| Literature DB >> 35004131 |
Rajvikram Madurai Elavarasan1, Rishi Pugazhendhi2, G M Shafiullah3, Muhammad Irfan4,5, Amjad Anvari-Moghaddam6.
Abstract
The COVID-19 pandemic affects all of society and hinders day-to-day activities from a straightforward perspective. The pandemic has an influential impact on almost everything and the characteristics of the pandemic remain unclear. This ultimately leads to ineffective strategic planning to manage the pandemic. This study aims to elucidate the typical pandemic characteristics in line with various temporal phases and its associated measures that proved effective in controlling the pandemic. Besides, an insight into diverse country's approaches towards pandemic and their consequences is provided in brief. Understanding the role of technologies in supporting humanity gives new perspectives to effectively manage the pandemic. Such role of technologies is expressed from the viewpoint of seamless connectivity, rapid communication, mobility, technological influence in healthcare, digitalization influence, surveillance and security, Artificial Intelligence (AI), and Internet of Things (IoT). Furthermore, some insightful scenarios are framed where the full-fledged implementation of technologies is assumed, and the reflected pandemic impacts in such scenarios are analyzed. The framed scenarios revolve around the digitalized energy sector, an enhanced supply chain system with effective customer-retailer relationships to support the city during the pandemic scenario, and an advanced tracking system for containing virus spread. The study is further extended to frame revitalization strategies to highlight the expertise where significant attention needs to be provided in the post-pandemic period as well as to nurture sustainable development. Finally, the current pandemic scenario is analyzed in terms of occurred changes and is mapped into SWOT factors. Using Fuzzy Technique for Order of Preference by Similarity to Ideal Solution based Multi-Criteria Decision Analysis, these SWOT factors are analyzed to determine where prioritized efforts are needed to focus so as to traverse towards sustainable cities. The results indicate that the enhanced crisis management ability and situational need to restructure the economic model emerges to be the most-significant SWOT factor that can ultimately support humanity for making the cities sustainable.Entities:
Keywords: COVID-19 Pandemic; Pandemic characteristics; Supply chain management; Sustainability; Technology; Tracing
Year: 2021 PMID: 35004131 PMCID: PMC8719117 DOI: 10.1016/j.scs.2021.102789
Source DB: PubMed Journal: Sustain Cities Soc ISSN: 2210-6707 Impact factor: 7.587
Fig. 1Methodology of the study.
Fig. 2Characteristics of pandemic infection spreading trend.
Fig. 3Relationship among testing, tracing, isolation and treatment.
Roles of state and federal governments during the pandemic.
| Domain | State Government | Federal Government |
|---|---|---|
Circulate the updated risk messages, policies, strategies and ensure transparency | Circulate the updated risk messages, policies, strategies and ensure transparency | |
Disseminate the updated information regarding infection and testing | Disseminate the updated information regarding infection and testing | |
Provide regular updates to partners, stakeholders, and experts | Provide regular updates to partners, stakeholders, and experts | |
Ensure the awareness regarding the preventive measures are reverberating from all corners | ||
Monitor and satisfy all the demands of healthcare needs | Form an expertise team to analyze, frame the treatment procedures, and monitor the same | |
Arrange for extended healthcare facilities if needed | Allocate sufficient fund towards the healthcare | |
Educate the healthcare workers and cleaners to handle the infected persons | Monitor the strain on the healthcare system and provide key medical resources and tools, as needed | |
Arrange for mortuary places in case of mass mortality | Modify and update the measures to be implemented according to the situational needs | |
Ensure continuous supplies of PPE and medicines | ||
Provide required testing kits and equipment | Define standards for testing with the experts | |
Extend the laboratory services for testing in case of a populous nation | Support research on monitoring the virus characteristics | |
Coordinate regions and localities to effectively collect and test the samples | Allocate funds for the development of vaccines and drugs | |
Distribute critical supplies to state governments and order in mass quantities if needed | ||
Ensure that state governments are in line with the testing approaches | ||
Framing effective tracing methods and implementing the same collectively | Creating technology-based tracing methods with secure platforms with the guidance of the experts | |
Isolating asymptomatic patients and monitoring them | Evaluate the effectiveness of the measures implemented | |
Coordinate partnerships with local agencies to address the issues in case of community spread | Monitor the state governments and assist them in all aspects | |
Monitor the infection status at the regional level and act accordingly | Closing the borders step by step and screening the individuals entering the border and asking them to quarantine for two weeks | |
Quarantine the region of infection and perform vigorous testing backed up by tracing methods | Imposing nationwide lockdown with the rise in the infection as early as possible | |
Ensure people follow social distancing strategies and other precautionary measures | Extending the lockdown and framing the relaxation of lockdown in containment and non-containment zones | |
Formulating the post-pandemic strategies for a quick recovery of the economy | ||
Various stages in vaccine development as of January 2021 (Centers of Disease Control & Prevention, 2014; WHO, 2020e).
