Coronavirus disease (COVID-19), caused by acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a worldwide challenge effecting millions of people in more than 210 countries, including the Sultanate of Oman (Oman). Spatiotemporal analysis was adopted to explore the spatial patterns of the spread of COVID-19 during the period from 29th April to 30th June 2020. Our assessment was made using five geospatial techniques within a Geographical Information System (GIS) context, including a weighted mean centre (WMC), standard deviational ellipses, Moran’s I autocorrelation coefficient, Getis-Ord General-G high/low clustering, and Getis-Ord $$G_{i}^{*}$$ G i ∗ statistic. The Moran’s I-/G- statistics proved that COVID-19 cases in datasets (numbers of cases) were clustered throughout the study period. The Moran’s I and Z scores were above the 2.25 threshold (a confidence level above 95%), ranging from 2274 cases on 29th April to 40,070 cases on 30th June 2020. The results of $$G_{i}^{*}$$ G i ∗ showed varying rates of infections, with a large spatial variability between the different wilayats (district). The epidemic situation in some wilayats, such as Mutrah, As-Seeb, and Bowsher in the Muscat Governorate, was more severe, with Z score higher than 5, and the current transmission still presents an increasing trend. This study indicated that the directional pattern of COVID-19 cases has moved from northeast to northwest and southwest, with the total impacted region increasing over time. Also, the results indicate that the rate of COVID-19 infections is higher in the most populated areas. The findings of this paper provide a solid basis for future study by investigating the most resolute hotspots in more detail and may help decision-makers identify targeted zones for alleviation plans.
Local, bivariate relationships between coronavirus 2019 (COVID-19) infection rates and a set of demographic and socioeconomic variables were explored at the district level in Oman. To limit multicollinearity a principal component analysis was conducted, the results of which showed that three components together could explain 65% of the total variance that were therefore subjected to further study. Comparison of a generalized linear model (GLM) and geographically weighted regression (GWR) indicated an improvement in model performance using GWR (goodness of fit=93%) compared to GLM (goodness of fit=86%). The local coefficient of determination (R2) showed a significant influence of specific demographic and socioeconomic factors on COVID-19, including percentages of Omani and non-Omani population at various age levels; spatial interaction; population density; number of hospital beds; total number of households; purchasing power; and purchasing power per km2. No direct correlation between COVID- 19 rates and health facilities distribution or tobacco usage. This study suggests that Poisson regression using GWR and GLM can address unobserved spatial non-stationary relationships. Findings of this study can promote current understanding of the demographic and socioeconomic variables impacting the spatial patterns of COVID-19 in Oman, allowing local and national authorities to adopt more appropriate strategies to cope with this pandemic in the future and also to allocate more effective prevention resources.
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