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      Socioeconomic restrictions slowdown COVID-19 far more effectively than favorable weather-evidence from the satellite

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          Abstract

          We model the impact of restricting socioeconomic activities (SA) on the transmission of COVID-19 globally. Countries initiate public health measures to slow virus transmission, ranging from stringent quarantines including city lockdown to simpler social distancing recommendations. We use satellite readings of NO 2, a pollutant emitted from socioeconomic activities, as a proxy for the level of social-economic restrictions, and discuss the implications under the influences of weather. We found that restricting SA has a leading contribution to lowering the reproductive number of COVID-19 by 18.3% ± 3.5%, while air temperature, the highest contributor among all weather-related variables only contributes 8.0% ± 2.6%. The reduction effects by restricting SA becomes more pronounced (23% ± 3.0%) when we limited the data to China and developed countries where the indoor climate is mostly controlled. We computed the spared infectees by restricting SA until mid-April. Among all polities, China spared 40,964 (95% CI 31,463-51,470) infectees with 37,727 (95% CI, 28,925-47,488) in the Hubei Province, the epicenter of the outbreak. Europe spared 174,494 (95% CI 139,202-210,841) infectees, and the United States (US) spared 180,336 (95% CI 142,860-219,445) with 79,813 (95% CI 62,887-97,653) in New York State. In the same period, many regions except for China, Australia, and South Korea see a steep upward trend of spared infectees due to restricting SA with the US and Europe far steeper, signaling a greater risk of reopening the economy too soon. Latin America and Africa show less reduction of transmissivity through the region-by-time fixed effects than other regions, indicating a higher chance of becoming an epicenter soon.

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          Highlights

          • •

            The first global quantification of COVID-19 spread by socioeconomic activities (SA)

          • •

            Objective daily SA records in 213 polities proxied by satellite NO 2 concentration.

          • •

            Most climate variables become statistically insignificant more developed countries.

          • •

            The trend map of spared infectees shows the risk of reopening the economy.

          • •

            The trend until mid-April suggests Africa and Latin America can become a hotspot.

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          An interactive web-based dashboard to track COVID-19 in real time

          Ensheng Dong, Hongru Du, Lauren Gardner (2020)
          In December, 2019, a local outbreak of pneumonia of initially unknown cause was detected in Wuhan (Hubei, China), and was quickly determined to be caused by a novel coronavirus, 1 namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The outbreak has since spread to every province of mainland China as well as 27 other countries and regions, with more than 70 000 confirmed cases as of Feb 17, 2020. 2 In response to this ongoing public health emergency, we developed an online interactive dashboard, hosted by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University, Baltimore, MD, USA, to visualise and track reported cases of coronavirus disease 2019 (COVID-19) in real time. The dashboard, first shared publicly on Jan 22, illustrates the location and number of confirmed COVID-19 cases, deaths, and recoveries for all affected countries. It was developed to provide researchers, public health authorities, and the general public with a user-friendly tool to track the outbreak as it unfolds. All data collected and displayed are made freely available, initially through Google Sheets and now through a GitHub repository, along with the feature layers of the dashboard, which are now included in the Esri Living Atlas. The dashboard reports cases at the province level in China; at the city level in the USA, Australia, and Canada; and at the country level otherwise. During Jan 22–31, all data collection and processing were done manually, and updates were typically done twice a day, morning and night (US Eastern Time). As the outbreak evolved, the manual reporting process became unsustainable; therefore, on Feb 1, we adopted a semi-automated living data stream strategy. Our primary data source is DXY, an online platform run by members of the Chinese medical community, which aggregates local media and government reports to provide cumulative totals of COVID-19 cases in near real time at the province level in China and at the country level otherwise. Every 15 min, the cumulative case counts are updated from DXY for all provinces in China and for other affected countries and regions. For countries and regions outside mainland China (including Hong Kong, Macau, and Taiwan), we found DXY cumulative case counts to frequently lag behind other sources; we therefore manually update these case numbers throughout the day when new cases are identified. To identify new cases, we monitor various Twitter feeds, online news services, and direct communication sent through the dashboard. Before manually updating the dashboard, we confirm the case numbers with regional and local health departments, including the respective centres for disease control and prevention (CDC) of China, Taiwan, and Europe, the Hong Kong Department of Health, the Macau Government, and WHO, as well as city-level and state-level health authorities. For city-level case reports in the USA, Australia, and Canada, which we began reporting on Feb 1, we rely on the US CDC, the government of Canada, the Australian Government Department of Health, and various state or territory health authorities. All manual updates (for countries and regions outside mainland China) are coordinated by a team at Johns Hopkins University. The case data reported on the dashboard aligns with the daily Chinese CDC 3 and WHO situation reports 2 for within and outside of mainland China, respectively (figure ). Furthermore, the dashboard is particularly effective at capturing the timing of the first reported case of COVID-19 in new countries or regions (appendix). With the exception of Australia, Hong Kong, and Italy, the CSSE at Johns Hopkins University has reported newly infected countries ahead of WHO, with Hong Kong and Italy reported within hours of the corresponding WHO situation report. Figure Comparison of COVID-19 case reporting from different sources Daily cumulative case numbers (starting Jan 22, 2020) reported by the Johns Hopkins University Center for Systems Science and Engineering (CSSE), WHO situation reports, and the Chinese Center for Disease Control and Prevention (Chinese CDC) for within (A) and outside (B) mainland China. Given the popularity and impact of the dashboard to date, we plan to continue hosting and managing the tool throughout the entirety of the COVID-19 outbreak and to build out its capabilities to establish a standing tool to monitor and report on future outbreaks. We believe our efforts are crucial to help inform modelling efforts and control measures during the earliest stages of the outbreak.
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            The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application

