Epidemiological, virological and serological investigation of a SARS-CoV-2 outbreak (Alpha variant) in a primary school : A prospective longitudinal study

OBJECTIVES: To report a prospective epidemiological, virological and serological investigation of a SARS-CoV-2 outbreak in a primary school.

METHODS: As part of a longitudinal, prospective, school-based surveillance study, this investigation involved repeated testing of 73 pupils, 9 teachers, 13 non-teaching staff and 26 household members of participants who tested positive, with rapid antigen tests and/or RT-PCR (Day 0-2 and Day 5-7), serologies on dried capillary blood samples (Day 0-2 and Day 30), contact tracing interviews and SARS-CoV-2 whole genome sequencing.

RESULTS: We identified 20 children (aged 4 to 6 years from 4 school classes), 2 teachers and a total of 4 household members who were infected by the Alpha variant during this outbreak. Infection attack rates were between 11.8 and 62.0% among pupils from the 4 school classes, 22.2% among teachers and 0% among non-teaching staff. Secondary attack rate among household members was 15.4%. Symptoms were reported by 63% of infected children, 100% of teachers and 50% of household members. All analysed sequences but one showed 100% identity. Serological tests detected 8 seroconversions unidentified by SARS-CoV-2 virological tests.

CONCLUSIONS: This study confirmed child-to-child and child-to-adult SARS-CoV-2 transmission and introduction into households. Effective measures to limit transmission in schools have the potential to reduce the overall community circulation.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

PloS one - 17(2022), 8 vom: 01., Seite e0272663

Sprache:

Englisch

Beteiligte Personen:

Lorthe, Elsa [VerfasserIn]
Bellon, Mathilde [VerfasserIn]
Michielin, Grégoire [VerfasserIn]
Berthelot, Julie [VerfasserIn]
Zaballa, María-Eugenia [VerfasserIn]
Pennacchio, Francesco [VerfasserIn]
Bekliz, Meriem [VerfasserIn]
Laubscher, Florian [VerfasserIn]
Arefi, Fatemeh [VerfasserIn]
Perez-Saez, Javier [VerfasserIn]
Azman, Andrew S [VerfasserIn]
L'Huillier, Arnaud G [VerfasserIn]
Posfay-Barbe, Klara M [VerfasserIn]
Kaiser, Laurent [VerfasserIn]
Guessous, Idris [VerfasserIn]
Maerkl, Sebastian J [VerfasserIn]
Eckerle, Isabella [VerfasserIn]
Stringhini, Silvia [VerfasserIn]
SEROCoV-Schools Study Group [VerfasserIn]

Links:

Volltext

Themen:

Journal Article

Anmerkungen:

Date Completed 19.08.2022

Date Revised 07.09.2022

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0272663

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344955826