Resurgence of SARS-CoV-2: detection by community viral surveillance
File(s)
Author(s)
Type
Journal Article
Abstract
Surveillance of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has mainly relied on case reporting, which is biased by health service performance, test availability, and test-seeking behaviors. We report a community-wide national representative surveillance program in England based on self-administered swab results from ~594,000 individuals tested for SARS-CoV-2, regardless of symptoms, between May and the beginning of September 2020. The epidemic declined between May and July 2020 but then increased gradually from mid-August, accelerating into early September 2020 at the start of the second wave. When compared with cases detected through routine surveillance, we report here a longer period of decline and a younger age distribution. Representative community sampling for SARS-CoV-2 can substantially improve situational awareness and feed into the public health response even at low prevalence.
Date Issued
2021-05-28
Date Acceptance
2021-04-20
Citation
Science, 2021, 372 (6545), pp.990-995
ISSN
0036-8075
Publisher
American Association for the Advancement of Science
Start Page
990
End Page
995
Journal / Book Title
Science
Volume
372
Issue
6545
Copyright Statement
© 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
National Institute for Health Research
National Institute for Health Research
UK Research and Innovation
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33893241
PII: science.abf0874
Grant Number
RDB21 79560
RP-2016-07-012
9815274 MC_PC_19025
Subjects
Adolescent
Adult
Aged
Basic Reproduction Number
COVID-19
COVID-19 Nucleic Acid Testing
Child
Child, Preschool
England
Epidemiological Monitoring
Female
Humans
Male
Middle Aged
Pandemics
Prevalence
Public Health Surveillance
SARS-CoV-2
Young Adult
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2021-04-23