It was a rare public health emergency that affected everyone, everywhere. For billions of people, maps opened a way to understand the COVID-19 pandemic. This was, after all, a geographic problem. A scientific or medical understanding of the virus could not be separated from the questions of where it had spread and where it was likely to spread next.<\/p>\r\n
A geographic approach, applying geographic information system (GIS) technology to create maps and dashboards, became crucial. Detailed visualizations and comprehensive analysis enhanced our understanding of infection patterns and viral mutation data.<\/p>\r\n
For responders\u2014health care workers, policy makers, and public safety officers\u2014maps were a way to assess risks, coordinate responses, issue alerts, prioritize the most vulnerable populations, and forecast future scenarios.<\/p>\r\n
For everyone else, maps didn\u2019t always alleviate the anxiety, but they did provide perspective. Knowledge of where the virus had spread and where available resources were allocated was empowering at a time when many felt powerless.<\/p>"},{"acf_fc_layout":"image","image":738542,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":"
As the pandemic raged on, GIS pinpointed disease hot spots, informed the public, and guided management of health care resources. Real-time maps helped authorities ease collaboration and improve transparency. GIS contact tracing linked known cases with people who may have been exposed. New levels of anonymous surveillance, including wastewater testing and location data from phones, helped authorities understand behavior and monitor infections. GIS also proved instrumental in addressing both the economic fallout and recovery efforts during the COVID-19 pandemic.<\/p>\r\n
Every week, GIS users from all levels of government found new ways to apply the toolset. Much of this work happened in homes as workplaces closed and workers accessed enterprise GIS in the cloud. Others gathered at emergency operations centers, working around the clock to map cases and activities.<\/p>\r\n
This retrospective analysis of the COVID-19 pandemic examines how GIS users shaped and informed response and recovery efforts.<\/p>\r\n\r\n
Johns Hopkins University\u2019s COVID-19 dashboard<\/a>, launched on January 21, 2020, quickly became the worldwide source for information on the pandemic. Accessing the site soon became a daily ritual for people around the globe. By March, it was the world\u2019s go-to site for understanding COVID-19, notching more than 1 billion hits each day.<\/p>\r\n For many, this marked their initial encounter with GIS technology. They experienced a powerful demonstration of its core strength: transforming raw data into meaningful real-world context. Visitors to the Johns Hopkins dashboard saw a global visualization that quantified and tracked the pandemic\u2019s evolution across continents.<\/p>"},{"acf_fc_layout":"image","image":316891,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" The groundbreaking resource was the brainchild of Ensheng Dong<\/a>, a systems engineering graduate student who wanted to understand conditions in his hometown of Taiyuan, China\u2014located 600 miles from the initial outbreak in Wuhan. Fearing for his family\u2019s safety, Dong wanted to understand the virus's transmission patterns and assess threats to his relatives.<\/p>\r\n The Johns Hopkins dashboard also demonstrated a savvy visual sense. Around the world, as similar maps were built, health officials grappled with how to present data in a way that communicated the urgency of COVID-19 without causing crippling fear. Dong\u2019s map featured dots whose size communicated severity in each region. The red-on-black color scheme was chosen for its association with danger and urgency.<\/p>\r\n\r\n One of the greatest challenges in the fight against COVID-19 was human mobility. A person could contract the virus on one side of the world and, within hours, infect someone else thousands of miles away. Without vaccines or treatments yet available, it was critical to create distance between people in an effort to \u201cflatten the curve\u201d of new cases.<\/p>\r\n Scientists developed sophisticated analytical models<\/a> that could quantify and predict the surge in new cases. These powerful predictive models became essential planning tools for public health officials.<\/p>"},{"acf_fc_layout":"image","image":330341,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" Penn Medicine\u2019s Predictive Healthcare team created a model called CHIME (COVID-19 Hospital Impact Model for Epidemics). The CHIME model provided up-to-date estimates of how many people would require hospitalization, and how many ventilators and ICU beds they would require. It also factored in social distancing policies and how they might impact disease spread.<\/p>\r\n Bringing models into GIS<\/a> provided the means to visualize the pandemic geographically and tie outputs to solutions designed to slow its spread.