scholarly journals State-level needs for social distancing and contact tracing to contain COVID-19 in the United States 

Author(s):  
Weihsueh A. Chiu ◽  
Rebecca Fischer ◽  
Martial L. Ndeffo-Mbah

Abstract Starting in mid-May 2020, many US states began relaxing social distancing measures that were put in place to mitigate the spread of COVID-19. To evaluate the impact of relaxation of restrictions on COVID-19 dynamics and control, we developed a transmission dynamic model and calibrated it to US state-level COVID-19 cases and deaths. We used this model to evaluate the impact of social distancing, testing and contact tracing on the COVID-19 epidemic in each state. As of July 22, 2020, we found only three states were on track to curtail their epidemic curve. Thirty-nine states and the District of Columbia may have to double their testing and/or tracing rates and/or rolling back reopening by 25%, while eight states require an even greater measure of combined testing, tracing, and distancing. Increased testing and contact tracing capacity is paramount for mitigating the recent large-scale increases in U.S. cases and deaths.

2020 ◽  
Author(s):  
Weihsueh A. Chiu ◽  
Rebecca Fischer ◽  
Martial L. Ndeffo-Mbah

Abstract Social distancing measures have been implemented in the United States (US) since March 2020, to mitigate the spread of SARS-CoV-2, the causative agent of COVID-19. However, by mid-May most states began relaxing these measures to support the resumption of economic activity, even as disease incidence continued to increase in many states. To evaluate the impact of relaxing social distancing restrictions on COVID-19 dynamics and control in the US, we developed a transmission dynamic model and calibrated it to US state-level COVID-19 cases and deaths from March to June 20th, 2020, using Bayesian methods. We used this model to evaluate the impact of reopening, social distancing, testing, contact tracing, and case isolation on the COVID-19 epidemic in each state. We found that using stay-at-home orders, most states were able to curtail their COVID-19 epidemic curve by reducing and achieving an effective reproductive number below 1. But by June 20th, 2020, only 19 states and the District of Columbia were on track to curtail their epidemic curve with a 75% confidence, at current levels of reopening. Of the remaining 31 states, 24 may have to double their current testing and/or contact tracing rate to curtail their epidemic curve, and seven need to further restrict social contact by 25% in addition to doubling their testing and contact tracing rates. When social distancing restrictions are being eased, greater state-level testing and contact tracing capacity remains paramount for mitigating the risk of large-scale increases in cases and deaths.


1990 ◽  
Vol 6 (5) ◽  
pp. 23-51 ◽  
Author(s):  
E. Timothy Oppelt

In the United States over the last ten years, concern over important disposal practices of the past has manifested itself in the passage of a series of federal and state-level hazardous waste cleanup and control statutes of unprecedented scope. The impact of these various statutes will be a significant modification of waste management practices. The more traditional and lowest cost methods of direct landfilling, storage in surface impoundments and deep-well injection will be replaced, in large measure, by waste minimization at the source of generation, waste reuse, physical/chemical/biological treatment, incinceration and chemical stabilization/solidification methods. Of all of the “terminal” treatment technologies, properly-designed incineration systems are capable of the highest overall degree of destruction and control for the broadest range of hazardous waste streams. Substantial design and operational experience exists and a wide variety of commercial systems are available. Consequently, significant growth is anticipated in the use of incineration and other thermal destruction methods. The objective of this paper is to examine the current state of knowledge regarding air emissions from hazardous waste incineration in an effort to put the associated technological and environmental issues into perspective.


2021 ◽  
Author(s):  
David Lazer ◽  
Mauricio Santillana ◽  
Roy H. Perlis ◽  
Alexi Quintana ◽  
Katherine Ognyanova ◽  
...  

