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Household secondary attack rate in mild COVID-19
Ananthu Narayan1, Ushasi Saraswati2, Ishmeet Kaur3
1Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
The household secondary attack rate for COVID-19 was 41.85%, with children under 18 having lower infection odds. Effective quarantine significantly reduced transmission, highlighting households as high-risk units.
Area of Science:
- Epidemiology
- Infectious Disease Transmission
- Public Health
Background:
- The COVID-19 pandemic caused millions of deaths globally.
- Understanding household transmission is crucial for developing control strategies.
Purpose of the Study:
- To determine the secondary attack rate (SAR) of COVID-19 within households.
- To identify factors influencing SAR in households with mild COVID-19 cases.
Main Methods:
- An observational study involving 60 index COVID-19 cases and 184 household contacts.
- Data collected on patient outcomes post-discharge.
- Analysis of factors related to the index case and contacts affecting transmissibility.
Main Results:
- The overall household SAR was 41.85%.
- Children under 18 had significantly lower odds of secondary infection (OR=0.46).
- Effective quarantine measures drastically reduced transmissibility (OR=0.13).
- Symptomatic index cases and longer exposure periods increased infection risk.
- Healthcare worker index cases showed lower transmission rates.
Conclusions:
- Households represent a significant high-risk environment for COVID-19 transmission.
- Implementing proper quarantine for exposed individuals can mitigate household spread.
- Targeted interventions can reduce COVID-19 risk within family units.
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