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Published on: November 10, 2023
Assessing the Spatiotemporal Spread Pattern of the COVID-19 Pandemic in Malaysia
Yoon Ling Cheong1, Sumarni Mohd Ghazali1, Mohd Khairuddin Bin Che Ibrahim1
1Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
Introduction:
The unprecedented COVID-19 pandemic has greatly affected human health and socioeconomic backgrounds. This study examined the spatiotemporal spread pattern of the COVID-19 pandemic in Malaysia from the index case to 291,774 cases in 13 months, emphasizing on the spatial autocorrelation of the high-risk cluster events and the spatial scan clustering pattern of transmission.
Methodology:
We obtained the confirmed cases and deaths of COVID-19 in Malaysia from the official GitHub repository of Malaysia's Ministry of Health from January 25, 2020 to February 24, 2021, 1 day before the national vaccination program was initiated. All analyses were based on the daily cumulated cases, which are derived from the sum of retrospective 7 days and the current day for smoothing purposes. We examined the daily global, local spatial autocorrelation and scan statistics of COVID-19 cases at district level using Moran's I and SaTScan™.
Results:
At the initial stage of the outbreak, Moran's I index > 0.5 (p < 0.05) was observed. Local Moran's I depicted the high-high cluster risk expanded from west to east of Malaysia. The cases surged exponentially after September 2020, with the high-high cluster in Sabah, from Kinabatangan on September 1 (cumulative cases = 9,354; Moran's I = 0.34; p < 0.05), to 11 districts on October 19 (cumulative cases = 21,363, Moran's I = 0.52, p < 0.05). The most likely cluster identified from space-time scanning was centered in Jasin, Melaka (RR = 11.93; p < 0.001) which encompassed 36 districts with a radius of 178.8 km, from November 24, 2020 to February 24, 2021, followed by the Sabah cluster.
Discussion And Conclusion:
Both analyses complemented each other in depicting underlying spatiotemporal clustering risk, giving detailed space-time spread information at district level. This daily analysis could be valuable insight into real-time reporting of transmission intensity, and alert for the public to avoid visiting the high-risk areas during the pandemic. The spatiotemporal transmission risk pattern could be used to monitor the spread of the pandemic.
Insights
This study analyzed the spatiotemporal spread of COVID-19 in Malaysia, identifying high-risk transmission clusters using spatial autocorrelation and scan statistics. Findings reveal expanding high-risk areas and specific cluster centers, crucial for pandemic monitoring.
Area of Science:
- Epidemiology
- Spatial Analysis
- Public Health
Background:
- The COVID-19 pandemic significantly impacted global health and economies.
- Understanding disease spread patterns is vital for effective public health interventions.
Purpose of the Study:
- To examine the spatiotemporal spread of COVID-19 in Malaysia.
- To identify and analyze high-risk transmission clusters using spatial autocorrelation and scan statistics.
Main Methods:
- Utilized daily cumulative COVID-19 cases from January 25, 2020, to February 24, 2021.
- Applied spatial autocorrelation (Moran's I) and space-time scan statistics (SaTScan™) at the district level.
- Smoothed data using a 7-day rolling average for analysis.
Main Results:
- Initial spatial autocorrelation (Moran's I > 0.5) indicated significant clustering.
- High-risk clusters expanded geographically from west to east Malaysia.
- A major space-time cluster was identified in Jasin, Melaka, with a relative risk of 11.93, followed by a cluster in Sabah.
Conclusions:
- Spatial analysis effectively depicts COVID-19 transmission dynamics and high-risk areas.
- This data provides valuable insights for real-time pandemic monitoring and public advisories.
- Understanding spatiotemporal patterns aids in managing and controlling infectious disease outbreaks.
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