High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing

<br><strong>Background<br></strong> Understanding changes in infectiousness during SARS-COV-2 infections is critical to assess the effectiveness of public health measures such as contact tracing. <br><strong>Methods<br></strong> Here, we develop a nove...

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Main Authors: Hart, W, Maini, P, Thompson, R
Format: Journal article
Language:English
Published: eLife Sciences Publications 2021
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author Hart, W
Maini, P
Thompson, R
author_facet Hart, W
Maini, P
Thompson, R
author_sort Hart, W
collection OXFORD
description <br><strong>Background<br></strong> Understanding changes in infectiousness during SARS-COV-2 infections is critical to assess the effectiveness of public health measures such as contact tracing. <br><strong>Methods<br></strong> Here, we develop a novel mechanistic approach to infer the infectiousness profile of SARS17 COV-2 infected individuals using data from known infector-infectee pairs. We compare estimates of key epidemiological quantities generated using our mechanistic method with analogous estimates generated using previous approaches. <br><strong>Results<br></strong> The mechanistic method provides an improved fit to data from SARS-CoV-2 infector infectee pairs compared to commonly used approaches. Our best-fitting model indicates a high proportion of presymptomatic transmissions, with many transmissions occurring shortly before the infector develops symptoms. <br><strong>Conclusions<br></strong> High infectiousness immediately prior to symptom onset highlights the importance of continued contact tracing until effective vaccines have been distributed widely, even if contacts from a short time window before symptom onset alone are traced. <br><strong>Funding<br></strong> Engineering and Physical Sciences Research Council (EPSRC).
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spelling oxford-uuid:090303fc-7f27-4abf-90a8-a208d70ca5e82022-03-26T09:15:58ZHigh infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:090303fc-7f27-4abf-90a8-a208d70ca5e8EnglishSymplectic ElementseLife Sciences Publications2021Hart, WMaini, PThompson, R<br><strong>Background<br></strong> Understanding changes in infectiousness during SARS-COV-2 infections is critical to assess the effectiveness of public health measures such as contact tracing. <br><strong>Methods<br></strong> Here, we develop a novel mechanistic approach to infer the infectiousness profile of SARS17 COV-2 infected individuals using data from known infector-infectee pairs. We compare estimates of key epidemiological quantities generated using our mechanistic method with analogous estimates generated using previous approaches. <br><strong>Results<br></strong> The mechanistic method provides an improved fit to data from SARS-CoV-2 infector infectee pairs compared to commonly used approaches. Our best-fitting model indicates a high proportion of presymptomatic transmissions, with many transmissions occurring shortly before the infector develops symptoms. <br><strong>Conclusions<br></strong> High infectiousness immediately prior to symptom onset highlights the importance of continued contact tracing until effective vaccines have been distributed widely, even if contacts from a short time window before symptom onset alone are traced. <br><strong>Funding<br></strong> Engineering and Physical Sciences Research Council (EPSRC).
spellingShingle Hart, W
Maini, P
Thompson, R
High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title_full High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title_fullStr High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title_full_unstemmed High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title_short High infectiousness immediately before COVID-19 symptom onset highlights the importance of continued contact tracing
title_sort high infectiousness immediately before covid 19 symptom onset highlights the importance of continued contact tracing
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AT mainip highinfectiousnessimmediatelybeforecovid19symptomonsethighlightstheimportanceofcontinuedcontacttracing
AT thompsonr highinfectiousnessimmediatelybeforecovid19symptomonsethighlightstheimportanceofcontinuedcontacttracing