scholarly journals Determinants on COVID-19 Case Fatality Rates of Cities in China: A Logit-NB Hurdle Model Analysis

Author(s):  
Hanchen Yu ◽  
Xin Lao ◽  
Hengyu Gu ◽  
Zhihao Zhao ◽  
Honghao He

Abstract Background: The ongoing Coronavirus Disease 2019 (COVID-19), a global pandemic with high infectiousness and high mortality, has seriously threatened human health, life safety and caused enormous economic losses. This study investigates the influencing factors on the case fatality rate (CFR) of COVID-19 at the city level in China. Methods: A logistic-negative binomial (Logit-NB) hurdle model is employed to examine the determinants on the probability of death and the value of CFR with COVID-19, based on confirmed cases and deaths by 13 March 2020 and 25 January 2021 at the city level in China and related environmental, demographic, and socioeconomic data.Results: We found that the probability of death from COVID-19 will increase by 1% with 1 newly increased confirmed case and increase by 4% in response to a rise of 1 unit in the air quality index. CFR will feebly increase with the number of confirmed cases, with the estimator being 2.81E-05. As the number of doctors increases by 10,000, CFR will decrease by 0.18%. Each 1% increase in the humidity leads to a 0.02% decrease in CFR, and each 1-unit increase in the population density causes a 0.09% decline in CFR. The comparison between the two research periods confirms the robustness of the results.Conclusions: The number of confirmed cases and the air quality are closely associated with the death probability, while the number of confirmed cases, the medical resources, the humidity, and the population density significantly affect the CFR. Furthermore, the air quality and population density stand out in the first wave of epidemic outbreak, while they become non-significant in the second wave.

Author(s):  
Victor J. Samillan ◽  
Diana Flores-León ◽  
Eduardo Rojas ◽  
Brian R. Zutta

Abstract Objectives The role of the environment and climate in the transmission and case fatality rates of SARS-CoV-2 is still being investigated a year into the pandemic. Elevation and air quality are believed to be significant factors in the development of the pandemic, but the influence of additional environmental factors remains unclear. Methods We explored the relationship between the cumulative number of infections and mortality cases with climate (temperature, precipitation, solar radiation, water vapor pressure, wind), environmental data (elevation, normalized difference vegetation index or NDVI, particulate matter at 2.5 μm or PM2.5 and NO2 concentration), and population density in Peru. We use confirmed cases of infection from 1,287 districts and mortality in 479 districts, we used Spearman’s correlations to assess the bivariate correlation between environmental and climatic factors with cumulative infection cases, cumulative mortality and case-fatality rate. We explored district cases within the ecozones of coast, sierra, high montane forest and lowland rainforest. Results Multiple linear regression models indicate elevation, mean solar radiation, air quality, population density and green vegetation cover, as a socioeconomic proxy, are influential factors in the distribution of infection and mortality of SARS-CoV-2 in Peru. Case-fatality rate was weakly associated with elevation. Conclusions Our results also strongly suggest that exposure to poor air quality is a significant factor in the mortality of individuals below the age of 30. We conclude that environmental and climatic factors do play a significant role in the transmission and case fatality rates in Peru, however further study is required to see if these relationships are maintained over time.


2020 ◽  
Author(s):  
Victor J. Samillan ◽  
Diana Flores-Leon ◽  
Eduardo Rojas ◽  
Brian R. Zutta

The role of the environment and climate in the transmission and case-fatality rates of SARS-CoV-2 is still being investigated. Elevation and air quality are believed to be significant factors in the current development of the pandemic, but the influence of additional environmental factors remain unclear. In this study, we explored the relationship between the cumulative number of infections and mortality cases with climate (temperature, precipitation, solar radiation, water vapor pressure, wind), environmental data (elevation, NDVI, PM2.5 and NO2 concentration), and population density in Peru. Using the data from confirmed cases of infection from 1287 districts and confirmed cases of mortality in 479 districts, we used Spearman's correlations to assess the correlation between environmental and climatic factors with cumulative infection cases, cumulative mortality and case-fatality rate. We also explored district cases by the ecozones of coast, sierra, high montane forest and lowland rainforest. Multiple linear regression models indicate elevation, mean solar radiation, air quality, population density and green cover are influential factors in the distribution of infection and mortality of SARS-CoV-2 in Peru. The case-fatality rate was weakly associated with elevation. Our results also strongly suggest that exposure to poor air quality is a significant factor in the mortality of individuals with SARS-CoV-2 below the age of 30. We conclude that environmental and climatic factors do play a significant role in the transmission and case-fatality rates in Peru, however further study is required to see if these relationships are maintained over time.


