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Social distancing remains an important strategy to combat the COVID-19 pandemic in the United States. However, the impacts of specific state-level policies on mobility and subsequent COVID-19 case trajectories have not been completely quantified. Using anonymized and aggregated mobility data from opted-in Google users, we found that state-level emergency declarations resulted in a 9.9% reduction in time spent away from places of residence. Implementation of one or more social distancing policies resulted in an additional 24.5% reduction in mobility the following week, and subsequent shelter-in-place mandates yielded an additional 29.0% reduction. Decreases in mobility were associated with substantial reductions in case growth 2 to 4 weeks later. For example, a 10% reduction in mobility was associated with a 17.5% reduction in case growth 2 weeks later. Given the continued reliance on social distancing policies to limit the spread of COVID-19, these results may be helpful to public health officials trying to balance infection control with the economic and social consequences of these policies., Comment: Co-first Authors: GAW, SV, VE, and AF contributed equally. Corresponding Author: Dr. Evgeniy Gabrilovich, gabr@google.com 32 pages (including supplemental material), 4 figures in the main text, additional figures in the supplemental material

This document describes the aggregation and anonymization process applied to the initial version of Google COVID-19 Community Mobility Reports (published at http://google.com/covid19/mobility on April 2, 2020), a publicly available resource intended to help public health authorities understand what has changed in response to work-from-home, shelter-in-place, and other recommended policies aimed at flattening the curve of the COVID-19 pandemic. Our anonymization process is designed to ensure that no personal data, including an individual's location, movement, or contacts, can be derived from the resulting metrics. The high-level description of the procedure is as follows: we first generate a set of anonymized metrics from the data of Google users who opted in to Location History. Then, we compute percentage changes of these metrics from a baseline based on the historical part of the anonymized metrics. We then discard a subset which does not meet our bar for statistical reliability, and release the rest publicly in a format that compares the result to the private baseline.