The spread of 2019-nCoV in China was primarily driven by population density. Comment on "Association between short-term exposure to air pollution and COVID-19 infection: Evidence from China" by Zhu et al.

ABSTRACT

Recently, an article published in the journal Science of the Total Environment and authored by Zhu et al. has claimed the "Association between short-term exposure to air pollution and COVID-19 infection" (doi https//doi.org/10.1016/j.scitotenv.2020.138704). This note shows that the stated dependence between the diffusion of the infection and air pollution may be the result of spurious correlation due to the omission of a common factor, namely, population density. To this end, the relationship between demographic, socio-economic, and environmental conditions and the spread of the novel coronavirus in China is analyzed with spatial regression models on variables deflated by population size. The infection rate - as measured by the number of cases per 100 thousand inhabitants - is found to be strongly related to the population density. At the same time, the association with air pollution is detected with a negative sign, which is difficult to interpret.