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Experiences and Impacts of the COVID-19 Pandemic: A Thematic Analysis COVID-19 大流行的经验和影响:专题分析
Pub Date : 2024-03-23 DOI: 10.3390/covid4040028
Catherine T. Lowe, Cheryl M. Trask, Maliha Rafiq, L. Mackay, Nicole Letourneau, Cheuk F. Ng, Janine Keown-Gerrard, Trevor Gilbert, K. Ross
The COVID-19 pandemic prompted global public health restrictions that impacted Canadians in multiple ways. The effects of the pandemic are well examined in specific populations and in researcher-defined areas (e.g., mental health, physical activity, social connections, and financial impacts). Few studies explore the complex perspectives of adults who experienced and were impacted by the pandemic. The purpose of this study was to understand Canadian adults’ perspectives of pandemic impacts over time. Methods: A sample of 347 Canadian adults were recruited during the first six months of the COVID-19 pandemic to respond to open-ended questions about the pandemic’s impacts, administered every two weeks between April 2020 and January 2021. The responses were amalgamated into epochs, defined by dates that paralleled infection rates and public health responses in Canada. Qualitative thematic analysis identified major themes for each epoch and changes in themes over time. Results: The participants predominately reported adverse impacts of the pandemic during each epoch assessed, particularly with respect to mental health, future-oriented worry, activity restrictions, and social, and employment disruptions. Key concerns were potentially driven by changes in infection rates and public health policy changes. Conclusions: The COVID-19 pandemic impacted individuals in predominantly negative and complex ways that varied over time with public health responses. Findings from the present study may direct future pandemic responses to mitigate adverse effects to best prevent infection while preserving wellbeing.
COVID-19 大流行引发了全球公共卫生限制,对加拿大人产生了多方面的影响。大流行对特定人群和研究人员定义的领域(如心理健康、体育活动、社会关系和经济影响)的影响得到了很好的研究。很少有研究探讨经历过大流行并受到其影响的成年人的复杂观点。本研究旨在了解加拿大成年人对大流行病长期影响的看法。研究方法2020 年 4 月至 2021 年 1 月期间,每两周进行一次抽样调查,在 COVID-19 大流行的前六个月期间招募了 347 名加拿大成年人,让他们回答有关大流行影响的开放式问题。这些回答被合并成不同的时间段,这些时间段是根据加拿大的感染率和公共卫生应对措施来确定的。定性主题分析确定了每个时间段的主要主题以及主题随时间的变化。结果:参与者主要报告了大流行病在每个评估时间段内造成的不利影响,尤其是在心理健康、对未来的担忧、活动限制、社会和就业混乱等方面。感染率的变化和公共卫生政策的变化可能是主要担忧的原因。结论COVID-19 大流行对个人的影响主要是负面的、复杂的,并且随着公共卫生应对措施的变化而变化。本研究的结果可能会指导未来的大流行应对措施,以减轻不利影响,从而在保护福利的同时最好地预防感染。
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引用次数: 0
A Case Study of Consumer’s Attitudes towards Agro-Food Markets in Danube Microregion in COVID-19 Pandemic 多瑙河微型地区消费者对 COVID-19 大流行病中农业食品市场态度的案例研究
Pub Date : 2024-03-15 DOI: 10.3390/covid4030027
Dario Iljkić, Olgica Klepac, Dubravka Užar, I. Samfira, Dušan Dunđerski, Daniel Haman, Catalin Zoican, Ivana Majić, Ivana Varga
The COVID-19 pandemic affected many aspects of human life including consumer behavior. The main aim of this paper was to identify basic patterns of changes in consumer attitudes towards agri-food products under the influence of the 2020 pandemic and to better understand to what extent and what kind of food market problems appeared for the inhabitants of the Danube microregion. For this purpose, an explorative study was elaborated. Assuming that the experience of COVID-19 affected consumer attitudes and sense of food security, a hybrid survey was conducted in the Danube microregion (Croatia, Serbia and Romania) during 2022. Data collected from a total of 903 respondents were statistically analyzed in SPSS. Descriptive statistics, PCA, ANOVA and t-Test were employed. The main results have shown that although the surveyed population of the Danube microregion during the pandemic in 2020 was generally not afraid of food shortages, food was in most part available for their families and their shopping habits have not changed to a large degree, the experience of the pandemic has raised the level of awareness about some issues related to food and specifically the prices of food products. Also, three different patterns of attitude and behavior towards food and agriculture, which emerged as a result of the experience of the pandemic in 2020, were identified. These patterns also proved to be different for different segments of the population. The findings suggest the need for stronger support for the development of locally affordable food systems with the use of ICT as a coping mechanism in crises.
