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Peng L, Ainslie KEC, Huang X, Cowling BJ, Wu P, Tsang TK. Evaluating the association between COVID-19 transmission and mobility in omicron outbreaks in China. COMMUNICATIONS MEDICINE 2025; 5:188. [PMID: 40394170 PMCID: PMC12092746 DOI: 10.1038/s43856-025-00906-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2024] [Accepted: 05/09/2025] [Indexed: 05/22/2025] Open
Abstract
BACKGROUND Prior research has suggested a positive correlation between human mobility and COVID-19 transmission at national or provincial levels, assuming constant correlations during outbreaks. However, the correlation strength at finer scales and potential changes in relationships during outbreaks have been scarcely investigated. METHODS We gathered case and mobility data (within-city movement, inter-city inflow, and inter-city outflow) at the city level from Omicron outbreaks in mainland China between February and November 2022. For each outbreak, we calculated the time-varying effective reproduction number (Rt). Subsequently, we estimated the cross-correlation and rolling correlation between Rt and the mobility index, comparing them and identifying potential factors affecting these correlations. RESULTS We identify 57 outbreaks during Omicron wave 1 (February to June) and 171 outbreaks during Omicron wave 2 (July to December). Cross-correlation estimates vary between waves, with values ranging from 0.64 to 0.71 in wave 1 and 0.45 to 0.46 in wave 2. Oscillation models best fit the rolling correlation for almost all outbreaks, and there are significant differences between extreme values of rolling correlation and cross-correlation. Additionally, we estimate a positive relationship between the GRI and rolling correlation during the pre-peak stage, turning negative during the post-peak stage. CONCLUSIONS Our findings suggest a positive relationship between Omicron transmission and mobility at the city level. However, significant fluctuations in their relationship, as demonstrated by rolling correlation, indicate that assuming a constant correlation between transmission and mobility may lead to inaccurate predictions or decisions when using mobility as a proxy for transmission intensity.
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Affiliation(s)
- Liping Peng
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Kylie E C Ainslie
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
- Centre for Infectious Disease Control, National Institute for Public Health and Environment (RIVM), Bilthoven, the Netherlands
| | - Xiaotong Huang
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Benjamin J Cowling
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
- Laboratory of Data Discovery for Health Limited, Hong Kong Science and Technology Park, New Territories, Hong Kong Special Administrative Region, China
| | - Peng Wu
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
- Laboratory of Data Discovery for Health Limited, Hong Kong Science and Technology Park, New Territories, Hong Kong Special Administrative Region, China
| | - Tim K Tsang
- WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
- Laboratory of Data Discovery for Health Limited, Hong Kong Science and Technology Park, New Territories, Hong Kong Special Administrative Region, China.
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Prestige E, Coletti P, Backer J, Davies NG, Edmunds WJ, Jarvis CI. Estimating social contact rates for the COVID-19 pandemic using Google mobility and pre-pandemic contact surveys. Epidemics 2025; 51:100830. [PMID: 40288031 DOI: 10.1016/j.epidem.2025.100830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2024] [Revised: 03/25/2025] [Accepted: 04/13/2025] [Indexed: 04/29/2025] Open
Abstract
During the COVID-19 pandemic, aggregated mobility data was frequently used to estimate changing social contact rates. By taking pre-pandemic contact matrices, and transforming these using pandemic-era mobility data, infectious disease modellers attempted to predict the effect of large-scale behavioural changes on contact rates. This study explores the most accurate method for this transformation, using pandemic-era contact surveys as ground truth. We compared four methods for scaling synthetic contact matrices: two using fitted regression models and two using "naïve" mobility or mobility squared models. The regression models were fitted using the CoMix contact survey and Google mobility data from the UK over March 2020 - March 2021. The four models were then used to scale synthetic contact matrices-a representation of pre-pandemic behaviour-using mobility data from the UK, Belgium and the Netherlands to predict the number of contacts expected in "work" and "other" settings for a given mobility level. We then compared partial reproduction numbers estimated from the four models with those calculated directly from CoMix contact matrices across the three countries. The accuracy of each model was assessed using root mean squared error. The fitted regression models had substantially more accurate predictions than the naïve models, even when models were applied to out-of-sample data from the UK, Belgium and the Netherlands. Across all countries investigated, the linear fitted regression model was the most accurate and the naïve model using mobility alone was the least accurate. When attempting to estimate social contact rates during a pandemic without the resources available to conduct contact surveys, using a model fitted to data from another pandemic context is likely to be an improvement over using a "naïve" model based on mobility data alone. If a naïve model is to be used, mobility squared may be a better predictor of contact rates than mobility per se.