The current state of the COVID-19 pandemic in the United States is dire, with circumstances in the Upper Midwest particularly grim. In contrast, multiple countries around the world have shown that temporary changes in human behavior and consistent precautions, such as effective testing, contact tracing, and isolation, can slow transmission of COVID-19, allowing local economies to remain open and societal activities to approach normalcy as of today. These include island countries such as New Zealand, Taiwan, Iceland and Australia, and continental countries such as Norway, Uruguay, Thailand, Finland, and South Korea. These successes demonstrate that coordinated action to change behavior can control the pandemic. In this report, we evaluate how the human behaviors that have been shown to inhibit the spread of COVID-19 have evolved across the US since April, 2020.Our report is based on surveys that the COVID States Project has been conducting approximately every month since April in all 50 US states plus the District of Columbia. We address four primary questions:1) What are the national trends in social distancing behaviors and mask wearing since April?2) What are the trends among particular population subsets?3) What are the trends across individual states plus DC?4) What is the relationship, at the state level, between social distancing behaviors and mask wearing with the current prevalence of COVID-19?


Author(s):  
M. Ammar Luthfi Kurniawan ◽  
Litania Leona Hidayat ◽  
Jihan Natra Shafira ◽  
Iche Andriyani Liberty

Social distancing includes strategies to ban public gatherings and advise individuals to stay at their home or maintain distance to one another by at least 1-2 meters. This study aims to intend to assess all the available evidence of social distancing in decreasing COVID-19 transmission in the general population. We conducted an electronic search of published literature using MEDLINE/Pubmed, Science direct, PMC, Wiley, and Google Scholar and we use Joanna Briggs Institute (JBI) critical appraisal checklist to assess methodological qualities. A total of 7 articles were decided to be included in this study. Social distancing has curb down the number and saved approximately 10 thousand Brazilian lives. A study by VoPham et al on the association of social distancing and COVID-19 incidence found higher social distancing was associated with a 29% reduction of COVID-19 incidence (adjusted IRR 0.71;95% CI (0,57-0,87) and 35% reduction of COVID-19 mortality (adjusted IRR 0,65; 95% CI 0,55-0,76). Social distancing is one of the major policies implemented for long-term behavioral adjustment in managing the COVID-19 pandemic. Passive social distancing is not enough to drag down the number, there needs to be large scale testing, isolation, and contact tracing. However, we believe we have illuminated the impact of social distancing on the COVID-19 pandemic and add to the available literature the basis of social distancing in reducing transmission of COVID-19.


2020 ◽  
Author(s):  
Jasmina Panovska-Griffiths ◽  
Cliff Kerr ◽  
Robyn Margaret Stuart ◽  
Dina Mistry ◽  
Daniel Klein ◽  
...  

Background In order to slow down the spread of SARS-CoV-2, the virus causing the COVID-19 pandemic, the UK government has imposed strict physical distancing (lockdown) measures including school 'dismissals' since 23 March 2020. As evidence is emerging that these measures may have slowed the spread of the pandemic, it is important to assess the impact of any changes in strategy, including scenarios for school reopening and broader relaxation of social distancing. This work uses an individual-based model to predict the impact of a suite of possible strategies to reopen schools in the UK, including that currently proposed by the UK government. Methods We use Covasim, a stochastic agent-based model for transmission of COVID-19, calibrated to the UK epidemic. The model describes individuals' contact networks stratified as household, school, work and community layers, and uses demographic and epidemiological data from the UK. We simulate a range of different school reopening strategies with a society-wide relaxation of lockdown measures and in the presence of different non-pharmaceutical interventions, to estimate the number of new infections, cumulative cases and deaths, as well as the effective reproduction number with different strategies. To account for uncertainties within the stochastic simulation, we also simulated different levels of infectiousness of children and young adults under 20 years old compared to older ages. Findings We found that with increased levels of testing of people (between 25% and 72% of symptomatic people tested at some point during an active COVID-19 infection depending on scenarios) and effective contact-tracing and isolation for infected individuals, an epidemic rebound may be prevented across all reopening scenarios, with the effective reproduction number (R) remaining below one and the cumulative number of new infections and deaths significantly lower than they would be if testing did not increase. If UK schools reopen in phases from June 2020, prevention of a second wave would require testing 51% of symptomatic infections, tracing of 40% of their contacts, and isolation of symptomatic and diagnosed cases. However, without such measures, reopening of schools together with gradual relaxing of the lockdown measures are likely to induce a secondary pandemic wave, as are other scenarios for reopening. When infectiousness of <20 year olds was varied from 100% to 50% of that of older ages, our findings remained unchanged. Interpretation To prevent a secondary COVID-19 wave, relaxation of social distancing including reopening schools in the UK must be implemented alongside an active large-scale population-wide testing of symptomatic individuals and effective tracing of their contacts, followed by isolation of symptomatic and diagnosed individuals. Such combined measures have a greater likelihood of controlling the transmission of SARS-CoV-2 and preventing a large number of COVID-19 deaths than reopening schools and society with the current level of implementation of testing and isolation of infected individuals.