COVID-19 大流行影响了人类生活的许多方面,包括消费者行为。本文的主要目的是确定在 2020 年大流行病影响下消费者对农业食品的态度变化的基本模式,并更好地了解多瑙河微型地区的居民在何种程度上出现了何种食品市场问题。为此,我们开展了一项探索性研究。假定 COVID-19 的经历会影响消费者的态度和食品安全感,2022 年期间在多瑙河微型地区(克罗地 亚、塞尔维亚和罗马尼亚)开展了一项混合调查。从总共 903 名受访者那里收集的数据在 SPSS 中进行了统计分析。采用了描述性统计、PCA、方差分析和 t 检验。主要结果显示,虽然多瑙河微型地区的受访者在 2020 年大流行期间普遍不担心粮食短缺,大部分家庭都能获得粮食,他们的购物习惯也没有很大程度的改变,但大流行的经历提高了他们对一些与粮食有关的问题,特别是食品价格的认识水平。此外,由于 2020 年的大流行病经历,人们对食品和农业的态度和行为出现了三种不同的模式。事实证明,不同人群的态度和行为模式也不尽相同。研究结果表明,需要更有力地支持发展当地负担得起的粮食系统,利用信息和传播技术作为危机中的应对机制。
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引用次数: 0
Evaluating Teachers’ Workplace Climate and Anxiety Response during the COVID-19 Pandemic: The Role of Information Seeking Platforms 评估 COVID-19 大流行期间教师的工作场所氛围和焦虑反应:信息搜索平台的作用
Pub Date : 2024-03-13 DOI: 10.3390/covid4030025
M. Srem-Sai, F. Quansah, E. K. Agormedah, J. Hagan, Thomas Schack
The COVID-19 disease affected the school workplace climate for teachers and led to psychological consequences. However, it is not clear how the workplace climate affected the anxiety levels of teachers. This study assessed the connection between workplace climate and COVID-19-related anxiety among senior high school (SHS) teachers during the COVID-19 pandemic. This study further examined the moderating role of professional and social media platform use on the relationship between workplace climate and COVID-19-related anxiety among teachers. Through a cross-sectional survey design, 395 high school teachers were conveniently sampled from various schools in the Central Region of Ghana. A questionnaire was used to survey participants, and the obtained data were analysed using descriptive statistics as well as simple linear regression and moderation analyses with Hayes’ PROCESS. This study revealed a negative association between workplace climate and anxiety. The relationship between workplace climate and anxiety was contingent on social media use but not professional platform use. Therefore, the consumption of unscrutinised COVID-19-related information on social media heightened fear and anxiety among teachers, even in the midst of a safe workplace environment. An effective strategy against teachers’ COVID-19-related anxiety required the provision of accurate science-driven information about the virus. School counselling psychologists, school welfare officers, and school health coordinators are encouraged to collaborate towards designed interventions that promote a safe working environment and the mental health of teachers.
