scholarly journals Prevalence of SARS-CoV-2 infection among people experiencing homelessness in Toronto during the first wave of the COVID-19 pandemic

Author(s):  
Linh Luong ◽  
Michaela Beder ◽  
Rosane Nisenbaum ◽  
Aaron Orkin ◽  
Jonathan Wong ◽  
...  

Abstract Objectives People experiencing homelessness are at increased risk of SARS-CoV-2 infection. This study reports the point prevalence of SARS-CoV-2 infection during testing conducted at sites serving people experiencing homelessness in Toronto during the first wave of the COVID-19 pandemic. We also explored the association between site characteristics and prevalence rates. Methods The study included individuals who were staying at shelters, encampments, COVID-19 physical distancing sites, and drop-in and respite sites and completed outreach-based testing for SARS-CoV-2 during the period April 17 to July 31, 2020. We examined test positivity rates over time and compared them to rates in the general population of Toronto. Negative binomial regression was used to examine the relationship between each shelter-level characteristic and SARS-CoV-2 positivity rates. We also compared the rates across 3 time periods (T1: April 17–April 25; T2: April 26–May 23; T3: May 24–June 25). Results The overall prevalence of SARS-CoV-2 infection was 8.5% (394/4657). Site-specific rates showed great heterogeneity with infection rates ranging from 0% to 70.6%. Compared to T1, positivity rates were 0.21 times lower (95% CI: 0.06–0.75) during T2 and 0.14 times lower (95% CI: 0.04–0.44) during T3. Most cases were detected during outbreak testing (384/394 [97.5%]) rather than active case finding. Conclusion During the first wave of the pandemic, rates of SARS-CoV-2 infection at sites for people experiencing homelessness in Toronto varied significantly over time. The observation of lower rates at certain sites may be attributable to overall time trends, expansion of outreach-based testing to include sites without known outbreaks, and/or individual site characteristics.

2021 ◽  
Author(s):  
Linh Luong ◽  
Michaela Beder ◽  
Rosane Nisenbaum ◽  
Aaron Orkin ◽  
Jonathan Wong ◽  
...  

Background: People experiencing homelessness are at increased risk of SARS-CoV-2 infection. This study reports the point prevalence of SARS-CoV-2 infection during testing conducted at sites serving people experiencing homelessness in Toronto during the first wave of the COVID-19 pandemic. We also explored the association between site characteristics and prevalence rates. Methods: The study included individuals who were staying at shelters, encampments, COVID-19 physical distancing sites, and drop-in and respite sites and completed outreach-based testing for SARS-CoV-2 during the period April 17 to July 31, 2020. We examined test positivity rates over time and compared them to rates in the general population of Toronto. Negative binomial regression was used to examine the relationship between each shelter-level characteristic and SARS-CoV-2 positivity rates. We also compared the rates across 3 time periods (T1: April 17-April 25; T2: April 26-May 23; T3: May 24-June 25). Results: The overall prevalence of SARS-CoV-2 infection was 8.5% (394/4657). Site-specific rates showed great heterogeneity with infection rates ranging from 0% to 70.6%. Compared to T1, positivity rates were 0.21 times lower (95% CI: 0.06, 0.75) during T2 and 0.14 times lower (95% CI: 0.043, 0.44) during T3. Most cases were detected during outbreak testing (384/394 [97.5%]) rather than active case finding. Interpretation: During the first wave of the pandemic, rates of SARS-CoV-2 infection at sites for people experiencing homelessness in Toronto varied significantly over time. The observation of lower rates at certain sites may be attributable to overall time trends, expansion of outreach-based testing to include sites without known outbreaks and/or individual site characteristics.


2021 ◽  
pp. 1-32
Author(s):  
Branislav Mičko

Building on an original dataset, this article focuses on the interactions between NATO and its declared worldwide partners. It argues that the analysis of these interactions can reveal NATO’s strategic approach to partnerships, but it can also provide a tool for its classification as an organisation that is either exclusive – defined by the focus on defence of its members, or inclusive – emphasising the global protection of democracies and human rights. The relationship between types of interactions and NATO categorisation is estimated using an unconditional negative binomial regression with fixed effects as well as a within-between (hybrid) model. Furthermore, they are illustrated on two brief case studies of Sweden and Japan. The results of the study suggest that NATO engages primarily with countries that are powerful relative to their neighbourhood, even though they are not the most powerful among the partners. The given country’s level of democracy, integration into the international institutions, and stability, do not seem to play any overarching role here.