<\/p>"},{"acf_fc_layout":"image","image":352381,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" One data source used to validate adherence to distancing orders came from anonymized phone records and the distributed activity of hundreds of thousands of mobile devices using the Facebook app with location tracking turned on. Facebook\u2019s Data for Good<\/a> showed how people moved and gauged the effectiveness of rules and actions to slow the pandemic.<\/p>"},{"acf_fc_layout":"quote","image":738702,"text":"The key concepts of geography\u2014place, time, and scale\u2014can help data scientists clean the noise, understand the context, and answer the questions about when and where.","author_name":"Center for Human Dynamics in the Mobile Age at San Diego State University ","author_profession_organization":"Professor Ming-Hsiang Tsou"},{"acf_fc_layout":"content","content":" Epidemiologists used GIS to study the virus as it moved. They mapped things like credit card transactions and mobile phone location traces to see where an infected person had been and who they may have met.<\/p>\r\n This analytical approach<\/a> helped scientists and policymakers develop the epidemiologic curve for the virus, aided by maps that deepened their understanding and informed their actions.<\/p>"},{"acf_fc_layout":"image","image":316121,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" GIS analysis also considered demographic data to determine the most at-risk populations, such as the elderly and people with underlying health conditions. Maps could identify the locations where the most vulnerable people lived, such as senior communities and retirement destinations. Health organizations pinpointed COVID-19 response to these locations first.<\/p>"},{"acf_fc_layout":"quote","image":738722,"text":"When you start looking at the affected populations, it becomes so much more human.","author_name":"Johns Hopkins Center for Systems Science and Engineering","author_profession_organization":"Professor Lauren Gardner"},{"acf_fc_layout":"content","content":" Tri-County Health Department in Colorado embraced location technology to investigate with\u00a0whom<\/em>\u00a0an infected person came into contact,\u00a0where<\/em>\u00a0cases were occurring, and where<\/em> contacts spent time.<\/p>\r\n By tracking symptoms, case investigators could make informed guesses about where exposures occurred. In addition to daily dashboard updates for its whole jurisdiction, the Tri-County Health Department team compiled 15 separate municipal dashboards to aid local decision-making.<\/p>"},{"acf_fc_layout":"image","image":359341,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" All health departments around the globe were working in uncharted territory with new volumes of real-time data. Seeing the virus spread on maps cut through data complexity. Understanding the relationships among cases, contacts, and distances helped improve response strategies.<\/p>\r\n\r\n COVID-19 presented a massive problem for medical logistics as hospitals struggled to maintain enough resources to treat those with serious cases.<\/p>\r\n By March 2020, just a couple months into the pandemic, the American Hospital Association was predicting that hospital bed capacity would be exceeded by 270 percent for inpatient care and by about 500 percent for intensive care.<\/p>\r\n The US Army Corps of Engineers (USACE) looked for alternative sites<\/a> for patients to be treated. By late April 2020, over 450 field inspectors had used an ArcGIS Survey123 app each day to gather details on potential sites. This information included HVAC conditions and proximity to existing hospitals. The data was displayed in real-time dashboards, aiding in the prioritization of projects. USACE team members assessed over 1,150 potential sites and converted 32 of them into alternative care facilities, adding 15,074 hospital beds.<\/p>"},{"acf_fc_layout":"image","image":351691,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"quote","image":583192,"text":"The biggest thing is modeling. We\u2019re looking at some amazing analytics to be able to figure out where we see the growth of the threat and where we see the bed shortage.","author_name":"US Army Corps of Engineers","author_profession_organization":"Lieutenant General Todd Semonite"},{"acf_fc_layout":"content","content":" The pandemic stretched medical supply chains to the breaking point. Hospitals struggled to acquire enough masks, gloves, and other personal protective equipment (PPE). Direct Relief, a nonprofit organization that aims to improve supply chains during disasters, worked to get medical supplies to Wuhan, China, during the earliest days of the pandemic.<\/p>\r\n As the pandemic spread, Direct Relief delivered<\/a> more than 10,000 shipments across all 50 US states and 62 other countries. GIS maps helped their staff identify where the need was greatest, as well as track supply chains to ensure delivery.<\/p>"},{"acf_fc_layout":"content","content":" By spring 2020, the US had emerged as the epicenter of the pandemic. The lack of a testing regimen was part of the problem. There was still widespread confusion regarding where people could\u2014and which people should\u2014get tested for exposure.<\/p>\r\n GISCorps played a major role in alleviating the confusion. Members talked to public health experts and decided the best way to convey testing information was to put it on a national map.