COVID-19 疾病影响了教师的学校工作场所氛围,并导致了心理后果。然而,工作场所氛围如何影响教师的焦虑水平尚不清楚。本研究评估了 COVID-19 大流行期间高中(SHS)教师的工作场所氛围与 COVID-19 相关焦虑之间的联系。本研究进一步探讨了职业和社交媒体平台的使用对工作场所氛围与教师 COVID-19 相关焦虑之间关系的调节作用。本研究采用横断面调查设计,从加纳中部地区的多所学校方便地抽取了 395 名高中教师。对参与者进行了问卷调查,并使用描述性统计、简单线性回归和 Hayes' PROCESS 的调节分析对所获得的数据进行了分析。研究结果表明,工作场所氛围与焦虑之间存在负相关。工作场所氛围与焦虑之间的关系取决于社交媒体的使用情况,但不取决于专业平台的使用情况。因此,即使在安全的工作环境中,在社交媒体上消费未经核实的 COVID-19 相关信息也会加剧教师的恐惧和焦虑。要有效消除教师与 COVID-19 相关的焦虑,就必须提供有关该病毒的准确科学信息。我们鼓励学校咨询心理学家、学校福利官员和学校卫生协调员合作设计干预措施,以促进安全的工作环境和教师的心理健康。
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引用次数: 0
Peritraumatic Distress among Chinese Canadians during the Early Lockdown Stage of the COVID-19 Pandemic: Sociodemographic and Pandemic-Related Predictors COVID-19 大流行早期封锁阶段加拿大华人的创伤性心理压力:社会人口学和大流行相关预测因素
Pub Date : 2024-03-13 DOI: 10.3390/covid4030026
Alexandra Katsiris, Kesaan Kandasamy, Lixia Yang
The current study investigates the peritraumatic distress of Chinese residents living in Canada and identifies the associated sociodemographic and pandemic-related predictors during the initial phases of the Coronavirus Disease 2019 (COVID-19) pandemic lockdown (i.e., from April 2020 to June 2020). A final sample of 457 valid participants aged 18 or older completed an online survey in which peritraumatic distress was assessed with the COVID-19 Peritraumatic Distress Index (CPDI). The results showed 32.76% of the sample was in the mild to moderate range (i.e., 28–51) and 5.03% in the severe range (i.e., 52 to higher) for peritraumatic distress. The hierarchical regression models on the continuous CPDI score identified life satisfaction as a consistent protector for the CPDI (absolute values of βs = −1.21 to −0.49, ps < 0.001). After controlling for life satisfaction, the following sociodemographic risk factors were identified: being middle-aged, being employed (relative to retired people/students), living in Ontario (rather than elsewhere), and a poor health status. Furthermore, the following pandemic-related risk factors were identified: a higher self-contraction worry, more of a COVID-19 information authenticity concern, a higher future infection rate prediction, and a higher personal health hygiene appraisal. The results of our study shed light on cognitive, experiential, behavioural, and sociodemographic factors associated with peritraumatic distress for Chinese residents living in Canada during the early outbreak stage of the pandemic.
本研究调查了居住在加拿大的中国居民的创伤性痛苦,并确定了在冠状病毒病2019(COVID-19)大流行封锁初期(即2020年4月至2020年6月)的相关社会人口学和大流行相关预测因素。457名年龄在18岁或以上的有效参与者完成了在线调查,其中使用COVID-19创伤性痛苦指数(CPDI)对创伤性痛苦进行了评估。结果显示,32.76%的样本处于轻度至中度创伤困扰范围(即 28-51),5.03%的样本处于重度创伤困扰范围(即 52 至更高)。CPDI 连续得分的分层回归模型发现,生活满意度是 CPDI 的稳定保护因子(βs 的绝对值 = -1.21 到 -0.49,ps < 0.001)。在对生活满意度进行控制后,确定了以下社会人口风险因素:中年、就业(相对于退休人员/学生)、居住在安大略省(而非其他地区)以及健康状况较差。此外,我们还发现了以下与大流行相关的风险因素:更担心自我收缩、更关注 COVID-19 信息的真实性、更高的未来感染率预测以及更高的个人健康卫生评价。我们的研究结果揭示了在大流行爆发早期阶段,与居住在加拿大的中国居民的创伤性痛苦相关的认知、经验、行为和社会人口因素。
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引用次数: 0
Pro-Vaccination Flu and COVID-19 Messages: Evidence of Congenial Targeted and Spillover Effects 支持接种流感疫苗和 COVID-19 的信息:同源性目标效应和溢出效应的证据
Pub Date : 2024-03-11 DOI: 10.3390/covid4030024
J. Dillard, Lijiang Shen
Given the plentitude of messages in the public arena that promote vaccination against different diseases or raise the possibility of vaccine mandates, we asked whether message effects in one disease domain might spill over into other domains. Our experiment exposed individuals (N = 1755) recruited from an opt-in online panel (Qualtrics) on influenza or COVID-19 pro-vaccination messages then measured intentions to vaccinate for each disease and intentions to support a vaccine mandate for each disease. Messages that targeted flu (vs. COVID-19) exhibited stronger effects on intentions to vaccinate for corresponding (vs. noncorresponding) disease. We observed positive spillover from intention to vaccinate against one disease to intention to vaccinate against the other disease, as well as from vaccination intention type to support for corresponding and noncorresponding vaccine mandates. Although pro-vaccination flu and COVID-19 messages have multiple effects, those effects are congenial. The results adjudicate differences in spillover theory and suggest synergistic effects between pro-vaccination campaigns.
