Abstract
This study sought to classify and assign the 93 counties in Nebraska into distinctive spatial-temporal clusters based on their trends in the number of COVID-19 confirmed cases and deaths. A secondary goal of this study was to assess the potential role of preexisting sociodemographic, environmental, and health conditions in determining the county’s resilience and susceptibility to 2019-nCov. Spatial-temporal cluster analysis yielded three distinct confirmed cases and death clusters. Results from spatial-temporal cluster and regression analyses suggested that COVID-19 and HIV and obesity prevention should be integrated. Emergency response planning and mitigation should focus on counties characterized by noticeable increases in the number of COVID-19 confirmed cases and deaths and/or counties with relatively high population and ethnic minorities.
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