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The Challenge of Using Epidemiological Case Count Data: The Example of Confirmed COVID-19 Cases and the Weather

Cohen, F.; Schwarz, M.; Li, S.; Lu, Y.; Jani, A.

2020-05-23 epidemiology
10.1101/2020.05.21.20108803 medRxiv
Show abstract

The publicly available data on COVID-19 cases provides an opportunity to better understand this new disease. However, strong attention needs to be paid to the limitations of the data to avoid making inaccurate conclusions. This article, which focuses on the relationship between the weather and COVID-19, raises the concern that the same factors influencing the spread of the disease might also affect the number of tests performed and who gets tested. For example, weather conditions impact the prevalence of respiratory diseases with symptoms similar to COVID-19, and this will likely influence the number of tests performed. This general limitation could severely undermine any similar analysis using existing COVID-19 data or similar epidemiological data, which could, therefore, mislead decision-makers on questions of great policy relevance. One Sentence Summary: Measurement issues in the currently available data on confirmed COVID-19 cases undermine the analyses of the drivers of the spread of the disease.

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