Estimating COVID-19 outbreak risk through air travel

<p><strong>Background</strong> Substantial limitations have been imposed on passenger air travel to reduce transmission of severe acute respiratory syndrome coronavirus 2 between regions and countries. However, as case numbers decrease, air travel will gradually resume. We consider...

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Main Authors: Daon, Y, Thompson, RN, Obolski, U
Format: Journal article
Language:English
Published: Oxford University Press 2020
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author Daon, Y
Thompson, RN
Obolski, U
author_facet Daon, Y
Thompson, RN
Obolski, U
author_sort Daon, Y
collection OXFORD
description <p><strong>Background</strong> Substantial limitations have been imposed on passenger air travel to reduce transmission of severe acute respiratory syndrome coronavirus 2 between regions and countries. However, as case numbers decrease, air travel will gradually resume. We considered a future scenario in which case numbers are low and air travel returns to normal. Under that scenario, there will be a risk of outbreaks in locations worldwide due to imported cases. We estimated the risk of different locations acting as sources of future coronavirus disease 2019 outbreaks elsewhere.</p> <p><strong>Methods</strong> We use modelled global air travel data and population density estimates from locations worldwide to analyse the risk that 1364 airports are sources of future coronavirus disease 2019 outbreaks. We use a probabilistic, branching-process-based approach that considers the volume of air travelers between airports and the reproduction number at each location, accounting for local population density.</p> <p><strong>Results</strong> Under the scenario we model, we identify airports in East Asia as having the highest risk of acting as sources of future outbreaks. Moreover, we investigate the locations most likely to cause outbreaks due to air travel in regions that are large and potentially vulnerable to outbreaks: India, Brazil and Africa. We find that outbreaks in India and Brazil are most likely to be seeded by individuals travelling from within those regions. We find that this is also true for less vulnerable regions, such as the United States, Europe and China. However, outbreaks in Africa due to imported cases are instead most likely to be initiated by passengers travelling from outside the continent.</p> <p><strong>Conclusions</strong> Variation in flight volumes and destination population densities creates a non-uniform distribution of the risk that different airports pose of acting as the source of an outbreak. Accurate quantification of the spatial distribution of outbreak risk can therefore facilitate optimal allocation of resources for effective targeting of public health interventions.</p>
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spelling oxford-uuid:28cd411d-22f5-4098-8046-9a1dc8a5238f2022-03-26T12:15:12ZEstimating COVID-19 outbreak risk through air travelJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:28cd411d-22f5-4098-8046-9a1dc8a5238fEnglishSymplectic ElementsOxford University Press2020Daon, YThompson, RNObolski, U<p><strong>Background</strong> Substantial limitations have been imposed on passenger air travel to reduce transmission of severe acute respiratory syndrome coronavirus 2 between regions and countries. However, as case numbers decrease, air travel will gradually resume. We considered a future scenario in which case numbers are low and air travel returns to normal. Under that scenario, there will be a risk of outbreaks in locations worldwide due to imported cases. We estimated the risk of different locations acting as sources of future coronavirus disease 2019 outbreaks elsewhere.</p> <p><strong>Methods</strong> We use modelled global air travel data and population density estimates from locations worldwide to analyse the risk that 1364 airports are sources of future coronavirus disease 2019 outbreaks. We use a probabilistic, branching-process-based approach that considers the volume of air travelers between airports and the reproduction number at each location, accounting for local population density.</p> <p><strong>Results</strong> Under the scenario we model, we identify airports in East Asia as having the highest risk of acting as sources of future outbreaks. Moreover, we investigate the locations most likely to cause outbreaks due to air travel in regions that are large and potentially vulnerable to outbreaks: India, Brazil and Africa. We find that outbreaks in India and Brazil are most likely to be seeded by individuals travelling from within those regions. We find that this is also true for less vulnerable regions, such as the United States, Europe and China. However, outbreaks in Africa due to imported cases are instead most likely to be initiated by passengers travelling from outside the continent.</p> <p><strong>Conclusions</strong> Variation in flight volumes and destination population densities creates a non-uniform distribution of the risk that different airports pose of acting as the source of an outbreak. Accurate quantification of the spatial distribution of outbreak risk can therefore facilitate optimal allocation of resources for effective targeting of public health interventions.</p>
spellingShingle Daon, Y
Thompson, RN
Obolski, U
Estimating COVID-19 outbreak risk through air travel
title Estimating COVID-19 outbreak risk through air travel
title_full Estimating COVID-19 outbreak risk through air travel
title_fullStr Estimating COVID-19 outbreak risk through air travel
title_full_unstemmed Estimating COVID-19 outbreak risk through air travel
title_short Estimating COVID-19 outbreak risk through air travel
title_sort estimating covid 19 outbreak risk through air travel
work_keys_str_mv AT daony estimatingcovid19outbreakriskthroughairtravel
AT thompsonrn estimatingcovid19outbreakriskthroughairtravel
AT obolskiu estimatingcovid19outbreakriskthroughairtravel