Quantifying contact patterns in response to COVID-19 public health measures in Canada

Abstract Background A variety of public health measures have been implemented during the COVID-19 pandemic in Canada to reduce contact between individuals. The objective of this study was to provide empirical contact pattern data to evaluate the impact of public health measures, the degree to which...

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Main Authors: Gabrielle Brankston, Eric Merkley, David N. Fisman, Ashleigh R. Tuite, Zvonimir Poljak, Peter J. Loewen, Amy L. Greer
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-12080-1
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author Gabrielle Brankston
Eric Merkley
David N. Fisman
Ashleigh R. Tuite
Zvonimir Poljak
Peter J. Loewen
Amy L. Greer
author_facet Gabrielle Brankston
Eric Merkley
David N. Fisman
Ashleigh R. Tuite
Zvonimir Poljak
Peter J. Loewen
Amy L. Greer
author_sort Gabrielle Brankston
collection DOAJ
description Abstract Background A variety of public health measures have been implemented during the COVID-19 pandemic in Canada to reduce contact between individuals. The objective of this study was to provide empirical contact pattern data to evaluate the impact of public health measures, the degree to which social contacts rebounded to normal levels, as well as direct public health efforts toward age- and location-specific settings. Methods Four population-based cross-sectional surveys were administered to members of a paid panel representative of Canadian adults by age, gender, official language, and region of residence during May (Survey 1), July (Survey 2), September (Survey 3), and December (Survey 4) 2020. A total of 4981 (Survey 1), 2493 (Survey 2), 2495 (Survey 3), and 2491 (Survey 4) respondents provided information about the age and setting for each direct contact made in a 24-h period. Contact matrices were constructed and contacts for those under the age of 18 years imputed. The next generation matrix approach was used to estimate the reproduction number (Rt) for each survey. Respondents with children under 18 years estimated the number of contacts their children made in school and extracurricular settings. Results Estimated Rt values were 0.49 (95% CI: 0.29–0.69) for May, 0.48 (95% CI: 0.29–0.68) for July, 1.06 (95% CI: 0.63–1.52) for September, and 0.81 (0.47–1.17) for December. The highest proportion of reported contacts occurred within the home (51.3% in May), in ‘other’ locations (49.2% in July) and at work (66.3 and 65.4% in September and December). Respondents with children reported an average of 22.7 (95% CI: 21.1–24.3) (September) and 19.0 (95% CI 17.7–20.4) (December) contacts at school per day per child in attendance. Conclusion The skewed distribution of reported contacts toward workplace settings in September and December combined with the number of reported school-related contacts suggest that these settings represent important opportunities for transmission emphasizing the need to support and ensure infection control procedures in both workplaces and schools.
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spelling doaj.art-306b23dcda1c4eaeabf45c1d3459e2eb2022-12-21T20:37:52ZengBMCBMC Public Health1471-24582021-11-0121111010.1186/s12889-021-12080-1Quantifying contact patterns in response to COVID-19 public health measures in CanadaGabrielle Brankston0Eric Merkley1David N. Fisman2Ashleigh R. Tuite3Zvonimir Poljak4Peter J. Loewen5Amy L. Greer6Department of Population Medicine, University of GuelphMunk School of Global Affairs & Public Policy, University of TorontoDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoDepartment of Population Medicine, University of GuelphMunk School of Global Affairs & Public Policy, University of TorontoDepartment of Population Medicine, University of GuelphAbstract Background A variety of public health measures have been implemented during the COVID-19 pandemic in Canada to reduce contact between individuals. The objective of this study was to provide empirical contact pattern data to evaluate the impact of public health measures, the degree to which social contacts rebounded to normal levels, as well as direct public health efforts toward age- and location-specific settings. Methods Four population-based cross-sectional surveys were administered to members of a paid panel representative of Canadian adults by age, gender, official language, and region of residence during May (Survey 1), July (Survey 2), September (Survey 3), and December (Survey 4) 2020. A total of 4981 (Survey 1), 2493 (Survey 2), 2495 (Survey 3), and 2491 (Survey 4) respondents provided information about the age and setting for each direct contact made in a 24-h period. Contact matrices were constructed and contacts for those under the age of 18 years imputed. The next generation matrix approach was used to estimate the reproduction number (Rt) for each survey. Respondents with children under 18 years estimated the number of contacts their children made in school and extracurricular settings. Results Estimated Rt values were 0.49 (95% CI: 0.29–0.69) for May, 0.48 (95% CI: 0.29–0.68) for July, 1.06 (95% CI: 0.63–1.52) for September, and 0.81 (0.47–1.17) for December. The highest proportion of reported contacts occurred within the home (51.3% in May), in ‘other’ locations (49.2% in July) and at work (66.3 and 65.4% in September and December). Respondents with children reported an average of 22.7 (95% CI: 21.1–24.3) (September) and 19.0 (95% CI 17.7–20.4) (December) contacts at school per day per child in attendance. Conclusion The skewed distribution of reported contacts toward workplace settings in September and December combined with the number of reported school-related contacts suggest that these settings represent important opportunities for transmission emphasizing the need to support and ensure infection control procedures in both workplaces and schools.https://doi.org/10.1186/s12889-021-12080-1COVID-19Contact patternsSurveyPublic health
spellingShingle Gabrielle Brankston
Eric Merkley
David N. Fisman
Ashleigh R. Tuite
Zvonimir Poljak
Peter J. Loewen
Amy L. Greer
Quantifying contact patterns in response to COVID-19 public health measures in Canada
BMC Public Health
COVID-19
Contact patterns
Survey
Public health
title Quantifying contact patterns in response to COVID-19 public health measures in Canada
title_full Quantifying contact patterns in response to COVID-19 public health measures in Canada
title_fullStr Quantifying contact patterns in response to COVID-19 public health measures in Canada
title_full_unstemmed Quantifying contact patterns in response to COVID-19 public health measures in Canada
title_short Quantifying contact patterns in response to COVID-19 public health measures in Canada
title_sort quantifying contact patterns in response to covid 19 public health measures in canada
topic COVID-19
Contact patterns
Survey
Public health
url https://doi.org/10.1186/s12889-021-12080-1
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