Spatial variation and hotspot detection of COVID-19 cases in Kazakhstan, 2020

Spatial-temporal variations of stroke mortality worldwide from 2000 to 2021

BACKGROUND

Stroke is a leading cause of premature death worldwide. Spatial-temporal characteristics are important for evidence-based stroke care planning and resource allocation. However, long-term global variations of stroke are still lacking.

OBJECTIVE

To identify the characteristics of the global spatial distribution of age-standardized mortality rate (ASMR) due to stroke during 2000-2021, thereby informing the efficient allocation of global health care resources.

METHODS

Based on age-standardized mortality rate (ASMR) due to stroke from the Global Health Estimates database, we analyzed stroke variation from 2000 to 2021 in 183 countries worldwide using Moran's I, Getis-Ord Gi*, and Standard Deviation Ellipse. We stratified the 183 countries into different income groups according to World Bank classification to identify the socioeconomic influence on stroke mortality.

RESULTS

The result showed that ① From 2000 to 2021, the number of stroke deaths increased worldwide, but the AMSR due to stroke showed a downward trend; ② The spatial distribution of the global AMSR due to stroke varies across geographic regions. with the highest in Asia and southern Africa, and the lowest in Europe and North America; ③ The spatial pattern of hot and cold spots of AMSR due to stroke remained relatively stable from 2000 to 2021, with the greatest changes in Africa and Asia; ④ Generally, countries belong to higher economic groups have lower stroke mortality rate, and this pattern persisted throughout the study period.

CONCLUSIONS

Our findings provide evidence on spatial variations of stroke mortality worldwide over 20 years, and are informative on evidence-based allocation of medical resources globally.

CLINICAL TRIAL NUMBER

Not applicable.

Geographic Medical Overview of Noncommunicable Diseases (Cardiovascular Diseases and Diabetes) in the Territory of the AP Vojvodina (Northern Serbia)

The objective of this study was a geographic medical analysis of noncommunicable diseases (cardiovascular diseases from 2010 to 2020 and diabetes from 2010 to 2019) in the AP Vojvodina (northern Serbia) in order to identify the most and least burdened counties as well as to present trends in the mentioned diseases. The Mann-Kendall trend test, a cluster analysis, and Getis-Ord Gi* method for hot spot analysis were applied in this analysis. Regarding acute coronary syndrome and myocardial infarction, the North Backa County had a lower mortality rate although the number of newly reported cases was above average. The largest number of new cases of unstable angina pectoris was in the North Backa, North Banat, and Middle Banat Counties, while the West Backa County was identified as a county with a higher mortality rate. The cluster analysis showed that the number of death cases from diabetes in the Srem County is significantly higher than that in the other counties. Likewise, the West Backa County had a high number of new diabetes patients, but also a much lower mortality rate. Chronic noncommunicable diseases are predominant in newly diagnosed incidences and death cases in the AP Vojvodina. Studies of this kind promote public health and healthcare systems in the researched area and in the Republic of Serbia, as well as in other countries.

Methods Used in the Spatial and Spatiotemporal Analysis of COVID-19 Epidemiology: A Systematic Review

The spread of the COVID-19 pandemic was spatially heterogeneous around the world; the transmission of the disease is driven by complex spatial and temporal variations in socioenvironmental factors. Spatial tools are useful in supporting COVID-19 control programs. A substantive review of the merits of the methodological approaches used to understand the spatial epidemiology of the disease is hardly undertaken. In this study, we reviewed the methodological approaches used to identify the spatial and spatiotemporal variations of COVID-19 and the socioeconomic, demographic and climatic drivers of such variations. We conducted a systematic literature search of spatial studies of COVID-19 published in English from Embase, Scopus, Medline, and Web of Science databases from 1 January 2019 to 7 September 2021. Methodological quality assessments were also performed using the Joanna Briggs Institute (JBI) risk of bias tool. A total of 154 studies met the inclusion criteria that used frequentist (85%) and Bayesian (15%) modelling approaches to identify spatial clusters and the associated risk factors. Bayesian models in the studies incorporated various spatial, temporal and spatiotemporal effects into the modelling schemes. This review highlighted the need for more local-level advanced Bayesian spatiotemporal modelling through the multi-level framework for COVID-19 prevention and control strategies.