鉴于公共领域中存在大量针对不同疾病的疫苗接种宣传或提出疫苗强制接种可能性的信息,我们提出了这样一个问题:一种疾病领域的信息效应是否会蔓延到其他领域。我们的实验让从选择加入的在线小组(Qualtrics)中招募的个人(N = 1755)接触流感或 COVID-19 疫苗接种宣传信息,然后测量他们对每种疾病的疫苗接种意向以及对每种疾病的疫苗接种授权的支持意向。针对流感(vs. COVID-19)的信息对相应疾病(vs. 非相应疾病)疫苗接种意愿的影响更大。我们观察到从一种疾病的疫苗接种意向到另一种疾病的疫苗接种意向的正溢出效应,以及从疫苗接种意向类型到对相应和非相应疫苗接种授权的支持的正溢出效应。尽管支持接种流感疫苗和 COVID-19 的信息具有多重效应,但这些效应是同源的。研究结果修正了溢出理论的分歧,并表明支持疫苗接种活动之间存在协同效应。
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引用次数: 0
Changes in Need, Changes in Infrastructure: A Comparative Assessment of Rural Nonprofits Responding to COVID-19 需求的变化,基础设施的变化:农村非营利组织应对 COVID-19 的比较评估
Pub Date : 2024-03-10 DOI: 10.3390/covid4030023
Margaret F. Sloan, Tina Switzer, L. Trull, Claire Switzer, Melody Eaton, Kelly Atwood, Emily Akerson
Due to the variance in community infrastructure and resources, COVID-19 impacted rural communities differently than their urban counterparts. This study examines two waves of data from a survey of rural residents in the Shenandoah Valley of Virginia regarding how community organizations responded to the pandemic, what strategies were most successful, and where needs shifted. The findings demonstrate that organizations with deeply embedded community leaders achieve higher levels of collaborative change in a timely manner. Additionally, mental health services have become a more pronounced need as a result of the pandemic. The interdependence of community needs, recognized by community members, calls for collaborative strategies for the future.