Author(s):  
I. V. May ◽  
A. A. Kokoulina ◽  
S. Yu. Balashov

Introduction. The city of Chita of Zabaikalsky region is one of the cities of Russia, priority on level of pollution of atmosphere. Of the order of 130 impurities emitted by the sources of the city, 12 are monitored at 5 posts of the Roshydromet network. Maximum monthly average concentrations are formed by benz (a) pyrene (up to 56.8 MPC), hydrogen sulfide (12.3 MPC), suspended particles (up to 4PDC), phenol (up to 3.6 MPC). Significant emissions (59.73 thousand tons in 2018) are aggravated by the use of coal as a fuel by heat and power enterprises and the private sector, climatic and geographical features. Within the framework of the Federal project “Clean Air” of the national project “Ecology”, it is envisaged to reduce the gross emission of pollutants into the atmosphere of Chita by 8.75 thousand tons by 2024, which should lead to a significant improvement in the safety and quality of life of citizens. It is necessary to identify the most “risky “components of pollution for health.It is important to understand: whether the environmental monitoring system reflects the real picture of the dangers posed by pollution of the city’s atmosphere; whether there is a need to optimize the monitoring system for the subsequent assessment of the effectiveness and efficiency of measures; what impurities and at what points should be monitored in the interests of the population, administration and economic entities implementing air protection measures.The aim of the study is to develop recommendations for optimizing the program of environmental monitoring of air quality in the city of Chita, taking into account the criteria of danger to public health for the subsequent evaluation of the effectiveness and effectiveness of the Federal project “Clean Air”.Materials and methods. Justification of optimization of monitoring programs was carried out through the calculation of hazard indices, considering: the mass of emissions and toxicological characteristics of each chemical; the population under the influence. A vector map of the city with a layer “population density” was used as a topographic base. The indices were calculated for regular grid cells covering the residential area. For each cell, the repeatability of winds of 8 points from the priority enterprises and the population within the calculated cell were taken into account. As a result, each calculation cell was characterized by a total coefficient, taking into account the danger of potential impacts of emissions. Based on the results of the assessments, recommendations were formulated to optimize the placement of posts in the city and the formation of monitoring programs.Results. Indices of carcinogenic danger to the health of the population of Chita ranged from 584,805. 96 to 0.03 (priorities: carbon (soot), benzene, benz (a) pyrene); indices of non-carcinogenic danger — from 1,443,558. 24 to 0.00 (priorities: sulfur dioxide, inorganic dust containing 70–20% SiO2, fuel oil ash). The greatest danger to public health stationary sources of emissions form in the North-Western, Western and South-Eastern parts of the city. Roshydromet posts in these zones are absent.Conclusions. As part of the objectives of the project “Clean Air”, it is recommended to Supplement the existing state network of observations of atmospheric air quality in Chita with two posts; to include manganese, xylene, vanadium pentoxide in the monitoring programs, to carry out the determination of Benz(a)pyrene et all posts, which will allow to fully and adequately assess the danger of emissions of economic entities, as well as the effectiveness and efficiency of the provided air protection measures.


Author(s):  
Fengyu Zhang ◽  
Claude Hughes

Coronavirus disease 2019 (COVID-19) is a new infectious respiratory disease that has caused the ongoing global pandemic. The primary purpose of this article is to describe evolving clinical epidemiology of COVID-19, including 1) infection and testing, 2) clinical spectrum including classification of clinical type, asymptomatic cases, severe cases and comorbidity, and clinical and immunological response, 3) regional variation in clinical presentation, 4) population distribution by age, sex, and occupation, and finally, 5) case-fatality. This content may provide important information on detailed clinical type and presentation of the disease, in which appropriate clinical outcomes can be derived for developing prevention strategies and clinical studies or trials that aim to test potential therapeutics or products for different patient populations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-Yang Zhang ◽  
An-Ran Zhang ◽  
Qing-Bin Lu ◽  
Xiao-Ai Zhang ◽  
Zhi-Jie Zhang ◽  
...  

Abstract Background COVID-19 has impacted populations around the world, with the fatality rate varying dramatically across countries. Selenium, as one of the important micronutrients implicated in viral infections, was suggested to play roles. Methods An ecological study was performed to assess the association between the COVID-19 related fatality and the selenium content both from crops and topsoil, in China. Results Totally, 14,045 COVID-19 cases were reported from 147 cities during 8 December 2019–13 December 2020 were included. Based on selenium content in crops, the case fatality rates (CFRs) gradually increased from 1.17% in non-selenium-deficient areas, to 1.28% in moderate-selenium-deficient areas, and further to 3.16% in severe-selenium-deficient areas (P = 0.002). Based on selenium content in topsoil, the CFRs gradually increased from 0.76% in non-selenium-deficient areas, to 1.70% in moderate-selenium-deficient areas, and further to 1.85% in severe-selenium-deficient areas (P < 0.001). The zero-inflated negative binomial regression model showed a significantly higher fatality risk in cities with severe-selenium-deficient selenium content in crops than non-selenium-deficient cities, with incidence rate ratio (IRR) of 3.88 (95% CIs: 1.21–12.52), which was further confirmed by regression fitting the association between CFR of COVID-19 and selenium content in topsoil, with the IRR of 2.38 (95% CIs: 1.14–4.98) for moderate-selenium-deficient cities and 3.06 (1.49–6.27) for severe-selenium-deficient cities. Conclusions Regional selenium deficiency might be related to an increased CFR of COVID-19. Future studies are needed to explore the associations between selenium status and disease outcome at individual-level.


