Comparing the incubation period, serial interval, and infectiousness profile between SARS‐CoV‐2 Omicron and Delta variants

In January 2022, the SARS‐CoV‐2 Omicron variants initiated major outbreaks and dominated the transmissions in Hong Kong, displacing an earlier outbreak seeded by the Delta variants. To provide insight into the transmission potential of the emerging variants, we aimed to compare the epidemiological c...

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Veröffentlicht in:Journal of medical virology 2023-03, Vol.95 (3), p.e28648-n/a
Hauptverfasser: Guo, Zihao, Zhao, Shi, Mok, Chris Ka Pun, So, Ray T. Y., Yam, Carrie Ho Kwan, Chow, Tsz Yu, Chan, Tony Chin Pok, Wei, Yuchen, Jia, Katherine Min, Wang, Maggie Haitian, Chong, Ka Chun, Yeoh, Eng Kiong
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container_issue 3
container_start_page e28648
container_title Journal of medical virology
container_volume 95
creator Guo, Zihao
Zhao, Shi
Mok, Chris Ka Pun
So, Ray T. Y.
Yam, Carrie Ho Kwan
Chow, Tsz Yu
Chan, Tony Chin Pok
Wei, Yuchen
Jia, Katherine Min
Wang, Maggie Haitian
Chong, Ka Chun
Yeoh, Eng Kiong
description In January 2022, the SARS‐CoV‐2 Omicron variants initiated major outbreaks and dominated the transmissions in Hong Kong, displacing an earlier outbreak seeded by the Delta variants. To provide insight into the transmission potential of the emerging variants, we aimed to compare the epidemiological characteristics of the Omicron and Delta variants. We analyzed the line‐list clinical and contact tracing data of the SARS‐CoV‐2 confirmed cases in Hong Kong. Transmission pairs were constructed based on the individual contact history. We fitted bias‐controlled models to the data to estimate the serial interval, incubation period and infectiousness profile of the two variants. Viral load data were extracted and fitted to the random effect models to investigate the potential risk modifiers for the clinical viral shedding course. Totally 14 401 confirmed cases were reported between January 1 and February 15, 2022. The estimated mean serial interval (4.4 days vs. 5.8 days) and incubation period (3.4 days vs. 3.8 days) were shorter for the Omicron than the Delta variants. A larger proportion of presymptomatic transmission was observed for the Omicron (62%) compared to the Delta variants (48%). The Omicron cases had higher mean viral load over an infection course than the Delta cases, with the elder cases appearing more infectious than the younger cases for both variants. The epidemiological features of Omicron variants were likely an obstacle to contact tracing measures, imposed as a major intervention in settings like Hong Kong. Continuously monitoring the epidemiological feature for any emerging SARS‐CoV‐2 variants in the future is needed to assist officials in planning measures for COVID‐19 control.
doi_str_mv 10.1002/jmv.28648
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subjects Contact tracing
COVID-19
COVID-19 - epidemiology
Disease Outbreaks
Epidemiology
Humans
incubation period
Infectious Disease Incubation Period
Omicron variants
Outbreaks
presymptomatic transmission
SARS-CoV-2 - genetics
SARS‐CoV‐2
Seizures
serial interval
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Viral diseases
viral shedding
Virology
title Comparing the incubation period, serial interval, and infectiousness profile between SARS‐CoV‐2 Omicron and Delta variants
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