AUTHOR=Umutoni Brigitte , Tumushime Jean Claude , Hewins Benjamin , Udahemuka Jean Claude , Ndishimye Pacifique , Kelvin David J. , Sganzerla Martinez Gustavo TITLE=The impact of public transportation on the transmission of COVID-19 in Rwanda JOURNAL=Frontiers in Public Health VOLUME=12 YEAR=2024 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1345433 DOI=10.3389/fpubh.2024.1345433 ISSN=2296-2565 ABSTRACT=Introduction

The onset of the COVID-19 pandemic has placed a significant burden on healthcare systems worldwide, particularly in sub-Saharan regions where healthcare resources are limited. The transmission of SARS-CoV-2 is facilitated by the movement of people from place to place. Therefore, implementing measures that restrict movement of people and contacts is crucial in controlling the spread of the disease. Following the identification of the first COVID-19 case in Rwanda, the government implemented stringent measures, including a complete nationwide lockdown, border closures, curfews, reduced capacity in public transportation and businesses, and mandatory testing. This study aims to assess epidemiological trends in COVID-19 cases in relation to changes in population mobility within the public transportation system.

Methods

A descriptive analysis using publicly available data on COVID-19 epidemiological indicators (cases, deaths, vaccinations, and stringency index) and mobility data was conducted.

Results

The results reveal a strong correlation between mobility in public transportation and other activities, underscoring Rwanda’s reliance on its public transportation system. The study also identifies a pattern where increases in transit station mobility preceded spikes in COVID-19 cases, suggesting that the subsequent rise in public transportation usage may contribute to higher infection rates.

Discussion

Therefore, this study emphasizes the importance of ongoing vigilance and regulatory measures regarding public transportation during infectious disease outbreaks.