2020 ◽  
Vol 4 (10) ◽  
pp. 1080-1090
Author(s):  
Weihsueh A. Chiu ◽  
Rebecca Fischer ◽  
Martial L. Ndeffo-Mbah

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thomas Walker ◽  
Yixin Xu ◽  
Dieter Gramlich ◽  
Yunfei Zhao

PurposeThis paper explores the effect of natural disasters on the profitability and solvency of US banks.Design/methodology/approachEmploying a sample of 187 large-scale natural disasters that occurred in the United States between 2000 and 2014 and a sample of 2,891 banks, we examine whether and how disaster-related damages affect various measures of bank profitability and bank solvency. We differentiate between different types of banks (with local, regional and national operations) based on a breakdown of their state-level deposits and explore the reaction of these banks to damages weighted by the GDP of the states they operate in.FindingsWe find that natural disasters have a pronounced effect on the net-income-to-assets and the net-income-to-equity ratio of banks, as well as the banks' impaired loans and return on average assets. We also observe significant effects on the equity ratio and the tier-1 capital ratio (two solvency measures). Interestingly, the latter are positive for regional banks which appear to benefit from increased customer deposits related to safekeeping, government payments for post-disaster recovery, insurance payouts and decreased withdrawals, while they are significantly negative for banks that operate locally or nationally.Originality/valueWe contribute to the literature by offering various new insights regarding the effects natural disasters have on financial institutions. With climate change-driven natural disasters widely expected to increase both in terms of frequency and severity, their economic fallout is likely to impose an increasing burden on financial institutions. Large, nationally operating banks tend to be well diversified both geographically and in terms of their product offerings. Small, locally operating banks, however, are increasingly at risk – particularly if they operate in disaster-prone areas. Current banking regulations generally do not factor natural disaster risks into their capital requirements. To avoid the next big financial crisis, regulators may want to adjust their reserve requirements by taking this growing risk exposure into consideration.


Author(s):  
Edwin van Leeuwen ◽  
Frank Sandmann ◽  

AbstractBackgroundSocial distancing is an important public health intervention to reduce or interrupt the sustained community transmission of emerging infectious pathogens, such as SARS-CoV-2 during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to explore the impact on the epidemic curve of fewer contacts when individuals reduce the time they spend on selected daily activities.MethodsWe combined the large-scale empirical data of a social contact survey and a time-use survey to estimate contact matrices by age group (0-15, 16-24, 25-44, 45-64, 65+) and daily activity (work, schooling, transportation, and four leisure activities: social visits, bar/cafe/restaurant visits, park visits, and non-essential shopping). We assumed that reductions in time are proportional to reductions in contacts. The derived matrices were then applied in an age-structured dynamic-transmission model of COVID-19 to explore the effects.FindingsThe relative reductions in the derived contact matrices were highest when closing schools (in ages 0-14 years), workplaces (15-64 years), and stopping social visits (65+ years). For COVID-19, the closure of workplaces, schools, and stopping social visits had the largest impact on reducing the epidemic curve and delaying its peak, while the predicted impact of fewer contacts in parks, bars/cafes/restaurants, and non-essential shopping were minimal.InterpretationWe successfully augmented contact matrices with time-use data to predict the highest impact of social distancing measures from reduced contacts when spending less time at work, school, and on social visits. Although the predicted impact from other leisure activities with potential for close physical contact were minimal, changes in mixing patterns and time-use immediately after re-allowing social activities may pose increased short-term transmission risks, especially in potentially crowded environments indoors.Research in contextEvidence before this studyWe searched PubMed for mathematical models using social contact matrices and time-use data to explore the impact of reduced social contacts as seen from social distancing measures adopted during the coronavirus disease 2019 (COVID-19) pandemic with the search string ((social OR physical) AND distancing) OR (contact* OR (contact matri*)) AND (time-use) AND (model OR models OR modeling OR modelling) from inception to May 06, 2020, with no language restrictions. We found several studies that used time-use data to re-create contact matrices based on time spent in similar locations or to calculate the length of exposure. We identified no study that augmented social contact matrices with time-use data to estimate the impact on transmission dynamics of reducing selected social activities and lifting these restrictions again, as seen during the COVID-19 pandemic.Added value of this studyOur study combines the empirical data of two large-scale, representative surveys to derive social contact matrices that enrich the frequency of contacts with the duration of exposure for selected social activities, which allows for more fine-grained mixing patterns and infectious disease modelling. We successfully applied the resulting matrices to estimate reductions in contacts from social distancing measures such as adopted during the COVID-19 pandemic, as well as the effect on the epidemic curve from increased social contacts when lifting such restrictions again.Implications of all the available evidenceSocial distancing measures are an important public health intervention to limit the close-contact transmission of emerging infectious pathogens by reducing the social mixing of individuals. Our model findings suggest a higher fraction of close-contact transmission occurs at work, schools, and social visits than from visits to parks, bars/cafes/restaurants, and non-essential shopping. The minimal predicted impact is suggestive of lifting the restrictions on certain activities and excluding them from the list of social distancing measures, unless required to maintain sufficient healthcare capacity. However, potential replacement effects of activities and in mixing patterns remain unclear, particularly immediately after re-allowing social activities again.