由于社区基础设施和资源的差异,COVID-19 对农村社区的影响不同于城市社区。本研究通过对弗吉尼亚州谢南多河谷的农村居民进行调查,研究了两波数据,内容涉及社区组织如何应对大流行病、哪些策略最为成功以及哪些方面的需求发生了变化。调查结果表明,社区领袖深入社区的组织能够及时实现更高水平的合作变革。此外,由于大流行病的影响,心理健康服务已成为一个更为突出的需求。社区成员认识到社区需求之间的相互依存性,这就要求在未来采取合作战略。
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引用次数: 0
Prevalence and Levels of Anti-SARS-CoV-2 Antibodies in the Eswatini Population and Subsequent Severity of the Fourth COVID-19 Epidemic Wave 埃斯瓦提尼人口中抗 SARS-CoV-2 抗体的流行率和水平以及第四波 COVID-19 流行病的严重程度
Pub Date : 2024-02-20 DOI: 10.3390/covid4030021
P. Mutevedzi, Vusie Lokotfwako, G. Kwatra, G. Maphalala, V. Baillie, L. Dlamini, Senzokuhle Dlamini, Fortune Mhlanga, Tenelisiwe Dlamini, Nhlanhla Nhlabatsi, Marta C. Nunes, Simon Zwane, S. Madhi
Background: Seroepidemiology studies are useful for quantifying the magnitude of past infections and estimating the extent of population-based immunity to inform risk mitigation strategies for the future. We report on the only national population-based survey of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) immunoglobulin G (IgG) seroprevalence in Eswatini. Methods: The survey was undertaken from 31 August to 30 September 2021, following three earlier waves of coronavirus disease (COVID-19), and preceded the onset of the fourth wave, which was dominated by the Omicron variant of concern. We also report on epidemiological trends of recorded COVID-19 cases and hospitalizations before and after the fourth COVID-19 wave through to March 2022. We evaluated the immunoglobulin G (IgG) seropositivity based on either anti-nucleocapsid (N) or anti-spike (S) antigens. Results: Of 4564 individuals, 58.5% were female, 36.0% were aged 18–50 years, and 863 (18.9%) of adults who were older than 18 years had received at least a single dose of COVID-19 vaccine. Overall, 2769 (60.7%) were seropositive with heterogeneity across sub-regions (53.7%; 95% CI:49.2–58.1 to 68.6%; 95% CI:64.5–72.4), with the highest rates occurring in sub-regions of the Manzini region. Seropositivity was higher in vaccinated individuals (84.5%; 95% CI: 81.9–86.7) compared to unvaccinated individuals (55.1%; 95% CI:53.5–56.7). Amongst unvaccinated individuals, seropositivity was highest in 18–50-year-olds (59.5%;95% CI: 56.9–62.1). Seropositivity was associated with female gender, previous positive SARS-CoV-2 NAAT status and being vaccinated, non-smoking, and being formally employed. We estimated as of 15 September 2021 that there had been 639,475 SARS-CoV-2 infections (95% CI; 620,824–658,003) in Eswatini, which was 25.5-fold greater than the 25,048 COVID-19 cases that had been recorded by then. The national case fatality rate (CFR) based on recorded cases was 4.8%, being 25-fold greater than the infection fatality rate (0.19; 95% CI: 0.18–0.19) based on recorded deaths and extrapolating the force of infection from seroprevalence. Nationally and across all four regions, we report the decoupling of COVID-19 cases from hospitalisations and deaths, observed as early as during the third wave, which was dominated by the Delta variant compared with earlier waves. Conclusions: We identified that 60.7% of people in Eswatini had been infected by SARS-CoV-2 at least once and before the onset of the Omicron wave in mid-November 2021. Despite a modest uptake of COVID-19 vaccines, the evolution of population immunity from infection has likely contributed to the decoupling of infection and severe COVID-19 in Eswatini.