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Affiliation(s)
- Em Prestige
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, United Kingdom.
| | - Pietro Coletti
- Data Science Institute, I-BioStat, Hasselt University, Hasselt, Belgium; Université catholique de Louvain, Institute of Health and Society (IRSS), Brussels, Belgium
| | - Jantien Backer
- National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Nicholas G Davies
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, United Kingdom
| | - W John Edmunds
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, United Kingdom
| | - Christopher I Jarvis
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, United Kingdom
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Li H, Zhang N, Ma X, Wang Y, Yang F, Wang W, Huang Y, Xie Y, Du Y. Google Trends applications for COVID-19 pandemic: A bibliometric analysis. Digit Health 2025; 11:20552076241310055. [PMID: 39758260 PMCID: PMC11696959 DOI: 10.1177/20552076241310055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Accepted: 12/11/2024] [Indexed: 01/07/2025] Open
Abstract
Introduction COVID-19 is one of the most severe global health events in recent years. Google Trends provides a comprehensive analysis of the search frequency for specific terms on Google, reflecting the public's areas of interest. As of now, there has been no bibliometric study on COVID-19 and Google Trends. Therefore, the aim of this study is to perform a comprehensive bibliometric analysis of existing Google Trends research related to COVID-19. Methods We retrieved 467 records from the Web of Science™ Core Collection, covering the period from January 1, 2020, to December 31, 2023. We then conducted scientific metric analyses using CiteSpace, VOSviewer, and the Bibliometrix package in R-software to explore the temporal and spatial distribution, author distribution, thematic categories, references, and keywords related to these records. Results A total of 467 valid records, comprising 418 articles and 49 reviews, were collected for analysis. Over the 4 years, the highest number of publications occurred in 2021. The United States had the most published papers, followed by China. Notably, the United States and China had the closest collaborative relationship. Harvard University ranked as the institution with the highest number of published papers. However, there appeared to be a lack of collaboration between institutions. The research hotspots related to COVID-19 in Google Trends encompassed "outbreak," "epidemic," "air pollution," "internet," "time series," and "public interest." Conclusion This study provides a valuable overview of the directions in which Google Trends is being utilized for studying infectious diseases, particularly COVID-19.
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Affiliation(s)
- Hao Li
- School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui, China
- Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Ning Zhang
- School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui, China
- First School of Clinical Medicine, Anhui Medical University, Hefei, Anhui, China
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Xingxing Ma
- First School of Clinical Medicine, Anhui Medical University, Hefei, Anhui, China
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Yuqing Wang
- First School of Clinical Medicine, Anhui Medical University, Hefei, Anhui, China
| | - Feixiang Yang
- Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
- First School of Clinical Medicine, Anhui Medical University, Hefei, Anhui, China
| | - Wanrong Wang
- First School of Clinical Medicine, Anhui Medical University, Hefei, Anhui, China
| | - Yuxi Huang
- Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Yinyin Xie
- College of Life Sciences, Anhui Medical University, Hefei, Anhui, China
| | - Yinan Du
- School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui, China
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Nagata S, Takahashi Y, Adachi HM, Johnson GD, Nakaya T. Local effects of non-pharmaceutical interventions on mitigation of COVID-19 spread through decreased human mobilities in Japan: a prefecture-level mediation analysis. Sci Rep 2024; 14:26996. [PMID: 39506020 PMCID: PMC11541980 DOI: 10.1038/s41598-024-78583-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 11/01/2024] [Indexed: 11/08/2024] Open
Abstract
To control the COVID-19 epidemic, the Japanese government and the local governments have repeatedly implemented non-pharmaceutical interventions (NPIs) throughout 2020-2022. Using Bayesian state-space mediation models, we examined the effect of repeated NPIs on infection spread mitigation, mediated by human mobility changes in each prefecture during three epidemic phases: from April 1, 2020 to February 28, 2021; from March 1, 2021 to December 16, 2021; and from December 17, 2021 to December 31, 2022. In the first phase, controlling downtown populations at nighttime was effective in mitigating the infection spread in almost all prefectures. In the second and third phases, the effect was not clear, especially in metropolitan prefectures. Controlling visitors from the central prefectures of metropolitan areas was effective in mitigating infection spread in the surrounding prefectures during all phases. These results suggest that the local spread of infection can be mitigated by focusing on nighttime human mobility control in downtown areas before the epidemic spreads widely and transmission routes become more diverse, and that the geospatial spread of infection can be prevented by controlling the flows of people from large cities to other areas.
