Departament de Física Quàntica i Astrofisíca & Institut de Ciències del Cosmos (ICCUB), Universitat de Barcelona, Barcelona, Spain.
Instituto de Fisica Gleb Wataghin (IFGW), Campinas, SP, Brazil.
Pathog Glob Health. 2022 May;116(3):146-177. doi: 10.1080/20477724.2021.1993676. Epub 2021 Dec 28.
We analyze risk factors correlated with the initial transmission growth rate of the recent COVID-19 pandemic in different countries. The number of cases follows in its early stages an almost exponential expansion; we chose as a starting point in each country the first day with 30 cases and we fitted for 12 days, capturing thus the early exponential growth. We looked then for linear correlations of the exponents with other variables, for a sample of 126 countries. We find a positive correlation, , with high confidence level with the following variables, with respective -value: low Temperature (), high ratio of old vs. working-age people (), life expectancy (), number of international tourists (), earlier epidemic starting date (), high level of physical contact in greeting habits (), lung cancer prevalence (), obesity in males (), share of population in urban areas (), cancer prevalence (), alcohol consumption (), daily smoking prevalence (), and UV index (, 73 countries). We also find a correlation with low Vitamin D serum levels (), but on a smaller sample, countries, to be confirmed on a larger sample. There is highly significant correlation also with blood types: positive correlation with types RH- () and A+ (), negative correlation with B+ (). We also find positive correlation with moderate confidence level (-value of ) with: CO/SO emissions, type-1 diabetes in children, low vaccination coverage for Tuberculosis (BCG). Several of the above variables are correlated with each other, and so they are likely to have common interpretations. We thus performed a Principal Component Analysis, to find the significant independent linear combinations of such variables. The variables with loadings of at least 0.3 on the significant PCA are: greeting habits, urbanization, epidemic starting date, number of international tourists, temperature, lung cancer, smoking, and obesity in males. We also analyzed the possible existence of a bias: countries with low GDP-per capita might have less intense testing, and we discuss correlation with the above variables.
我们分析了与近期 COVID-19 大流行在不同国家初始传播增长率相关的风险因素。在早期阶段,病例数量呈几乎指数级扩张;我们选择每个国家的第一天有 30 个病例作为起始点,并拟合了 12 天,从而捕捉到早期的指数增长。然后,我们在 126 个国家的样本中寻找与其他变量的线性相关性。我们发现与以下变量具有正相关关系,置信水平高,与各自的 -值如下:低温()、老年人与劳动年龄人口的比例高()、预期寿命()、国际游客人数()、早期疫情开始日期()、打招呼时身体接触程度高()、肺癌患病率()、男性肥胖率()、城市人口比例()、癌症患病率()、酒精摄入量()、每日吸烟率()和紫外线指数(,73 个国家)。我们还发现与低血清维生素 D 水平()相关,但样本较小,仅为 个国家,需要在更大的样本中进行确认。与血型也存在高度显著的相关性:RH-()和 A+()呈正相关,B+()呈负相关。我们还发现与中度置信水平(-值为)呈正相关:CO/SO 排放、儿童 1 型糖尿病、结核病疫苗接种覆盖率低(BCG)。上述许多变量相互关联,因此它们可能具有共同的解释。因此,我们进行了主成分分析,以找到这些变量的显著独立线性组合。在显著 PCA 上具有至少 0.3 负载的变量是:打招呼习惯、城市化、疫情开始日期、国际游客人数、温度、肺癌、吸烟和男性肥胖。我们还分析了可能存在的偏差:人均 GDP 较低的国家可能检测力度较弱,我们还讨论了与上述变量的相关性。