Older Adults' concerns regarding Hurricane-Induced evacuations during COVID-19: Questionnaire findings.

The COVID-19 pandemic has drastically affected our day-to-day life in the last few years. This problem becomes even more challenging when older adults are considered due to their less powerful immune system and vulnerability to infectious diseases, especially in Florida where 4.5 million people aged 65 and over reside. With its long coastline, large and rapidly growing of older adult population, and geographic diversity, Florida is also uniquely vulnerable to hurricanes, which significantly increases the associated risks of COVID-19 even further. This study investigates older adults' evacuation-related concerns during COVID-19 using statistical analysis of a questionnaire conducted among 389 older adult Florida residents. The questionnaire includes questions concerning demographic information and older adults' attitudes toward hurricane-induced evacuations during the COVID-19 pandemic. Ordered Probit regression models were developed to investigate the impacts of demographic parameters on older adults' tendencies toward evacuating as well as their preferences to stay at home or shelter during the pandemic. The model results reveal that male participants felt safer to evacuate compared to females. Also, any decrease in the level of income was associated with an increase in the need for help for evacuation by 18%. Findings indicated that the participants who found the evacuation safe normally also had a positive attitude toward staying in their vehicle, hotel, or even shelters if maintaining social distance was possible. Emergency management policies can utilize these findings to enhance hurricane preparations for dealing with the additional health risks posed by the pandemic for older adults, a situation that could be exacerbated by the upcoming hurricane season in Florida.

Identifying areas of potential critical healthcare shortages: A case study of spatial accessibility to ICU beds during the COVID-19 pandemic in Florida.

Healthcare resource availability is potentially associated with COVID-19 mortality, and the potentially uneven geographical distribution of resources is a looming concern in the global pandemic. Given that access to healthcare resources is important to overall population health, assessing COVID-19 patients' access to healthcare resources is needed. This paper aims to examine the temporal variations in the spatial accessibility of the U.S. COVID-19 patients to medical facilities, identify areas that are likely to be overwhelmed by the COVID-19 pandemic, and explore associations of low access areas with their socioeconomic and demographic characteristics. We use a three-step floating catchment area method, spatial statistics, and logistic regression to achieve the goals. Findings of this research in the State of Florida revealed that North Florida, rural areas, and zip codes with more Latino or Hispanic populations are more likely to have lower access than other regions during the COVID-19 pandemic. Our approach can help policymakers identify potentially possible low access areas and establish appropriate policy intervention paying attention to those areas during a pandemic.

Spatial accessibility assessment of COVID-19 patients to healthcare facilities: A case study of Florida.

During the COVID-19 pandemic, healthcare facilities worldwide have been overwhelmed by the amount of coronavirus patients needed to be served. Similarly, the U.S. also experienced a shortage of healthcare resources, which led to a reduction in the efficiency of the whole healthcare system. In order to evaluate this from a transportation perspective, it is critical to understand the extent to which healthcare facilities with intensive care unit (ICU) beds are available in both urban and rural areas. As such, this study aims to assess the spatial accessibility of COVID-19 patients to healthcare facilities in the State of Florida. For this purpose, two methods were used: the two-step floating catchment area (2SFCA) and the enhanced two-step floating catchment area (E2SFCA). These methods were applied to identify the high and low access areas in the entire state. Furthermore, a metric, namely the Accessibility Ratio Difference (ARD), was developed to evaluate the spatial access difference between the models. Results revealed that many areas in the northwest and southern Florida have lower access compared to other locations. The residents in central Florida (e.g., Tampa and Orlando cities) had the highest level of accessibility given their higher access ratios. We also observed that the 2SFCA method overestimates the accessibility in the areas with a lower number of ICU beds due to the "equal access" assumption of the population within the catchment area. The findings of this study can provide valuable insights and information for state officials and decision makers in the field of public health.

Prediction of vehicle occupants injury at signalized intersections using real-time traffic and signal data.

Intersections are among the most dangerous roadway facilities due to the existence of complex movements of traffic. Most of the previous intersection safety studies are conducted based on static and highly aggregated data such as average daily traffic and crash frequency. The aggregated data may result in unreliable findings because they are based on averages and might not necessarily represent the actual conditions at the time of the crash. This study uses real-time event-based detection records, and crash data to develop predictive models for the vehicle occupants' injury severity. The three-year (2017-2019) data were acquired from the arterial highways in the City of Tallahassee, Florida. Random Forest (RF) and eXtreme Gradient Boosting (XGBoost) classifiers were used to identify the important factors on the vehicle occupants' injury severity prediction. The performance comparison of the two classifiers revealed that the XGBoost has a higher balanced accuracy score than RF. Using the XGBoost classifier, five topmost influential factors on injury prediction were identified. The factors are the manner of the collision, through and right-turn traffic volume, arrival on red for through and right-turn traffic, split failure for through traffic, and delays for through and right-turn traffic. Moreover, the partial dependency plots of the influential variables are presented to reveal their impact on vehicle occupant injury prediction. The knowledge gained from this study will be useful in developing effective proactive countermeasures to mitigate intersection-related crash injuries in real-time.