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Affiliation(s)
- Shohei Nagata
- Co-creation Center for Disaster Resilience, International Research Institute of Disaster Science, Tohoku University, 468-1 Aoba, Aramaki, Aoba-ku, Sendai, 980-0845, Japan
| | - Yuta Takahashi
- Graduate School of Environmental Studies, Tohoku University, 468-1 Aoba, Aramaki, Aoba- ku, Sendai, 980-0845, Japan
| | - Hiroki M Adachi
- Co-creation Center for Disaster Resilience, International Research Institute of Disaster Science, Tohoku University, 468-1 Aoba, Aramaki, Aoba-ku, Sendai, 980-0845, Japan
- Graduate School of Environmental Studies, Tohoku University, 468-1 Aoba, Aramaki, Aoba- ku, Sendai, 980-0845, Japan
| | - Glen D Johnson
- Department of Environmental, Occupational and Geospatial Health Sciences, City University of New York School of Public Health, 55 West 125th Street, New York, NY, 10027, USA
| | - Tomoki Nakaya
- Graduate School of Environmental Studies, Tohoku University, 468-1 Aoba, Aramaki, Aoba- ku, Sendai, 980-0845, Japan.
- Department of Earth Science, Graduate School of Science, Tohoku University, 6-3 Aoba, Aramaki, Aoba-ku, Sendai, 980-8578, Miyagi, Japan.
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Cortes-Ramirez J, Wilches-Vega J, Caicedo-Velasquez B, Paris-Pineda O, Sly P. Spatiotemporal hierarchical Bayesian analysis to identify factors associated with COVID-19 in suburban areas in Colombia. Heliyon 2024; 10:e30182. [PMID: 38707376 PMCID: PMC11068642 DOI: 10.1016/j.heliyon.2024.e30182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 04/21/2024] [Accepted: 04/22/2024] [Indexed: 05/07/2024] Open
Abstract
Introduction The pandemic had a profound impact on the provision of health services in Cúcuta, Colombia where the neighbourhood-level risk of Covid-19 has not been investigated. Identifying the sociodemographic and environmental risk factors of Covid-19 in large cities is key to better estimate its morbidity risk and support health strategies targeting specific suburban areas. This study aims to identify the risk factors associated with the risk of Covid-19 in Cúcuta considering inter -spatial and temporal variations of the disease in the city's neighbourhoods between 2020 and 2022. Methods Age-adjusted rate of Covid-19 were calculated in each Cúcuta neighbourhood and each quarter between 2020 and 2022. A hierarchical spatial Bayesian model was used to estimate the risk of Covid-19 adjusting for socioenvironmental factors per neighbourhood across the study period. Two spatiotemporal specifications were compared (a nonparametric temporal trend; with and without space-time interaction). The posterior mean of the spatial and spatiotemporal effects was used to map the Covid-19 risk. Results There were 65,949 Covid-19 cases in the study period with a varying standardized Covid-19 rate that peaked in October-December 2020 and April-June 2021. Both models identified an association of the poverty and stringency indexes, education level and PM10 with Covid-19 although the best fit model with a space-time interaction estimated a strong association with the number of high-traffic roads only. The highest risk of Covid-19 was found in neighbourhoods in west, central, and east Cúcuta. Conclusions The number of high-traffic roads is the most important risk factor of Covid-19 infection in Cucuta. This indicator of mobility and connectivity overrules other socioenvironmental factors when Bayesian models include a space-time interaction. Bayesian spatial models are important tools to identify significant determinants of Covid-19 and identifying at-risk neighbourhoods in large cities. Further research is needed to establish causal links between these factors and Covid-19.