2020 ◽  
Vol 9 (4) ◽  
pp. 188
Author(s):  
Markus Rasmusson ◽  
Marco Helbich

Near-repeat crime refers to a pattern whereby one crime event is soon followed by a similar crime event at a nearby location. Existing research on near-repeat crime patterns is inconclusive about where near-repeat patterns emerge and which physical and social factors influence them. The present research addressed this gap by examining the relationship between initiator events (i.e., the first event in a near-repeat pattern) and environmental characteristics to estimate where near-repeat patterns are most likely to emerge. A two-step analysis was undertaken using data on street robberies reported in Malmö, Sweden, for the years 2006–15. After determining near-repeat patterns, we assessed the correlations between initiator events and criminogenic places and socioeconomic indicators using a negative binomial regression at a street segment level. Our results show that both criminogenic places and socioeconomic indicators have a significant influence on the spatial variation of initiator events, suggesting that environmental characteristics can be used to explain the emergence of near-repeat patterns. Law enforcement agencies can utilize the findings in efforts to prevent further street robberies from occurring.


2021 ◽  
Author(s):  
Sean A. P. Clouston ◽  
Olga Morozova ◽  
Jaymie R. Meliker

AbstractBackgroundTo examine whether outdoor exposures may contribute to the COVID-19 epidemic, we hypothesized that slower outdoor windspeed is associated with increased risk of transmission when individuals socialize outside.MethodsDaily COVID-19 incidence reported between 3/16/2020-12/31/2020 was the outcome. Average windspeed and maximal daily temperature were derived from the National Oceanic and Atmospheric Administration. Negative binomial regression was used to model incidence, adjusting for susceptible population size.ResultsCases were very high in the initial wave but diminished quickly once lockdown procedures were enacted. Unadjusted and multivariable-adjusted analyses revealed that warmer days with windspeed <5.5 MPH had increased COVID-19 incidence (aIRR=1.50, 95% C.I.=[1.25-1.81], P<0.001) as compared to days with average windspeed ≥5.5 MPH.ConclusionThis study suggests that outdoor transmission of COVID-19 may occur by noting that the risk of transmission of COVID-19 in the summer was highest on days when wind was reduced.


2021 ◽  
pp. 75-80
Author(s):  
Demetrio Panarello ◽  
Giorgio Tassinari

A successful fight against COVID-19 greatly depends on citizens’ adherence to the restrictive measures, which may not suffice alone. Making use of a containment index, data on sanctions, and Google’s movement trends across Italian regions, complemented by other sources, we investigate the extent to which compliance with the mobility limitations has affected the number of deaths over time in the period from the 24th of February 2020 to the 9th of November 2020, by using panel data for Italian regions, analysed through a negative binomial regression method. We also differentiated the study period, estimating two distinct models on two subsamples: until the 13th of September and since the 14th of September. In so doing, we show how the pandemic dynamics have changed between the first and the second wave of the emergency. Our results highlight that the importance of the restrictive measures and of citizens’ accord on their abidance has greatly increased since the end of the summer, also because the stringency level of the adopted measures has critically declined. Informing citizens about the effects and purposes of the restrictive measures is of paramount importance, especially in the current phase of the pandemic.


Rheumatology ◽  
2019 ◽  
Vol 59 (2) ◽  
pp. 277-280 ◽  
Author(s):  
Winnie M Y Chen ◽  
Marwan Bukhari ◽  
Francesca Cockshull ◽  
James Galloway

Abstract Objective Scientific journals and authors are frequently judged on ‘impact’. Commonly used traditional metrics are the Impact Factor and H-index. However, both take several years to formulate and have many limitations. Recently, Altmetric—a metric that measures impact in a non-traditional way—has gained popularity. This project aims to describe the relationships between subject matter, citations, downloads and Altmetric within rheumatology. Methods Data from publications in Rheumatology were used. Articles published from 2010 to 2015 were reviewed. Data were analysed using Stata 14.2 (StataCorp, College Station, TX, USA). Correlation between citations, downloads and Altmetric were quantified using linear regression, comparing across disease topics. Relationship between downloads and months since publications were described using negative binomial regression, clustering on individual articles. Results A total of 1460 Basic Science and Clinical Science articles were identified, with the number of citations, downloads and Altmetric scores. There were no correlations between disease topic and downloads (R2 = 0.016, P = 0.03), citations (R2 = 0.011, P = 0.29) or Altmetric (R2 = 0.025, P = 0.02). A statistically significant positive association was seen between the number of citations and downloads (R2 = 0.29, P &lt; 0.001). No correlations were seen between Altmetric and downloads (R2 = 0.028, P &lt; 0.001) or citations (R2 = 0.004, P = 0.445). Conclusion Disease area did not correlate with any of the metrics compared. Correlations were apparent with clear links between downloads and citations. Altmetric identified different articles as high impact compared with citation or download metrics. In conclusion: tweeting about your research does not appear to influence citations.


