Empirical association between COVID-19 confirmed cases, hospitalizations, vaccination, and travel: Comparison among different regions and provinces in Belgium between April-July 2021

Author:

Natalia Yessika Adelwin1ORCID,Molenberghs Geert2ORCID,Neyens Thomas2ORCID,Hens Niel3ORCID,Faes Christel1ORCID

Affiliation:

1. I-BioStat, Data Science Institute, Hasselt University, 3500 Hasselt, Belgium

2. I-Biostat, Hasselt University & KU Leuven, Belgium

3. I-Biostat & CHERMID-VAXINFECTIO, Hasselt University & University of Antwerp, Belgium

Abstract

Abstract Objectives In the absence of definitive treatment or vaccines, non-pharmaceutical interventions remain the major strategy to counter the COVID-19 pandemic. By the end of 2020, vaccines against COVID-19 had been developed and started as a preventive measure. In this study, we explored the effect of incoming travel rate combined with vaccination rate on COVID-19 incidence and hospitalization in Belgium between April-July 2021. Methods Data on COVID-19 confirmed cases and hospitalizations in Belgium were analyzed using a linear regression model (for data at the regional level) and a linear mixed model (for data at the provincial level). Results We found that incoming travel rate and vaccination rate have a significant effect on COVID-19 incidence and hospitalization at different administrative levels, provided appropriate transformations are applied and interactions added, suggesting non-linear effects of these explanatory variables. Conclusion Our findings suggest that surveillance on incoming travel would have been important to prevent COVID-19 transmission.

Funder

KU Leuven

Publisher

Research Square Platform LLC

Reference26 articles.

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2. World Health Organization. Coronavirus disease (COVID-19) weekly epidemiological update and weekly operational update (https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports). Accessed 26 November 2021.

3. British Broadcasting Corporation. Coronavirus: The world in lockdown in maps and charts (https://www.bbc.com/news/world-52103747). Accessed 15 February 2022.

4. European Centre for Disease Prevention and Control. Overview of the implementation of COVID-19 vaccination strategies and deployment plans in the EU/EEA (https://www.ecdc.europa.eu/en/publications-data/overview-implementation-covid-19-vaccination-strategies-and-deployment-plans). Accessed 15 February 2022.

5. Sciensano. Belgium COVID-19 epidemiological situation:vaccination (https://datastudio.google.com/embed/u/0/reporting/c14a5cfc-cab7-4812-848c-0369173148ab/page/p_j1f02pfnpc). Accessed 28 February 2022.

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