Tropospheric NO2 and O3 Response to COVID-19 Lockdown Restrictions at the National and Urban Scales in Germany.
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ABSTRACT:
SUBMITTER: Balamurugan V
PROVIDER: S-EPMC8667658 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:IntroductionThe South African government enforced various alcohol sale restrictions during the COVID-19 lockdown in order to reduce hospital admissions related to alcohol-associated injuries. A cross-sectional study was performed to describe the temporal changes in trauma according to alcohol sale restrictions during the South African national COVID-19 lockdown.MethodsData from all trauma-related patients presenting to the emergency centre of Mitchells Plain Hospital from 01/03/2020 till 29/9/2020 and corresponding periods during 2019 were exported from an existing database. The relationship between variables was determined with the χ2-test, Fisher's exact test, independent samples median test or t-test. A sub-analysis compared similar 2020 lockdown levels when a second alcohol ban were instituted while most business were allowed to operate (level 3b - alcohol banned versus level 3 - alcohol restricted).ResultsTotal number of trauma presentations were 539 (14.6%) less in 2020 (n = 3160) than in 2019 (n = 3699); the mean number decreased by 2.5 per day (95% CI -2.9 to -2.1). Lockdown levels with an alcohol ban had on average 4.8 less patients per day than corresponding periods in 2019 (p < 0.001). No significant difference was observed in lockdown levels with alcohol sale restrictions (mean difference per day -0.4, p = 0.195). Trauma presentations increased significantly (mean difference per day 7.0 (95% CI 6.5 to 7.5)) from 2020 lockdown levels with alcohol sales ban (mean per day 11.4) to 2020 lockdown levels with alcohol sale restrictions (mean per day 18.4). Significantly less patients (mean -3.2 (95% CI -3.9 to -2.5)) presented during 2020 lockdown level 3b (alcohol sales banned, mean 13.9) compared to level 3 (alcohol sales restricted, mean 17.1).ConclusionTemporal changes in trauma were observed according to alcohol sale restrictions during South Africa's COVID-19 lockdown periods. Significantly less trauma cases presented during periods with an alcohol ban compared to periods where alcohol sales were only restricted.
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Project description:In March 2020, the World Health Organization declared a pandemic due to the rapid and worldwide spread of the SARS-CoV-2 virus. To prevent spread of the infection social contact restrictions were enacted worldwide, which suggest a significant effect on the anthropogenic emission of gaseous and particulate pollutants in urban areas. To account for the influence of meteorological conditions on airborne pollutant concentrations, we used a Random Forest machine learning technique for predicting business as usual (BAU) pollutant concentrations of NO2 and PM10 at five observation sites in the city of Berlin, Germany, during the 2020 COVID-19 lockdown periods. The predictor variables were based on meteorological and traffic data from the period of 2017-2019. The differences between BAU and observed concentrations were used to quantify lockdown-related effects on average pollutant concentrations as well as spatial variation between individual observation sites. The comparison between predicted and observed concentrations documented good overall model performance for different evaluation periods, but better performance for NO2 (R2 = 0.72) than PM10 concentrations (R2 = 0.35). The average decrease of NO2 was 21.9% in the spring lockdown and 22.3% in the winter lockdown in 2020. PM10 concentrations showed a smaller decrease, with an average of 12.8% in the spring as well as the winter lockdown. The model results were found sensitive to depict local variation of pollutant reductions at the different sites that were mainly related to locally varying modifications in traffic intensity.
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Project description:BackgroundA growing literature has documented the high global morbidity, mortality and mental health burden associated with the current Covid-19 pandemic. In this paper, we aimed to quantify the total utility and quality of life loss resulting from Covid-19-related government restrictions imposed at the national, regional and global levels.MethodsWe conducted quality of life online surveys in France, India, Italy, UK and the United States of America between June 21st and September 13th 2021, and used regression models to estimate the average quality of life loss due to light and severe restrictions in these countries. We then combined estimated disutility weights from the pooled sample with the latest data on Covid-19 restrictions exposure in each country to estimate the total disutility generated by restrictions at the national, regional and global level. We also embedded a discrete choice experiment (DCE) into the online survey to estimate average willingness to pay to avoid specific restrictions.FindingsA total of 947 surveys were completed. Thirty-five percent of respondents were female, and 69.5% were between 18 and 39 years old. The weighted average utility weight was 0.71 (95% CIs 0.69-0.74) for light restrictions, and 0.65 (0.63-0.68) for severe restrictions. At the global scale, this implies a total loss of 3259 million QALYs (95% 3021, 3496) as of September 6th, 2021, with the highest burden in lower and upper middle-income countries. Utility losses appear to be particularly large for closures of schools and daycares as well as restaurants and bars, and seem relatively small for wearing masks and travel restrictions.InterpretationThe results presented here suggest that the QALY losses due to restrictions are substantial. Future mitigation strategies should try to balance potential reductions in disease transmission achievable through specific measures against their respective impact on quality of life. Additional research is needed to determine differences in restriction-specific disutilities across countries, and to determine optimal policy responses to similar future disease threats.FundingNo funding was received for this project.
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