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Social mobilization and polarization can create volatility in COVID-19 pandemic control.

ABSTRACT: During the COVID-19 pandemic, political polarization has emerged as a significant threat that inhibits coordinated action of central and local institutions reducing the efficacy of non-pharmaceutical interventions (NPIs). Yet, it is not well-understood to what extent polarization can affect grass-roots, voluntary social mobilization targeted at mitigating the pandemic spread. Here, we propose a polarized mobilization model amidst the pandemic for demonstrating the differential responses to COVID-19 as mediated by the USA's political landscape. We use a novel dataset and models from time-critical social mobilization competitions, voting records, and a high-resolution county-wise friendship network. Our simulations show that a higher degree of polarization impedes the overall spread of mobilization and leads to a highly-heterogeneous impact among states. Our hypothetical compliance campaign to mitigate COVID-19 spread predicts grass-roots mitigation strategies' success before the dates of actual lockdowns in identically polarized states with more than three times of success rate than oppositely polarized states. Finally, we analyze the coupling of social mobilization leading to unrest and the growth of COVID-19 infections. These findings highlight social mobilization as both a collective precautionary measure and a potential threat to countermeasures, together with a warning message that the emerging polarization can be a significant hurdle of NPIs relying on coordinated action.

SUBMITTER: Hong I

PROVIDER: S-EPMC7877319 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Social mobilization and polarization can create volatility in COVID-19 pandemic control.

Hong Inho I Rutherford Alex A Cebrian Manuel M

Applied network science 20210211 1

During the COVID-19 pandemic, political polarization has emerged as a significant threat that inhibits coordinated action of central and local institutions reducing the efficacy of non-pharmaceutical interventions (NPIs). Yet, it is not well-understood to what extent polarization can affect grass-roots, voluntary social mobilization targeted at mitigating the pandemic spread. Here, we propose a polarized mobilization model amidst the pandemic for demonstrating the differential responses to COVID ...[more]

PMID: 33614902

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Project description:BackgroundMobilization and acute rehabilitation are essential in the intensive care unit (ICU), with substantial evidence supporting their benefits. This study aimed to characterize ICU mobilization practices during the COVID-19 pandemic for patients with and without COVID-19.MethodsThis was a secondary analysis of an international point prevalence study. All ICUs across the world were eligible to participate and were required to enroll all patients in each ICU on the survey date, 27 January 2021. The primary outcome was the achievement of mobilization at the level of sitting over the edge of the bed. Independent factors associated with mobilization, including COVID-19 infection, were analyzed by multivariable analysis.ResultsA total of 135 ICUs in 33 countries participated, for inclusion of 1229 patients. Among patients who were not receiving mechanical ventilation (MV), those with COVID-19 infection were mobilized more than those without COVID-19 (60% vs. 34%, p < 0.001). Among patients who were receiving MV, mobilization was low in both groups (7% vs. 9%, p = .56). These findings were consistent irrespective of ICU length of stay. Multivariable analysis showed that COVID-19 infection was associated with achievement of mobilization in patients without (adjusted odds ratio [aOR] = 4.48, 95% confidence interval [CI] = 2.71-7.42) and with MV (aOR = 2.13, 95% CI = 1.00-4.51). Factors that prevented mobilization were prone positioning in patients without MV and continuous use of neuromuscular blockade and sedation agents in patients with MV, whereas facilitating factors were the presence of targets/goals in both groups.ConclusionMobilization rates for ICU patients across the globe are severely low, with the greatest immobility observed in mechanically ventilated patients. Although COVID-19 is not an independent barrier to the mobilization of patients with or without MV, this study has highlighted the current lack of mobility practice for all ICU patients during the COVID-19 pandemic.(299 words).

Dataset Information

Social mobilization and polarization can create volatility in COVID-19 pandemic control.

Publications

Social mobilization and polarization can create volatility in COVID-19 pandemic control.

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