            Stephen A. Lauer, Kyra Grantz, Qifang Bi … (2020)
            Background: A novel human coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was identified in China in December 2019. There is limited support for many of its key epidemiologic features, including the incubation period for clinical disease (coronavirus disease 2019 [COVID-19]), which has important implications for surveillance and control activities. Objective: To estimate the length of the incubation period of COVID-19 and describe its public health implications. Design: Pooled analysis of confirmed COVID-19 cases reported between 4 January 2020 and 24 February 2020. Setting: News reports and press releases from 50 provinces, regions, and countries outside Wuhan, Hubei province, China. Participants: Persons with confirmed SARS-CoV-2 infection outside Hubei province, China. Measurements: Patient demographic characteristics and dates and times of possible exposure, symptom onset, fever onset, and hospitalization. Results: There were 181 confirmed cases with identifiable exposure and symptom onset windows to estimate the incubation period of COVID-19. The median incubation period was estimated to be 5.1 days (95% CI, 4.5 to 5.8 days), and 97.5% of those who develop symptoms will do so within 11.5 days (CI, 8.2 to 15.6 days) of infection. These estimates imply that, under conservative assumptions, 101 out of every 10 000 cases (99th percentile, 482) will develop symptoms after 14 days of active monitoring or quarantine. Limitation: Publicly reported cases may overrepresent severe cases, the incubation period for which may differ from that of mild cases. Conclusion: This work provides additional evidence for a median incubation period for COVID-19 of approximately 5 days, similar to SARS. Our results support current proposals for the length of quarantine or active monitoring of persons potentially exposed to SARS-CoV-2, although longer monitoring periods might be justified in extreme cases. Primary Funding Source: U.S. Centers for Disease Control and Prevention, National Institute of Allergy and Infectious Diseases, National Institute of General Medical Sciences, and Alexander von Humboldt Foundation.
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              Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe

              Seth Flaxman, Swapnil Mishra, Axel Gandy … (2020)
              Following the detection of the new coronavirus1 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its spread outside of China, Europe has experienced large epidemics of coronavirus disease 2019 (COVID-19). In response, many European countries have implemented non-pharmaceutical interventions, such as the closure of schools and national lockdowns. Here we study the effect of major interventions across 11 European countries for the period from the start of the COVID-19 epidemics in February 2020 until 4 May 2020, when lockdowns started to be lifted. Our model calculates backwards from observed deaths to estimate transmission that occurred several weeks previously, allowing for the time lag between infection and death. We use partial pooling of information between countries, with both individual and shared effects on the time-varying reproduction number (Rt). Pooling allows for more information to be used, helps to overcome idiosyncrasies in the data and enables more-timely estimates. Our model relies on fixed estimates of some epidemiological parameters (such as the infection fatality rate), does not include importation or subnational variation and assumes that changes in Rt are an immediate response to interventions rather than gradual changes in behaviour. Amidst the ongoing pandemic, we rely on death data that are incomplete, show systematic biases in reporting and are subject to future consolidation. We estimate that-for all of the countries we consider here-current interventions have been sufficient to drive Rt below 1 (probability Rt < 1.0 is greater than 99%) and achieve control of the epidemic. We estimate that across all 11 countries combined, between 12 and 15 million individuals were infected with SARS-CoV-2 up to 4 May 2020, representing between 3.2% and 4.0% of the population. Our results show that major non-pharmaceutical interventions-and lockdowns in particular-have had a large effect on reducing transmission. Continued intervention should be considered to keep transmission of SARS-CoV-2 under control.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Sci Total Environ
                Journal ID (iso-abbrev): Sci Total Environ
                Title: The Science of the Total Environment
                Publisher: Elsevier B.V.
                ISSN (Print): 0048-9697
                ISSN (Electronic): 1879-1026
                Publication date PMC-release: 31 July 2020
                Publication date (Print): 15 December 2020
                Publication date (Electronic): 31 July 2020
                Volume: 748
                Page: 141401
                Affiliations
                [a ]Department of Civil and Environmental Engineering, University of Connecticut, Storrs, CT 06269, United States of America
                [b ]College of Hydrology and Water Resources, Hohai University, Nanjing 210098, China
                [c ]Department of Finance, University of Connecticut, Storrs, CT 06269, United States of America
                Author notes
                [* ]Corresponding author.
                Article
                Publisher Item ID: S0048-9697(20)34930-5 Publisher ID: 141401
                DOI: 10.1016/j.scitotenv.2020.141401
                PMC ID: 7836816
                PubMed ID: 32798876
                SO-VID: f08b80c8-b1f3-4a31-837a-a48ee194c34e
                Copyright © © 2020 Elsevier B.V. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 29 June 2020
                Date revision received : 29 July 2020
                Date accepted : 30 July 2020
                Categories
                Subject: Article

                ScienceOpen disciplines: General environmental science
                Keywords: covid-19,socioeconomic activities,nitrogen dioxide,weather,global,sentinel-5p
                Data availability:
                ScienceOpen disciplines: General environmental science
                Keywords: covid-19, socioeconomic activities, nitrogen dioxide, weather, global, sentinel-5p

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