Multi-Hazard Meteorological Disaster Risk Assessment for Agriculture Based on Historical Disaster Data in Jilin Province, China

The impact of global climate change is gradually intensifying, and the frequent occurrence of meteorological disasters poses a serious challenge to crop production. Analyzing and evaluating agricultural multi-hazard meteorological disaster risks based on historical disaster data and a summary of disaster occurrences and development patterns are important bases for the effective reduction of natural disaster risks and the regulation of agricultural production. This paper explores the technical system of agricultural multi-hazard meteorological disaster risk assessment and establishes a disaster risk assessment model based on the historical disaster data at the regional level from 1978–2020 in the first national comprehensive natural disaster risk census, carrying out multi-hazard meteorological disaster risk assessments in 18 major grain-producing regions in Jilin province. The empirical evidence shows: (1) drought and flood disasters are the key disasters for agricultural meteorological disaster prevention in Jilin province. Hotspots of drought and flood disasters are widely distributed in the study area, while hail and typhoons are mainly concentrated in the eastern region with a certain regionality. (2) The risk values of the four major meteorological disasters all decreased with the increase of the disaster index. Under the same disaster index, the disaster risk of various disasters in the main grain-producing areas is as follows: drought > flood > typhoon > hail. Under different disaster indices, Jiutai, Nongan, Yitong, Tongyu, and other places all presented high and medium–high risk levels. (3) From the spatial evolution trend, along with the rising disaster index, the risk of multi-hazard meteorological hazards is spatially oriented in a southeastern direction, and the risk level of multi-hazard meteorological hazards in the central part of the study area decreases gradually along with the increasing damage index. In addition, regional agricultural multi-hazard meteorological disaster risk reduction recommendations are made in three aspects: institutional construction, management model, and reduction capacity.

Spatiotemporal pattern of Covid-19 outbreak in Turkey

The earliest case of Covid-19 was documented in Wuhan city of China and since then the virus has been spreading throughout the globe. The aim of this study is to evaluate the clusters of Covid-19 among the provinces in Turkey and to examine whether the clustering pattern has changed after the country's lockdown strategy. The spatial dependence of Covid-19 in 81 provinces of Turkey was examined by spatial analysis between February 8 and June 28, 2021. Global and Local Moran's I and Gi* were employed to measure the global and local spatial autocorrelation degrees. The geographical distribution of Covid-19 in the provinces of Turkey showed a strong spatial autocorrelation while the spatial structure of the clusters varied by weeks. The findings of the study show that the complete lockdown carried out in Turkey has been quite effective in mitigating Covid-19. The importance of spatial relations in preventing the spread of the disease in Turkey has also been demonstrated in this context.

Clustering of countries according to the COVID-19 incidence and mortality rates

Background

Two years after the beginning of the COVID-19 pandemic on December 29, 2021, there have been 281,808,270 confirmed cases of COVID-19, including 5,411,759 deaths. This information belongs to almost 216 Countries, areas, or territories facing COVID-19. The disease trend was not homogeneous across these locations, and studying this variation is a crucial source of information for policymakers and researchers. Therefore, we address different patterns in mortality and incidence of COVID-19 across countries using a clustering approach.

Methods

The daily records of new cases and deaths of 216 countries were available on the WHO online COVID-19 dashboard. We used a three-step approach for identifying longitudinal patterns of change in quantitative COVID-19 incidence and mortality rates. At the first, we calculated 27 summary measurements for each trajectory. Then we used factor analysis as a dimension reduction method to capture the correlation between measurements. Finally, we applied a K-means algorithm on the factor scores and clustered the trajectories.

Results

We determined three different patterns for the trajectories of COVID-19 incidence and the three different ones for mortality rates. According to incidence rates, among 206 countries the 133 (64.56) countries belong to the second cluster, and 15 (7.28%) and 58 (28.16%) belong to the first and 3rd clusters, respectively. All clusters seem to show an increased rate in the study period, but there are several different patterns. The first one exhibited a mild increasing trend; however, the 3rd and the second clusters followed the severe and moderate increasing trend. According to mortality clusters, the frequency of sets is 37 (18.22%) for the first cluster with moderate increases, 157 (77.34%) for the second one with a mild rise, and 9 (4.34%) for the 3rd one with severe increase.

Conclusions

We determined that besides all variations within the countries, the pattern of a contagious disease follows three different trajectories. This variation looks to be a function of the government’s health policies more than geographical distribution. Comparing this trajectory to others declares that death is highly related to the nature of epidemy.

Assessing the Spatiotemporal Spread Pattern of the COVID-19 Pandemic in Malaysia

Introduction

The unprecedented COVID-19 pandemic has greatly affected human health and socioeconomic backgrounds. This study examined the spatiotemporal spread pattern of the COVID-19 pandemic in Malaysia from the index case to 291,774 cases in 13 months, emphasizing on the spatial autocorrelation of the high-risk cluster events and the spatial scan clustering pattern of transmission.

Methodology

We obtained the confirmed cases and deaths of COVID-19 in Malaysia from the official GitHub repository of Malaysia's Ministry of Health from January 25, 2020 to February 24, 2021, 1 day before the national vaccination program was initiated. All analyses were based on the daily cumulated cases, which are derived from the sum of retrospective 7 days and the current day for smoothing purposes. We examined the daily global, local spatial autocorrelation and scan statistics of COVID-19 cases at district level using Moran's I and SaTScan™.

