Abstract
Goal: The United States (US) is currently one of the countries hardest-hit by the novel SARS-CoV-19 virus. One key difficulty in managing the outbreak at the national level is that due to the US' diversity, geographic spread, and economic inequality, the COVID-19 pandemic in the US acts more as a series of diverse regional outbreaks rather than a synchronized homogeneous one. Method: In order to determine how to assess regional risk related to COVID-19, a two-phase modeling approach is developed while considering demographic and economic criteria. First, an unsupervised clustering technique, specifically [Formula: see text]-means, is employed to group US counties based on demographic and economic similarities. Then, time series forecasting of each cluster of counties is developed to assess the short-run viral transmissibility risk. Results: To this end, we test ARIMA and Seasonal Trend Random Walk forecasts to determine which is more appropriate for modeling the spread and lethality of COVID-19. From our analysis, we then utilize the superior ARIMA models to forecast future COVID-19 trends in the clusters, and present the areas in the US which have the highest COVID-19 related risk heading into the winter of 2020. Conclusion: Including sub-national socioeconomic characteristics to data-driven COVID-19 infection and fatality forecasts may play a key role in assessing the risk associated with changes in infection patterns at the national level.