Journal of Arid Regions Geographic Studies

Journal of Arid Regions Geographic Studies

Spatial analysis of covid-19 disease based on demographic and geographic indicators in dry areas, a case study of Qom metropolis

Document Type : Original Article

Authors
1 Department of Geography, Faculty of Social Science, University of Mohaghegh Ardabili, Ardabil, Iran.
2 Department of Health Education and Health Promotion, Faculty of health, medical sciences and health care services University, Qom, Iran
Abstract
Aim: The aim of this research is to analyze the COVID-19 virus spatially based on demographic and geographic indicators in dry areas (in Qom metropolis).
Material & Method: The data for this research was obtained through the available data from Qom University of Medical Sciences during the years 2018-1400. This information is based on the location of each person in the GIS software environment, and the methods of nearest neighbor index (NNI), global Moran's test, and general G statistic were used to measure spatial autocorrelation statistics.
Findings: This research showed that the spread and pandemic of COVID-19 in some dry areas (Shahreqom) have more acute conditions than other localities.
Conclusion: Based on the research findings, it can be said that the distribution pattern of this disease in the neighborhoods of Qom city is clustered and cluster type with high intensity. This relationship is stronger and with the highest frequency in the localities of Bajak Ik, Khakfaraj, Nirogah, and Shahrpardisan and in the localities of Hozovi and University and Fatemieh towns, which are the watery localities with the lowest frequency in terms of demographic and geographical indicators.
Innovation: Among the most important innovative and practical aspects of research, we can mention the use of GIS in the distribution and spread of COVID-19 in different urban areas of dry regions. In fact, among the applications of this research, it is possible to mention the field of behavior and spatiotemporal function of viruses similar to the type of COVID-19 virus, which provides a coherent intellectual framework for controlling and preventing its epidemic.
Keywords

Subjects


Extended Abstract

1. Introduction

With the emergence of the COVID-19 virus in 2019 and the toll surpassing 1,000 victims, national and international organizations have increasingly focused on the issue of health and disease in cities and residential areas. They believe that if this crisis is left unchecked, millions could become infected, and millions might lose their lives to the extent that they likened this crisis to wartime conditions. As one of the cities situated in arid regions and among the first cities in the country to officially declare the existence of this disease, Qom, like other cities worldwide, is grappling with the impact of this disease on its social, cultural, economic, and other aspects. The current research also aims to present models for controlling and reducing the rate of disease transmission in urban areas in arid regions (in the metropolis of Qom) through the spatial analysis of the COVID-19 virus based on demographic and geographic indicators in arid regions.

2. Materials and Methods

The research type in the present study, in terms of purpose, is practical, and in nature, it is based on descriptive-analytical methods. In this research, information on individuals infected with the COVID-19 virus from 2019 to 2021 was extracted from the University of Medical Sciences database in Qom Province. By reviewing global and national experiences and studies in the field of spatial analysis of diseases, the relevant variables for this research were identified. Methods such as the Nearest Neighbour Index (NNI) and Moran's test were employed in this study. The Global Moran's model and the general G-statistic were utilized to measure spatial autocorrelation statistics.

3. Results and Discussion

The findings indicate a significant relationship between the population of neighborhoods in Qom city and the number of individuals infected with COVID-19, with the disease following a cluster pattern across the city. In the cluster pattern, the eastern part of Qom was identified as red dots, while the western part was identified as clean dots. Additionally, based on Moran's test, it was determined that the data related to COVID-19 in the neighborhoods of Qom city exhibit spatial autocorrelation. Therefore, it can be concluded that the infection rate with COVID-19 among citizens in the neighborhoods of Qom city follows a cluster pattern.

The general G-statistic was employed to identify the classification of spatial patterns. It was determined that those infected with the COVID-19 virus in the neighborhoods of Qom exhibit a cluster type with high concentration points, indicating a high concentration of infection near each other. Furthermore, Getis-Ord's Gi statistic was used to illustrate the spatial distribution of the infection pattern, revealing that 10 neighborhoods show positive spatial autocorrelation with a higher infection rate at a 99% confidence level.

