Age groups that sustain resurging COVID-19 epidemics in the United States

After initial declines, in mid-2020 a resurgence in transmission of novel coronavirus disease (COVID-19) occurred in the United States and Europe. As efforts to control COVID-19 disease are reintensified, understanding the age demographics driving transmission and how these affect the loosening of i...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2021-03, Vol.371 (6536)
Hauptverfasser: Monod, Mélodie, Blenkinsop, Alexandra, Xi, Xiaoyue, Hebert, Daniel, Bershan, Sivan, Tietze, Simon, Baguelin, Marc, Bradley, Valerie C, Chen, Yu, Coupland, Helen, Filippi, Sarah, Ish-Horowicz, Jonathan, McManus, Martin, Mellan, Thomas, Gandy, Axel, Hutchinson, Michael, Unwin, H Juliette T, van Elsland, Sabine L, Vollmer, Michaela A C, Weber, Sebastian, Zhu, Harrison, Bezancon, Anne, Ferguson, Neil M, Mishra, Swapnil, Flaxman, Seth, Bhatt, Samir, Ratmann, Oliver
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container_issue 6536
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container_title Science (American Association for the Advancement of Science)
container_volume 371
creator Monod, Mélodie
Blenkinsop, Alexandra
Xi, Xiaoyue
Hebert, Daniel
Bershan, Sivan
Tietze, Simon
Baguelin, Marc
Bradley, Valerie C
Chen, Yu
Coupland, Helen
Filippi, Sarah
Ish-Horowicz, Jonathan
McManus, Martin
Mellan, Thomas
Gandy, Axel
Hutchinson, Michael
Unwin, H Juliette T
van Elsland, Sabine L
Vollmer, Michaela A C
Weber, Sebastian
Zhu, Harrison
Bezancon, Anne
Ferguson, Neil M
Mishra, Swapnil
Flaxman, Seth
Bhatt, Samir
Ratmann, Oliver
description After initial declines, in mid-2020 a resurgence in transmission of novel coronavirus disease (COVID-19) occurred in the United States and Europe. As efforts to control COVID-19 disease are reintensified, understanding the age demographics driving transmission and how these affect the loosening of interventions is crucial. We analyze aggregated, age-specific mobility trends from more than 10 million individuals in the United States and link these mechanistically to age-specific COVID-19 mortality data. We estimate that as of October 2020, individuals aged 20 to 49 are the only age groups sustaining resurgent SARS-CoV-2 transmission with reproduction numbers well above one and that at least 65 of 100 COVID-19 infections originate from individuals aged 20 to 49 in the United States. Targeting interventions-including transmission-blocking vaccines-to adults aged 20 to 49 is an important consideration in halting resurgent epidemics and preventing COVID-19-attributable deaths.
doi_str_mv 10.1126/SCIENCE.ABE8372
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Blenkinsop, Alexandra ; Xi, Xiaoyue ; Hebert, Daniel ; Bershan, Sivan ; Tietze, Simon ; Baguelin, Marc ; Bradley, Valerie C ; Chen, Yu ; Coupland, Helen ; Filippi, Sarah ; Ish-Horowicz, Jonathan ; McManus, Martin ; Mellan, Thomas ; Gandy, Axel ; Hutchinson, Michael ; Unwin, H Juliette T ; van Elsland, Sabine L ; Vollmer, Michaela A C ; Weber, Sebastian ; Zhu, Harrison ; Bezancon, Anne ; Ferguson, Neil M ; Mishra, Swapnil ; Flaxman, Seth ; Bhatt, Samir ; Ratmann, Oliver</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-b423984e8fbfa2d41b0c64fee1e5dd1ac752ef5a68231a85ba7b9e9f088fd3be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Age Factors</topic><topic>Age groups</topic><topic>Attrition (Research Studies)</topic><topic>Basic Reproduction Number</topic><topic>Cell Phone</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Communicable Disease Control</topic><topic>Comp/Math</topic><topic>Coronaviridae</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - mortality</topic><topic>COVID-19 - prevention &amp; 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Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Science (American Association for the Advancement of Science)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monod, Mélodie</au><au>Blenkinsop, Alexandra</au><au>Xi, Xiaoyue</au><au>Hebert, Daniel</au><au>Bershan, Sivan</au><au>Tietze, Simon</au><au>Baguelin, Marc</au><au>Bradley, Valerie C</au><au>Chen, Yu</au><au>Coupland, Helen</au><au>Filippi, Sarah</au><au>Ish-Horowicz, Jonathan</au><au>McManus, Martin</au><au>Mellan, Thomas</au><au>Gandy, Axel</au><au>Hutchinson, Michael</au><au>Unwin, H