Early pandemic COVID-19 case growth rates increase with city size

Abstract The current outbreak of COVID-19 poses an unprecedented global health and economic threat to interconnected human societies. Strategies for controlling the outbreak rely on social distancing and face covering measures which largely disconnect the social network fabric of cities. We demonstrate that early in the US outbreak, COVID-19 spread faster on average in larger cities and discuss the implications of these observations, emphasizing the need for faster responses to novel infectious diseases in larger cities.