The influence of cross-border mobility on the COVID-19 epidemic in Nordic countries

PLoS Comput Biol. 2024 Jun 12;20(6):e1012182. doi: 10.1371/journal.pcbi.1012182. eCollection 2024 Jun.

Abstract

Restrictions of cross-border mobility are typically used to prevent an emerging disease from entering a country in order to slow down its spread. However, such interventions can come with a significant societal cost and should thus be based on careful analysis and quantitative understanding on their effects. To this end, we model the influence of cross-border mobility on the spread of COVID-19 during 2020 in the neighbouring Nordic countries of Denmark, Finland, Norway and Sweden. We investigate the immediate impact of cross-border travel on disease spread and employ counterfactual scenarios to explore the cumulative effects of introducing additional infected individuals into a population during the ongoing epidemic. Our results indicate that the effect of inter-country mobility on epidemic growth is non-negligible essentially when there is sizeable mobility from a high prevalence country or countries to a low prevalence one. Our findings underscore the critical importance of accurate data and models on both epidemic progression and travel patterns in informing decisions related to inter-country mobility restrictions.

MeSH terms

  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • COVID-19* / transmission
  • Computational Biology
  • Denmark / epidemiology
  • Epidemics / prevention & control
  • Epidemics / statistics & numerical data
  • Humans
  • Pandemics / prevention & control
  • Pandemics / statistics & numerical data
  • Prevalence
  • SARS-CoV-2*
  • Scandinavian and Nordic Countries / epidemiology
  • Travel* / statistics & numerical data