4. Conclusions

In this study, similar to Mengyang Liu et al. (2020), it was found that the spatial and temporal distribution of COVID-19 exhibits a clustering pattern. Furthermore, by examining indicators such as gender, age, nationality, population density, infection rate, year of infection and death, as well as the season of infection, it was determined that the results of this study align with researchers such as Alberto-Mateo-Urdiales et al. (2021), Sumona Mondal et al. (2022), Whanhee Lee et al. (2021), Hamit Coşkun et al. (2021), Yi Han et al. (2021), Nigel Stephen Walford (2020), Yang Ye, Hongfei Qiu (2021), Kianfar & Mesgari (2022), Yang et al. (2021), Ki-Jung Kim and Youngbin Lym (2022), Claudio S. Quilodrán (2021), Álvaro Briz-Redón, Ángel Serrano-Aroca (2020), Russell S. Kirby (2017), Mengyang Liu (2021), and Diego F. Cuadros et al. (2020). In other words, similar to the work of Alberto-Mateo-Urdiales et al. (2021), it is concluded that the number of households in a neighborhood is consistent with the rate of COVID-19 infection. Also, like Sumona Mondal et al. (2022), Whanhee Lee (2021), Hamit Coşkun et al. (2021), Yi Han (2021), Alberto Mateo-Urdiales et al. (2021), as well as Nigel Stephen Walford's research (2020) and Yang Ye, Hongfei Qiu Q (2021), is consistent with the fact that population density is related to the rate of COVID-19 infection in the neighborhoods of Qom city. It is also consistent with the research of Yang (2021) and Whanhee Lee (2021) and their colleagues regarding the relationship between nationality and COVID-19 infection in urban areas. Considering that the average temperature in different seasons of the year has a significant change, this difference in temperature and change of season is directly related to COVID-19. In fact, this research is in line with that of people such as Ki-Jung Kim and Youngbin Lym (2022) and Álvaro Briz-Redón, Ángel Serrano-Aroca (2020), Sumona-Mondal et al. (2022), and Whanhee Lee et al. (2021), who found that people living in areas with higher population density were more susceptible to the spread of COVID-19. This was confirmed in the present study. In fact, the central areas of the city and places with high population density have the highest number of people infected with COVID-19 and deaths from the disease. This research, like Walford (2021), concludes that mortality is higher in certain occupational and age groups and residents of high-density areas. The results of this research can be used to extend and advance knowledge of medical geography at the city level and as a systematic analysis and research for use by decision-makers and urban planners in the field of safe cities.

In other words, similar to the study by Alberto Mateo-Urdiales et al. (2021), we have concluded that the number of households in neighborhoods is in line with the rate of COVID-19 infection. Similarly, researchers such as Sumona Mondal (2022), Whanhee Lee (2021), Hamit Coşkun (2021), Yi Han (2021), Alberto Mateo-Urdiales and colleagues (2021), and also in line with the research of Nigel Stephen Walford (2020) and Yang Ye, Hongfei Qiu (2021), it is consistent with the finding that population density is related to the rate of COVID-19 infection in the neighborhoods of Qom city. Furthermore, the relationship between nationality and COVID-19 infection in urban areas aligns with the research of Yang (2021) and Whanhee Lee (2021) and their colleagues. Considering that the average temperature varies significantly in different seasons of the year, and this temperature difference and seasonal change are directly related to COVID-19, this research aligns with the studies of individuals such as Ki-Jung Kim and Youngbin Lym (2022) and Álvaro Briz-Redón, Ángel Serrano-Aroca (2020).

Sumona Mondal and colleagues (2022) and Whanhee Lee and colleagues (2021) have identified that individuals living in areas with higher population density are more vulnerable to the spread of COVID-19. This finding is also confirmed in the present study. In fact, central neighborhoods of the city and areas with high population density have the highest number of individuals infected with COVID-19 and deaths resulting from this infection. This research, similar to Walford (2021), concludes that mortality is higher in specific occupational and age groups and in residents of areas with high population density. The findings of this study can be utilized to expand and advance the knowledge of medical geography at the city level and serve as a systematic analysis and research for use by decision-makers and urban planners in the field of creating safe cities.

