Transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2), delta variant, between two fully vaccinated healthcare personnel

To the Editor—Breakthrough severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19) in fully vaccinated individuals occurs, and the frequency is increasing since the SARS-CoV-2 delta variant virus began circulating widely.1 COVID-19 vaccines are...

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Veröffentlicht in:Infection control and hospital epidemiology 2022-12, Vol.43 (12), p.1983-1985
Hauptverfasser: Smith, L. Leigh, Milstone, Aaron M., Jibowu, Morgan, Luo, Chun Huai, Morris, C. Paul, Mostafa, Heba H., Maragakis, Lisa L.
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container_end_page 1985
container_issue 12
container_start_page 1983
container_title Infection control and hospital epidemiology
container_volume 43
creator Smith, L. Leigh
Milstone, Aaron M.
Jibowu, Morgan
Luo, Chun Huai
Morris, C. Paul
Mostafa, Heba H.
Maragakis, Lisa L.
description To the Editor—Breakthrough severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19) in fully vaccinated individuals occurs, and the frequency is increasing since the SARS-CoV-2 delta variant virus began circulating widely.1 COVID-19 vaccines are highly effective at reducing SARS-CoV-2 shedding and transmission.2 The question of whether fully vaccinated people with breakthrough COVID-19 can transmit the SARS-CoV-2 virus to others is central to the debate around the need for mitigation efforts including masking and physical distancing for fully vaccinated individuals. Discussion Recent CDC guidance says that fully vaccinated individuals may not need to wear masks indoors or practice physical distancing due to vaccine effectiveness and the low likelihood of a fully vaccinated person transmitting the virus to others.4 The genetic and epidemiological data from our investigation of 2 HCW with breakthrough SARS-CoV-2 infection strongly suggest transmission of the SARS-CoV-2 virus delta variant from one fully vaccinated individual to another in the setting of unmasked close contact. SARS-CoV-2 variants, such as the delta variant, can have higher viral loads, potentially increasing transmissibility and requiring enhanced public health measures.5 This apparent transmission of SARS-CoV-2 from one fully vaccinated person to another demonstrates that masking and physical distancing remain vital infection prevention measures for fully vaccinated people while the SARS-CoV-2 virus is still evolving and circulating.
doi_str_mv 10.1017/ice.2021.469
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Leigh ; Milstone, Aaron M. ; Jibowu, Morgan ; Luo, Chun Huai ; Morris, C. Paul ; Mostafa, Heba H. ; Maragakis, Lisa L.</creator><creatorcontrib>Smith, L. Leigh ; Milstone, Aaron M. ; Jibowu, Morgan ; Luo, Chun Huai ; Morris, C. Paul ; Mostafa, Heba H. ; Maragakis, Lisa L.</creatorcontrib><description>To the Editor—Breakthrough severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19) in fully vaccinated individuals occurs, and the frequency is increasing since the SARS-CoV-2 delta variant virus began circulating widely.1 COVID-19 vaccines are highly effective at reducing SARS-CoV-2 shedding and transmission.2 The question of whether fully vaccinated people with breakthrough COVID-19 can transmit the SARS-CoV-2 virus to others is central to the debate around the need for mitigation efforts including masking and physical distancing for fully vaccinated individuals. Discussion Recent CDC guidance says that fully vaccinated individuals may not need to wear masks indoors or practice physical distancing due to vaccine effectiveness and the low likelihood of a fully vaccinated person transmitting the virus to others.4 The genetic and epidemiological data from our investigation of 2 HCW with breakthrough SARS-CoV-2 infection strongly suggest transmission of the SARS-CoV-2 virus delta variant from one fully vaccinated individual to another in the setting of unmasked close contact. SARS-CoV-2 variants, such as the delta variant, can have higher viral loads, potentially increasing transmissibility and requiring enhanced public health measures.5 This apparent transmission of SARS-CoV-2 from one fully vaccinated person to another demonstrates that masking and physical distancing remain vital infection prevention measures for fully vaccinated people while the SARS-CoV-2 virus is still evolving and circulating.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2021.469</identifier><identifier>PMID: 34743764</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Amino acids ; Contact tracing ; Coronaviruses ; COVID-19 ; COVID-19 - prevention &amp; control ; COVID-19 vaccines ; Delivery of Health Care ; Disease transmission ; Genomes ; Humans ; Infections ; Letter to the Editor ; Medical personnel ; mRNA vaccines ; Public health ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Vaccines ; Virus Diseases ; Viruses</subject><ispartof>Infection control and hospital epidemiology, 2022-12, Vol.43 (12), p.1983-1985</ispartof><rights>The Author(s), 2021. 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Leigh</creatorcontrib><creatorcontrib>Milstone, Aaron M.</creatorcontrib><creatorcontrib>Jibowu, Morgan</creatorcontrib><creatorcontrib>Luo, Chun Huai</creatorcontrib><creatorcontrib>Morris, C. Paul</creatorcontrib><creatorcontrib>Mostafa, Heba H.</creatorcontrib><creatorcontrib>Maragakis, Lisa L.