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Suppression of COVID-19 outbreak in the municipality of Vo, Italy
Enrico Lavezzo; Elisa Franchin; Constanze Ciavarella; Gina Cuomo-Dannenburg; Luisa Barzon; Claudia Del Vecchio; Lucia Rossi; Riccardo Manganelli; Arianna Loregian; Nicolò Navarin; Davide Abate; Manuela Sciro; Stefano Merigliano; Ettore Decanale; Maria Cristina Vanuzzo; Francesca Saluzzo; Francesco Onelia; Monia Pacenti; Saverio Parisi; Giovanni Carretta; Daniele Donato; Luciano Flor; Silvia Cocchio; Giulia Masi; Alessandro Sperduti; Lorenzo Cattarino; Renato Salvador; Katy A.M. Gaythorpe; - Imperial College London COVID-19 Response Team; Alessandra R Brazzale; Stefano Toppo; Marta Trevisan; Vincenzo Baldo; Christl A. Donnelly; Neil M. Ferguson; Ilaria Dorigatti; Andrea Crisanti.
Afiliación
  • Enrico Lavezzo; University of Padua
  • Elisa Franchin; University of Padua
  • Constanze Ciavarella; Imperial College London
  • Gina Cuomo-Dannenburg; Imperial College London
  • Luisa Barzon; University of Padua
  • Claudia Del Vecchio; University of Padua
  • Lucia Rossi; Azienda Ospedaliera Padova
  • Riccardo Manganelli; University of Padua
  • Arianna Loregian; University of Padua
  • Nicolò Navarin; University of Padua
  • Davide Abate; University of Padua
  • Manuela Sciro; Azienda Ospedaliera Padova
  • Stefano Merigliano; University of Padua
  • Ettore Decanale; Azienda Ospedaliera Padova
  • Maria Cristina Vanuzzo; Azienda Ospedaliera Padova
  • Francesca Saluzzo; University of Padua
  • Francesco Onelia; University of Padua
  • Monia Pacenti; Azienda Ospedaliera Padova
  • Saverio Parisi; University of Padua
  • Giovanni Carretta; Azienda Ospedaliera Padova
  • Daniele Donato; Azienda Ospedaliera Padova
  • Luciano Flor; Azienda Ospedaliera Padova
  • Silvia Cocchio; University of Padua
  • Giulia Masi; University of Padua
  • Alessandro Sperduti; University of Padua
  • Lorenzo Cattarino; Imperial College London
  • Renato Salvador; University of Padua
  • Katy A.M. Gaythorpe; Imperial College London
  • - Imperial College London COVID-19 Response Team; -
  • Alessandra R Brazzale; University of Padua
  • Stefano Toppo; University of Padua
  • Marta Trevisan; University of Padua
  • Vincenzo Baldo; University of Padua
  • Christl A. Donnelly; Imperial College London; University of Oxford
  • Neil M. Ferguson; Imperial College London
  • Ilaria Dorigatti; Imperial College London
  • Andrea Crisanti; University of Padua; Imperial College London
Preprint en En | PREPRINT-MEDRXIV | ID: ppmedrxiv-20053157
ABSTRACT
On the 21st of February 2020 a resident of the municipality of Vo, a small town near Padua, died of pneumonia due to SARS-CoV-2 infection1. This was the first COVID-19 death detected in Italy since the emergence of SARS-CoV-2 in the Chinese city of Wuhan, Hubei province2. In response, the regional authorities imposed the lockdown of the whole municipality for 14 days3. We collected information on the demography, clinical presentation, hospitalization, contact network and presence of SARS-CoV-2 infection in nasopharyngeal swabs for 85.9% and 71.5% of the population of Vo at two consecutive time points. On the first survey, which was conducted around the time the town lockdown started, we found a prevalence of infection of 2.6% (95% confidence interval (CI) 2.1-3.3%). On the second survey, which was conducted at the end of the lockdown, we found a prevalence of 1.2% (95% CI 0.8-1.8%). Notably, 43.2% (95% CI 32.2-54.7%) of the confirmed SARS-CoV-2 infections detected across the two surveys were asymptomatic. The mean serial interval was 6.9 days (95% CI 2.6-13.4). We found no statistically significant difference in the viral load (as measured by genome equivalents inferred from cycle threshold data) of symptomatic versus asymptomatic infections (p-values 0.6 and 0.2 for E and RdRp genes, respectively, Exact Wilcoxon-Mann-Whitney test). Contact tracing of the newly infected cases and transmission chain reconstruction revealed that most new infections in the second survey were infected in the community before the lockdown or from asymptomatic infections living in the same household. This study sheds new light on the frequency of asymptomatic SARS-CoV-2 infection and their infectivity (as measured by the viral load) and provides new insights into its transmission dynamics, the duration of viral load detectability and the efficacy of the implemented control measures.
Licencia
cc_by_nc
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Observational_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Observational_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint