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10.1016/j.puhe.2021.04.027

http://scihub22266oqcxt.onion/10.1016/j.puhe.2021.04.027
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suck abstract from ncbi


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pmid34111802      Public+Health 2021 ; 195 (ä): 132-134
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  • SARS-CoV-2 contact tracing among disadvantaged populations during epidemic intervals should be a priority strategy: results from a pilot experiment in Barcelona #MMPMID34111802
  • Valles X; Roure S; Valerio L; Lopez-Munoz I; Perez-Quilez O; Soldevila L; Martin-Cano L; Estrada O; Palacin MD; Blanco I; Orozco J; Esquerra A; Villanova X
  • Public Health 2021[Jun]; 195 (ä): 132-134 PMID34111802show ga
  • OBJECTIVES: The aim of this study was to trace contacts of coronavirus disease 2019 (COVID-19) hospitalised patients and determine the risk factors of infection in urban areas. STUDY DESIGN: Longitudinal analysis of contacts identified from index cases. METHODS: A contact tracing study was carried out in the Northern Metropolitan area of Barcelona, Spain, during the inter-epidemic lapse of May to July 2020, a period of low SARS-CoV-2 incidence. Index cases were notified from the referral hospital. Contacts were traced and followed up for 14 days. Reverse transcription polymerase chain reaction was performed on day 0 and day 14 for contacts. RESULTS: In total, 368 contacts were identified from 81 index cases (median of seven contacts per index case), from which 308 were traced successfully. The median age of contacts was 28 years, 62% (223 of 368) were men. During the follow-up period, 100 contacts tested positive for COVID-19 (32.5% [95% confidence interval CI = 27.3-38.0]), with a secondary infection rate of 48.3% (95% CI = 40.8-55.9) among housemates. Clusters of index and respective contacts tended to aggregate within disadvantaged neighbourhoods (P < 0.001), and non-national index cases (N = 28, 34.1%) resulted in higher secondary infection rates compared with nationals (51.0% [95% CI = 41.0-60.9] vs 22.3% [95% CI = 16.8-28.8]; P < 0.001). CONCLUSIONS: Disadvantaged communities experience a disproportionate burden of COVID-19 and may act as infection reservoirs. Contact tracing with a cross-cutting approach among these communities is required, especially during inter-epidemic periods.
  • |*Contact Tracing[MESH]
  • |*Social Determinants of Health[MESH]
  • |*Vulnerable Populations[MESH]
  • |Adult[MESH]
  • |COVID-19/epidemiology/*prevention & control[MESH]
  • |Epidemics/*prevention & control[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]


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