scholarly journals The Amplifying Effect of Conflicts on Case Fatality Rate of COVID-19: Evidence From 120 Countries

2021 ◽  
Vol 9 ◽  
Author(s):  
Yonghui Zhai ◽  
Dayang Jiang ◽  
Giray Gozgor ◽  
Eunho Cho

Using the COVID-19 database of Johns Hopkins University, this study examines the determinants of the case fatality rate of COVID-19. We consider various potential determinants of the mortality risk of COVID-19 in 120 countries. The Ordinary Least Squares (OLS) and the Kernel-based Regularized Least Squares (KRLS) estimations show that internal and external conflicts are positively related to the case fatality rates. This evidence is robust to the exclusion of countries across different regions. Thus, the evidence indicates that conflict may explain significant differences in the case fatality rate of COVID-19 across countries.

2021 ◽  
Vol 1 (1) ◽  
pp. 26-36
Author(s):  
Andrea Tri Rian Dani ◽  
Narita Yuri Adrianingsih

ABSTRAKPendekatan regresi nonparametrik digunakan apabila hubungan antara variabel prediktor dan variabel respon tidak diketahui polanya. Spline truncated dan deret Fourier merupakan estimator dalam pendekatan nonparametrik yang terkenal, karena memiliki fleksibilitas yang tinggi dan mampu menyesuaikan terhadap sifat lokal data secara efektif. Penelitian ini bertujuan untuk mendapatkan estimator model regresi nonparametrik terbaik menggunakan spline truncated dan deret Fourier. Metode estimasi kurva regresi nonparametrik dilakukan dengan menyelesaikan optimasi Ordinary Least Squares (OLS). Kriteria kebaikan model menggunakan GCV, R2 dan MSE. Pemodelan regresi nonparametrik diterapkan pada data Case Fatality Rate (CFR) akibat Demam Berdarah Dengue (DBD) di Indonesia.  Berdasarkan hasil analisis, hasil estimasi dari pemodelan regresi nonparametrik menunjukkan bahwa estimator spline truncated memberikan performa yang lebih baik dibandingkan estimator deret Fourier. Hal ini ditunjukkan dengan nilai R2 dari estimator spline truncated yaitu sebesar 91,80% dan MSE sebesar 0,04, sedangkan dengan estimator deret Fourier diperoleh nilai R2 sebesar 65,44% dan MSE sebesar 0,19.ABSTRACTThe nonparametric regression approach is used when the relationship between the predictor variable and the response variable is unknown. Spline truncated and Fourier series are well-known estimators in the nonparametric approach because they have high flexibility and are able to adjust to the local properties of the data effectively. This study aims to obtain the best nonparametric regression model estimator using the truncated spline and the Fourier series. The nonparametric regression curve estimation method is done by completing the Ordinary Least Squares (OLS) optimization. The criteria for the goodness of the model use GCV, R2, and MSE. Nonparametric regression modeling is applied to Case Fatality Rate (CFR) modeling due to Dengue Hemorrhagic Fever (DBD) in Indonesia. Based on the analysis, the estimation results from the nonparametric regression modeling show that the truncated spline estimator provides better performance than the Fourier series estimator. This is shown by the R2 value of the truncated spline estimator which is 91.80% and the MSE is 0.04, while the Fourier series estimator obtained an R2 value of 65.44% and MSE of 0.19.


2021 ◽  
Vol 3 (1) ◽  
pp. 26-36
Author(s):  
Andrea Tri Rian Dani ◽  
Narita Yuri Adrianingsih

ABSTRAKPendekatan regresi nonparametrik digunakan apabila hubungan antara variabel prediktor dan variabel respon tidak diketahui polanya. Spline truncated dan deret Fourier merupakan estimator dalam pendekatan nonparametrik yang terkenal, karena memiliki fleksibilitas yang tinggi dan mampu menyesuaikan terhadap sifat lokal data secara efektif. Penelitian ini bertujuan untuk mendapatkan estimator model regresi nonparametrik terbaik menggunakan spline truncated dan deret Fourier. Metode estimasi kurva regresi nonparametrik dilakukan dengan menyelesaikan optimasi Ordinary Least Squares (OLS). Kriteria kebaikan model menggunakan GCV, R2 dan MSE. Pemodelan regresi nonparametrik diterapkan pada data Case Fatality Rate (CFR) akibat Demam Berdarah Dengue (DBD) di Indonesia.  Berdasarkan hasil analisis, hasil estimasi dari pemodelan regresi nonparametrik menunjukkan bahwa estimator spline truncated memberikan performa yang lebih baik dibandingkan estimator deret Fourier. Hal ini ditunjukkan dengan nilai R2 dari estimator spline truncated yaitu sebesar 91,80% dan MSE sebesar 0,04, sedangkan dengan estimator deret Fourier diperoleh nilai R2 sebesar 65,44% dan MSE sebesar 0,19.ABSTRACTThe nonparametric regression approach is used when the relationship between the predictor variable and the response variable is unknown. Spline truncated and Fourier series are well-known estimators in the nonparametric approach because they have high flexibility and are able to adjust to the local properties of the data effectively. This study aims to obtain the best nonparametric regression model estimator using the truncated spline and the Fourier series. The nonparametric regression curve estimation method is done by completing the Ordinary Least Squares (OLS) optimization. The criteria for the goodness of the model use GCV, R2, and MSE. Nonparametric regression modeling is applied to Case Fatality Rate (CFR) modeling due to Dengue Hemorrhagic Fever (DBD) in Indonesia. Based on the analysis, the estimation results from the nonparametric regression modeling show that the truncated spline estimator provides better performance than the Fourier series estimator. This is shown by the R2 value of the truncated spline estimator which is 91.80% and the MSE is 0.04, while the Fourier series estimator obtained an R2 value of 65.44% and MSE of 0.19.


