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• An average case fatality ratio over the first six months after the outbreak of COVID-19 in Poland was 5.43% (95% CI: 5.08% – 5.73%), while among hospitalized cases 16.9% (15.8% – 17.9%). • The case fatality rate had a decreasing trend in time starting from 7.83% (7.08% – 8.61%) during first eight weeks after the outbreak (March – April), to reach 2.52% (2.06% – 3.02%) during the summer season (July – August). • Recent medical care as well as the identification of the source contact, independently of the age, sex and comorbidities, significantly impact an individual mortality risk. After more than one and a half year since the COVID-19 pandemics outbreak the scientific world is constantly trying to understand its dynamics. In this paper of the case fatality rates (CFR) for COVID-19 we study the historic data regarding mortality in Poland during the first six months of pandemic, when no SARS-CoV-2 variants of concern were present among infected. To this end, we apply competing risk models to perform both uni- and multivariate analyses on specific subpopulations selected by different factors including the key indicators: age, sex, hospitalization. The study explores the case fatality rate to find out its decreasing trend in time. Furthermore, we describe the differences in mortality among hospitalized and other cases indicating a sudden increase of mortality among hospitalized cases at the end of the 2020 spring season. Exploratory and multivariate analysis revealed the real impact of each variable and besides the expected factors indicating increased mortality (age, comorbidities) we track more non-obvious indicators. Recent medical care as well as the identification of the source contact, independently of the comorbidities, significantly impact an individual mortality risk. As a result, the study provides a twofold insight into the COVID-19 mortality in Poland. On one hand we explore mortality in different groups with respect to different variables, on the other we indicate novel factors that may be crucial in reducing mortality. The later can be coped, e.g. by more efficient contact tracing and proper organization and management of the health care system to accompany those who need medical care independently of comorbidities or COVID-19 infection. [ABSTRACT FROM AUTHOR]

Several waves of COVID-19 caused by different SARS-CoV-2 variants have been recorded worldwide. During this period, many publications were released describing the influence of various factors, such as environmental, social and economic factors, on the spread of COVID-19. This paper presents the results of a detailed spatiotemporal analysis of the course of COVID-19 cases and deaths in five waves in Poland in relation to green‒blue spaces. The results, based on 380 counties, reveal that the negative correlation between the indicator of green‒blue space per inhabitant and the average daily number of COVID-19 cases and deaths was clearly visible during all waves. These relationships were described by a power equation (coefficient of determination ranging from 0.83 to 0.88) with a high level of significance. The second important discovery was the fact that the rates of COVID-19 cases and deaths were significantly higher in urban counties (low values of the green–blue space indicator in m2/people) than in rural areas. The developed models can be used in decision-making by local government authorities to organize anti-COVID-19 prevention measures, including local lockdowns, especially in urban areas. • Five waves of COVID-19 in Poland during 800 days of the pandemic were compared. • Green–blue spaces were negatively associated with COVID-19 cases and deaths. • There were many more COVID-19 incidences in urban areas in Poland than in rural areas. • Green–blue spaces can be used in the prevention of COVID-19 disease. [ABSTRACT FROM AUTHOR]