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Cool paper by @LHDnets et al shows potential unintended consequences of *inconsistent* #COVID19 NPI policies across jurisdictions.

People moving from place to place can spread #SARSCoV2 to new places as the seek to avoid constraints in their own area. medrxiv.org/content/10.110… 1/
For instance, in March 2020, 10-30% of US churches had increased attendance, even as total number of church visits declined nationally.

People *move* to find open venues, even if it requires long-distance travel. Average distance travelled to churches rose 13% in the period. 2/
Mathematical models reveal that partial measures can often be worse than no measures at all. In the most severe cases, individuals not complying with policies by traveling to neighboring jurisdictions can create epidemics when the outbreak would otherwise have been controlled. 3/
NATIONAL policies and coordination are very important in the management of a widespread contagious disease like COVID-19. 4/
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