The interplay of movement and spatiotemporal variation in transmission degrades pandemic control

Proc Natl Acad Sci U S A. 2020 Dec 1;117(48):30104-30106. doi: 10.1073/pnas.2018286117. Epub 2020 Nov 10.

Abstract

Successful public health regimes for COVID-19 push below unity long-term regional Rt -the average number of secondary cases caused by an infectious individual. We use a susceptible-infectious-recovered (SIR) model for two coupled populations to make the conceptual point that asynchronous, variable local control, together with movement between populations, elevates long-term regional Rt , and cumulative cases, and may even prevent disease eradication that is otherwise possible. For effective pandemic mitigation strategies, it is critical that models encompass both spatiotemporal heterogeneity in transmission and movement.

Keywords: COVID-19; inflationary effect; spatiotemporal variation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • COVID-19 / prevention & control*
  • COVID-19 / transmission*
  • Humans
  • Movement*
  • Pandemics / prevention & control*
  • Spatio-Temporal Analysis*
  • Time Factors