Author(s):  
Kyle A. Burgason ◽  
Matt DeLisi ◽  
Mark H. Heirigs ◽  
Abdi Kusow ◽  
Jacob H. Erickson ◽  
...  

Since Anderson’s now classic, Code of the Street: Decency, Violence, and the Moral Life of the Inner City, an increasing number of researchers have found a significant association between the code of the street and antisocial behavior. Less researched, however, is the relationship between the code of the street and cognate psychological factors. Building on the hypothesis that the code of the street is simply a reflection of elements of the population who exhibit antisocial traits, our aim in this study is to empirically test whether the observed association between the code of the street and antisocial behavior can withstand psychological confounds among a sample of institutionalized juvenile delinquents. Negative binomial regression models show that the code of the street remained a significant predictor of antisocial behavior despite the specification of psychopathy and temperamental traits and other controls. Moreover, as theorized, differential effects were found for African American delinquents compared to non-African American delinquents. We discuss theoretical and practical implications.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Komal Raj Rijal ◽  
Bipin Adhikari ◽  
Bindu Ghimire ◽  
Binod Dhungel ◽  
Uttam Raj Pyakurel ◽  
...  

Abstract Background Dengue is one of the newest emerging diseases in Nepal with increasing burden and geographic spread over the years. The main objective of this study was to explore the epidemiological patterns of dengue since its first outbreak (2006) to 2019 in Nepal. Methods This study is a retrospective analysis that covers the last 14 years (2006–2019) of reported dengue cases from Epidemiology Diseases Control Division (EDCD), Ministry of Health and Population, Government of Nepal. Reported cases were plotted over time and maps of reported case incidence were generated (from 2016 through 2019). An ecological analysis of environmental predictors of case incidence was conducted using negative binomial regression. Results While endemic dengue has been reported in Nepal since 2006, the case load has increased over time and in 2019 a total of 17 992 dengue cases were reported from 68 districts (from all seven provinces). Compared to the case incidence in 2016, incidence was approximately five times higher in 2018 [incidence rate ratio (IRR): 4.8; 95% confidence interval (CI) 1.5–15.3] and over 140 times higher in 2019 (IRR: 141.6; 95% CI 45.8–438.4). A one standard deviation increase in elevation was associated with a 90% decrease in reported case incidence (IRR: 0.10; 95% CI 0.01–0.20). However, the association between elevation and reported cases varied across the years. In 2018 there was a cluster of cases reported from high elevation Kaski District of Gandaki Province. Our results suggest that dengue infections are increasing in magnitude and expanding out of the lowland areas to higher elevations over time. Conclusions There is a high risk of dengue outbreak in the lowland Terai region, with increasing spread towards the mid-mountains and beyond as seen over the last 14 years. Urgent measures are required to increase the availability of diagnostics and resources to mitigate future dengue epidemics.


2020 ◽  
Author(s):  
Sae Takada ◽  
Kristen Choi ◽  
Shaw Natsui ◽  
Altaf Saadi ◽  
Liza Buchbinder ◽  
...  

Abstract Background: The movement of firearm across state lines may decrease the effectiveness of state-level firearm laws. Yet how state-level firearm policies affect cross-state movement have not yet been widely explored. This study aims to characterize the interstate movement of firearms and its relationship with state-level firearm policies. Methods: Cross-sectional time series network analysis of interstate firearm movement using Bureau of Alcohol, Tobacco, Firearms, and Explosives firearm trace data (2010 -2017). We constructed the network of firearm movement between 50 states. We used zero-inflated negative binomial regression to estimate the relationship between the number of a state’s firearm laws and number of states for which it was the source of 100 or more firearms, adjusting for state characteristics. We used a similar model to examine the relationship between firearm laws and the number of states for which a given state was the destination of 100 or more firearms.Results: Over the 8-year period, states had an average of 26 (SD 25.2) firearm laws. On average, a state was the source of 100 or more crime-related firearms for 2.2 (SD 2.7) states and was the destination of 100 or more crime-related firearms for 2.2 (SD 3.4) states. Greater number of firearm laws was associated with states being the source of 100 or more firearms to fewer states (IRR0.67 per SD, p<0.001), higher odds of not being a source to any states (aOR1.56 per SD, p<0.001), and states being the destination of 100 or more firearms from more states (IRR1.83 per SD, p<0.001).Conclusions: Restrictive firearm policies are associated with less movement of firearms to other states, but with more movement of firearms from outside states. The effectiveness of state-level firearm-restricting laws is complicated by a network of interstate firearm movement.


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