2022 ◽  
Vol 4 (1) ◽  
pp. 118-130
Author(s):  
Paul Benjamin Barrion ◽  
Ray Patrick Basco ◽  
Kevin jamir Pigao

In the heightened effects of the pandemic, health resources have been in constant limbo as supplies and availability of hospital resources take a toll as COVID-19 cases surge, resulting in shortages. Thus, health systems are overwhelmed, resulting in a higher fatality rate since the capacity to provide medical attention is diminished. In this paper, hospital resources refer to mechanical ventilators, ICU, isolation, and ward beds which are the critical factors of the case fatality rate (CFR) of COVID-19 in the Philippines. Data were retrieved from the Department of Health (DOH) Case Bulletins from October 26, 2020, to June 30, 2021, with 248 total observations. This research used the Ordinary Least Squares (OLS) Multiple Regression to determine if hospital resources are the predictors of the case fatality rate of COVID-19. Furthermore, the results show a significant relationship between the hospital resources and the case fatality rate of COVID-19 in the Philippines. This study can become a framework for further research concerned about hospital resources as the predictors of case fatality rates of different diseases in a pandemic.  


2020 ◽  
Author(s):  
Ahmed Youssef Kada

BACKGROUND Covid-19 is an emerging infectious disease like viral zoonosis caused by new coronavirus SARS CoV 2. On December 31, 2019, Wuhan Municipal Health Commission in Hubei province (China) reported cases of pneumonia, the origin of which is a new coronavirus. Rapidly extendable around the world, the World Health Organization (WHO) declares it pandemic on March 11, 2020. This pandemic reaches Algeria on February 25, 2020, date on which the Algerian minister of health, announced the first case of Covid-19, a foreign citizen. From March 1, a cluster is formed in Blida and becomes the epicentre of the coronavirus epidemic in Algeria, its total quarantine is established on March 24, 2020, it will be smoothly alleviated on April 24. A therapeutic protocol based on hydroxychloroquine and azithromycin was put in place on March 23, for complicated cases, it was extended to all the cases confirmed on April 06. OBJECTIVE This study aimed to demonstrate the effectiveness of hydroxychloroquin/azithromycin protocol in Algeria, in particular after its extension to all patients diagnosed COVID-19 positive on RT-PCR test. We were able to illustrate this fact graphically, but not to prove it statistically because the design of our study, indeed in the 7 days which followed generalization of therapeutic protocol, case fatality rate decrease and doubling time increase, thus confirming the impact of wide and early prescription of hydroxychloroquin/azithromycin protocol. METHODS We have analyzed the data collected from press releases and follow-ups published daily by the Ministry of Health, we have studied the possible correlations of these data with certain events or decisions having a possible impact on their development, such as confinement at home and its reduction, the prescription of hydroxychloroquine/azithromycin combination for serious patients and its extension to all positive COVID subjects. Results are presented in graphics, the data collection was closed on 31/05/2020. RESULTS Covid-19 pandemic spreads from February 25, 2020, when a foreign citizen is tested positive, on March 1 a cluster is formed in the city of Blida where sixteen members of the same family are infected during a wedding party. Wilaya of Blida becomes the epicentre of coronavirus epidemic in Algeria and lockdown measures taken, while the number of national cases diagnosed begins to increases In any event, the association of early containment measures combined with a generalized initial treatment for all positive cases, whatever their degree of severity, will have contributed to a reduction in the fatality rate of COVID 19 and a slowing down of its doubling time. CONCLUSIONS In Algeria, the rapid combination of rigorous containment measure at home and early generalized treatment with hydroxychloroquin have demonstrated their effectiveness in terms of morbidity and mortality, the classic measures of social distancing and hygiene will make it possible to perpetuate these results by reducing viral transmission, the only unknown, the reopening procedure which can only be started after being surrounded by precautions aimed at ensuring the understanding of the population. CLINICALTRIAL Algeria, Covid-19, pandemic, hydroxychloroquin, azithromycin, case fatality rate


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lei-Ke Zhang ◽  
Yuan Sun ◽  
Haolong Zeng ◽  
Qingxing Wang ◽  
Xiaming Jiang ◽  
...  