2020 ◽  
Vol 13 (1) ◽  
pp. 261
Author(s):  
Christos Petsas ◽  
Marinos Stylianou ◽  
Antonis Zorpas ◽  
Agapios Agapiou

The air quality of modern cities is considered an important factor for the quality of life of humans and therefore is being safeguarded by various international organizations, concentrating on the mass concentration of particulate matter (PM) with an aerodynamic diameter less than 10, 2.5 and 1 μm. However, the different physical and anthropogenic processes and activities within the city contribute to the rise of fine (<1 μm) and coarse (>1 μm) particles, directly impacting human health and the environment. In order to monitor certain natural and anthropogenic events, suspecting their significant contribution to PM concentrations, seven different events taking place on the coastal front of the city of Limassol (Cyprus) were on-site monitored using a portable PM instrument; these included both natural (e.g., dust event) and anthropogenic (e.g., cement factory, meat festival, tall building construction, tire factory, traffic jam, dust road) emissions taking place in spring and summer periods. The violations of the limits that were noticed were attributed mainly to the various anthropogenic activities taking place on-site, revealing once more the need for further research and continuous monitoring of air quality.


Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 596
Author(s):  
Yago Bernardo ◽  
Denes do Rosario ◽  
Carlos Conte-Junior

Background and Objectives: To perform a retrospective report on the lethality of COVID-19 in different realities in the city of Rio de Janeiro (RJ). Materials and Methods: We accomplished an observational study by collecting the data about total confirmed cases and deaths due to COVID-19 in the top 10 high social developed neighborhoods and top 10 most populous favelas in RJ to determine the case-fatality rate (CFR) and compare these two different realities. Results: CFR was significatively higher in poverty areas of RJ, reaching a mean of 9.08% in the most populous favelas and a mean of 4.87% in the socially developed neighborhoods. Conclusions: The social mitigation measures adopted in RJ have benefited only smaller portions of the population, excluding needy communities.


2018 ◽  
Author(s):  
Matthias Karl

Abstract. This paper describes the City-scale Chemistry (CityChem) extension of the urban dispersion model EPISODE with the aim to enable chemistry/transport simulations of multiple reactive pollutants on urban scales. The new model is called CityChem-EPISODE. The primary focus is on the simulation of urban ozone concentrations. Ozone is produced in photochemical reaction cycles involving nitrogen oxides (NOx) and volatile organic compounds (VOC) emitted by various anthropogenic activities in the urban area. The performance of the new model was evaluated with a series of synthetic tests and with a first application to the air quality situation in the city of Hamburg, Germany. The model performs fairly well for ozone in terms of temporal correlation and bias at the air quality monitoring stations in Hamburg. In summer afternoons, when photochemical activity is highest, modelled median ozone at an inner-city urban background station was about 30 % lower than the observed median ozone. Inaccuracy of the computed photolysis frequency of nitrogen dioxide (NO2) is the most probable explanation for this. CityChem-EPISODE reproduces the spatial variation of annual mean NO2 concentrations between urban background, traffic and industrial stations. However, the temporal correlation between modelled and observed hourly NO2 concentrations is weak for some of the stations. For daily mean PM10, the performance of CityChem-EPISODE is moderate due to low temporal correlation. The low correlation is linked to uncertainties in the seasonal cycle of the anthropogenic particulate matter (PM) emissions within the urban area. Missing emissions from domestic heating might be an explanation for the too low modelled PM10 in winter months. Four areas of need for improvement have been identified: (1) dry and wet deposition fluxes; (2) treatment of photochemistry in the urban atmosphere; (3) formation of secondary inorganic aerosol (SIA); and (4) formation of biogenic and anthropogenic secondary organic aerosol (SOA). The inclusion of secondary aerosol formation will allow for a better sectorial attribution of observed PM levels. Envisaged applications of the CityChem-EPISODE model are urban air quality studies, environmental impact assessment, sensitivity analysis of sector-specific emission and the assessment of local and regional emission abatement policy options.


2019 ◽  
Author(s):  
Margarida Correia Marques ◽  
Marcia Silva de Oliveira ◽  
Fernando Glenadel Braga ◽  
Margarida L. R. Liberato

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