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Affiliation(s)
- J. Cortes-Ramirez
- Centre for Data Science. Queensland University of Technology, Australia
- Faculty of Medical and Health Sciences, University of Santander, Colombia
- Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia
| | - J.D. Wilches-Vega
- Faculty of Medical and Health Sciences, University of Santander, Colombia
| | - B. Caicedo-Velasquez
- Epidemiology Research Group, Faculty of Public Health, University of Antioquia, Colombia
| | - O.M. Paris-Pineda
- Faculty of Medical and Health Sciences, University of Santander, Colombia
| | - P.D. Sly
- Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia
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Conesa D, López de Rioja V, Gullón T, Tauste Campo A, Prats C, Alvarez-Lacalle E, Echebarria B. A mixture of mobility and meteorological data provides a high correlation with COVID-19 growth in an infection-naive population: a study for Spanish provinces. Front Public Health 2024; 12:1288531. [PMID: 38528860 PMCID: PMC10962055 DOI: 10.3389/fpubh.2024.1288531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 02/16/2024] [Indexed: 03/27/2024] Open
Abstract
Introduction We use Spanish data from August 2020 to March 2021 as a natural experiment to analyze how a standardized measure of COVID-19 growth correlates with asymmetric meteorological and mobility situations in 48 Spanish provinces. The period of time is selected prior to vaccination so that the level of susceptibility was high, and during geographically asymmetric implementation of non-pharmacological interventions. Methods We develop reliable aggregated mobility data from different public sources and also compute the average meteorological time series of temperature, dew point, and UV radiance in each Spanish province from satellite data. We perform a dimensionality reduction of the data using principal component analysis and investigate univariate and multivariate correlations of mobility and meteorological data with COVID-19 growth. Results We find significant, but generally weak, univariate correlations for weekday aggregated mobility in some, but not all, provinces. On the other hand, principal component analysis shows that the different mobility time series can be properly reduced to three time series. A multivariate time-lagged canonical correlation analysis of the COVID-19 growth rate with these three time series reveals a highly significant correlation, with a median R-squared of 0.65. The univariate correlation between meteorological data and COVID-19 growth is generally not significant, but adding its two main principal components to the mobility multivariate analysis increases correlations significantly, reaching correlation coefficients between 0.6 and 0.98 in all provinces with a median R-squared of 0.85. This result is robust to different approaches in the reduction of dimensionality of the data series. Discussion Our results suggest an important effect of mobility on COVID-19 cases growth rate. This effect is generally not observed for meteorological variables, although in some Spanish provinces it can become relevant. The correlation between mobility and growth rate is maximal at a time delay of 2-3 weeks, which agrees well with the expected 5?10 day delays between infection, development of symptoms, and the detection/report of the case.
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Affiliation(s)
- David Conesa
- Department of Physics, Universitat Politécnica de Catalunya, Barcelona, Spain
| | | | - Tania Gullón
- Spanish Ministry of Transport, Mobility and Urban Agenda (MITMA), Madrid, Spain
| | - Adriá Tauste Campo
- Department of Physics, Universitat Politécnica de Catalunya, Barcelona, Spain
| | - Clara Prats
- Department of Physics, Universitat Politécnica de Catalunya, Barcelona, Spain
| | | | - Blas Echebarria
- Department of Physics, Universitat Politécnica de Catalunya, Barcelona, Spain
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Tran DPH, You BC, Liu CW, Chen YN, Wang YF, Chung SN, Lee JJ, You SJ. Identifying spatiotemporal trends of SARS-CoV-2 RNA in wastewater: from the perspective of upstream and downstream wastewater-based epidemiology (WBE). ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:11576-11590. [PMID: 38221556 DOI: 10.1007/s11356-023-31769-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 12/25/2023] [Indexed: 01/16/2024]
Abstract
Recently, many efforts have been made to address the rapid spread of newly identified COVID-19 virus variants. Wastewater-based epidemiology (WBE) is considered a potential early warning tool for identifying the rapid spread of this virus. This study investigated the occurrence of SARS-CoV-2 in eight wastewater treatment plants (WWTPs) and their sewerage systems which serve most of the population in Taoyuan City, Taiwan. Across the entire study period, the wastewater viral concentrations were correlated with the number of COVID-19 cases in each WWTP (Spearman's r = 0.23-0.76). In addition, it is confirmed that several treatment technologies could effectively eliminate the virus RNA from WWTP influent (> 90%). On the other hand, further results revealed that an inverse distance weighted (IDW) interpolation and hotspot model combined with the geographic information system (GIS) method could be applied to analyze the spatiotemporal variations of SARS-CoV-2 in wastewater from the sewer system. In addition, socio-economic factors, namely, population density, land use, and income tax were successfully identified as the potential drivers which substantially affected the onset of the COVID-19 outbreak in Taiwan. Finally, the data obtained from this study can provide a powerful tool in public health decision-making not only in response to the current epidemic situation but also to other epidemic issues in the future.
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Affiliation(s)
- Duyen Phuc-Hanh Tran
- Department of Civil Engineering, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
- Center for Environmental Risk Management, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
| | - Bo-Cheng You
- Center for Environmental Risk Management, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
- Department of Environmental Engineering, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
| | - Chen-Wuing Liu
- Department of Water Resource, Taoyuan City Government, Taoyuan City, 320, Taiwan, Republic of China
| | - Yi-Ning Chen
- Department of Bioscience Technology, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
| | - Ya-Fen Wang
- Center for Environmental Risk Management, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
- Department of Environmental Engineering, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China
| | - Shu-Nu Chung
- Department of Water Resource, Taoyuan City Government, Taoyuan City, 320, Taiwan, Republic of China
| | - Jin-Jing Lee
- Department of Water Resource, Taoyuan City Government, Taoyuan City, 320, Taiwan, Republic of China
| | - Sheng-Jie You
- Center for Environmental Risk Management, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China.
- Department of Environmental Engineering, Chung Yuan Christian University, Taoyuan City, 320, Taiwan, Republic of China.
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