Abstract

The next weeks will be critical in determining the conditions and timing of the 4th wave of COVID-19 in France. We assessed epidemic risk to assist spatially targeted surveillance and control. Southwest is estimated to be at highest risk, due to summer crowding, low acquired immunity and Delta variant hotspots.

Highlights

  • HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not

  • Presence of Delta variant, vaccination and infection-acquired immunity are heterogeneous in space, and this may be further exacerbated by summerseason mobility

  • We propose a risk metric based on five components to identify the departments in mainland France that will be more exposed to sharp surges during summer 2021

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Summary

Introduction

HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. Email: vittoria.colizza@inserm.fr Submitted 28 July 2021; Revised 5 August 2021; Editorial Decision 6 August 2021; Accepted 6 August 2021 Case incidence is increasing with the rapid progression of the Delta variant (63% of detected cases carried the L452R mutation as of July 16).[1,2] Vaccination rates had been dropping since the end of May,[3] but recently announced policies have boosted them.

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