Built environment factors moderate pandemic fatigue in social distance during the COVID-19 pandemic: A nationwide longitudinal study in the United States

Landscape and Urban Planning, Год журнала: 2023, Номер 233, С. 104690 - 104690

Опубликована: Янв. 17, 2023

Язык: Английский

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The impact of spatial connectivity on NPIs effectiveness

BMC Infectious Diseases, Год журнала: 2024, Номер 24(1)

Опубликована: Янв. 2, 2024

Abstract Background France implemented a combination of non-pharmaceutical interventions (NPIs) to manage the COVID-19 pandemic between September 2020 and June 2021. These included lockdown in fall – second since start counteract wave, followed by long period nighttime curfew, third spring 2021 against Alpha wave. Interventions have so far been evaluated isolation, neglecting spatial connectivity regions through mobility that may impact NPI effectiveness. Methods Focusing on 2020–June 2021, we developed regionally-based epidemic metapopulation model informed observed fluxes from daily mobile phone data fitted regional hospital admissions. The integrated vaccination variants spread. Scenarios were designed assess variant, characterized increased transmissibility risk hospitalization, campaign alternative policy decisions. Results better captured heterogeneity dynamics, compared models inter-regional mobility. was similarly effective after discounting for immunity, Alpha, seasonality (51% vs 52% median reduction reproductive number R 0 , respectively). 6pm curfew with bars restaurants closed, January substantially reduced transmission. It initially led 49% decreasing 43% March In absence vaccination, would insufficient Counterfactual scenarios proposing sequence lockdowns stop-and-go fashion hospitalizations restriction days low enough thresholds triggering lifting restrictions. Conclusions Spatial induced impacted effectiveness especially higher rates. Early evening gastronomy sector closed allowed authorities delay Stop-and-go could lowered both healthcare societal burdens if early enough, application lockdown-curfew-lockdown, but likely at expense several labor sectors. findings contribute characterize strategies improve preparedness.

Язык: Английский

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Resetting public adherence: iterative strategies to counteract pandemic fatigue.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 15, 2025

Abstract Non-pharmaceutical interventions (NPIs) are essential for controlling infectious diseases during pre-vaccine periods, yet their success hinges on sustained public adherence. This study investigates adherence dynamics to tiered restriction systems implemented COVID-19 in six geographical regions across Europe, North America, Africa, and South America. Using daily mobility data linear-mixed models, we assessed three types of fatigue: overall fatigue (linked cumulative time under restrictions), tier spent a specific tier), iteration repeated implementation the same tier). Tier caused most rapid loss, producing effects within days that required months restrictions achieve. Iterative application shorter NPIs, interspersed with temporary relaxation, helped reset adherence, mitigating sometimes even improving compliance. Psychological relief sense regained autonomy relaxation periods may renew willingness comply when reintroduced. These findings emphasize dual benefits short, strategic NPIs epidemic control resilience, offering actionable insights designing more sustainable pandemic interventions.

Язык: Английский

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Who develops pandemic fatigue? Insights from Latent Class Analysis

PLoS ONE, Год журнала: 2022, Номер 17(11), С. e0276791 - e0276791

Опубликована: Ноя. 10, 2022

According to the World Health Organization, pandemic fatigue poses a serious threat for managing COVID-19. Pandemic is characterized by progressive decline in adherence social distancing (SDIS) guidelines, and thought be associated with pandemic-related emotional burnout. Little known about nature of fatigue; example, it unclear who most likely develop fatigue. We sought evaluate this issue based on data from 5,812 American Canadian adults recruited during second year COVID-19 pandemic. Past-year SDIS had categorical latent structure according Latent Class Analysis, consisting group adherent (Class 1: 92% sample) reporting (i.e., 2: 8% sample). 2, compared 1, was greater burnout, pessimism, apathy They also tended younger, perceived themselves more affluent, have levels narcissism, entitlement, gregariousness, were report having been previously infected SARSCOV2, which they regarded as an exaggerated threat. People 2 self-reported higher stress, anxiety, depression, described making active efforts at coping restrictions, unnecessary stressful. 1 generally reported that engaged benefit their community, although 35% class feared would publicly shamed if did not comply guidelines. The findings suggest affects substantial minority people even many SDIS-adherent experience emotionally adverse effects fear being shamed). Implications future are discussed.

Язык: Английский

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COVID-19, stigma, and habituation: evidence from mobility data

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Янв. 13, 2023

The Japanese government has restricted people's going-out behavior by declaring a non-punitive state of emergency several times under COVID-19. This study aims to analyze how multiple policy interventions that impose non-legally binding restrictions on associate with going-out.

