Background COVID-19 is a virus which has lead to a global pandemic. Worldwide, more than 130 countries have imposed severe restrictions, which form part of a set of non-pharmaceutical interventions (NPI)s. We aimed to quantify the country-specific effects of these NPIs and compare them using the Oxford COVID-19 Government Response Tracker (OxCGRT) stringency index, p, as a measure of NPI stringency. Methods We developed a dual latent/observable Susceptible Infected Recovered Deaths (SIRD) model and applied it on each of 22 countries and 25 states in the US using publicly available data. The observable model parameters were extracted using kernel functions. The regression of the transmission rate, β, as a function of p in each locale was modeled through the interven-: medRxiv preprint tion leverage, α s , an initial transmission rate, β 0 and a typical adjustment time, b −1 r . Results The world average for the intervention leverage, α s = 0.01 (95% CI 0.0102 -0.0112) had an ensemble standard deviation of 0.0017 (95% C.I. 0.0014 -0.0021), strongly indicating a universal behavior. Discussion Our study indicates that removing NPIs too swiftly will result in the resurgence of the spread within one to two months, in alignment with the current WHO recommendations. Moreover, we have quantified and are able to predict the effect of various combinations of NPIs. There is a minimum NPI level, below which leads to resurgence of the outbreak (in the absence of pharmaceutical and clinical advances). For the epidemic to remain subcritical, the rate with which the intervention leverage α s increases should outpace that of the relaxation of NPIs.
We evaluate potential temperature and humidity impact on the infection rate of COVID-19 with a data up to June 10th 2020, which comprises a large geographical footprint. It is critical to analyse data from different countries or regions at similar stages of the pandemic in order to avoid picking up false gradients. The degree of severity of NPIs is found to be a good gauge of the stage of the pandemic for individual countries. Data points are classified according to the stringency index of the NPIs in order to ensure that comparisons between countries are made on equal footing. We find that temperature and relative humidity gradients do not significantly deviate from the zero-gradient hypothesis. Upper limits on the absolute value of the gradients are set. The procedure chosen here yields 6·10^−3°C^−1 and 3.3·10^−3(%)^−1 upper limits on the absolute values of the temperature and relative humidity gradients, respectively, with a 95% Confidence Level. These findings do not preclude existence of seasonal effects and are indicative that these are likely to be nuanced.
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