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Mobility-based contact exposure explains the disparity of spread of COVID-19 in urban neighborhoods

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 Added by Rajat Verma
 Publication date 2021
  fields Economy Financial
and research's language is English




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The rapid early spread of COVID-19 in the U.S. was experienced very differently by different socioeconomic groups and business industries. In this study, we study aggregate mobility patterns of New York City and Chicago to identify the relationship between the amount of interpersonal contact between people in urban neighborhoods and the disparity in the growth of positive cases among these groups. We introduce an aggregate Contact Exposure Index (CEI) to measure exposure due to this interpersonal contact and combine it with social distancing metrics to show its effect on positive case growth. With the help of structural equations modeling, we find that the effect of exposure on case growth was consistently positive and that it remained consistently higher in lower-income neighborhoods, suggesting a causal path of income on case growth via contact exposure. Using the CEI, schools and restaurants are identified as high-exposure industries, and the estimation suggests that implementing specific mobility restrictions on these point-of-interest categories are most effective. This analysis can be useful in providing insights for government officials targeting specific population groups and businesses to reduce infection spread as reopening efforts continue to expand across the nation.



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The ongoing COVID-19 pandemic has created a global crisis of massive scale. Prior research indicates that human mobility is one of the key factors involved in viral spreading. Indeed, in a connected planet, rapid world-wide spread is enabled by long-distance air-, land- and sea-transportation among countries and continents, and subsequently fostered by commuting trips within densely populated cities. While early travel restrictions contribute to delayed disease spread, their utility is much reduced if the disease has a long incubation period or if there is asymptomatic transmission. Given the lack of vaccines, public health officials have mainly relied on non-pharmaceutical interventions, including social distancing measures, curfews, and stay-at-home orders. Here we study the impact of city organization on its susceptibility to disease spread, and amenability to interventions. Cities can be classified according to their mobility in a spectrum between compact-hierarchical and decentralized-sprawled. Our results show that even though hierarchical cities are more susceptible to the rapid spread of epidemics, their organization makes mobility restrictions quite effective. Conversely, sprawled cities are characterized by a much slower initial spread, but are less responsive to mobility restrictions. These findings hold globally across cities in diverse geographical locations and a broad range of sizes. Our empirical measurements are confirmed by a simulation of COVID-19 spread in urban areas through a compartmental model. These results suggest that investing resources on early monitoring and prompt ad-hoc interventions in more vulnerable cities may prove most helpful in containing and reducing the impact of present and future pandemics.
181 - Dongwoo Kim , Young Jun Lee 2021
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