背景:血清流行病学研究有助于量化过去的感染程度和估计人群的免疫程度,从而为未来的风险缓解策略提供依据。我们报告了在埃斯瓦提尼对严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)免疫球蛋白 G(IgG)血清流行率进行的唯一一次全国性人群调查。调查方法调查于 2021 年 8 月 31 日至 9 月 30 日进行,此前发生了三波冠状病毒疾病(COVID-19),而第四波冠状病毒疾病则以令人担忧的 Omicron 变种为主。我们还报告了截至 2022 年 3 月的 COVID-19 第四波前后记录在案的 COVID-19 病例和住院人数的流行病学趋势。我们根据抗核头壳(N)或抗尖峰(S)抗原评估了免疫球蛋白 G(IgG)血清阳性率。结果显示在 4564 人中,58.5% 为女性,36.0% 年龄在 18-50 岁之间,863 人(18.9%)年龄大于 18 岁的成年人至少接种过一剂 COVID-19 疫苗。总体而言,有 2769 人(60.7%)血清反应呈阳性,但各分区域之间存在差异(53.7%;95% CI:49.2-58.1 至 68.6%;95% CI:64.5-72.4),其中曼齐尼地区的分区域血清反应呈阳性率最高。与未接种疫苗者(55.1%;95% CI:53.5-56.7)相比,接种疫苗者的血清阳性率更高(84.5%;95% CI:81.9-86.7)。在未接种疫苗的人群中,18-50 岁人群的血清阳性率最高(59.5%;95% CI:56.9-62.1)。血清阳性与女性、SARS-CoV-2 NAAT 阳性、接种过疫苗、不吸烟和有正式工作有关。据估计,截至 2021 年 9 月 15 日,埃斯瓦提尼共有 639,475 例 SARS-CoV-2 感染病例(95% CI;620,824-658,003),是当时记录的 25,048 例 COVID-19 病例的 25.5 倍。根据病例记录得出的全国病例致死率(CFR)为 4.8%,比根据死亡记录和血清流行率推断出的感染力得出的感染致死率(0.19;95% CI:0.18-0.19)高出 25 倍。在全国范围内以及在所有四个地区,我们报告了 COVID-19 病例与住院和死亡病例的脱钩情况,这种情况早在第三次波次中就已观察到,与前几次波次相比,这次波次以三角洲变异体为主。结论我们发现,在 2021 年 11 月中旬 Omicron 疫潮爆发之前,60.7% 的斯威士兰人至少感染过一次 SARS-CoV-2。尽管 COVID-19 疫苗的接种率不高,但感染后人群免疫力的演变很可能导致了感染与严重 COVID-19 在斯威士兰的脱钩。
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引用次数: 0
Modeling COVID-19 Disease with Deterministic and Data-Driven Models Using Daily Empirical Data in the United Kingdom 利用英国每日经验数据,通过确定性模型和数据驱动模型建立 COVID-19 疾病模型
Pub Date : 2024-02-18 DOI: 10.3390/covid4020020
Janet O. Agbaje, Oluwatosin Babasola, Kabiru Michael Adeyemo, Abraham Baba Zhiri, A. J. Adigun, S. A. Lawal, Oluwole Adegoke Nuga, Roseline Toyin Abah, U. M. Adam, K. Oshinubi
The COVID-19 pandemic has had a significant impact on countries worldwide, including the United Kingdom (UK). The UK has faced numerous challenges, but its response, including the rapid vaccination campaign, has been noteworthy. While progress has been made, the study of the pandemic is important to enable us to properly prepare for future epidemics. Collaboration, vigilance, and continued adherence to public health measures will be crucial in navigating the path to recovery and building resilience for the future. In this article, we propose an overview of the COVID-19 situation in the UK using both mathematical (a nonlinear differential equation model) and statistical (time series modeling on a moving window) models on the transmission dynamics of the COVID-19 virus from the beginning of the pandemic up until July 2022. This is achieved by integrating a hybrid model and daily empirical case and death data from the UK. We partition this dataset into before and after vaccination started in the UK to understand the influence of vaccination on disease dynamics. We used the mathematical model to present some mathematical analyses and the calculation of the basic reproduction number (R0). Following the sensitivity analysis index, we deduce that an increase in the rate of vaccination will decrease R0. Also, the model was fitted to the data from the UK to validate the mathematical model with real data, and we used the data to calculate time-varying R0. The homotopy perturbation method (HPM) was used for the numerical simulation to demonstrate the dynamics of the disease with varying parameters and the importance of vaccination. Furthermore, we used statistical modeling to validate our model by performing principal component analysis (PCA) to predict the evolution of the spread of the COVID-19 outbreak in the UK on some statistical predictor indicators from time series modeling on a 14-day moving window for detecting which of these indicators capture the dynamics of the disease spread across the epidemic curve. The results of the PCA, the index of dispersion, the fitted mathematical model, and the mathematical model simulation are all in agreement with the dynamics of the disease in the UK before and after vaccination started. Conclusively, our approach has been able to capture the dynamics of the pandemic at different phases of the disease outbreak, and the result presented will be useful to understand the evolution of the disease in the UK and future and emerging epidemics.
