Urbanization-Related Environmental Factors and Hemorrhagic Fever with Renal Syndrome: A Review Based on Studies Taken in China.

Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease that has threatened Chinese residents for nearly a century. Although comprehensive prevent and control measures were taken, the HFRS epidemic in China presents a rebounding trend in some areas. Urbanization is considered as an important influencing factor for the HFRS epidemic in recent years; however, the relevant research has not been systematically summarized. This review aims to summarize urbanization-related environmental factors and the HFRS epidemic in China and provide an overview of research perspectives. The literature review was conducted following the PRISMA protocol. Journal articles on the HFRS epidemic in both English and Chinese published before 30 June 2022 were identified from PubMed, Web of Science, and Chinese National Knowledge Infrastructure (CNKI). Inclusion criteria were defined as studies providing information on urbanization-related environmental factors and the HFRS epidemic. A total of 38 studies were included in the review. Changes brought by urbanization on population, economic development, land use, and vaccination program were found to be significantly correlated with the HFRS epidemic. By changing the ecological niche of humans-affecting the rodent population, its virus-carrying rate, and the contact opportunity and susceptibility of populations-urbanization poses a biphasic effect on the HFRS epidemic. Future studies require systematic research framework, comprehensive data sources, and effective methods and models.

Effects of housing environments on COVID-19 transmission and mental health revealed by COVID-19 Participant Experience data from the All of Us Research Program in the USA: a case-control study.

OBJECTIVES: To examine the association between housing types and COVID-19 infection (or mental health) during the early stages of the pandemic by using the large-scale individual-level All of Us Research Program COVID-19 Participant Experience (COPE) survey data. We hypothesise that housing types with a shared component are associated with elevated COVID-19 infection and subsequent mental health conditions. DESIGN: A retrospective case-control study. SETTING: Secondary analysis of online surveys conducted in the USA. PARTICIPANTS: 62 664 participant responses to COPE from May to July 2020. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome measure is the self-reported COVID-19 status, and the secondary outcome measures are anxiety or stress. Both measures were applied for matched cases and controls of the same race, sex, age group and survey version. RESULTS: A multiple logistic regression analysis revealed that housing types with a shared component are significantly associated with COVID-19 infection (OR=1.19, 95% CI 1.1 to 1.3; p=2×10-4), anxiety (OR=1.26, 95% CI 1.1 to 1.4; p=1.1×10-6) and stress (OR=1.29, 95% CI 1.2 to 1.4; p=4.3×10-10) as compared with free-standing houses, after adjusting for confounding factors. Further, frequent optional shopping or outing trips, another indicator of the built environment, are also associated with COVID-19 infection (OR=1.36, 95% CI 1.1 to 1.8; p=0.02), but not associated with elevated mental health conditions. Confounding factors are controlled in the analysis such as ethnicity, age, social distancing behaviour and house occupancy. CONCLUSION: Our study demonstrates that houses with a shared component tend to have an increased risk of COVID-19 transmission, which consequently leads to high levels of anxiety and stress for their dwellers. The study also suggests the necessity to improve the quality of the built environment such as residential housing and its surroundings through planning, design and management, ensuring a more resilient society that can cope with future pandemics.

Beach tourists behavior and beach management strategy under the ongoing prevention and control of the COVID-19 pandemic: A case study of Qingdao, China.

The sudden outbreak of COVID-19 has led beach tourism to a complete halt in January 2020, disrupting millions of livelihoods and businesses. Due to the economic importance of beach tourism, many governments reopened tourist beaches after the number of confirmed cases decreased. It is essential to open beaches orderly to meet the needs of tourists, maintain beach's health and restore coastal economy under the new reality. This paper selected Qingdao in China as a case study, drew on a questionnaire survey among beach tourists, summarized the effects of the COVID-19 on beach tourism industry and tourism enterprise, analyzed beach tourists' psychology and behavior, and developed beach management strategy under the ongoing prevention and control of COVID-19. The results showed that the COVID-19 pandemic caused severe damage to beach tourism which bases on travel and mobility, and this industry was temporarily suspended. With the changing epidemic situation, beach tourism witnessed a gradual recovery from stagnation to local tourism. Meanwhile, tourism enterprises were hit by the devastating impact of the COVID-19, causing problems such as business reduction, tense cash flow, high operating cost and unclear market prospect. Under the normalization of pandemic prevention, tourists did not have severe fear and anxiety about the pandemic, and placed great importance on the prevention and control measures, emergency measures and pandemic risk level of the beach destination. The pandemic also reshaped the perception and mode of beach tourism. Ecological tourism, travelling with family, and local tourism became the primary choices for tourists. Beach congestion, health status, and the quality of tourism services were the biggest concerns for tourists. Additionally, social media and short video APP became the new marketing channels. Finally, beach management strategies were proposed from the aspects of pandemic prevention and control, emergency management, information communication, tourist management, service management, and environmental management.