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1.
Geospat Health ; 17(2)2022 Nov 29.
Article in English | MEDLINE | ID: covidwho-2155485

ABSTRACT

After the fifth wave of the COVID-19 outbreak in May 2022, the Hong Kong government decided to ease the restrictions policy step by step. The main change was to re-open some venues that people like to visit and extend the hours of operation. With the implementation of the relaxed policy, however, the number of confirmed cases rose again. As a result, further relaxation was delayed. As an evaluation of the effectiveness of the restrictions policy could be a reference for future policies balancing viral spread and functionality of society, this paper aimed to respond to this question from the spatial point distribution view. The time, from late March 2020 to February 2021, during which the related policies took place was divided into six periods based on the policy trend (tightening or relaxing). The two-variable Ripley's Kfunction was applied for each period to explore the spatial dependence between confirmed cases and venues as changes in the spatial pattern can reveal the effect of the policy. The results show that, as time passed, the clustering degree decreased and reached its lowest level from August to mid-November 2020, then significantly increased, with the extent of clustering becoming more remarkable and the significant cluster size widening. Our results indicate that the policy had a positive effect on suppressing the spread of the virus in mid-July 2020. Then, with the virus infiltrating the community, the policy had little impact on containing the virus but likely contributed to avoid further infection.


Subject(s)
COVID-19 , Humans , Hong Kong/epidemiology , COVID-19/epidemiology , Policy , Cluster Analysis , Disease Outbreaks
2.
Int J Environ Res Public Health ; 19(22)2022 Nov 20.
Article in English | MEDLINE | ID: covidwho-2116130

ABSTRACT

(1) Background: Although physical activity has been widely recognized as an effective way to improve anxiety and depression, we lack a systematic summary of research on improving anxiety and depression during the COVID-19 pandemic. The study aims to systematically analyze how physical activity impacts on this situation in college students during COVID-19. (2) Methods: Both Chinese and English databases (PubMed the Cochrane Library, EMBASE, Web of Science, Scopus, Chinese National Knowledge Infrastructure, Wanfang) were analyzed. All the randomized controlled trials (RCTs) about physical activity intervention for this were included. We received eight eligible RCT experiments before the retrieval time (4 October 2022) in the meta-analysis. (3) Results: Physical activity benefits for college students with significant anxiety were (SMD = -0.50; 95% CI = -0.83 to -0.17; I2 = 84%; p < 0.001; Z = 2.98;) and depression (SMD = -0.62; 95% CI = -0.99 to -0.25; I2 = 80.7%; p < 0.001; Z = 3.27). Subgroup analyses showed physical activity of different intensities significantly impacted on improving college students' depression and anxiety, but physical activity of 6 < 9 Mets intensity had a greater effect on anxiety than on depression. Interventions of eight weeks or less performed better than those of over eight weeks while interventions less than four times per week had a significant effect on improving the situation. The overall effect of a single intervention of 30 min was more effective than one of over 60 min. (4) Conclusion: Physical activities can effectively improve the situation of anxiety and depression for college students during the COVID-19 pandemic. However, a higher quality RCT experiment is needed to prove it.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Depression/epidemiology , Depression/prevention & control , Universities , Anxiety/epidemiology , Anxiety/prevention & control , Exercise , Students
3.
BMC Infect Dis ; 22(1): 274, 2022 Mar 21.
Article in English | MEDLINE | ID: covidwho-1753108

ABSTRACT

BACKGROUND: Motivated by the need for precise epidemic control and epidemic-resilient urban design, this study aims to reveal the joint and interactive associations between urban socioeconomic, density, connectivity, and functionality characteristics and the COVID-19 spread within a high-density city. Many studies have been made on the associations between urban characteristics and the COVID-19 spread, but there is a scarcity of such studies in the intra-city scale and as regards complex joint and interactive associations by using advanced machine learning approaches. METHODS: Differential-evolution-based association rule mining was used to investigate the joint and interactive associations between the urban characteristics and the spatiotemporal distribution of COVID-19 confirmed cases, at the neighborhood scale in Hong Kong. The associations were comparatively studied for the distribution of the cases in four waves of COVID-19 transmission: before Jun 2020 (wave 1 and 2), Jul-Oct 2020 (wave 3), and Nov 2020-Feb 2021 (wave 4), and for local and imported confirmed cases. RESULTS: The first two waves of COVID-19 were found mainly characterized by higher-socioeconomic-status (SES) imported cases. The third-wave outbreak concentrated in densely populated and usually lower-SES neighborhoods, showing a high risk of within-neighborhood virus transmissions jointly contributed by high density and unfavorable SES. Starting with a super-spread which considerably involved high-SES population, the fourth-wave outbreak showed a stronger link to cross-neighborhood transmissions driven by urban functionality. Then the outbreak diffused to lower-SES neighborhoods and interactively aggravated the within-neighborhood pandemic transmissions. Association was also found between a higher SES and a slightly longer waiting period (i.e., the period from symptom onset to diagnosis of symptomatic cases), which further indicated the potential contribution of higher-SES population to the pandemic transmission. CONCLUSIONS: The results of this study may provide references to developing precise anti-pandemic measures for specific neighborhoods and virus transmission routes. The study also highlights the essentiality of reliving co-locating overcrowdedness and unfavorable SES for developing epidemic-resilient compact cities, and the higher obligation of higher-SES population to conform anti-pandemic policies.


Subject(s)
COVID-19 , COVID-19/epidemiology , Cities/epidemiology , Cross-Sectional Studies , Humans , Residence Characteristics , Social Class
4.
Environ Sci Pollut Res Int ; 29(13): 18923-18931, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1491325

ABSTRACT

Nitrogen dioxide (NO2) is one of the main air pollutants, formed due to both natural and anthropogenic processes, which has a significant negative impact on human health. The COVID-19 pandemic has prompted countries to take various measures, including social distancing or stay-at-home orders. This study analyzes the impact of COVID-19 lockdown measures on nitrogen dioxide (NO2) changes in Central Asian countries. Data from TROPOspheric Monitoring Instrument (TROPOMI) on the Sentinel-5 Precursor satellite, as well as meteorological data, make it possible to assess changes in NO2 concentration in countries and major cities in the region. In particular, the obtained satellite data show a decreased tropospheric column of NO2. Its decrease during the lockdown (March 19-April 14) ranged from - 5.1% (Tajikistan) to - 11.6% (Turkmenistan). Based on the obtained results, it can be concluded that limitations in anthropogenic activities have led to improvements in air quality. The possible influence of meteorology is not assessed in this study, and the implied uncertainties cannot be quantified. In this way, the level of air pollution is expected to decrease as long as partial or complete lockdown continues.


Subject(s)
Air Pollutants , Air Pollution , COVID-19 , Air Pollutants/analysis , Air Pollution/analysis , Cities , Communicable Disease Control , Environmental Monitoring , Humans , Nitrogen Dioxide/analysis , Pandemics , Particulate Matter/analysis , SARS-CoV-2
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