Язык: Английский

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Actionable wastewater surveillance: application to a university residence hall during the transition between Delta and Omicron resurgences of COVID-19

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Май 17, 2023

Wastewater surveillance has gained traction during the COVID-19 pandemic as an effective and non-biased means to track community infection. While most relies on samples collected at municipal wastewater treatment plants, is more actionable when are “upstream” where mitigation of transmission tractable. This report describes results for SARS-CoV-2 residence halls a university campus aimed preventing outbreak escalation by mitigating spread. Another goal was estimate fecal shedding rates in non-clinical setting. Passive sampling devices were deployed sewer laterals originating from frequency twice weekly fall 2021 Delta variant concern continued circulate across North America. A positive detection part routine late November triggered daily monitoring further isolated signal single wing one hall. Detection within over period 3 consecutive days led coordinated rapid antigen testing campaign targeting hall occupants identification isolation infected individuals. With knowledge number individuals COVID-19, estimated range 3.70 log10 gc ‧ g feces −1 5.94 . These reinforce efficacy early indicator infection congregate living settings. Detections can trigger public health measures ranging enhanced communications targeted quarantine.

Язык: Английский

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Impacts of self-initiated behavioral responses and pandemic fatigue on the epidemic spread in time-varying multiplex networks

Chaos Solitons & Fractals, Год журнала: 2023, Номер 173, С. 113696 - 113696

Опубликована: Июнь 25, 2023

Язык: Английский

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Pathways to discontinuous transitions in interacting contagion dynamics

Journal of Physics Complexity, Год журнала: 2024, Номер 5(1), С. 015015 - 015015

Опубликована: Фев. 6, 2024

Abstract Yet often neglected, dynamical interdependencies between concomitant contagion processes can alter their intrinsic equilibria and bifurcations. A particular case of interest for disease control is the emergence discontinuous transitions in epidemic dynamics coming from interactions with other simultaneous processes. To address this problem, here we propose a framework coupling standard another process, presenting tunable parameter shaping nature its transitions. Our model retrieves well-known results literature, such as existence first-order arising mutual cooperation epidemics or onset abrupt when social contagions unidirectionally drive epidemics. We also reveal that negative feedback loops might suppress phenomena, thus increasing systems robustness against external perturbations. render general perspective toward finding different pathways to phenomena interaction

Язык: Английский

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Pandemic fatigue? Insights from road traffic in Hong Kong during COVID-19

Area Development and Policy, Год журнала: 2025, Номер unknown, С. 1 - 18

Опубликована: Янв. 27, 2025

During the COVID-19 pandemic, voluntary adherence to non-pharmaceutical interventions (NPIs) was imperative control spread of virus. The emergence pandemic fatigue, however, may militate against public compliance with these interventions. Although existing literature has examined little attention been given spatio-temporal characteristics within a city. Focusing on stay-at-home recommendation during in Hong Kong, this study employed road speed as proxy investigate fatigue. Temporally, development and concerns are investigated. Spatially, variables four categories (i.e. socioeconomic, home environment, land use COVID-related) examined. Despite same level NPIs, changes traffic were observed, indicating A positive correlation between NPIs interest 'living COVID' policy is found. areas more older people demonstrated high rate. Findings suggest that by using for potential factors both spatial temporal dimensions can be unveiled. Policy implications future health crises also discussed.

Язык: Английский

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Effect of individual preventive practices on COVID-19 infection: an analysis of big data collected at PCR testing centers in Hiroshima, Japan

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 19, 2025

Abstract Background By May 7, 2023, COVID-19 had significantly impacted Japan, with 33,728,909 infections and 74,663 deaths reported. Hiroshima Prefecture alone recorded 816,354 cases 1,373 deaths. The World Health Organization emphasized the importance of non-pharmaceutical interventions (NPIs) for preventing infectious disease transmission. Individual NPIs, such as hand hygiene, mask wearing, avoiding crowded places, comprise simple everyday measures that individuals can personally undertake to protect themselves others from contracting transmitting respiratory infections. Japan’s Cabinet Secretariat also recommended these measures. Previous studies investigated effectiveness NPIs but often used relatively short data-collection periods. Starting in 2020, adopted a unique public health surveillance policy standardized forms. present analysis examines association between individual Methods Data were collected at 14 PCR centers April 1, 2021, August 3, 2022 Prefecture. Participants filled out J-SPEED-style form, which included items on demographic information, job type, symptoms, NPIs. data analyzed NPI compliance rates, infection rates relation adoption, adjusted risk ratios, obtained using multivariate log-binomial regression model. Results A total 1,125,188 tested 4th 7th waves analyzed. Among study population, rate increased through various waves, highest (8.3%) seen wave. Adults aged 40–49 most commonly tested, while those 60–69 lowest rates. Wearing masks/washing hands was followed NPI. Compliance decreased waves. Individuals adhering lower number preventive correlated reduced risk. Conclusion This provides evidence guide prevention policies. Simultaneous adherence multiple proved more effective COVID-19. Despite changes viral strains infected cases, washing/mask refraining travel, dining associated reduction infection. Our findings are likely be applicable future outbreaks.

Язык: Английский

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