学术文献库

Comparing how different populations have suffered under COVID-19 is a core part of ongoing investigations into how public policy and social inequalities influence the number of and severity of COVID-19 cases. But COVID-19 incidence can vary multifold from one subpopulation to another, including between neighborhoods of the same city, making comparisons of case rates deceptive. At the same time, although epidemiological heterogeneities are increasingly well-represented in mathematical models of disease spread, fitting these models to real data on case numbers presents a tremendous challenge, as does interpreting the models to answer questions such as: Which public health policies achieve the best outcomes? Which social sacrifices are most worth making? Here we compare COVID-19 case-curves between different US states, by clustering case surges between March 2020 and March 2021 into groups with similar dynamics. We advance the hypothesis that each surge is driven by a subpopulation of COVID-19 contacting individuals, and make detecting the size of that population a step within our clustering algorithm. Clustering reveals that case trajectories in each state conform to one of a small number (4-6) of archetypal dynamics. Our results suggest that while the spread of COVID-19 in different states is heterogeneous, there are underlying universalities in the spread of the disease that may yet be predictable by models with reduced mathematical complexity. These universalities also prove to be surprisingly robust to school closures, which we choose as a common, but high social cost, public health measure.