从700万接触者的SARS-CoV-2传播风险数字测量
Luca Ferretti1,2, Chris Wymant3,4, James Petrie3,4
1Pandemic Sciences Institute, Nuffield Department for Medicine, University of Oxford, Oxford, UK. luca.ferretti@bdi.ox.ac.uk.
Nature
|December 20, 2023
概括
数字接触追踪应用程序显示,SARS-CoV-2的传播风险取决于暴露时间和距离. 长时间暴露,即使在较远的距离,也增加了感染的可能性,家庭是高传播环境.
科学领域:
- 流行病学
- 数字健康
- 传染病的传播
背景情况:
- COVID-19 流行突显了了解 SARS-CoV-2 传播的有效接触追踪的必要性.
- 尽管证据有限, 公共卫生指导方针如2米,15分钟规则仍在实施.
- 数字联系追踪应用程序收集了智能手机之间的距离和时间数据.
研究的目的:
- 分析数百万接触者的数据,以了解应用程序测量暴露与实际SARS-CoV-2传播之间的关系.
- 在推断传播风险时评估数字接触追踪的准确性.
主要方法:
- 来自英格兰和威尔士国家卫生服务COVID-19应用程序的700万接触者的分析.
- 使用经验指标和统计建模来将应用计算的风险得分与传播概率相关联.
- 研究了暴露时间和距离对传播风险的影响.
主要成果:
- 在应用程序计算的风险得分和实际的SARS-CoV-2传播概率之间发现了强烈的相关性.
- 传播的概率随着暴露时间的增加 (每小时1.1%) 并持续数天.
- 长时间暴露在更远的距离上会带来与较短时间暴露在更近的距离上的风险相似.
- 家庭占传播的很大一部分 (40%), 尽管接触的比例很小 (6%).
结论:
- 数字接触追踪数据可以准确地提供传染病爆发的公共卫生措施.
- 暴露时间是SARS-CoV-2传播的关键因素,长时间显著增加风险.
- 未来的流行病可以从使用数字联系人追踪数据的快速,保护隐私的风险分析中受益.
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