| Stages | Sub-stages | Description | Number of vaccines |
|---|---|---|---|
| - | Laboratory research to find potential antigens that can help in preventing or treating the disease | Many vaccines across the globe | |
| - | Involves cell-culture systems and animal testing to assess the developed vaccine in terms of safety and immunogenicity. Mice and monkeys are the potential animals subjected to testing | 177 | |
| Phase I | The vaccine is tested on a small group of people | Phase 1: 19 | |
| Phase II | The clinical study is expanded and hundreds of people are tested and some may belong to the groups at risk of acquiring the disease | Phase 2: 5 | |
| Phase III | The vaccine is given to thousands of people and tested for efficacy and safety | 16 | |
| Phase IV | The manufacturer may continue to test the vaccine for safety, efficacy, and other potential uses | - |
Fig. 4Schematic representation of a typical pandemic management.
The response of various countries in COVID-19 pandemic management [as of December 2020]. (Infection status data – WHO, 2020a; Tests per million data – Worldometer, 2020).
| Country | Cumulative infected cases | Cumulative death cases | Transmission classification | Tests per million of population | Technology oriented tracking system implemented | Unique measures | Lessons learned | References | |
|---|---|---|---|---|---|---|---|---|---|
| Category | Functionality | ||||||||
| Australia | 28,296 | 908 | Sporadic cases | 519,697 | App (COVIDSafe) | Contact-tracing | Digital contact-tracing methods, National COVID-19 coordination commission, Human Biosecurity emergency | Progressive increase in travel ban restriction, enforcing strict lockdown, extensive testing together with vigorous tracing with the aid of technology can ultimately defeat the spread. As a whole, consistent effort since the emergence of infection is needed to tackle the pandemic | ( |
| China | 96,324 | 4,777 | Clusters of cases | 111,163 | App (Alipay Health Code) | Contact-tracing, Allots health color code to individuals | Rapid response by building new medical infrastructure and helped other countries in combating the virus | Need to report the outbreak immediately to the WHO and analyze the pathogen to find a methodology to effectively vitiate it. Expanding the medical infrastructure and following the preventive measures is highly helpful. Preventing the people traveling from the outbreak area is necessary to contain the disease within the outbreak region | ( |
| France | 2,507,532 | 62,197 | Community transmission | 715,275 | App (StopCovid) | Contact-tracing | Digital method to trace the infected individuals | Avoid annual gathering events irrespective of importance, postpone elections for the betterment of humanity. Public gatherings make the tracing very difficult | ( |
| Germany | 1,640,858 | 29,778 | Clusters of cases | 484,895 | App (Corona Data Donation) | Monitor the infection, tracing | Overall effectiveness is good in implementing the measures as it is reflected in lesser number of deaths comparatively | Must not under-estimate any pathogen especially when it turns out to be an outbreak. The sooner the implementation of lockdown, the lesser the infection has the potential to spread. Imposing huge fines also helps in persuading the people to follow the restrictions | ( |
| India | 10,187,850 | 147,622 | Clusters of cases | 145,437 | App (Aarogya Setu) | Contact-tracing | The nation wide lockdown was imposed in spite of fewer infected cases initially. Easing the export of medicine to other countries | Public cooperation in all aspects is of utmost. Relaxed Lockdown will be of no use and stringent measures should be imposed in the containment zones. Vigorous testing is crucial in populous countries and awareness also plays a role in bringing cooperation in combating the pandemic | ( |
| Iran | 1,194,963 | 54,574 | Community transmission | 114,869 | App (AC19) | Location-based diagnosis app | Good preparations and managed to contain the infection despite the lack of funds | Earlier lift of lockdown must be avoided until the pandemic is well under control. The lack of public cooperation in maintaining the social distancing and following the preventive measures will ultimately increase the infection | ( |
| Italy | 2,038,759 | 71,620 | Clusters of cases | 571,236 | App (Immuni) | COVID community alert | Best healthcare efforts and extensive testing | Public gatherings, sports events are some of the main hotspots where the infection can be traced back. Avoiding public gathering is vital and lockdown measures should be implemented as the infection begins to rise | ( |