<\/p>"},{"acf_fc_layout":"image","image":334121,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" Around 300 volunteers created a map that contained more than 70,000 test sites. They originally conceived the map as a stopgap while other sources were created. Instead, the project lasted well into 2022 and received over 17 million views.<\/p>\r\n\r\n The City of Tempe, Arizona, implemented a wastewater testing system<\/a> to detect biomarkers of the virus. This initiative, a collaboration with Arizona State University, involved weekly testing at six sites, with the largest site covering more than 183,000 households. The data was mapped with GIS and made public, helping residents and city officials monitor trends and make informed decisions. The system was cost-effective and anonymous, providing a broad overview of the pandemic's impact.<\/p>\r\nThe city expanded testing to smaller areas for more detailed insights and extended the program to neighboring towns. Tempe\u2019s approach enhanced public health and fostered trust between the community and local government."},{"acf_fc_layout":"image","image":463452,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" University of California, San Diego implemented a similar wastewater monitoring system<\/a> to map the presence of the virus and control its spread on campus. By using robotic sensors and GIS technology, the university detected viral particles in wastewater before individuals exhibited symptoms. The anonymous approach alerted health care officials of any presence of the virus in a building, which triggered early testing and isolation to halt the spread.<\/p>"},{"acf_fc_layout":"quote","image":738632,"text":"We had several examples where we could see that it was a single infected individual in a building of several hundred students. When we found that person and moved them to isolation, the wastewater was negative the next day.","author_name":"Associate Professor of Global Public Health at University of California, San Diego","author_profession_organization":"Natasha Martin"},{"acf_fc_layout":"content","content":" This proactive approach allowed the university to maintain on-campus housing and in-person activities while effectively managing the health of the community. The system proved to be highly sensitive, detecting over 85 percent of residential cases. With this success, the system was expanded to monitor wastewater for the entire city of San Diego, serving its 1.3 million residents.<\/p>\r\n\r\n Health statistics alone don\u2019t show how COVID-19 impacted communities. The pandemic also caused economic problems, which resulted in businesses closing and people losing jobs.<\/p>\r\n An economic impact survey in Pennsylvania counties<\/a> showed significant regional effects. The survey responses were mapped with GIS to provide a detailed view of the areas and industries hit the hardest, which helped guide targeted relief and economic rebuilding efforts.<\/p>"},{"acf_fc_layout":"quote","image":738752,"text":"Economies do not stop at community or county borders. We need to work together as a regional team to flip the switch when the economy is ready to start again.","author_name":"Director of Commerce, Montgomery County, Pennsylvania ","author_profession_organization":"David Zellers"},{"acf_fc_layout":"content","content":" In Kentucky, the state developed a COVID-19 Economic Impact Dashboard<\/a> to provide detailed maps of unemployment rates and a vulnerability index by county. This index measured the likelihood of job disruption based on the mix of industries in each area. Seeing unemployment levels and modeling the vulnerability of businesses helped officials prioritize aid.<\/p>\r\n At a time when social distancing precluded unnecessary contact, the Kentucky Commonwealth Office of Technology used GIS to conduct virtual site visits, a key part of the state\u2019s strategy to consider the plight of all businesses.<\/p>"},{"acf_fc_layout":"quote","image":738652,"text":"It\u2019s not just about a major plant shutting down. It\u2019s also the places people go to eat lunch, and the gas stations, and everything else that gets affected by the closing.","author_name":"GIS Specialist, Kentucky Commonwealth Office of Technology","author_profession_organization":"Kevin Hogue"},{"acf_fc_layout":"content","content":" Municipalities and county governments were quick to use GIS to identify and support the most vulnerable residents and families in a number of ways.<\/p>\r\n School districts in the city of Philadelphia and in Palm Beach County, Florida\u2014each serving around 200,000 students\u2014faced the challenge of bridging the digital divide during the pandemic. Both districts rapidly acquired laptops and leveraged GIS<\/a> to identify and support the students who needed assistance.<\/p>\r\n Palm Beach County mapped the locations of students who received free lunches, an indicator of households that likely lacked broadband connections. This information helped the county place Wi-Fi hotspots and fiber installations where clusters of students lived. Philadelphia\u2019s PHLConnectED program used the city's stress index to prioritize the distribution of wireless routers and establish community computing centers.