
CFR worsened from mid-winter to mid-spring in the temperate zone of Chile, while in the sub-boreal area the CFR improves in the same period, (Kruskal Wallis Test, p=0.004). In the temperate zone after the increase in late winter-early spring, CRF tends to stabilize; on the contrary in the sub-boreal zone, there is a more marked tendency to worsen the CFR at the same time (Kruskal Wallis Test, p=0.010). The temperate zone of Chile shows a CFR increasing until spring-like temperate Europe, unlike Europe CFR does not decrease in summer, but the mean minimum temperature in temperate Chile is lower in summer than in temperate Europe. In Patagonian, CFR remains stable or drops from winter to spring but increases in early summer.
Conclusion:
The temperate and sub-boreal zones of Chile have a markedly different CFR variation profile during the COVID-19 pandemic.
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Carta MG, Orrù G, Cossu G, Velluzzi F, Atzori L, Aviles Gonzalez CI, Romano F, Littera R, Chessa L, Firinu D, Del Giacco S, Restivo A, Deidda S, Scano A, Onali S, Kalcev G, Coghe F, Minerba L. Covid-19 vaccines work but other factors play a relevant role: a data analysis on spread and mortality in 24 countries. J Public Health Res 2022; 11. [PMID: 35322646 PMCID: PMC8996068 DOI: 10.4081/jphr.2022.2665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 12/11/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The aim was to outline a methodology to monitor the impact of vaccinations in different countries comparing at two different times within countries and between countries the frequency of new cases and Covid-19 related deaths and the percentage of vaccinations conducted. DESIGN AND METHODS The 25 countries with the largest increase in SARS-CoV-2 cases on 8 August 2021 were evaluated. In each nation was calculated the proportion of Covid-19 deaths divided per new cases x 100 and the proportion of new cases per 1.000 inhabitants on 10 January 2021 (before vaccinations' distribution) and 8 August 2021 (when large percentage of the population had been vaccinated in many countries). RESULTS The study shows that in the countries with the highest number of cases as of 8 August 2021, the proportion of vaccinations carried out in the population correlates negatively with both the proportion between Covid-19 dead people x100 infected people and with the rate of new cases. However, the proportion of vaccinations does not correlate with the differences in the two same indicators considered in the weeks observed, thus additional factors seem to play an important role. CONCLUSIONS This work indicates that mass vaccination is associated with a lower spread of the pandemic and, to greater extent, with a lowering of mortality in infected people.
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Affiliation(s)
| | - Germano Orrù
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Giulia Cossu
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Fernanda Velluzzi
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Laura Atzori
- Department of Medical Sciences and Public Health, University of Cagliari.
| | | | | | - Roberto Littera
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Luchino Chessa
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Davide Firinu
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Stefano Del Giacco
- Internal Medicine, Allergy and Clinical Immunology, Department of Medical Sciences, University of Cagliari.
| | - Angelo Restivo
- Colorectal Surgery Unit, Department of Surgical Science, University of Cagliari.
| | - Simona Deidda
- Colorectal Surgery Unit, Department of Surgical Science, University of Cagliari.
| | | | - Simona Onali
- Department of Biomedical Sciences, University of Cagliari.
| | - Goce Kalcev
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Ferinando Coghe
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Luigi Minerba
- Department of Medical Sciences and Public Health, University of Cagliari.
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