Human factors analysis and risk assessment during the spread of the COVID-19 epidemic: a case study of the 2019 Wuhan outbreak in China
Human and Ecological Risk Assessment
; 28(10):1124-1145, 2022.
Article
in English
| GIM | ID: covidwho-2305531
ABSTRACT
Since the discovery of novel coronavirus pneumonia (Covid-19) in Wuhan, China, in December 2019, it has spread to other Chinese provinces and continents in just one month, becoming a "public health emergency of international concern". The undesired behaviors of the public and patients during the Covid-19 epidemic cannot be ignored, but few scholars have studied them. In this study, we firstly adopted a qualitative analysis method based on a theoretical paradigm to to summarize the human factors in the spread of the COVID-19 epidemic, and defined the concept of "human factors of the epidemic". Then, we analyzed the distribution characteristics of "human factors of epidemic" at each stage by using statistical analysis, and constructed a human factors model of epidemic evolution. Finally, a multi-subject risk assessment model was constructed using a fuzzy Bayesian network analysis method to quantify the human factors risk in the spread of the COVID-19 epidemic. The results of the study are as follows. (1) The human factors of the COVID-19 epidemic mainly focused on five aspects, including cognitive bias, defective design, management bias, environmental defects, and intentional violations. (2) There were differences in the human factors at different stages of the spread of the COVID-19 epidemic. In the outbreak stage, human factors of the COVID-19 epidemic showed complex trends, with factors such as lack of knowledge and low awareness still prevailing on the one hand, and factors such as lack of capacity, overtly agree but covertly oppose, dereliction of duty, concealment and misreporting, lack of resources, protection defects, design defects, escape/fleeing, and public gathering on the other hand also being more prominent. (3) The risk of the spread of the COVID-19 epidemic due to undesired human factors in the subjects involved was high (p=0.641) under conventional intervention scenarios. Risk factors such as low awareness, poor decision making, lack of resources, lack of awareness, system deficiencies, public agglomeration, inadequate protection, misreporting, and dereliction of duty had relatively large sensitivity factors and were key human factors for the spread of the epidemic in Wuhan. Finally, targeted recommendations are proposed based on the evolutionary pattern and risk level of the human factors of the COVID-19 epidemic.
awareness; case studies; coronavirus disease 2019; data collection; decision making; epidemics; factor analysis; health behaviour; human diseases; knowledge; knowledge level; pandemics; public health; qualitative analysis; risk; risk analysis; risk assessment; risk factors; spread; viral diseases; network analysis; Bayesian theory; man; Severe acute respiratory syndrome coronavirus 2; China; Hubei; APEC countries; East Asia; Asia; high Human Development Index countries; upper-middle income countries; Central Southern China; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; People's Republic of China; data logging; choice; health behavior; Hopei; Hupei; SARS-CoV-2; viral infections
Full text:
Available
Collection:
Databases of international organizations
Database:
GIM
Type of study:
Case report
/
Prognostic study
Language:
English
Journal:
Human and Ecological Risk Assessment
Year:
2022
Document Type:
Article
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