Using high-resolution contact networks to evaluate SARS-CoV-2 transmission and control in large-scale multi-day events
Pung, Rachael;
Firth, Josh A;
Spurgin, Lewis G;
Lee, Vernon J;
Kucharski, Adam J;
(2022)
Using high-resolution contact networks to evaluate SARS-CoV-2 transmission and control in large-scale multi-day events.
Nature communications, 13.
p. 1956.
ISSN 2041-1723
DOI: https://doi.org/10.1101/2021.11.12.21266183
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Abstract
The emergence of the highly transmissible SARS-CoV-2 Delta variant has created a need to reassess the risk posed by increasing social contacts as countries resume pre-pandemic activities, particularly in the context of resuming large-scale events over multiple days. To examine how social contacts formed in different activity settings influences interventions required to control outbreaks, we combined high-resolution data on contacts among passengers and crew on cruise ships with network transmission models. We found passengers had a median of 20 (IQR 10–36) unique close contacts per day, and over 60% of their contact episodes were made in dining or sports areas where mask wearing is typically limited. In simulated outbreaks, we found that vaccination coverage and rapid antigen tests had a larger effect than mask mandates alone, indicating the importance of combined interventions against Delta to reduce event risk in the vaccine era.