Background. Recently, a large-scale novel coronavirus pneumonia (NCP) outbreak swept China. As of Feb. 9, 2020, a total of 40,260 patients have been diagnosed with NCP, and 23,589 patients were suspected to have infected by the 2019 novel coronavirus (COVID-19), which puts forward a great challenge for public health and clinical treatment in China. Until now, we are in the high-incidence season of NCP. Thus, the analysis of the transmissibility change of NCP and its potential factors may provide a reliable reference for establishing effective prevention and control strategies. Method. By means of the method of calculating the instantaneous basic reproduction number R0t proposed by Cori et al. (2013), we use R0t to describe the transmissibility change of COVID-19 in China, 2019-2020. In addition, the Baidu Index (BDI) and Baidu Migration Scale (BMS) were selected to measure the public awareness and the effect of Wuhan lockdown (restricted persons in Wuhan outflow from the epidemic area) strategy, respectively. The Granger causality test (GCT) was carried out to explore the association between public awareness, the effect of the Wuhan lockdown strategy, and the transmissibility of COVID-19. Results. The estimated averaged basic reproduction number of NCP in China was 3.44 with 95% CI (2.87, 4.0) during Dec. 8, 2019, to Feb. 9, 2020. The instantaneous basic reproduction numbers (R0t) have two waves and reaching peaks on Jan. 8 and Jan. 27, respectively. After reaching a peak on Jan. 27, R0t showed a continuous decline trend. On Feb. 9, R0t has fallen to 1.68 (95% CI: 1.66, 1.7), but it is still larger than 1. We find a significantly negative association between public awareness and the transmissibility change of COVID-19, with one unit increase in cumulative BDI leading to a decrease of 0.0295% (95% CI: 0.0077, 0.051) R0t. We also find a significantly negative association between the effect of the Wuhan lockdown strategy and the transmissibility change of COVID-19, and a one unit decrease in BMS may lead to a drop of 2.7% (95% CI: 0.382, 4.97) R0t. Conclusion. The current prevention and control measures have effectively reduced the transmissibility of COVID-19; however, R0t is still larger than the threshold 1. The results show that the government adopting the Wuhan lockdown strategy plays an important role in restricting the potential infected persons in Wuhan outflow from the epidemic area and avoiding a nationwide spread by quickly controlling the potential infection in Wuhan. Meanwhile, since Jan. 18, 2020, the people successively accessed COVID-19-related information via the Internet, which may help to effectively implement the government’s prevention and control strategy and contribute to reducing the transmissibility of NCP. Therefore, ongoing travel restriction and public health awareness remain essential to provide a foundation for controlling the outbreak of COVID-19.
Background: Influenza remains a serious global public health problem and a substantial economic burden. The dynamic pattern of influenza differs considerably among geographic and climatological areas, however, the factors underlying these differences are still uncertain. The aim of this paper is to characterize the dynamic pattern of influenza and its potential influencing factors in Northwest China. Methods: Influenza cases in Ningxia China from Nov. 2013 to Jun. 2020 were served as influenza proxy. Firstly, the baseline seasonal ARIMA model of influenza cases and seasonal pattern were analyzed. Then, the dynamic regression model was used to identifying the potential influencing factors of influenza. In addition, the wavelet analysis was further used to explore the coherence between influenza cases and these significant influencing factors.Results: The high risk periods of influenza in Ningxia presented a winter cycle outbreaks pattern and the fastigium came in January. The seasonal ARIMA(0,0,1)(1,1,0)12 was the optimal baseline forecast model. The dynamic regression models and wavelet analysis indicated that PM2.5 and public awareness are significantly positively associated with influenza, as well as minimum temperature is negatively associated. Conclusion: Meteorological (minimum temperature), pollution (PM2.5) and social (public awareness) factors may significantly associated with influenza in Northwest China. Decreasing PM2.5 concentration or increasing the public awareness prior to the fastigium of influenza may be the serviceable methods to reduce the disease risk of influenza, which have an important implication for policy-makers to choose an optimal time for influenza prevention campaign.
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