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 language | English |
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Article number | 1956 |
Number of pages | 11 |
Journal | Nature Communications |
Volume | 13 |
Issue number | 1 |
Early online date | 12 Apr 2022 |
DOIs | |
Publication status | Published - 31 Dec 2022 |
Externally published | Yes |
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