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1.
Risk Anal ; 42(4): 692-706, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-34549813

RESUMEN

The COVID-19 pandemic has called for and generated massive novel government regulations to increase social distancing for the purpose of reducing disease transmission. A number of studies have attempted to guide and measure the effectiveness of these policies, but there has been less focus on the overall efficiency of these policies. Efficient social distancing requires implementing stricter restrictions during periods of high viral prevalence and rationing social contact to disproportionately preserve gatherings that produce a good ratio of benefits to transmission risk. To evaluate whether U.S. social distancing policy actually produced an efficient social distancing regime, we tracked consumer preferences for, visits to, and crowding in public locations of 26 different types. We show that the United States' rationing of public spaces, postspring 2020, has failed to achieve efficiency along either dimension. In April 2020, the United States did achieve notable decreases in visits to public spaces and focused these reductions at locations that offer poor benefit-to-risk tradeoffs. However, this achievement was marred by an increase, from March to April, in crowding at remaining locations due to fewer locations remaining open. In December 2020, at the height of the pandemic so far, crowding in and total visits to locations were higher than in February, before the U.S. pandemic, and these increases were concentrated in locations with the worst value-to-risk tradeoff.


Asunto(s)
COVID-19 , Humanos , Pandemias , Distanciamiento Físico , Medición de Riesgo , Estados Unidos
2.
Proc Natl Acad Sci U S A ; 117(33): 19837-19843, 2020 08 18.
Artículo en Inglés | MEDLINE | ID: mdl-32732433

RESUMEN

Social distancing is the core policy response to coronavirus disease 2019 (COVID-19). But, as federal, state and local governments begin opening businesses and relaxing shelter-in-place orders worldwide, we lack quantitative evidence on how policies in one region affect mobility and social distancing in other regions and the consequences of uncoordinated regional policies adopted in the presence of such spillovers. To investigate this concern, we combined daily, county-level data on shelter-in-place policies with movement data from over 27 million mobile devices, social network connections among over 220 million Facebook users, daily temperature and precipitation data from 62,000 weather stations, and county-level census data on population demographics to estimate the geographic and social network spillovers created by regional policies across the United States. Our analysis shows that the contact patterns of people in a given region are significantly influenced by the policies and behaviors of people in other, sometimes distant, regions. When just one-third of a state's social and geographic peer states adopt shelter-in-place policies, it creates a reduction in mobility equal to the state's own policy decisions. These spillovers are mediated by peer travel and distancing behaviors in those states. A simple analytical model calibrated with our empirical estimates demonstrated that the "loss from anarchy" in uncoordinated state policies is increasing in the number of noncooperating states and the size of social and geographic spillovers. These results suggest a substantial cost of uncoordinated government responses to COVID-19 when people, ideas, and media move across borders.


Asunto(s)
COVID-19/prevención & control , Infecciones por Coronavirus/prevención & control , Análisis Costo-Beneficio , Eficiencia Organizacional , Modelos Logísticos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Cuarentena/organización & administración , COVID-19/economía , Infecciones por Coronavirus/economía , Demografía/estadística & datos numéricos , Humanos , Pandemias/economía , Distanciamiento Físico , Neumonía Viral/economía , Cuarentena/economía , Cuarentena/métodos , Medios de Comunicación Sociales/estadística & datos numéricos , Transportes/estadística & datos numéricos , Estados Unidos
3.
Proc Natl Acad Sci U S A ; 117(26): 14642-14644, 2020 06 30.
Artículo en Inglés | MEDLINE | ID: mdl-32522870

RESUMEN

To prevent the spread of coronavirus disease 2019 (COVID-19), some types of public spaces have been shut down while others remain open. These decisions constitute a judgment about the relative danger and benefits of those locations. Using mobility data from a large sample of smartphones, nationally representative consumer preference surveys, and economic statistics, we measure the relative transmission reduction benefit and social cost of closing 26 categories of US locations. Our categories include types of shops, entertainments, and service providers. We rank categories by their trade-off of social benefits and transmission risk via dominance across 13 dimensions of risk and importance and through composite indexes. We find that, from February to March 2020, there were larger declines in visits to locations that our measures indicate should be closed first.


Asunto(s)
Conducta , Infecciones por Coronavirus/prevención & control , Transmisión de Enfermedad Infecciosa/prevención & control , Exposición por Inhalación/prevención & control , Modelos Estadísticos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Prevención Primaria/estadística & datos numéricos , Cuarentena/estadística & datos numéricos , COVID-19 , Espacios Confinados , Trazado de Contacto/métodos , Trazado de Contacto/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Costos y Análisis de Costo , Transmisión de Enfermedad Infecciosa/estadística & datos numéricos , Humanos , Exposición por Inhalación/estadística & datos numéricos , Museos , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Prevención Primaria/economía , Prevención Primaria/métodos , Cuarentena/economía , Cuarentena/métodos , Medición de Riesgo , Instituciones Académicas , Teléfono Inteligente/estadística & datos numéricos , Instalaciones Deportivas y Recreativas , Estados Unidos
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