| New Zealand | 1,788 | 25 | Clusters of cases | 312,890 | App (NZ COVID Tracer) | Contact-tracing | Canceled every public gathering event, widest-ranging and toughest border restrictions | Tightening the restrictions stage by stage as of shifting gears in the car at the right time has resulted in an excellent performance in fighting against the pandemic. Less infected cases, very lower number of deaths, and effective approaches towards people were the outcomes of the measures taken | ( |
| Singapore | 58,519 | 29 | Sporadic cases | 1,115,486 | App (Trace Together) | Contact-tracing | Very low deaths for such number of confirmed cases indicating effective handling of infected persons | Response to the pandemic such as imposing the lockdown must be as early as possible. Technology can help in mitigating the spread indirectly. Testing is the key to control the pandemic. Public involvement and cooperation in following preventive measures is vital. | ( |
| South Korea | 56,872 | 808 | Clusters of cases | 116,722 | Mapping | Tracks individuals phone data to create a map to show the regions of infected persons | Ground breaking tracing methods in all possible aspects from interviewing to tracking phone data, credit card data | One of the largest and best-organized epidemic control. Established various methods to screen the people. The cycle of testing, extensive tracing, isolating the infected person and quarantining those who contacted the infected person is perfectly carried out to control the pandemic. | ( |
| USA | 18,648,989 | 328,014 | Community transmission | 979,909 | App (Private Kit: Safe Paths) | Contact-tracing | The rapid response through large quantities of testing and tracing though the infection has peaked in the USA | Underestimation of the pandemic should be avoided. Lockdown is vital and is the only weapon that ultimately directs towards victory or else community spread will result | ( |
Fig. 5Mapping the role of technologies to direct the cities and societies in sustainable pathways.
Fig. 6Schematic illustration of the future energy model.
Fig. 7Schematic illustration of the Supply chain model with customer-retailer interaction system.
Fig. 8Flowchart of process involved to alert people to maintain social distance.
Fig. 9Framework of the tracing system.
Fig. 10Post-COVID strategies on the basis of short-term, mid-term and long-term needs.
Identified SWOT factors.
Linguistic ratings provided by three decision-makers for all SWOT factors.
| SWOT factors | Decision Maker 1 | Decision Maker 2 | Decision Maker 3 | |||
|---|---|---|---|---|---|---|
| Revitalization ability | Sustainability ability | Revitalization ability | Sustainability ability | Revitalization ability | Sustainability ability | |
| Very high | Very high | High | Average | Very high | High | |
| High | High | Average | High | Very high | Very high | |
| Very high | Very high | Low | Very high | High | High | |
| High | High | Average | Low | Very high | High | |
| High | High | Very low | Average | High | High | |
| Very high | Very high | Very high | Very high | Average | High | |
| High | High | High | High | High | Average | |
| Average | High | Average | Average | Average | Average | |
| High | Very high | Low | Low | High | High | |
| High | Very high | Very low | Very low | Average | High | |
| Very high | Very high | Very high | Very high | Average | Very high | |
| High | High | High | High | Average | High | |
| High | Very high | Average | Average | High | Average | |
| Very high | High | Low | Low | Average | High | |
| High | High | Very low | Very low | High | Average | |
| Average | High | Very high | Very high | Average | High | |
| High | High | High | High | High | High | |
| High | Very high | Average | Average | High | High | |
| High | Very high | Low | Low | Average | High | |
| Average | Average | Very low | Very low | High | Average | |
Utilized 5-scale linguistic ratings and the equivalent TFN.
| Linguistic ratings | Equivalent TFN |
|---|---|
| Very high | 7,9,9 |
| High | 5,7,9 |
| Average | 3,5,7 |
| Low | 1,3,5 |
| Very low | 1,1,3 |
Fuzzy decision matrix of decision-maker 1 to 3.
(a) Combined fuzzy decision matrix (b) Normalized fuzzy decision matrix (c) Weighted normalized fuzzy decision matrix.
Obtained Fuzzy positive ideal solution (FPIS) and Fuzzy negative ideal solution (FNIS).
Distance from FPIS and FNIS, Closeness coefficient and ranking corresponding to each SWOT factors (R - Revitalization ability; S - Sustainability ability.
Fig. 11Closeness coefficient plot for performed SWOT-Fuzzy TOPSIS analysis.