ARCTICenter, University of Northern Iowa, Cedar Falls, Iowa, USA.
Department of Geography, University of Northern Iowa, Cedar Falls, Iowa, USA.
Int J Circumpolar Health. 2022 Dec;81(1):2109562. doi: 10.1080/22423982.2022.2109562.
The second year of the COVID-19 pandemic in the Arctic was dominated by the Delta wave that primarily lasted between July and December 2021 with varied epidemiological outcomes. An analysis of the Arctic's subnational COVID-19 data revealed a massive increase in cases and deaths across all its jurisdictions but at varying time periods. However, the case fatality ratio (CFR) in most Arctic regions did not rise dramatically and was below national levels (except in Northern Russia). Based on the spatiotemporal patterns of the Delta outbreak, we identified four types of pandemic waves across Arctic regions: Tsunami (Greenland, Iceland, Faroe Islands, Northern Norway, Northern Finland, and Northern Canada), Superstorm (Alaska), Tidal wave (Northern Russia), and Protracted Wave (Northern Sweden). These regionally varied COVID-19 epidemiological dynamics are likely attributable to the inconsistency in implementing public health prevention measures, geographical isolation, and varying vaccination rates. A lesson remote and Indigenous communities can learn from the Arctic is that the three-prong (delay-prepare-respond) approach could be a tool in curtailing the impact of COVID-19 or future pandemics. This article is motivated by previous research that examined the first and second waves of the pandemic in the Arctic. Data are available at https://arctic.uni.edu/arctic-covid-19.
在 COVID-19 大流行的第二年,北极地区主要受到德尔塔(Delta)波的影响,该波从 2021 年 7 月持续到 12 月,其流行病学结果各不相同。对北极地区的次国家 COVID-19 数据进行分析后发现,所有辖区的病例和死亡人数都大幅增加,但时间各不相同。然而,大多数北极地区的病死率(CFR)并没有大幅上升,且低于全国水平(俄罗斯北部除外)。根据德尔塔疫情的时空模式,我们在北极地区确定了四种大流行波类型:海啸(格陵兰岛、冰岛、法罗群岛、挪威北部、芬兰北部和加拿大北部)、超级风暴(阿拉斯加)、潮波(俄罗斯北部)和持续波(瑞典北部)。这些区域间不同的 COVID-19 流行病学动态可能归因于公共卫生预防措施实施的不一致性、地理隔离和不同的疫苗接种率。偏远和土著社区可以从北极地区吸取的教训是,三管齐下(延迟-准备-应对)的方法可能是减少 COVID-19 或未来大流行影响的工具。本文的动机是对以前研究的检验,该研究考察了北极地区的第一波和第二波大流行。数据可在 https://arctic.uni.edu/arctic-covid-19 上获取。