COVID-19 大流行对包括英国在内的世界各国产生了重大影响。英国面临着众多挑战,但其应对措施,包括快速疫苗接种运动,值得一提。虽然已经取得了进展,但对这一流行病的研究对于我们为未来的流行病做好适当准备非常重要。合作、警惕和继续遵守公共卫生措施对于我们走好恢复之路和建设未来的复原力至关重要。在本文中,我们使用数学模型(非线性微分方程模型)和统计模型(移动窗口上的时间序列模型)对 COVID-19 病毒从流行开始到 2022 年 7 月的传播动态进行了概述。这是通过将混合模型与英国的每日病例和死亡经验数据相结合来实现的。我们将该数据集划分为英国开始接种疫苗之前和之后的数据集,以了解接种疫苗对疾病动态的影响。我们利用数学模型进行了一些数学分析,并计算了基本繁殖数 (R0)。根据敏感性分析指数,我们推断出疫苗接种率的增加会降低 R0。此外,我们还将模型与英国的数据进行了拟合,用真实数据验证了数学模型,并利用这些数据计算了随时间变化的 R0。我们使用同调扰动法(HPM)进行数值模拟,以展示疾病在参数变化时的动态变化以及疫苗接种的重要性。此外,我们还使用统计建模来验证我们的模型,通过主成分分析(PCA)预测英国 COVID-19 爆发的传播演变,预测指标来自时间序列建模中的一些统计预测指标,以 14 天为移动窗口,检测这些指标中哪些能捕捉到疾病在整个流行曲线上的传播动态。PCA、分散指数、拟合数学模型和数学模型模拟的结果都与疫苗接种开始前后英国的疫情动态一致。总之,我们的方法能够捕捉到疾病爆发不同阶段的疫情动态,所展示的结果将有助于了解该疾病在英国的演变情况以及未来和新出现的疫情。
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引用次数: 0
Equitable Vaccine Access in Light of COVID-19 Vaccine Procurement Strategies in Africa 从 COVID-19 疫苗采购战略看非洲疫苗的公平获取
Pub Date : 2024-02-17 DOI: 10.3390/covid4020019
George L. O’Hara, Sam Halabi, Olohikhuae Egbokhare
(1) Background: This study addresses two weaknesses in current international efforts to prevent and prepare for the next pandemic: the lack of robust evidence supporting global policy measures and the corresponding extent to which those measures advance equity. (2) Methods: Using UNICEF’s publicly available but underused COVID-19 Market Dashboard database, we conducted a cross-sectional analysis of vaccine deliveries as of mid-2022 and vaccine procurement strategies used by African low- and lower middle-income countries (LMICs) over the course of the COVID-19 pandemic. (3) Results: Pooled procurement of the kind typified by COVAX (a clearinghouse for high-income-country contributions of vaccines and financing toward the end of equitable LMIC procurement) crowded out alternative strategies that must be supported in future: regional procurement, donation, and bilateral procurement (binding agreement between two parties: one seller (i.e., a national government or a vaccine manufacturer) and one recipient (i.e., national government)), which showed a significant relationship with technology transfer and advancing local production capacity. (4) Conclusions: Expanding the scope of vaccine procurement alternatives to COVAX such as regional pooled procurement and bilateral procurement can stratify risk of supply agreements not materializing in actual supply. Sharing the technology necessary to produce vaccines with LMICs can mitigate obstacles to bilateral procurement. A pooled purchase alliance to procure vaccine doses on behalf of participating countries within a given region can benefit LMICs by accounting for infrastructure limitations that these countries share. Finally, donations bolster global redistributed supply essential to LMICs.
