4.6 Article

Infection rates from Covid-19 in Great Britain by geographical units: A model-based estimation from mortality data

Journal

HEALTH & PLACE
Volume 67, Issue -, Pages -

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2020.102460

Keywords

Covid-19; Infectious diseases; Infection rates; Mortality; Statistical modelling; Spatial analysis

Funding

  1. Economic and Social Research Council [ES/K007394/1]
  2. ESRC [ES/R009139/1] Funding Source: UKRI

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A study in Great Britain found that by the end of June 2020, 7% of the population had been infected with Covid-19, with infection rates unlikely to be lower than 4% or higher than 15%. England had higher infection rates compared to Scotland and Wales, although the differences were not significant. Urban areas, particularly London, showed higher infection rates, while rural areas had lower rates.
This study estimates cumulative infection rates from Covid-19 in Great Britain by local authority districts (LADs) and council areas (CAs) and investigates spatial patterns in infection rates. We propose a model-based approach to calculate cumulative infection rates from data on observed and expected deaths from Covid-19. Our analysis of mortality data shows that 7% of people in Great Britain were infected by Covid-19 by the last third of June 2020. It is unlikely that the infection rate was lower than 4% or higher than 15%. Secondly, England had higher infection rates than Scotland and especially Wales, although the differences between countries were not large. Thirdly, we observed a substantial variation in virus infection rates in Great Britain by geographical units. Estimated infection rates were highest in the capital city of London where between 11 and 12% of the population might have been infected and also in other major urban regions, while the lowest were in small towns and rural areas. Finally, spatial regression analysis showed that the virus infection rates increased with the increasing population density of the area and the level of deprivation. The results suggest that people from lower socioeconomic groups in urban areas (including those with minority backgrounds) were most affected by the spread of coronavirus from March to June.

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