Burnside, Girvan; Cheyne, Christopher P; Leeming, Gary; Humann, Michael; Darby, Alistair; Green, Mark A; Crozier, Alexander; Maskell, Simon; O'Halloran, Kay; Musi, Elena; +23 more... Carmi, Elinor; Khan, Naila; Fisher, Debra; Corcoran, Rhiannon; Dunning, Jake; Edmunds, W John; Tharmaratnam, Kukatharmini; Hughes, David M; Malki-Epshtein, Liora; Cook, Malcolm; Roberts, Ben M; Gallagher, Eileen; Howell, Kate; Chand, Meera; Kemp, Robin; Boulter, Matthew; Fowler, Tom; Semple, Malcolm G; Coffey, Emer; Ashton, Matt; COVID-19 Genomics UK (COG-UK) Consortium; García-Fiñana, Marta; Buchan, Iain E; (2023) COVID-19 risk mitigation in reopening mass cultural events: population-based observational study for the UK Events Research Programme in Liverpool City Region. Journal of the Royal Society of Medicine, 117 (1). pp. 11-23. ISSN 0141-0768 DOI: https://doi.org/10.1177/01410768231182389
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Abstract
OBJECTIVES: To understand severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission risks, perceived risks and the feasibility of risk mitigations from experimental mass cultural events before coronavirus disease 2019 (COVID-19) restrictions were lifted. DESIGN: Prospective, population-wide observational study. SETTING: Four events (two nightclubs, an outdoor music festival and a business conference) open to Liverpool City Region UK residents, requiring a negative lateral flow test (LFT) within the 36 h before the event, but not requiring social distancing or face-coverings. PARTICIPANTS: A total of 12,256 individuals attending one or more events between 28 April and 2 May 2021. MAIN OUTCOME MEASURES: SARS-CoV-2 infections detected using audience self-swabbed (5-7 days post-event) polymerase chain reaction (PCR) tests, with viral genomic analysis of cases, plus linked National Health Service COVID-19 testing data. Audience experiences were gathered via questionnaires, focus groups and social media. Indoor CO2 concentrations were monitored. RESULTS: A total of 12 PCR-positive cases (likely 4 index, 8 primary or secondary), 10 from the nightclubs. Two further cases had positive LFTs but no PCR. A total of 11,896 (97.1%) participants with scanned tickets were matched to a negative pre-event LFT: 4972 (40.6%) returned a PCR within a week. CO2 concentrations showed areas for improving ventilation at the nightclubs. Population infection rates were low, yet with a concurrent outbreak of >50 linked cases around a local swimming pool without equivalent risk mitigations. Audience anxiety was low and enjoyment high. CONCLUSIONS: We observed minor SARS-CoV-2 transmission and low perceived risks around events when prevalence was low and risk mitigations prominent. Partnership between audiences, event organisers and public health services, supported by information systems with real-time linked data, can improve health security for mass cultural events.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & Dynamics (2023-) |
Research Centre | Centre for the Mathematical Modelling of Infectious Diseases |
PubMed ID | 37351911 |
Elements ID | 205475 |
Official URL | http://dx.doi.org/10.1177/01410768231182389 |
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