Using high-resolution contact networks to evaluate SARS-CoV-2 transmission and control in large-scale multi-day events

Singapore CruiseSafe working group, CMMID COVID-19 Working Group, Rachael Pung*, Josh A. Firth, Lewis G. Spurgin, Annie Chang, Jade Kong, Jazzy Wong, Ooi Jo Jin, Deepa Selvaraj, Dominique Yong, Jocelyn Lang, Abilash Sivalingam, Simon R. Procter, Stefan Flasche, William Waites, Kiesha Prem, Carl A.B. Pearson, Hamish P. Gibbs, Katharine SherrattC. Julian Villabona-Arenas, Kerry L.M. Wong, Yang Liu, Paul Mee, Lloyd A.C. Chapman, Katherine E. Atkins, Matthew Quaife, James D. Munday, Sebastian Funk, Rosalind M. Eggo, Stèphane Huè, Nicholas G. Davies, David Hodgson, Kaja Abbas, Ciara V. McCarthy, Joel Hellewell, Sam Abbott, Nikos I. Bosse, Oliver Brady, Rosanna C. Barnard, Mark Jit, Damien C. Tully, Graham Medley, Fiona Yueqian Sun, Christopher I. Jarvis, Rachel Lowev, Kathleen O’Reilly, Sophie R. Meakin, Akira Endo, Frank G. Sandmann, W. John Edmunds, Mihaly Koltai

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)
13 Downloads (Pure)

Abstract

The emergence of highly transmissible SARS-CoV-2 variants has created a need to reassess the risk posed by increasing social contacts as countries resume pre-pandemic activities, particularly in the context of resuming large-scale events over multiple days. To examine how social contacts formed in different activity settings influences interventions required to control Delta variant outbreaks, we collected high-resolution data on contacts among passengers and crew on cruise ships and combined the data with network transmission models. We found passengers had a median of 20 (IQR 10–36) unique close contacts per day, and over 60% of their contact episodes were made in dining or sports areas where mask wearing is typically limited. In simulated outbreaks, we found that vaccination coverage and rapid antigen tests had a larger effect than mask mandates alone, indicating the importance of combined interventions against Delta to reduce event risk in the vaccine era.

Original languageEnglish
Article number1956
Number of pages11
JournalNature Communications
Volume13
Issue number1
Early online date12 Apr 2022
DOIs
Publication statusPublished - 31 Dec 2022
Externally publishedYes

Funding

R.P. acknowledges funding from the Singapore Ministry of Health. J.A.F. was supported by a research fellowship from Merton College and BBSRC (BB/S009752/1) and acknowledges funding from NERC (NE/S010335/1). A.J.K. was supported by a Sir Henry Dale Fellowship jointly funded by the Wellcome Trust and the Royal Society (grant 206250/Z/17/Z).

Keywords

  • Covid-19
  • high resolution contact networks
  • SARS-CoV-2
  • transmission
  • control
  • large-scale multi-day events

Fingerprint

Dive into the research topics of 'Using high-resolution contact networks to evaluate SARS-CoV-2 transmission and control in large-scale multi-day events'. Together they form a unique fingerprint.

Cite this