Juliette T</au><au>van Elsland, Sabine L</au><au>Vollmer, Michaela A C</au><au>Weber, Sebastian</au><au>Zhu, Harrison</au><au>Bezancon, Anne</au><au>Ferguson, Neil M</au><au>Mishra, Swapnil</au><au>Flaxman, Seth</au><au>Bhatt, Samir</au><au>Ratmann, Oliver</au><aucorp>Imperial College COVID-19 Response Team</aucorp><aucorp>on behalf of the Imperial College COVID-19 Response Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Age groups that sustain resurging COVID-19 epidemics in the United States</atitle><jtitle>Science (American Association for the Advancement of Science)</jtitle><addtitle>Science</addtitle><date>2021-03-26</date><risdate>2021</risdate><volume>371</volume><issue>6536</issue><issn>0036-8075</issn><eissn>1095-9203</eissn><abstract>After initial declines, in mid-2020 a resurgence in transmission of novel coronavirus disease (COVID-19) occurred in the United States and Europe. As efforts to control COVID-19 disease are reintensified, understanding the age demographics driving transmission and how these affect the loosening of interventions is crucial. We analyze aggregated, age-specific mobility trends from more than 10 million individuals in the United States and link these mechanistically to age-specific COVID-19 mortality data. We estimate that as of October 2020, individuals aged 20 to 49 are the only age groups sustaining resurgent SARS-CoV-2 transmission with reproduction numbers well above one and that at least 65 of 100 COVID-19 infections originate from individuals aged 20 to 49 in the United States. Targeting interventions-including transmission-blocking vaccines-to adults aged 20 to 49 is an important consideration in halting resurgent epidemics and preventing COVID-19-attributable deaths.</abstract><cop>United States</cop><pub>The American Association for the Advancement of Science</pub><pmid>33531384</pmid><doi>10.1126/SCIENCE.ABE8372</doi><orcidid>https://orcid.org/0000-0002-8759-5902</orcidid><orcidid>https://orcid.org/0000-0001-6970-7192</orcidid><orcidid>https://orcid.org/0000-0001-8667-4118</orcidid><orcidid>https://orcid.org/0000-0003-0775-7463</orcidid><orcidid>https://orcid.org/0000-0002-7528-2298</orcidid><orcidid>https://orcid.org/0000-0001-8652-358X</orcidid><orcidid>https://orcid.org/0000-0003-3867-1953</orcidid><orcidid>https://orcid.org/0000-0002-9120-4003</orcidid><orcidid>https://orcid.org/0000-0003-3581-1404</orcidid><orcidid>https://orcid.org/0000-0002-5386-6620</orcidid><orcidid>https://orcid.org/0000-0003-4185-9930</orcidid><orcidid>https://orcid.org/0000-0001-6448-2051</orcidid><orcidid>https://orcid.org/0000-0002-2328-8671</orcidid><orcidid>https://orcid.org/0000-0002-0891-4611</orcidid><orcidid>https://orcid.org/0000-0003-2563-917X</orcidid><orcidid>https://orcid.org/0000-0002-6777-0451</orcidid><orcidid>https://orcid.org/0000-0002-2477-4217</orcidid><orcidid>https://orcid.org/0000-0002-1154-8093</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0036-8075
ispartof Science (American Association for the Advancement of Science), 2021-03, Vol.371 (6536)
issn 0036-8075
1095-9203
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8101272
source MEDLINE; American Association for the Advancement of Science
subjects Adolescent
Adolescents
Adult
Adults
Age
Age Factors
Age groups
Attrition (Research Studies)
Basic Reproduction Number
Cell Phone
Child
Child, Preschool
Children
Communicable Disease Control
Comp/Math
Coronaviridae
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - mortality
COVID-19 - prevention & control
COVID-19 - transmission
COVID-19 Vaccines
Demographics
Demography
Disease control
Disease transmission
Early Adolescents
Epidemics
Epidemics - prevention & control
Epidemiology
Fatalities
Heterogeneity
Humans
Immunization
Infant
Infections
Loosening
Middle Aged
Mobility
Models, Theoretical
Mortality
Numbers
Pandemics
Pandemics - prevention & control
Public health
Questions
Reproduction
Respiratory diseases
Schools
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Summer
United States - epidemiology
Vaccines
Viral diseases
Workplaces
Young Adult
Young adults
title Age groups that sustain resurging COVID-19 epidemics in the United States
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