Suppression of a SARS-CoV-2 outbreak in the Italian municipality of Vo'
File(s)
Author(s)
Type
Journal Article
Abstract
On the 21st of February 2020 a resident of the municipality of Vo', a small town near Padua, died of pneumonia due to SARS-CoV-2 infection1. This was the first COVID-19 death detected in Italy since the emergence of SARS-CoV-2 in the Chinese city of Wuhan, Hubei province2. In response, the regional authorities imposed the lockdown of the whole municipality for 14 days3. We collected information on the demography, clinical presentation, hospitalization, contact network and presence of SARS-CoV-2 infection in nasopharyngeal swabs for 85.9% and 71.5% of the population of Vo' at two consecutive time points. On the first survey, which was conducted around the time the town lockdown started, we found a prevalence of infection of 2.6% (95% confidence interval (CI) 2.1-3.3%). On the second survey, which was conducted at the end of the lockdown, we found a prevalence of 1.2% (95% Confidence Interval (CI) 0.8-1.8%). Notably, 42.5% (95% CI 31.5-54.6%) of the confirmed SARS-CoV-2 infections detected across the two surveys were asymptomatic (i.e. did not have symptoms at the time of swab testing and did not develop symptoms afterwards). The mean serial interval was 7.2 days (95% CI 5.9-9.6). We found no statistically significant difference in the viral load of symptomatic versus asymptomatic infections (p-values 0.62 and 0.74 for E and RdRp genes, respectively, Exact Wilcoxon-Mann-Whitney test). This study sheds new light on the frequency of asymptomatic SARS-CoV-2 infection, their infectivity (as measured by the viral load) and provides new insights into its transmission dynamics and the efficacy of the implemented control measures.
Date Issued
2020-08-20
Date Acceptance
2020-06-23
Citation
Nature, 2020, 584, pp.425-429
ISSN
0028-0836
Publisher
Nature Research
Start Page
425
End Page
429
Journal / Book Title
Nature
Volume
584
Copyright Statement
© The Author(s), under exclusive licence to Springer Nature Limited 2020. The final publication is available at Springer via https://doi.org/10.1038/s41586-020-2488-1
Sponsor
Medical Research Council (MRC)
Medical Research Council
The Royal Society
Medical Research Council (MRC)
Bill & Melinda Gates Foundation
Medical Research Council (MRC)
Imperial College Healthcare NHS Trust- BRC Funding
The Academy of Medical Sciences
Bill & Melinda Gates Foundation
National Institute for Health Research
Medical Research Council (MRC)
UK Research and Innovation
Wellcome Trust
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32604404
PII: 10.1038/s41586-020-2488-1
Grant Number
MR/R015600/1
MR/R015600/1
DH140134
MR/K010174/1B
1606H5002/JH6
MR/R024855/1
RDA02
SBF004/1080
RES- -62388
NIHR200908
EP/V520354/1
MR/V038109/1
203851/Z/16/Z
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-06-30