<\/p>"},{"acf_fc_layout":"quote","image":738772,"text":"It goes beyond kids. That\u2019s our primary focus, but now you\u2019ve got parents and other adults in the home who have broadband access, which opens up whole new worlds of possibilities for them economically.","author_name":"IT Manager, Palm Beach County, Florida","author_profession_organization":"Donna Goldstein"},{"acf_fc_layout":"content","content":" In Portland, Oregon, GIS professionals created maps of portable restrooms and hygiene stations<\/a> across the city where anyone could regularly wash their hands.<\/p>\r\n The Atlanta Community Food Bank launched its\u00a0COVID-19 Help Map for families in need<\/a>, communicating food pickup sites across the Atlanta metro region. People without access to the internet could text a simple message, such as \u201cfind food,\u201d to a phone number to get a reply with the nearest food pantry locations.<\/p>"},{"acf_fc_layout":"image","image":330651,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" The Atlanta food bank distributed nearly one million pounds of food between March and April of 2020. As the crisis continued, the pace picked up. It delivered 250,000 pounds of food per week to 21 public school sites for those affected by school and business closures.<\/p>\r\n\r\n After weeks of people mostly staying indoors, parks and green spaces across the country experienced a surge in activity.<\/p>\r\n The Tennessee Department of Environment and Conservation devised a location strategy<\/a> to safeguard park staff and limit activities in parks with rugged or steep terrain\u2014places where park rangers could be exposed to the virus during rescues. When maps showed that parks with ample cleaning supplies had lower concerns, the supplies were more widely distributed.<\/p>"},{"acf_fc_layout":"image","image":347141,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":" When the Navajo Nation started experiencing high COVID-19 cases, the Indian Health Service addressed a long-standing lack of in-home water access<\/a>. The need for handwashing spurred construction of 59 new water connections and distributed 37,000 water storage containers.<\/p>\r\n The fast-paced construction lasted from mid-July through September 2020. It was guided and communicated through shared maps, with a dashboard that marked progress.<\/p>"},{"acf_fc_layout":"quote","image":738662,"text":"It shouldn\u2019t have taken this disaster to get us here, but now there\u2019s a whole new recognition of what tribal resilience means and how the federal government can work together.","author_name":"Indian Health Services","author_profession_organization":"Captain David Harvey"},{"acf_fc_layout":"content","content":" When vaccines finally became available in December 2020, GIS helped identify suitable facilities for storage and distribution, prioritize populations in need, manage inventory, ensure transparent communication, and address gaps in access. Real-time GIS dashboards monitored the progress of vaccine administration, while targeted outreach to special populations ensured no one was left behind.<\/p>\r\n GIS technology enhanced collaboration with state agencies to synchronize and coordinate operations effectively. The South Carolina National Guard, for example, identified and monitored high-risk populations<\/a>, such as those with underlying health conditions, and areas with limited access to care.<\/p>"},{"acf_fc_layout":"quote","image":738672,"text":"I never knew about GIS before all this, and it\u2019s a whole new data-driven way to look at COVID-19. At this point, it\u2019s the only way we look at it.","author_name":"South Carolina National Guard","author_profession_organization":"US Army Major General Brad Owens"},{"acf_fc_layout":"content","content":" When Kansas received its first vaccine shipments, the GIS team at the Kansas Department of Health and Environment prioritized recipients for doses.<\/p>\r\n Vaccine staff used a GIS dashboard to locate priority populations<\/a> and run what-if scenarios for specific counties or groups. Distribution strategies accounted for a multitude of variables that were key to encouraging participation.<\/p>\r\n\r\n During the many waves and phases of the COVID-19 pandemic, a map-based view proved compelling and informative\u2014letting people know whether things were getting better or worse in their area.<\/p>"},{"acf_fc_layout":"image","image":452782,"image_position":"center","orientation":"horizontal","hyperlink":""},{"acf_fc_layout":"content","content":"Mapping to Understand Behavior and Vulnerability<\/strong><\/h3>\r\n
Adopted by Epidemiologists for Syndromic Surveillance and Contact Tracing<\/strong><\/h3>\r\n
Addressing Hospital Capacity and Disrupted Supply Chains<\/strong><\/h3>\r\n
Mapping Testing Sites<\/strong><\/h3>\r\n
Testing Wastewater to Detect Spread and Isolate Infected People<\/strong><\/h3>\r\n
Understanding Economic Impacts<\/strong><\/h3>\r\n
Providing the Services People Needed<\/strong><\/h3>\r\n
Governments Pivot to Address Emerging Challenges<\/strong><\/h3>\r\n
Distributing Vaccines<\/strong><\/h3>\r\n
Viruses Mutate, Creating New Challenges<\/strong><\/h3>\r\n