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1.
PLoS One ; 15(7): e0236238, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32722716

RESUMO

Infectious disease outbreaks pose a significant threat to human health worldwide. The outbreak of pandemic coronavirus disease 2019 (COVID-19) has caused a global health emergency. Thus, identification of regions with high risk for COVID-19 outbreak and analyzing the behaviour of the infection is a major priority of the governmental organizations and epidemiologists worldwide. The aims of the present study were to analyze the risk factors of coronavirus outbreak for identifying the areas having high risk of infection and to evaluate the behaviour of infection in Fars Province, Iran. A geographic information system (GIS)-based machine learning algorithm (MLA), support vector machine (SVM), was used for the assessment of the outbreak risk of COVID-19 in Fars Province, Iran whereas the daily observations of infected cases were tested in the-polynomial and the autoregressive integrated moving average (ARIMA) models to examine the patterns of virus infestation in the province and in Iran. The results of the disease outbreak in Iran were compared with the data for Iran and the world. Sixteen effective factors were selected for spatial modelling of outbreak risk. The validation outcome reveals that SVM achieved an AUC value of 0.786 (March 20), 0.799 (March 29), and 86.6 (April 10) that displays a good prediction of outbreak risk change detection. The results of the third-degree polynomial and ARIMA models in the province revealed an increasing trend with an evidence of turning, demonstrating extensive quarantines has been effective. The general trends of virus infestation in Iran and Fars Province were similar, although a more volatile growth of the infected cases is expected in the province. The results of this study might assist better programming COVID-19 disease prevention and control and gaining sorts of predictive capability would have wide-ranging benefits.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Medição de Risco/métodos , Algoritmos , COVID-19 , Controle de Doenças Transmissíveis , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Surtos de Doenças , Sistemas de Informação Geográfica , Humanos , Irã (Geográfico)/epidemiologia , Aprendizado de Máquina , Modelos Biológicos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Análise de Regressão , Fatores de Risco , Máquina de Vetores de Suporte
2.
Int J Infect Dis ; 98: 90-108, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32574693

RESUMO

OBJECTIVES: Coronavirus disease 2019 (COVID-19) represents a major pandemic threat that has spread to more than 212 countries with more than 432,902 recorded deaths and 7,898,442 confirmed cases worldwide so far (on June 14, 2020). It is crucial to investigate the spatial drivers to prevent and control the epidemic of COVID-19. METHODS: This is the first comprehensive study of COVID-19 in Iran; and it carries out spatial modeling, risk mapping, change detection, and outbreak trend analysis of the disease spread. Four main steps were taken: comparison of Iranian coronavirus data with the global trends, prediction of mortality trends using regression modeling, spatial modeling, risk mapping, and change detection using the random forest (RF) machine learning technique (MLT), and validation of the modeled risk map. RESULTS: The results show that from February 19 to June 14, 2020, the average growth rates (GR) of COVID-19 deaths and the total number of COVID-19 cases in Iran were 1.08 and 1.10, respectively. Based on the World Health Organisation (WHO) data, Iran's fatality rate (deaths/0.1M pop) is 10.53. Other countries' fatality rates were, for comparison, Belgium - 83.32, UK - 61.39, Spain - 58.04, Italy - 56.73, Sweden - 48.28, France - 45.04, USA - 35.52, Canada - 21.49, Brazil - 20.10, Peru - 19.70, Chile - 16.20, Mexico- 12.80, and Germany - 10.58. The fatality rate for China is 0.32 (deaths/0.1M pop). Over time, the heatmap of the infected areas identified two critical time intervals for the COVID-19 outbreak in Iran. The provinces were classified in terms of disease and death rates into a large primary group and three provinces that had critical outbreaks were separate from the others. The heatmap of countries of the world shows that China and Italy were distinguished from other countries in terms of nine viral infection-related parameters. The regression models for death cases showed an increasing trend but with some evidence of turning. A polynomial relationship was identified between the coronavirus infection rate and the province population density. Also, a third-degree polynomial regression model for deaths showed an increasing trend recently, indicating that subsequent measures taken to cope with the outbreak have been insufficient and ineffective. The general trend of deaths in Iran is similar to the world's, but Iran's shows lower volatility. Change detection of COVID-19 risk maps with a random forest model for the period from March 11 to March 18 showed an increasing trend of COVID-19 in Iran's provinces. It is worth noting that using the LASSO MLT to evaluate variables' importance, indicated that the most important variables were the distance from bus stations, bakeries, hospitals, mosques, ATMs (automated teller machines), banks, and the minimum temperature of the coldest month. CONCLUSIONS: We believe that this study's risk maps are the primary, fundamental step to take for managing and controlling COVID-19 in Iran and its provinces.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , COVID-19 , Criança , Pré-Escolar , Surtos de Doenças , Feminino , Humanos , Lactente , Recém-Nascido , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Pandemias , Densidade Demográfica , Fatores de Risco , SARS-CoV-2 , Adulto Jovem
3.
J Environ Manage ; 260: 110136, 2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32090832

RESUMO

Drought is a major global environmental challenge. It affects the livelihoods of many people, mainly in developing countries. Iran is one of the most affected and vulnerable countries in the Middle East to drought. In this paper, we present a microlevel analysis by employing the Tobit multiplicative heteroscedasticity regression to examine the effects of drought on small farm household education expenditures in rural Iran. We collected primary data from a sample of 300 smallholders in Marvdasht County in Fars Province of Iran. The results revealed a negative relationship between the farm income and education expenditures. This means that the farm households in rural Iran that were affected by the drought increased their expenditures on education for their children. The analysis of income elasticity indicated that a one percent decrease in farm income led to a 0.86% increase in education expenditures, which indicated that the education expenditures were necessary. Furthermore, we observed that in drought-affected families, girls were more likely to be pulled out of university education than were boys; however, for school education, there were no significant differences between the boys and girls. Our findings revealed the need to provide improved facilities and further finances for education expenditures, especially for female university students, and to formulate environmental management policies that include the provision of education facilities by the government of Iran in drought-affected villages. Our findings also shed light on the presence of positive externalities and the important role of education in helping rural households better cope with the negative repercussions of drought on their livelihoods.


Assuntos
Secas , Gastos em Saúde , Criança , Feminino , Humanos , Irã (Geográfico) , Masculino , Oriente Médio , População Rural
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