  1. Acknowledgment & Funding
  • Authors are thankful to all interview participants for supporting this research.
  • The manuscript did not receive a grant from any organization.
  1. Conflict of Interest
  • The authors declare no conflict of interest.
Alberto Mateo-Urdiales, Massimo Fabiani, Aldo Rosano, Maria Fenicia Vescio, Martina Del Manso, Antonino Bella, Flavia Riccardo, Patrizio Pezzotti, Enrique Regidor, Xanthi Andrianou, Socioeconomic patterns and COVID-19 outcomes before, during and after the lockdown in Italy (2020), Health & Place, Volume 71, 2021, 102642, ISSN 1353-8292, https://doi.org/10.1016/j.healthplace.2021.102642. (https://www.sciencedirect.com/science/article/pii/S1353829221001386)
Álvaro Briz-Redón, Ángel Serrano-Aroca,(2020) A spatio-temporal analysis for exploring the effect of   emperature on COVID-19 early evolution in Spain, Science of The Total Environment, Volume 728, 2020, 138811, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.138811. (https://www.sciencedirect.com/science/article/pii/S0048969720323287)
Álvaro Briz-Redón, Ángel Serrano-Aroca,A spatio-temporal analysis for exploring the effect of temperature on COVID-19 early evolution in Spain,Science of The Total Environment,Volume 728,2020,138811,ISSN 0048-9697,https://doi.org/10.1016/j.scitotenv.2020.138811. (https://www.sciencedirect.com/science/article/pii/S0048969720323287)
Bray, A. Gibson, J. White(2020), Coronavirus disease 2019 mortality: a multivariate ecological analysis in relation to ethnicity, population density, obesity, deprivation and pollution, Public Health 185 (2020) 261e263, https://pmc.ncbi.nlm.nih.gov/articles/PMC7340023/
Claudio S. Quilodrán, Mathias Currat, Juan I. Montoya-Burgos,(2021) Air temperature influences early Covid-19 outbreak as indicated by worldwide mortality, Science of The Total Environment, Volume 792, 2021, 148312, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2021.148312. (https://www.sciencedirect.com/science/article/pii/S0048969721033830)
Coco Yin Tung Kwok, Man Sing Wong, Ka Long Chan, Mei-Po Kwan, Janet Elizabeth Nichol, Chun Ho Liu, Janet (2021 )Yuen Ha Wong, Abraham Ka Chung Wai, Lawrence Wing Chi Chan, Yang Xu, Hon Li, Jianwei Huang, Zihan Kan,  Spatial analysis of the impact of urban geometry and socio-demographic characteristics on COVID-19, a study in Hong Kong, Science of The Total Environment, Volume 764, 2021, 144455, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.144455. (https://www.sciencedirect.com/science/article/pii/S0048969720379869)
Coşkun Hamit, Yıldırım Nazmiye, Samettin Gündüz, The spread of COVID-19 virus through population density and wind in Turkey cities, Science of The Total Environment, Volume 751, 2021, 141663, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.141663. (https://www.sciencedirect.com/science/article/pii/S0048969720351925)
Diego F. Cuadros, Yanyu Xiao, Zindoga Mukandavire, Esteban Correa-Agudelo, Andrés Hernández, Hana Kim, Neil J. MacKinnon,Spatiotemporal transmission dynamics of the COVID-19 pandemic and its impact on critical healthcare capacity,Health & Place,Volume 64, 2020,102404,ISSN 1353-8292,https://doi.org/10.1016/j.healthplace.2020.102404. (https://www.sciencedirect.com/science/article/pii/S1353829220309400
Fatima. M, O’keefe. K, Wei W, Arshad. S, Gruebner(2021) Geospatial Analysis of COVID-19: A Scoping Review, Int. J. Environ. Res. Public Health 2021, 18, 2336. https://doi.org/10.3390/ijerph18052336
Frerichs, R. (2021, June 14). John Snow. Encyclopedia Britannica. https://www.britannica.com/biography/John-Snow-British-physician Copy Citation
Gomes DS, Andrade LA, Ribeiro CJN, Peixoto MVS, Lima SVMA, Duque AM, Cirilo TM, Góes MAO, Lima AGCF, Santos MB, Araújo KCGM, Santos AD. Risk clusters of COVID-19 transmission in northeastern Brazil: prospective space-time modelling. Epidemiol Infect. 2020 Aug 24;148:e188. doi: 10.1017/S0950268820001843. PMID: 32829732; PMCID: PMC7468689.
Hao Hu, Karima Nigmatulina, Philip Eckhoff,(2013) The scaling of contact rates with population density for the infectious disease models, Mathematical Biosciences, Volume 244, Issue 2, Pages 125-134, ISSN 0025-5564, https://doi.org/10.1016/j.mbs.2013.04.013. (https://www.sciencedirect.com/science/article/pii/S0025556413001235)
