Insights into household transmission of SARS-CoV-2 from a population-based serological survey.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_4D646FA4998E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Insights into household transmission of SARS-CoV-2 from a population-based serological survey.
Journal
Nature communications
Author(s)
Bi Q., Lessler J., Eckerle I., Lauer S.A., Kaiser L., Vuilleumier N., Cummings DAT, Flahault A., Petrovic D., Guessous I., Stringhini S., Azman A.S.
Working group(s)
SEROCoV-POP Study Group
Contributor(s)
Stringhini S., Guessous I., Baysson H., Collombet P., De Ridder D., d'Ippolito P., Rinella M.D., Dibner Y., Merjani N.E., Francioli N., Frangville M., Marcus K., Martinez C., Noel N., Pennacchio F., Perez-Saez J., Petrovic D., Picazio A., Pishkenari A., Piumatti G., Portier J., Pugin C., Rakotomiaramanana B., Richard A., Salzmann-Bellard L., Schrempft S., Zaballa M.E., Waldmann Z., Wisniak A., Davidovic A., Duc J., Guérin J., Lombard F., Will M., Flahault A., Vernez I.A., Keiser O., Mattera L., Schellongova M., Kaiser L., Eckerle I., Lescuyer P., Meyer B., Poulain G., Vuilleumier N., Yerly S., Chappuis F., Welker S., Courvoisier D., Gétaz L., Nehme M., Pardo F., Violot G., Hurst S., Matute P., Maugey J.M., Pittet D., L'Huillier A.G., Posfay-Barbe K.M., Pradeau J.F., Tacchino M., Trono D.
ISSN
2041-1723 (Electronic)
ISSN-L
2041-1723
Publication state
Published
Issued date
15/06/2021
Peer-reviewed
Oui
Volume
12
Number
1
Pages
3643
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Understanding the risk of infection from household- and community-exposures and the transmissibility of asymptomatic infections is critical to SARS-CoV-2 control. Limited previous evidence is based primarily on virologic testing, which disproportionately misses mild and asymptomatic infections. Serologic measures are more likely to capture all previously infected individuals. We apply household transmission models to data from a cross-sectional, household-based population serosurvey of 4,534 people ≥5 years from 2,267 households enrolled April-June 2020 in Geneva, Switzerland. We found that the risk of infection from exposure to a single infected household member aged ≥5 years (17.3%,13.7-21.7) was more than three-times that of extra-household exposures over the first pandemic wave (5.1%,4.5-5.8). Young children had a lower risk of infection from household members. Working-age adults had the highest extra-household infection risk. Seropositive asymptomatic household members had 69.4% lower odds (95%CrI,31.8-88.8%) of infecting another household member compared to those reporting symptoms, accounting for 14.5% (95%CrI, 7.2-22.7%) of all household infections.
Keywords
Adolescent, Adult, Aged, Asymptomatic Infections/epidemiology, COVID-19/epidemiology, COVID-19/immunology, COVID-19/transmission, Child, Child, Preschool, Cross-Sectional Studies, Disease Susceptibility, Family Characteristics, Female, Humans, Male, Middle Aged, Odds Ratio, Pandemics, SARS-CoV-2/immunology, Seroepidemiologic Studies, Switzerland/epidemiology, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
28/06/2021 11:48
Last modification date
08/08/2024 7:33
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