Characterizing COVID-19 waves in urban and rural districts of India

Abstract Understanding spatial determinants, i.e., social, infrastructural, and environmental features of a place, which shape infectious disease is critically important for public health. We present an exploration of the spatial determinants of reported COVID-19 incidence across India’s 641 urban a...

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Main Authors: Bhartendu Pandey, Jianyu Gu, Anu Ramaswami
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:npj Urban Sustainability
Online Access:https://doi.org/10.1038/s42949-022-00071-z
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author Bhartendu Pandey
Jianyu Gu
Anu Ramaswami
author_facet Bhartendu Pandey
Jianyu Gu
Anu Ramaswami
author_sort Bhartendu Pandey
collection DOAJ
description Abstract Understanding spatial determinants, i.e., social, infrastructural, and environmental features of a place, which shape infectious disease is critically important for public health. We present an exploration of the spatial determinants of reported COVID-19 incidence across India’s 641 urban and rural districts, comparing two waves (2020–2021). Three key results emerge using three COVID-19 incidence metrics: cumulative incidence proportion (aggregate risk), cumulative temporal incidence rate, and severity ratio. First, in the same district, characteristics of COVID-19 incidences are similar across waves, with the second wave over four times more severe than the first. Second, after controlling for state-level effects, urbanization (urban population share), living standards, and population age emerge as positive determinants of both risk and rates across waves. Third, keeping all else constant, lower shares of workers working from home correlate with greater infection risk during the second wave. While much attention has focused on intra-urban disease spread, our findings suggest that understanding spatial determinants across human settlements is also important for managing current and future pandemics.
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spelling doaj.art-2a6af5e04ba64a93b48adbfcd976a70e2022-12-22T03:53:40ZengNature Portfolionpj Urban Sustainability2661-80012022-10-01211910.1038/s42949-022-00071-zCharacterizing COVID-19 waves in urban and rural districts of IndiaBhartendu Pandey0Jianyu Gu1Anu Ramaswami2Department of Civil and Environmental Engineering, Princeton UniversityDepartment of Civil and Environmental Engineering, Princeton UniversityDepartment of Civil and Environmental Engineering, Princeton UniversityAbstract Understanding spatial determinants, i.e., social, infrastructural, and environmental features of a place, which shape infectious disease is critically important for public health. We present an exploration of the spatial determinants of reported COVID-19 incidence across India’s 641 urban and rural districts, comparing two waves (2020–2021). Three key results emerge using three COVID-19 incidence metrics: cumulative incidence proportion (aggregate risk), cumulative temporal incidence rate, and severity ratio. First, in the same district, characteristics of COVID-19 incidences are similar across waves, with the second wave over four times more severe than the first. Second, after controlling for state-level effects, urbanization (urban population share), living standards, and population age emerge as positive determinants of both risk and rates across waves. Third, keeping all else constant, lower shares of workers working from home correlate with greater infection risk during the second wave. While much attention has focused on intra-urban disease spread, our findings suggest that understanding spatial determinants across human settlements is also important for managing current and future pandemics.https://doi.org/10.1038/s42949-022-00071-z
spellingShingle Bhartendu Pandey
Jianyu Gu
Anu Ramaswami
Characterizing COVID-19 waves in urban and rural districts of India
npj Urban Sustainability
title Characterizing COVID-19 waves in urban and rural districts of India
title_full Characterizing COVID-19 waves in urban and rural districts of India
title_fullStr Characterizing COVID-19 waves in urban and rural districts of India
title_full_unstemmed Characterizing COVID-19 waves in urban and rural districts of India
title_short Characterizing COVID-19 waves in urban and rural districts of India
title_sort characterizing covid 19 waves in urban and rural districts of india
url https://doi.org/10.1038/s42949-022-00071-z
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