https://www.mporg.ir/Portal/View/Page.aspx?PageId=5ae909d0-2ab1-4f12-8215-1ad3fffec351&t=0  سازمان مدیریت و برنامه‌ریزی استان قم
Hu, H, Nigmatulina K, Eckhoff P(2013) the scaling of contact rates with population density for the infectious disease models, Mathematical Biosciences https://doi.org/10.1016/j.mbs.2013.04.013
Jahangiri Mehdi, Jahangiri Milad, Najafgholipour Mohammadamir, The sensitivity and specificity analyses of  ambient temperature and population size on the transmission rate of the novel coronavirus (COVID-19) in ifferent provinces of Iran, Science of The Total Environment, Volume 728, 2020, 138872, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.138872. (https://www.sciencedirect.com/science/article/pii/S0048969720323895)
Juhn, Y. J., Wheeler, P., Wi, C.-I., Bublitz, J., Ryu, E., Ristagno, E., & Patten, C. (2021). Role of Geographic Risk Factors in COVID-19 Epidemiology: Longitudinal Geospatial Analysis. Mayo Clinic Proceedings: Innovations, Quality & Outcomes. doi:10.1016/j.mayocpiqo.2021.06.011
Kaitlin Rainwater-Lovett, Isabel Rodriguez-Barraquer, William J. Moss,(2016)Chapter 18 - Viral Epidemiology: Tracking Viruses with Smartphones and Social Media, Editor(s): Michael G. Katze, Marcus J. Korth, G. Lynn Law, Neal Nathanson, Viral Pathogenesis (Third Edition), Academic Press, Pages 241-252, ISBN 9780128009642, https://doi.org/10.1016/B978-0-12-800964-2.00018-5. (https://www.sciencedirect.com/science/article/pii/B9780128009642000185)
Kianfar, Nima. Mesgari, Mohammad Saadi, Abolfazl Mollalo, Mehrdad Kaveh(202), Spatio-temporal modeling of COVID-19 prevalence and mortality using artificial neural network algorithms, Spatial and Spatio-temporal Epidemiology, Volume 40, 100471,ISSN 1877-5845, https://doi.org/10.1016/j.sste.2021.100471. (https://www.sciencedirect.com/science/article/pii/S1877584521000691)
Lym Y, Kim KJ. Exploring the effects of PM2.5 and temperature on COVID-19 transmission in Seoul, South Korea. Environ Res. 2022 Jan;203:111810. doi: 10.1016/j.envres.2021.111810. Epub 2021 Jul 31. PMID: 34343550; PMCID: PMC8324501.
Mengyang Liu, Mengmeng Liu, Zhiwei Li, Yingxuan Zhu, Yue Liu, Xiaonan Wang, Lixin Tao, Xiuhua Guo(2021), The spatial clustering analysis of COVID-19 and its associated factors in mainland China at the prefecture level, Science of The Total Environment,  Volume 777,  145992, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2021.145992. (https://www.sciencedirect.com/science/article/pii/S0048969721010597)
MohammadEbrahimi. Shahab, Mohammadi Alireza, Bergquist Robert, Dolatkhah Fatemeh, Olia Mahsa,
Mohammadi A, Pishgar E, Salari Z, Kiani B. Geospatial analysis of cesarean section in Iran (2016-2020): exploring clustered patterns and measuring spatial interactions of available health services. BMC Pregnancy Childbirth. 2022 Jul 21;22(1):582. doi: 10.1186/s12884-022-04856-z. PMID: 35864462; PMCID: PMC9302231.
Mohammadi, Alireza & Bergquist, Robert & Fathi Kramshahlou, Ghasem & Pishgar, Elahe & Melo, Silas & Sharifi, Ayyoob & Kiani, Behzad. (2022). Homicide rates are spatially associated with built environment and socio-economic factors: a study in the neighbourhoods of Toronto, Canada. BMC Public Health. 22. https://doi.org/10.1186/s12889-022. 10.1186/s12889-022-13807-4.
Mollalo A, Mohammadi A, Mavaddati S, Kiani B. Spatial Analysis of COVID-19 Vaccination: A Scoping Review. Int J Environ Res Public Health. 2021 Nov 16;18(22):12024. doi: 10.3390/ijerph182212024. PMID: 34831801; PMCID: PMC8624385.
Purakal, J. D., Silva, L., Tupetz, A., Seidenfeld, J., Limkakeng, A., Staton, C., & Vissoci, J. (2021). 27EMF Social Determinants of Health and COVID-19 Infection in North Carolina: A Geospatial Analysis. Annals of Emergency Medicine, 78(2), S13–S14. doi:10.1016/j.annemergmed.2021.07.028
Rader, B., Nande, A., Adlam, B., Hill, A. L., Reiner, R. C., … Pigott, D. M. (2020). Crowding and the epidemic intensity of COVID-19 transmission. doi:10.1101/2020.04.15.20064980
