Limited impact of contact tracing in a University setting for COVID-19 due to asymptomatic transmission and social distancing

IF 3 3区 医学 Q2 INFECTIOUS DISEASES Epidemics Pub Date : 2023-09-08 DOI:10.1016/j.epidem.2023.100716
Daniel Stocks , Emily Nixon , Adam Trickey , Martin Homer , Ellen Brooks-Pollock
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Abstract

Contact tracing is an important tool for controlling the spread of infectious diseases, including COVID-19. Here, we investigate the spread of COVID-19 and the effectiveness of contact tracing in a university population, using a data-driven ego-centric network model constructed with social contact data collected during 2020 and similar data collected in 2010. We find that during 2020, university staff and students consistently reported fewer social contacts than in 2010, however those contacts occurred more frequently and were of longer duration. We find that contact tracing in the presence of social distancing is less impactful than without social distancing. By combining multiple data sources, we show that University-aged populations are likely to develop asymptomatic COVID-19 infections. We find that asymptomatic index cases cannot be reliably discovered through contact tracing and consequently transmission in their social network is not significantly reduced through contact tracing. In summary, social distancing restrictions had a large impact on limiting COVID-19 outbreaks in universities; to reduce transmission further contact tracing should be used in conjunction with alternative interventions.

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由于无症状传播和保持社交距离,新冠肺炎大学环境中接触者追踪的影响有限。
接触者追踪是控制包括新冠肺炎在内的传染病传播的重要工具。在这里,我们使用2020年收集的社会接触数据和2010年收集的类似数据构建的数据驱动的以自我为中心的网络模型,调查了新冠肺炎在大学人群中的传播和接触者追踪的有效性。我们发现,在2020年,大学教职员工和学生报告的社交接触一直比2010年少,但这些接触发生得更频繁,持续时间更长。我们发现,在保持社交距离的情况下追踪接触者的影响力不如没有保持社交距离。通过合并多个数据来源,我们表明,大学年龄人群可能会出现无症状的新冠肺炎感染。我们发现,无症状指数病例无法通过接触者追踪可靠地发现,因此,通过接触者跟踪,其社交网络中的传播并没有显著减少。总之,社交距离限制对限制新冠肺炎在大学爆发产生了巨大影响;为了减少传播,进一步的接触者追踪应与其他干预措施结合使用。
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来源期刊
Epidemics
Epidemics INFECTIOUS DISEASES-
CiteScore
6.00
自引率
7.90%
发文量
92
审稿时长
140 days
期刊介绍: Epidemics publishes papers on infectious disease dynamics in the broadest sense. Its scope covers both within-host dynamics of infectious agents and dynamics at the population level, particularly the interaction between the two. Areas of emphasis include: spread, transmission, persistence, implications and population dynamics of infectious diseases; population and public health as well as policy aspects of control and prevention; dynamics at the individual level; interaction with the environment, ecology and evolution of infectious diseases, as well as population genetics of infectious agents.
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