(1) 背景:本研究探讨了当前国际社会在预防和准备下一次大流行病方面的两个薄弱环节:缺乏支持全球政策措施的有力证据,以及这些措施在多大程度上促进了公平。(2) 方法:利用联合国儿童基金会公开但未充分利用的 COVID-19 市场仪表板数据库,我们对截至 2022 年中期的疫苗交付情况以及非洲低收入和中低收入国家(LMICs)在 COVID-19 大流行期间使用的疫苗采购策略进行了横向分析。(3) 结果:以 COVAX 为代表的集中采购(高收入国家提供疫苗和资金的信息交换中心,以实现中低收入国家的公平采购)挤掉了未来必须支持的其他战略:区域采购、捐赠和双边采购(双方之间具有约束力的协议:一方为卖方(即国家政府或疫苗制造商),另一方为受方(即国家政府)),这些战略与技术转让和提高当地生产能力有着重要关系。(4) 结论:扩大 COVAX 疫苗采购替代品的范围,如区域联合采购和双边采购,可分层降低供应协议无法实现实际供应的风险。与低收入和中等收入国家分享生产疫苗所需的技术可以减少双边采购的障碍。集合采购联盟代表特定区域内的参与国采购疫苗剂量,可通过考虑这些国家共同的基础设施限制而使低收入和中等收入国家受益。最后,捐赠可加强对低收入国家至关重要的全球再分配供应。
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引用次数: 0
Measuring the Impact of the Coronavirus Disease 2019 Pandemic on Mobility Aspirations and Behaviours 衡量 2019 年冠状病毒疾病大流行对流动性愿望和行为的影响
Pub Date : 2024-02-14 DOI: 10.3390/covid4020018
Davide J. Testa, Zaheer A. S. H. Nagarwala, J. Vale, Andres E. Carrillo, Cagney T. Sargent, Sharon Amollo, Mutono Nyamai, Belén Carballo-Leyenda, B. Onyima, Ibukun Afolabi, Tiago S. Mayor, Sally Hargreaves, Marija Marković, A. Flouris
The coronavirus disease 2019 (COVID-19) pandemic prompted tens of thousands of people worldwide to migrate from cities in its early stages, leading to an increased spread of the virus. Understanding the factors driving relocation during a pandemic is crucial for effective outbreak control. We investigated how the pandemic influenced people’s aspirations and preparations to move, both domestically and internationally, surveying individuals in Greece, India, Italy, Kenya, Nigeria, Portugal, Serbia, Spain, and the United States of America. Out of 4448 eligible responses, 765 participants (17.2%) had a strong aspiration to move due to COVID-19, and 155 (3.5%) had already prepared. Those considering relocation were statistically significantly more likely to perceive moving to an area with fewer COVID-19 cases as protective against the virus (OR = 1.3, p < 0.05) or to know others who intended to relocate because of COVID-19 (OR = 1.5, p < 0.05). Conversely, a strong sense of being ‘at home’ reduced statistically significantly the strength of mobility aspirations (OR = 0.7, p < 0.01). Social alienation, social imitation, and the perceived efficacy of mobility increased aspirations to move due to COVID-19. This study emphasizes the rapid population movements at pandemic onset and their potential contribution to disease transmission, urging future pandemic planning to take account of such mobility dynamics.
2019 年冠状病毒病(COVID-19)大流行在早期阶段促使全球数以万计的人迁离城市,导致病毒传播加剧。了解大流行期间的迁移驱动因素对于有效控制疫情至关重要。我们对希腊、印度、意大利、肯尼亚、尼日利亚、葡萄牙、塞尔维亚、西班牙和美国的个人进行了调查,研究了疫情如何影响人们在国内外迁移的愿望和准备工作。在 4448 份符合条件的回复中,765 名参与者(17.2%)因 COVID-19 而强烈希望搬迁,155 名参与者(3.5%)已经做好准备。据统计,那些考虑搬迁的人更有可能认为搬到 COVID-19 病例较少的地区可以抵御病毒(OR = 1.3,p < 0.05),或者认识其他因为 COVID-19 而打算搬迁的人(OR = 1.5,p < 0.05)。相反,强烈的 "在家 "感会显著降低流动愿望的强度(OR = 0.7,p < 0.01)。由于 COVID-19,社会疏离感、社会模仿和流动效率感都会增加流动的愿望。本研究强调了大流行开始时人口的快速流动及其对疾病传播的潜在作用,并敦促未来的大流行规划应考虑到这种流动动态。
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