Author(s):  
Marissa L. Childs ◽  
Morgan P. Kain ◽  
Devin Kirk ◽  
Mallory Harris ◽  
Lisa Couper ◽  
...  

AbstractNon-pharmaceutical interventions to combat COVID-19 transmission have worked to slow the spread of the epidemic but can have high socio-economic costs. It is critical we understand the efficacy of non-pharmaceutical interventions to choose a safe exit strategy. Many current models are not suitable for assessing exit strategies because they do not account for epidemic resurgence when social distancing ends prematurely (e.g., statistical curve fits) nor permit scenario exploration in specific locations.We developed an SEIR-type mechanistic epidemiological model of COVID-19 dynamics to explore temporally variable non-pharmaceutical interventions. We provide an interactive tool and code to estimate the transmission parameter, β, and the effective reproduction number, . We fit the model to Santa Clara County, California, where an early epidemic start date and early shelter-in-place orders could provide a model for other regions.As of April 22, 2020, we estimate an of 0.982 (95% CI: 0.849 - 1.107) in Santa Clara County. After June 1 (the end-date for Santa Clara County shelter-in-place as of April 27), we estimate a shift to partial social distancing, combined with rigorous testing and isolation of symptomatic individuals, is a viable alternative to indefinitely maintaining shelter-in-place. We also estimate that if Santa Clara County had waited one week longer before issuing shelter-in-place orders, 95 additional people would have died by April 22 (95% CI: 7 - 283).Given early life-saving shelter-in-place orders in Santa Clara County, longer-term moderate social distancing and testing and isolation of symptomatic individuals have the potential to contain the size and toll of the COVID-19 pandemic in Santa Clara County, and may be effective in other locations.


Author(s):  
Anne Nassauer

This book provides an account of how and why routine interactions break down and how such situational breakdowns lead to protest violence and other types of surprising social outcomes. It takes a close-up look at the dynamic processes of how situations unfold and compares their role to that of motivations, strategies, and other contextual factors. The book discusses factors that can draw us into violent situations and describes how and why we make uncommon individual and collective decisions. Covering different types of surprise outcomes from protest marches and uprisings turning violent to robbers failing to rob a store at gunpoint, it shows how unfolding situations can override our motivations and strategies and how emotions and culture, as well as rational thinking, still play a part in these events. The first chapters study protest violence in Germany and the United States from 1960 until 2010, taking a detailed look at what happens between the start of a protest and the eruption of violence or its peaceful conclusion. They compare the impact of such dynamics to the role of police strategies and culture, protesters’ claims and violent motivations, the black bloc and agents provocateurs. The analysis shows how violence is triggered, what determines its intensity, and which measures can avoid its outbreak. The book explores whether we find similar situational patterns leading to surprising outcomes in other types of small- and large-scale events: uprisings turning violent, such as Ferguson in 2014 and Baltimore in 2015, and failed armed store robberies.


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