Globally, the COVID-19 pandemic is a top-level public health concern. This paper is an attempt to identify and COVID-19 pandemic in Iran using spatial analysis approaches. This study was based on secondary data of confirmed cases, deaths, recoveries, number of hospitals, hospital beds and population from March 2, 2019 to the end of November 2021 in 31 provinces of Iran from hospitals and the website of the National Institute of Health. In this paper, three geographical models in ArcGIS10.3 were utilized to analyze and evaluate COVID-19, including Geographic Weight Regression (GWR), Getis-OrdGi* (G-i-star) statistics (hot and cold spot), and Moran autocorrelation spatial analysis. Moran statistics, based on the GWR model, demonstrated that deaths and recoveries followed a clustering pattern for the confirmed cases index during the study period. The Moran Z-score for all three indicators confirmed cases, deaths, and recoveries, which was greater than 2.5 (95% confidence level). The Getis-OrdGi* (G-I-Star) (hot and cold spot) data revealed a wide range of levels for six variables (confirmed cases, deaths, recoveries, population, hospital beds, and hospital) across Iran's provinces. The overall number of deaths exceeded the population and the number of hospitals in the central and southern regions, including the provinces of Qom, Alborz, Tehran, Markazi, Isfahan, Razavi Khorasan, East Azerbaijan, Fars, and Yazd, which had the largest number and The Z-score for the deaths Index is greater than 14.314. The results of this research can pave the way for future studies.

Globally, the COVID-19 pandemic is a top-level public health concern. This paper attempts to identify the COVID-19 pandemic in Qom and Mazandaran provinces, Iran using spatial analysis approaches. This study was based on secondary data of confirmed cases and deaths from February 3, 2020, to late October 2021, in two Qom and Mazandaran provinces from hospitals and the website of the National Institute of Health. In this paper, three geographical models in ArcGIS 10.8.1 were utilized to analyze and evaluate COVID-19, including geographic weight regression (GWR), ordinary least squares (OLS), and spatial autocorrelation (Moran I). The results from this study indicate that the rate of scattering of confirmed cases for Qom province for the period was 44.25%, while the rate of dispersal of the deaths was 4.34%. Based on the GWR and OLS model, Moran’s statistics demonstrated that confirmed cases, deaths, and recovered followed a clustering pattern during the study period. Moran’s Z-score for all three indicators of confirmed cases, deaths, and recovered was confirmed to be greater than 2.5 (95% confidence level) for both GWR and OLS models. The spatial distribution of indicators of confirmed cases, deaths, and recovered based on the GWR model has been more scattered in the northwestern and southwestern cities of Qom province. Whereas the spatial distribution of the recoveries of the COVID-19 pandemic in Qom province was 61.7%, the central regions of this province had the highest spread of recoveries. The spatial spread of the COVID-19 pandemic from February 3, 2020, to October 2021 in Mazandaran province was 35.57%, of which 2.61% died, according to information published by the COVID-19 pandemic headquarters. Most confirmed cases and deaths are scattered in the north of this province. The ordinary least squares model results showed that the spatial dispersion of recovered people from the COVID-19 pandemic is more significant in the central and southern regions of Mazandaran province. The Z-score for the deaths Index is more significant than 14.314. The results obtained from this study and the information published by the National Headquarters for the fight against the COVID-19 pandemic showed that tourism and pilgrimages are possible factors for the spatial distribution of the COVID-19 pandemic in Qom and Mazandaran provinces. The spatial information obtained from these modeling approaches could provide general insights to authorities and researchers for further targeted investigations and policies in similar circumcises.

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