ArticlePopulation health metrics2025
The spatiotemporal dynamics of COVID-19 in Europe: time-series clustering maps 5 distinct trajectories to spatial patterns.
Article in Population health metrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Spatio-Temporal COVID-19 Modeling: A Global Systematic Review of Data Integration, Equity, and Lessons for Pandemic Preparedness.International journal of environmental research and public health · 2026Pooled it
- Human mobility and outbreak origins in epidemic spread: Insights from agent-based modeling.PLoS computational biology · 2026Article
- Financing Regimes and Case-Mix Complexity in Psychiatric Hospitals Beyond the Pandemic Shock-Insights from a Regional European Healthcare System.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
8 authors.
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Abstract
The COVID-19 pandemic affected Europe unevenly, with surges in infections and deaths fluctuating across different regions and time periods. Hyper-localised hotspots and staggered timelines created intense, asynchronous waves of infections and deaths that distort country-level and cumulative data, obscuring the pandemic's spatiotemporal dynamics through aggregation. Despite extensive research comparing states and analysing subnational variance within individual countries, the detailed subnational and transnational dynamics of the COVID-19 pandemic across Europe as a whole have not been comprehensively described. Here we show that time-series clustering, applied to weekly excess mortality estimates for subnational NUTS3 administrative regions of 27 countries in Europe, identifies five distinct pandemic trajectories which map to spatial patterns. The trajectories comprise two subgroups, representing contrasting pandemic dynamics in eastern and western Europe. Western Europe exhibits concentric arrangements of mortality impact, with secondary and tertiary impact zones surrounding outbreak epicenters. Eastern Europe exhibits internally homogeneous spatial dynamics, possibly due to the deferral of the first major mortality wave.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.