</creatorcontrib><title>Transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2), delta variant, between two fully vaccinated healthcare personnel</title><title>Infection control and hospital epidemiology</title><addtitle>Infect. Control Hosp. Epidemiol</addtitle><description>To the Editor—Breakthrough severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19) in fully vaccinated individuals occurs, and the frequency is increasing since the SARS-CoV-2 delta variant virus began circulating widely.1 COVID-19 vaccines are highly effective at reducing SARS-CoV-2 shedding and transmission.2 The question of whether fully vaccinated people with breakthrough COVID-19 can transmit the SARS-CoV-2 virus to others is central to the debate around the need for mitigation efforts including masking and physical distancing for fully vaccinated individuals. Discussion Recent CDC guidance says that fully vaccinated individuals may not need to wear masks indoors or practice physical distancing due to vaccine effectiveness and the low likelihood of a fully vaccinated person transmitting the virus to others.4 The genetic and epidemiological data from our investigation of 2 HCW with breakthrough SARS-CoV-2 infection strongly suggest transmission of the SARS-CoV-2 virus delta variant from one fully vaccinated individual to another in the setting of unmasked close contact. SARS-CoV-2 variants, such as the delta variant, can have higher viral loads, potentially increasing transmissibility and requiring enhanced public health measures.5 This apparent transmission of SARS-CoV-2 from one fully vaccinated person to another demonstrates that masking and physical distancing remain vital infection prevention measures for fully vaccinated people while the SARS-CoV-2 virus is still evolving and circulating.</description><subject>Amino acids</subject><subject>Contact tracing</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - prevention &amp; control</subject><subject>COVID-19 vaccines</subject><subject>Delivery of Health Care</subject><subject>Disease transmission</subject><subject>Genomes</subject><subject>Humans</subject><subject>Infections</subject><subject>Letter to the Editor</subject><subject>Medical personnel</subject><subject>mRNA vaccines</subject><subject>Public health</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Vaccines</subject><subject>Virus Diseases</subject><subject>Viruses</subject><issn>0899-823X</issn><issn>1559-6834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkUuLFDEURgtRnHZ051oCbkboavOqVGUjDI0vGBCcUdyFW6nb0xmqkzZJ9dC_wT9thm7HB26SxT1893Gq6jmjC0ZZ-9pZXHDK2UIq_aCasabRteqEfFjNaKd13XHx7aR6ktINpbTVmj2uToRspWiVnFU_riL4tHEpueBJWJGEO4xIwE4ZScS0dRFyiHtiQwwedi5OiRxeTs4uzz9f1svwteav5mTAMQPZQXTg85z0mG8RPcm3gaymcdyXkrXOQ8aBrBHGvLZQWm0xpuA9jk-rRysYEz47_qfVl3dvr5Yf6otP7z8uzy9qKxuWa7R0QCvbBgUq1ekWpWSqAdWh7nulVr0E7CVnsAJtxWCZULxv227ohJYMxGn15pC7nfoNDhZ9jjCabXQbiHsTwJm_K96tzXXYmU4JXkYoAWfHgBi-T5iyKQe0OI7gMUzJ8EY3jGrd8oK-_Ae9CVP0ZT3D20bojlMqCzU_UDaGlCKu7odh1NxZNsWyubNsiuWCv_hzgXv4l9YCLI55sOmjG67xd9v_Jv4EU4e0_w</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Smith, L. 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Leigh</au><au>Milstone, Aaron M.</au><au>Jibowu, Morgan</au><au>Luo, Chun Huai</au><au>Morris, C. Paul</au><au>Mostafa, Heba H.</au><au>Maragakis, Lisa L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2), delta variant, between two fully vaccinated healthcare personnel</atitle><jtitle>Infection control and hospital epidemiology</jtitle><addtitle>Infect. Control Hosp. Epidemiol</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>43</volume><issue>12</issue><spage>1983</spage><epage>1985</epage><pages>1983-1985</pages><issn>0899-823X</issn><eissn>1559-6834</eissn><abstract>To the Editor—Breakthrough severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19) in fully vaccinated individuals occurs, and the frequency is increasing since the SARS-CoV-2 delta variant virus began circulating widely.1 COVID-19 vaccines are highly effective at reducing SARS-CoV-2 shedding and transmission.2 The question of whether fully vaccinated people with breakthrough COVID-19 can transmit the SARS-CoV-2 virus to others is central to the debate around the need for mitigation efforts including masking and physical distancing for fully vaccinated individuals. Discussion Recent CDC guidance says that fully vaccinated individuals may not need to wear masks indoors or practice physical distancing due to vaccine effectiveness and the low likelihood of a fully vaccinated person transmitting the virus to others.4 The genetic and epidemiological data from our investigation of 2 HCW with breakthrough SARS-CoV-2 infection strongly suggest transmission of the SARS-CoV-2 virus delta variant from one fully vaccinated individual to another in the setting of unmasked close contact. SARS-CoV-2 variants, such as the delta variant, can have higher viral loads, potentially increasing transmissibility and requiring enhanced public health measures.5 This apparent transmission of SARS-CoV-2 from one fully vaccinated person to another demonstrates that masking and physical distancing remain vital infection prevention measures for fully vaccinated people while the SARS-CoV-2 virus is still evolving and circulating.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>34743764</pmid><doi>10.1017/ice.2021.469</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0001-8498-8682</orcidid><orcidid>https://orcid.org/0000-0001-6160-0606</orcidid><oa>free_for_read</oa></addata></record>
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source ProQuest Central Essentials; MEDLINE; ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; ProQuest Central; Cambridge University Press Journals Complete
subjects Amino acids
Contact tracing
Coronaviruses
COVID-19
COVID-19 - prevention & control
COVID-19 vaccines
Delivery of Health Care
Disease transmission
Genomes
Humans
Infections
Letter to the Editor
Medical personnel
mRNA vaccines
Public health
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Vaccines
Virus Diseases
Viruses
title Transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2), delta variant, between two fully vaccinated healthcare personnel
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