A Correction to this paper has been published: https://doi.org/10.1038/s41421-021-00267-0


Author(s):  
Abdulla Salem Bin Ghouth ◽  
Ali Ahmed Al-Waleedi ◽  
Marhami Fahriani ◽  
Firzan Nainu ◽  
Harapan Harapan

Abstract Objectives: To determine the case-fatality rate (CFR) of coronavirus disease 2019 (COVID-19) and its associated determinants in order to understand the true magnitude of the problem during ongoing conflict in Yemen. Methods: The CFR among confirmed COVID-19 cases in Yemen was calculated. The data was retrieved from national COVID-19 surveillance between April 10, when the first COVID-19 case reported, and May 31, 2020. Results: A total of 419 confirmed COVID-19 cases were reported. There were 14.1% and 5.7% of cases who required intensive care and mechanical ventilators, respectively. Out of total cases, 95 deaths were reported, giving CFR of 22.6% which is much higher compared to other countries. CFR was significantly higher among elderly compared to young adults and varied between governorates. Mortality was associated with preexisting hypertension (OR: 2.30; 95%CI: 1.58, 3.54) and diabetes (OR: 1.68; 95%CI: 1.08, 2.61). Conclusions: Elderly and those with comorbidities, in particular hypertension and diabetes, have higher risk for poor outcomes and therefore should receive more attention in the clinical setting. Preventive measures should also be prioritized to protect those groups in order to reduce the severe cases and deaths-associated COVID-19 in armed-conflict.


Author(s):  
Eunha Shim

A total of 475,214 COVID-19 cases, including 13,659 deaths, had been recorded in Canada as of 15 December 2020. The daily reports of confirmed cases and deaths in Canada prior to 15 December 2020 were obtained from publicly available sources and used to examine regional variations in case fatality rate (CFR). Based on a factor of underestimation and the duration of time from symptom onset to death, the time-delay adjusted CFR for COVID-19 was estimated in the four most affected provinces (Quebec, Ontario, Alberta, and British Columbia) and nationwide. The model-based adjusted CFR was higher than the crude CFR throughout the pandemic, primarily owing to the incorporation in our estimation of the delay between case reports and deaths. The adjusted CFR in Canada was estimated to be 3.36% nationwide. At the provincial level, the adjusted CFR was the highest in Quebec (5.13%)—where the proportion of deaths among older individuals was also the highest among the four provinces—followed by Ontario (3.17%), British Columbia (1.97%), and Alberta (1.13%). Provincial-level variations in CFR were considerable, suggesting that public health interventions focused on densely populated areas and elderly individuals can ameliorate the mortality burden of the COVID-19 pandemic.


Viruses ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1184
Author(s):  
Robyn N. Hall ◽  
Tegan King ◽  
Tiffany O’Connor ◽  
Andrew J. Read ◽  
Jane Arrow ◽  
...  

Rabbit haemorrhagic disease virus 2 (RHDV2 or GI.2, referring to any virus with lagovirus GI.2 structural genes) is a recently emerged calicivirus that causes generalised hepatic necrosis and disseminated intravascular coagulation leading to death in susceptible lagomorphs (rabbits and hares). Previous studies investigating the virulence of RHDV2 have reported conflicting results, with case fatality rates ranging from 0% to 100% even within a single study. Lagoviruses are of particular importance in Australia and New Zealand where they are used as biocontrol agents to manage wild rabbit populations, which threaten over 300 native species and result in economic impacts in excess of $200 million AUD annually to Australian agricultural industries. It is critically important that any pest control method is both highly effective (i.e., virulent, in the context of viral biocontrols) and has minimal animal welfare impacts. To determine whether RHDV2 might be a suitable candidate biocontrol agent, we investigated the virulence and disease progression of a naturally occurring Australian recombinant RHDV2 in both 5-week-old and 11-week-old New Zealand White laboratory rabbits after either high or low dose oral infection. Objective measures of disease progression were recorded through continuous body temperature monitoring collars, continuous activity monitors, and twice daily observations. We observed a 100% case fatality rate in both infected kittens and adult rabbits after either high dose or low dose infection. Clinical signs of disease, such as pyrexia, weight loss, and reduced activity, were evident in the late stages of infection. Clinical disease, i.e., welfare impacts, were limited to the period after the onset of pyrexia, lasting on average 12 h and increasing in severity as disease progressed. These findings confirm the high virulence of this RHDV2 variant in naïve rabbits. While age and infectious dose significantly affected disease progression, the case fatality rate was consistently 100% under all conditions tested.


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