ABSTRACT
In this study, we examine the influence of Coronavirus disease 2019 (COVID-19) on airline demand at the disaggregate resolution of airport. The primary focus of our proposed research effort is to develop a framework that provides a blueprint for airline demand recovery as COVID-19 cases evolve over time. Airline monthly demand data is sourced from Bureau of Transportation Statistics for 380 airports for 24 months from January 2019 through December 2020. The demand data is augmented with a host of independent variables including COVID-19 related factors, demographic characteristics and built environment characteristics at the county level, airport specific factors, spatial factors, temporal factors, and adjoining county attributes. The effect of COVID-19 related factors is identified by considering global and local COVID-19 transmission, temporal indicators of pandemic start and progress, and interactions of airline demand predictors with global and local COVID-19 indicators. Finally, we present a blueprint for airline demand recovery where we consider three hypothetical scenarios of COVID-19 transmission rates - expected, pessimistic and optimistic. The results at the airport level from these scenarios are aggregated at the state or regional level by adding the demand from all airports in the corresponding state or region. These trends are presented by State and Region to illustrate potential differences across various scenarios. The results highlight a potentially slow path to airline demand recovery until COVID-19 cases subside.
ABSTRACT
The sustained COVID-19 case numbers and the associated hospitalizations have placed a substantial burden on health care ecosystem comprising of hospitals, clinics, doctors and nurses. However, as of today, only a small number of studies have examined detailed hospitalization data from a planning perspective. The current study develops a comprehensive framework for understanding the critical factors associated with county level hospitalization and ICU usage rates across the US employing a host of independent variables. Drawing from the recently released Department of Health and Human Services weekly hospitalization data, we study the overall hospitalization and ICU usage-not only COVID-19 hospitalizations. Developing a framework that examines overall hospitalizations and ICU usage can better reflect the plausible hospital system recovery path to pre-COVID level hospitalization trends. The models are subsequently employed to generate predictions for county level hospitalization and ICU usage rates in the future under several COVID-19 transmission scenarios considering the emergence of new COVID-19 variants and vaccination rates. The exercise allows us to identify vulnerable counties and regions under stress with high hospitalization and ICU rates that can be assisted with remedial measures. Further, the model will allow hospitals to understand evolving displaced non-COVID hospital demand.
Subject(s)
COVID-19 , Delivery of Health Care , Hospitalization , Humans , Intensive Care UnitsABSTRACT
BACKGROUND: Several research efforts have evaluated the impact of various factors including a) socio-demographics, (b) health indicators, (c) mobility trends, and (d) health care infrastructure attributes on COVID-19 transmission and mortality rate. However, earlier research focused only on a subset of variable groups (predominantly one or two) that can contribute to the COVID-19 transmission/mortality rate. The current study effort is designed to remedy this by analyzing COVID-19 transmission/mortality rates considering a comprehensive set of factors in a unified framework. METHODS AND FINDINGS: We study two per capita dependent variables: (1) daily COVID-19 transmission rates and (2) total COVID-19 mortality rates. The first variable is modeled using a linear mixed model while the later dimension is analyzed using a linear regression approach. The model results are augmented with a sensitivity analysis to predict the impact of mobility restrictions at a county level. Several county level factors including proportion of African-Americans, income inequality, health indicators associated with Asthma, Cancer, HIV and heart disease, percentage of stay at home individuals, testing infrastructure and Intensive Care Unit capacity impact transmission and/or mortality rates. From the policy analysis, we find that enforcing a stay at home order that can ensure a 50% stay at home rate can result in a potential reduction of about 33% in daily cases. CONCLUSIONS: The model framework developed can be employed by government agencies to evaluate the influence of reduced mobility on transmission rates at a county level while accommodating for various county specific factors. Based on our policy analysis, the study findings support a county level stay at home order for regions currently experiencing a surge in transmission. The model framework can also be employed to identify vulnerable counties that need to be prioritized based on health indicators for current support and/or preferential vaccination plans (when available).