ABSTRACT
Objective: The pandemic 2019 Coronavirus disease (COVID-19) is the greatest concern globally. Here we analyzed the epidemiological features of China, South Korea, Italy and Spain to find out the relationship of major public health events and epidemiological curves. Study design: In this study we described and analyzed the epidemiological characteristics of COVID-19 in and outside China. We used GAM to generate the epidemiological curves and simulated infection curves with reported incubation period. Result(s): The epidemiological curves derived from the GAM suggested that the infection curve can reflect the public health measurements sensitively. Under the massive actions token in China, the infection curve flattened at 23rd of January. While surprisingly, even before Wuhan lockdown and first level response of public emergency in Guangdong and Shanghai, those infection curve came to the reflection point both at 21st of January, which indicated the mask wearing by the public before 21st Jan were the key measure to cut off the transmission. In the countries outside China, infection curves also changed in response to measures, but its rate of decline was much smaller than the curve of China's. Conclusion(s): The present analysis comparing the epidemiological curves in China, South Korea, Italy and Spain supports the importance of mask wearing by the public. Analysis of the infection curve helped to clarify the impact of important public health events, evaluate the efficiencies of prevention measures, and showed wearing masks in public resulted in significantly reduced daily infected cases.Copyright © 2020 The Author(s)
ABSTRACT
The worldwide lockdown in response to the COVID-19 pandemic in year 2020 led to an economic slowdown and a large reduction in fossil fuel CO2 emissions (Le Quéré 2020 Nat. Clim. Change 10 647-53, Liu 2020 Nat. Commun. 11);however, it is unclear how much it would slow the increasing trend of atmospheric CO2 concentration, the main driver of climate change, and whether this impact can be observed considering the large biosphere and weather variabilities. We used a state-of-the-art atmospheric transport model to simulate CO2, and the model was driven by a new daily fossil fuel emissions dataset and hourly biospheric fluxes from a carbon cycle model forced with observed climate variability. Our results show a 0.21 ppm decrease in the atmospheric column CO2 anomaly in the Northern Hemisphere latitude band 0-45 N in March 2020, and an average of 0.14 ppm for the period of February-April 2020, which is the largest decrease in the last 10 years. A similar decrease was observed by the carbon observing satellite GOSAT (Yokota et al 2009 Sola 5 160-3). Using model sensitivity experiments, we further found that the COVID and weather variability are the major contributors to this CO2 drawdown, and the biosphere showed a small positive anomaly. Measurements at marine boundary layer stations, such as Hawaii, exhibit 1-2 ppm anomalies, mostly due to weather and the biosphere. At the city scale, the on-road CO2 enhancement measured in Beijing shows a reduction by 20-30 ppm, which is consistent with the drastically reduced traffic during the COVID lockdown. A stepwise drop of 20 ppm during the city-wide lockdown was observed in the city of Chengdu. The ability of our current carbon monitoring systems in detecting the small and short-lasting COVID signals at different policy relevant scales (country and city) against the background of fossil fuel CO2 accumulated over the last two centuries is encouraging. The COVID-19 pandemic is an unintended experiment. Its impact suggests that to keep atmospheric CO2 at a climate-safe level will require sustained effort of similar magnitude and improved accuracy, as well as expanded spatiotemporal coverage of our monitoring systems. © 2021 The Author(s). Published by IOP Publishing Ltd.
ABSTRACT
Pregnant women are susceptible to viral infections due to physiological changes such as cell-mediated immunity. No severe adverse pregnancy or neonatal outcomes have been consistently reported in 2019 novel coronavirus disease (COVID-19) positive pregnancy cases. There are controversies around the role of COVID-19 in pregnancy. A systematic review was conducted to examine clinical maternal and neonatal clinical outcomes. Studies were included if they reported SARS-CoV-2 infection among pregnant women and/or COVID-19 positive neonates as validated by positive antibody testing or viral testing using polymerase chain reaction . Case series, case reports, case-control studies, and comparative studies were included. Eight hundred and thirty-seven records were identified, resulting in 525 records for level I screening. Forty-one were included after full-text review. Results suggest elevated rates of intensive care unit (ICU) admission, gestational diabetes, preeclampsia, C-sections, pre-term birth, and C-reactive protein (CRP) in comparison to pregnant women without SARS-CoV-2. Careful monitoring of pregnancies with SARS-CoV-2 is recommended.