Researchers at the University of Southampton analyzed troves of data to identify cities and provinces within mainland China, as well as cities and countries worldwide, that are at high-risk from the spread of the 2019 Novel Coronavirus.
A report by the University's WorldPop team of population mapping experts found that Bangkok, Thailand, is currently the city most at risk from a global spread of the virus — based on the number of air travelers predicted to arrive there from the worst affected cities in mainland China. Hong Kong is second on the list, followed by Taipei, Taiwan. Sydney (12th), New York (16th), and London (19th) are among 30 other major international cities ranked in the research.
Vulnerable cities and regions are described in "Preliminary Risk Analysis of 2019 Novel Coronavirus Spread Within and Beyond China."
The most 'at-risk' countries or regions worldwide are Thailand (1st), Japan (2nd), and Hong Kong (3rd). The United States placed 6th on the list, Australia 10th, and the U.K. 17th.
Within mainland China, the cities of Beijing, Guangzhou, Shanghai, and Chongqing are all identified as high-risk by the researchers, along with the Chinese provinces of Guangdong, Zhejiang, Sichuan, and Henan.
Full data is available in the report.
Andrew Tatem, Director of WorldPop and professor within Geography and Environmental Science at the University of Southampton, says: "It's vital that we understand patterns of population movement, both within China and globally, in order to assess how this new virus might spread — domestically and internationally. By mapping these trends and identifying high-risk areas, we can help inform public health interventions, such as screenings and healthcare preparedness."
The team at WorldPop used anonymized mobile phone and IP address data (2013-15), along with international air travel data (2018) to understand typical patterns of movement of people within China, and worldwide, during the annual 40-day Lunar New Year celebrations, including the seven-day public holiday from 24 to 30 January.
From this, they identified Wuhan and 17 other Chinese cities at high-risk from the new coronavirus and established the volume of air passengers likely to be traveling from these cities to global destinations over a three month period. The team was then able to rank the top 30 most at-risk countries and cities around the world.
The researchers acknowledge that their analysis is based on 'non-outbreak' travel patterns, but highlight that a high proportion of people traveled with symptoms at an early stage of the outbreak, before restrictions were put in place. In fact, travel cordons are likely to have only coincided with the latter stages of peak population numbers leaving Wuhan for the holiday period. According to Wuhan authorities it is likely more than five million people had already left the city.
"The spread of the new coronavirus is a fast moving situation and we are closely monitoring the epidemic in order to provide further up-to-date analysis on the likely spread, including the effectiveness of the transport lockdown in Chinese cities and transmission by people returning from the Lunar New Year holiday, which has been extended to 2 February," said lead report author Shengjie Lai of the University of Southampton.
WorldPop at the University of Southampton conducted this research in collaboration with the University of Toronto, St. Michael's Hospital, Toronto, disease surveillance organization BlueDot, Toronto, and the China Center for Disease Control and Prevention.
Table. Top 30 ranked countries or regions receiving airline travellers from 18 high-risk cities (Figure 6) in mainland China over a period of three months, representing 15 days before Lunar New Year's Day and 2 and half months following Lunar New Year's Day.
Rank |
Country/region |
Volume (in thousands) |
Risk * |
1 |
Thailand |
2031.9 |
15.03 |
2 |
Japan |
1563.3 |
11.57 |
3 |
Hong Kong SAR, China |
1001.7 |
7.41 |
4 |
Taiwan, China |
979.7 |
7.25 |
5 |
South Korea |
936.6 |
6.93 |
6 |
United States |
773.3 |
5.72 |
7 |
Malaysia |
634.3 |
4.69 |
8 |
Singapore |
568.1 |
4.20 |
9 |
Viet Nam |
468.4 |
3.47 |
10 |
Australia |
455.6 |
3.37 |
11 |
Indonesia |
412.5 |
3.05 |
12 |
Cambodia |
262.9 |
1.95 |
13 |
Macao SAR, China |
260.4 |
1.93 |
14 |
Philippines |
250.3 |
1.85 |
15 |
Germany |
234.9 |
1.74 |
16 |
Canada |
208.5 |
1.54 |
17 |
United Kingdom |
190.7 |
1.41 |
18 |
United Arab Emirates |
162.3 |
1.20 |
19 |
Italy |
152.9 |
1.13 |
20 |
Russia |
151.3 |
1.12 |
21 |
France |
137.9 |
1.02 |
22 |
New Zealand |
120.7 |
0.89 |
23 |
India |
106.7 |
0.79 |
24 |
Spain |
105.8 |
0.78 |
25 |
Turkey |
66.5 |
0.49 |
26 |
Egypt |
57.5 |
0.43 |
27 |
Sri Lanka |
55.7 |
0.41 |
28 |
Maldives |
50.7 |
0.37 |
29 |
Netherlands |
44.9 |
0.33 |
30 |
Myanmar |
43.3 |
0.32 |
Other |
1025.6 |
7.59 |
|
|
Total |
13514.9 |
100 |
* Relative risk was preliminary defined as the percentage of airline travellers received by each city out of the total volume of travellers leaving high-risk cities (18 cities), based on air travel data from February to April 2018, obtained from the International Air Travel Association. The Lunar New Year in 2018 started from February 16th, 2018.
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