Results

At the initial stage of the outbreak, Moran's I index > 0.5 (p < 0.05) was observed. Local Moran's I depicted the high-high cluster risk expanded from west to east of Malaysia. The cases surged exponentially after September 2020, with the high-high cluster in Sabah, from Kinabatangan on September 1 (cumulative cases = 9,354; Moran's I = 0.34; p < 0.05), to 11 districts on October 19 (cumulative cases = 21,363, Moran's I = 0.52, p < 0.05). The most likely cluster identified from space-time scanning was centered in Jasin, Melaka (RR = 11.93; p < 0.001) which encompassed 36 districts with a radius of 178.8 km, from November 24, 2020 to February 24, 2021, followed by the Sabah cluster.

Discussion and Conclusion

Both analyses complemented each other in depicting underlying spatiotemporal clustering risk, giving detailed space-time spread information at district level. This daily analysis could be valuable insight into real-time reporting of transmission intensity, and alert for the public to avoid visiting the high-risk areas during the pandemic. The spatiotemporal transmission risk pattern could be used to monitor the spread of the pandemic.

Assessment and Prediction of Carbon Storage Based on Land Use/Land Cover Dynamics in the Tropics: A Case Study of Hainan Island, China

Land use and land cover (LULC) change in tropical regions can cause huge amounts of carbon loss and storage, thus significantly affecting the global climate. Due to the differences in natural and social conditions between regions, it is necessary to explore the correlation mechanism between LULC and carbon storage changes in tropical regions from a broader geographical perspective. This paper takes Hainan Island as the research object, through the integration of the CA-Markov and Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) models, based on multi-source data, analyses the dynamics of LULC and carbon storage from 1992 to 2019 and the relationship between the two, and predicts future LULC and carbon storage under different scenarios. The results show that (1) the built-up land area of Hainan Island expanded from 103.59 km2 to 574.83 km2 from 1992 to 2019, an increase of 454.91%; the area of cropland and shrubland decreased; and the area of forest increased. (2) Carbon storage showed an upward trend during 1992–2000, and a downward trend during 2000–2019. Overall, LULC changes during 1992–2019 reduced carbon storage by about 1.50 Tg. (3) The encroachment of cropland in built-up land areas is the main reason for the reduction of carbon storage. The conversion of shrubland to forest is the main driving force for increasing carbon storage. The increase and decrease of carbon storage have obvious spatial clustering characteristics. (4) In the simulation prediction, the natural trend scenario (NT), built-up land priority scenario (BP) and ecological priority scenario (EP) reduce the carbon storage of Hainan Island, and the rate of decrease is BP> NT > EP. The cropland priority scenario (CP) can increase the LULC carbon storage, and the maximum increase in 2050 can reach 0.79 Tg. This paper supplements and improves the understanding of the correlation between LULC and carbon storage changes in tropical regions, and can provide guidance for the optimization of LULC structure in tropical regions with high economic development from a low-carbon perspective.

A description of spatial-temporal patterns of the novel COVID-19 outbreak in the neighbourhoods' scale in Tehran, Iran

Background: Analyzing and monitoring the spatial-temporal patterns of the new coronavirus disease (COVID-19) pandemic can assist local authorities and researchers in detecting disease outbreaks in the early stages. Because of different socioeconomic profiles in Tehran's areas, we will provide a clear picture of the pandemic distribution in Tehran's neighbourhoods during the first months of its spread from February to July 2020, employing a spatial-temporal analysis applying the geographical information system (GIS). Disease rates were estimated by location during the 5 months, and hot spots and cold spots were highlighted. Methods: This study was performed using the COVID-19 incident cases and deaths recorded in the Medical Care Monitoring Centre from February 20, to July 20, 2020. The local Getis-Ord Gi* method was applied to identify the hotspots where the infectious disease distribution had significantly clustered spatially. A statistical analysis for incidence and mortality rates and hot spots was conducted using ArcGIS 10.7 software. Results: The addresses of 43,000 Tehrani patients (15,514 confirmed COVID-19 cases and 27,486 diagnosed as probable cases) were changed in its Geo-codes in the GIS. The highest incidence rate from February to July 2020 was 48 per 10,000 and the highest 5-month incidence rate belonged to central and eastern neighbourhoods. According to the Cumulative Population density of patients, the higher number is estimated by more than 2500 people in the area; however, the lower number is highlighted by about 500 people in the neighborhood. Also, the results from the local Getis-Ord Gi* method indicate that COVID-19 has formed a hotspot in the eastern, southeast, and central districts in Tehran since February. We also observed a death rate hot spot in eastern areas. Conclusion: Because of the spread of COVID-19 disease throughout Tehran's neighborhoods with different socioeconomic status, it seems essential to pay attention to health behaviors to prevent the next waves of the disease. The findings suggest that disease distribution has formed a hot spot in Tehran's eastern and central regions.