Rainwater-Lovett, K., Rodriguez-Barraquer, I., & Moss, W. J. (2016). Viral Epidemiology: Tracking Viruses with Smartphones and Social Media. Viral Pathogenesis, 241–252. https://doi.org/10.1016/B978-0-12-800964-2.00018-5
Russell S. Kirby, Eric Delmelle, Jan M. Eberth(2017), Advances in spatial epidemiology and geographic information systems, Annals of Epidemiology, Volume 27, Issue 1, 2017, Pages 1-9, ISSN 1047-2797, https://doi.org/10.1016/j.annepidem.2016.12.001.
Sandrine E. Déglin, Connie L. Chen, David J. Miller, R. Jeffrey Lewis, Ellen T. Chang, Ali K. Hamade, Heidi S. Erickson(2021), Environmental epidemiology and risk assessment: Exploring a path to increased confidence in public health decision-making, Global Epidemiology, Volume 3, 2021, 100048, ISSN 2590-1133, https://doi.org/10.1016/j.gloepi.2021.100048. (https://www.sciencedirect.com/science/article/pii/S2590113321000018)
Shahparvari, S., Hasanizadeh, B., Mohammadi, A., Kiani, B., Lau, K. H., Chhetri, P., & Abbasi, B. (2021). A Decision Support System for Prioritised COVID-19 Two-dosage Vaccination Allocation and Distribution. SSRN Electronic Journal. doi:10.2139/ssrn.3762826
Shahparvari, Shahrooz & Hassanizadeh, Behnam & Mohammadi, Alireza & Kiani, Behzad & Lau, Charles & Chhetri, Prem & Abbasi, Babak. (2022). A decision support system for prioritised COVID-19 two-dosage vaccination allocation and distribution. Transportation Research Part E: Logistics and Transportation Review. 159. 102598. 10.1016/j.tre.2021.102598.
Shariati, M., Mesgari, T., Kasraee, M., & Jahangiri-rad, M. (2020). Spatiotemporal analysis and hotspots detection of COVID-19 using geographic information system (March and April, 2020). Journal of Environmental Health Science and Engineering, 18(2), 1499–1507. doi:10.1007/s40201-020-00565-x
Shaw, N., & McGuire, S. (2017). Understanding the use of geographical information systems (GIS) in health informatics research: A review. Journal of Innovation in Health Informatics, 24(2), 228. doi:10.14236/jhi.v24i2.940
Sumona Mondal, Chaya Chaipitakporn, Vijay Kumar, Bridget Wangler, Supraja Gurajala, Suresh Dhaniyala(2022), Shantanu Sur, COVID-19 in New York state: Effects of demographics and air quality on infection and fatality, Science of The Total Environment, Volume 807, Part 1, 2022, 150536, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2021.150536. (https://www.sciencedirect.com/science/article/pii/S0048969721056138)
Suthar S, Das S, Nagpure A, Madhurantakam C, Tiwari SB, Gahlot P, Tyagi VK. Epidemiology and diagnosis, environmental resources quality and socio-economic perspectives for COVID-19 pandemic. J Environ Manage. 2021 Feb 15;280:111700. doi: 10.1016/j.jenvman.2020.111700. Epub 2020 Nov 25. PMID: 33261988; PMCID: PMC7687413.
Walford, Nigel Stephen (2020) Demographic and social context of deaths during the 1854 cholera outbreak in Soho, London : a reappraisal of Dr John Snow's investigation. Health & Place, 65, p. 102402. ISSN (print) 1353-8292, Official URL: https://doi.org/10.1016/j.healthplace.2020.102402
Whanhee Lee, Honghyok Kim, Hayon Michelle Choi, Seulkee Heo, Kelvin C. Fong, Jooyeon Yang, Chaerin Park, Ho Kim, Michelle L. Bell, Urban environments and COVID-19 in three Eastern states of the United States,  Science of The Total Environment, Volume 779, 2021, 146334, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2021.146334. (https://www.sciencedirect.com/science/article/pii/S0048969721014029)
Yang Ye, Hongfei Qiu, 2021, Using urban landscape pattern to understand and evaluate infectious disease risk, Urban Forestry & Urban Greening, Volume 62, 2021, 127126, ISSN 1618-8667, https://doi.org/10.1016/j.ufug.2021.127126. (https://www.sciencedirect.com/science/article/pii/S1618866721001515)
Yi Han, Lan Yang, Kun Jia, Jie Li, Siyuan Feng, Wei Chen, Wenwu Zhao, Paulo Pereira, Spatial distribution  haracteristics of the COVID-19 pandemic in Beijing and its relationship with environmental factors, Science of The Total Environment, Volume 761, 2021, 144257, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.144257. (https://www.sciencedirect.com/science/article/pii/S0048969720377883)

  • Receive Date 16 October 2023
  • Revise Date 24 December 2023
  • Accept Date 25 January 2024
  • Publish Date 01 November 2024