Efficacy of contact tracing for the containment of the 2019 novel coronavirus (COVID-19)
Author(s)
Keeling, Matt J
Hollingsworth, T Deirdre
Read, Jonathan M
Type
Journal Article
Abstract
OBJECTIVE: Contact tracing is a central public health response to infectious disease outbreaks, especially in the early stages of an outbreak when specific treatments are limited. Importation of novel coronavirus (COVID-19) from China and elsewhere into the UK highlights the need to understand the impact of contact tracing as a control measure. DESIGN: Detailed survey information on social encounters from over 5800 respondents is coupled to predictive models of contact tracing and control. This is used to investigate the likely efficacy of contact tracing and the distribution of secondary cases that may go untraced. RESULTS: Taking recent estimates for COVID-19 transmission we predict that under effective contact tracing less than 1 in 6 cases will generate any subsequent untraced infections, although this comes at a high logistical burden with an average of 36 individuals traced per case. Changes to the definition of a close contact can reduce this burden, but with increased risk of untraced cases; we find that tracing using a contact definition requiring more than 4 hours of contact is unlikely to control spread. CONCLUSIONS: The current contact tracing strategy within the UK is likely to identify a sufficient proportion of infected individuals such that subsequent spread could be prevented, although the ultimate success will depend on the rapid detection of cases and isolation of contacts. Given the burden of tracing a large number of contacts to find new cases, there is the potential the system could be overwhelmed if imports of infection occur at a rapid rate.
Date Issued
2020-09-08
Date Acceptance
2020-06-06
Citation
Journal of Epidemiology and Community Health, 2020, 74, pp.861-866
ISSN
0143-005X
Publisher
BMJ Publishing Group
Start Page
861
End Page
866
Journal / Book Title
Journal of Epidemiology and Community Health
Volume
74
Copyright Statement
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32576605
PII: jech-2020-214051
Subjects
Disease modeling
Epidemiology
communicable diseases
public health policy
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-06-23