scholarly journals Household Secondary Attack Rate in Gandhinagar district of Gujarat state from Western India

2020 ◽  
Author(s):  
Komal Shah ◽  
Nupur Desai ◽  
Deepak Saxena ◽  
Dileep Mavalankar ◽  
Umang Mishra ◽  
...  
Keyword(s):  
Attack Rate ◽  
Contact Time ◽  
Fatal Outcome ◽  
Western India ◽  
Primary Case ◽  
Gujarat State ◽  
Household Contacts ◽  
Line Listing ◽  
Average Expenditure ◽  
Close Contacts

Objectives: Current retrospective study aims to evaluate household Secondary Attack Rate (SAR) of COVID-19 in Gandhinagar (rural) district of Gujarat, India. Methods: Line-listing of 486 laboratory-confirmed patients, tested between 28th March to 2nd July was collected, out of them 80 (15% of overall sample) cases were randomly selected. Demographic, clinical and household details of cases were collected through telephonic interview. During interview 28 more patients were identified from the same household and were added accordingly. So, study included 74 unrelated cluster of households with 74 primary cases and 386 close contacts. Results: SAR in household contacts of COVID-19 in Gandhinagar was 8.8%. Out of 108, 8 patients expired (7.4%), where higher mortality was observed in primary cases (9.5%) as compared to secondary cases (3%). Occupational analysis showed that majority of the secondary cases (88%) were not working and hence had higher contact time with patient. No out-of-pocket expenditure occurred in 94% of the patients, in remaining 6% average expenditure of 1,49,633INR (2027 USD) was recorded. Conclusions: Key observations from the study are 1) SAR of 8.8% is relatively low and hence home isolation of the cases can be continued 2) Primary case is more susceptible to fatal outcome as compared to secondary cases 3) Government has covered huge population of the COVID-19 patients under cost protection. However, more robust studies with larger datasets are needed to further validate the findings.

scholarly journals Secondary Attack Rate (SAR) in household contacts of expired primary cases of COVID-19: A study from Western India

2020 ◽  
Author(s):  
Komal Shah ◽  
Nupur Desai ◽  
Dileep Mavalankar
Keyword(s):  
Disease Transmission ◽  
Attack Rate ◽  
Western India ◽  
Gujarat State ◽  
Household Contacts ◽  
Household Members ◽  
Government Records ◽  
New Research ◽  
Previous Pilot Study ◽  
Repeated Contact

AbstractSecondary attack rate (SAR) in household contacts of expired primary COVID-19 cases is not well studied yet. Based on our previous pilot study conducted in Gandhinagar district of Gujarat state, we developed a new research protocol to understand SAR statistics in household contacts of COVID-19 cases that died/expired. The details of expired COVID positive primary cases were obtained from Government records and the details of secondary cases were retrieved using telephonic interviews of the household members. Forty-nine expired cases were registered between March to August, 2020. Out of 49 deaths, 28 families could be reached on phone. Rest were not reachable or refused to give information. These were interviewed after taking verbal consent. The study reported 25% SAR in household contact of expired primary cases with 7.4% of mortality in secondary cases. Though this is representative data only from a single district, it was observed that 75% of the household contacts were still not infected in spite of repeated contact with the sever cases. More such studies in various regions are needed to understand disease transmission.

scholarly journals Effectiveness of vaccinating household contacts in addition to chemoprophylaxis after a case of meningococcal disease: a systematic review

2008 ◽  
Vol 136 (11) ◽  
pp. 1441-1447 ◽  
Author(s):  
M. R. HOEK ◽  
H. CHRISTENSEN ◽  
W. HELLENBRAND ◽  
P. STEFANOFF ◽  
M. HOWITZ ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meningococcal Disease ◽  
Attack Rate ◽  
Meta Analysis ◽  
Weighted Average ◽  
Inclusion Criteria ◽  
Primary Case ◽  
Household Contacts ◽  
Unpublished Report

SUMMARYWe performed a systematic review to estimate the effectiveness of vaccination, in addition to chemoprophylaxis, in preventing meningococcal disease among household contacts. Medline, EMBASE, EMGM, and EUIBIS were used for data collection. Studies reporting on at least 100 primary cases and on subsequent cases in household settings with follow-up of more than 2 weeks after onset of disease in the primary case were reviewed. A meta-analysis was used to calculate the average attack rate in household contacts given chemoprophylaxis 14–365 days after onset of disease in the primary case. In total, 652 studies were identified, five studies and one unpublished report met the inclusion criteria. The weighted average attack rate was 1·1/1000 household contacts (95% CI 0·7–1·7). This review supports vaccination of household contacts in addition to chemoprophylaxis to reduce the risk of meningococcal disease among household contacts of a case caused by a vaccine-preventable serogroup.

scholarly journals Vaccine effectiveness against SARS-CoV-2 transmission and infections among household and other close contacts of confirmed cases, the Netherlands, February to May 2021

2021 ◽  
Vol 26 (31) ◽  
Author(s):  
Brechje de Gier ◽  
Stijn Andeweg ◽  
Rosa Joosten ◽  
Ronald ter Schegget ◽  
Naomi Smorenburg ◽  
...  
Keyword(s):  
The Netherlands ◽  
Confidence Interval ◽  
Attack Rate ◽  
Severe Disease ◽  
Vaccine Effectiveness ◽  
Monitoring Data ◽  
High Effectiveness ◽  
Household Contacts ◽  
Index Cases ◽  
Close Contacts

Several studies report high effectiveness of COVID-19 vaccines against SARS-CoV-2 infection and severe disease, however an important knowledge gap is the vaccine effectiveness against transmission (VET). We present estimates of the VET to household and other close contacts in the Netherlands, from February to May 2021, using contact monitoring data. The secondary attack rate among household contacts was lower for fully vaccinated than unvaccinated index cases (11% vs 31%), with an adjusted VET of 71% (95% confidence interval: 63–77).

scholarly journals Secondary attack rate of COVID-19 among contacts and risk factors, Tamil Nadu, March–May 2020: a retrospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e051491
Author(s):  
Kolandaswamy Karumanagoundar ◽  
Mohankumar Raju ◽  
Manickam Ponnaiah ◽  
Prabhdeep Kaur ◽  
Vidhya viswanathan ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Attack Rate ◽  
Retrospective Cohort ◽  
Tamil Nadu ◽  
Significant Proportion ◽  
Primary Case ◽  
Factors Associated ◽  
Household Contacts ◽  
Increased Risk

ObjectiveTo describe the characteristics of contacts of patients with COVID-19 case in terms of time, place and person, to calculate the secondary attack rate (SAR) and factors associated with COVID-19 infection among contacts.DesignA retrospective cohort studySetting and participantsContacts of cases identified by the health department from 14 March 2020to 30 May 2020, in 9 of 38 administrative districts of Tamil Nadu. Significant proportion of cases attended a religious congregation.Outcome measureAttack rate among the contacts and factors associated with COVID-19 positivity.ResultsWe listed 15 702 contacts of 931 primary cases. Of the contacts, 89% (n: 14 002) were tested for COVID-19. The overall SAR was 4% (599/14 002), with higher among the household contacts (13%) than the community contacts (1%). SAR among the contacts of primary cases with congregation exposure were 5 times higher than the contacts of non-congregation primary cases (10% vs 2%). Being a household contact of a primary case with congregation exposure had a fourfold increased risk of getting COVID-19 (relative risk (RR): 16.4; 95% CI: 13 to 20) than contact of primary case without congregation exposure. Among the symptomatic primary cases, household contacts of congregation primaries had higher RR than household contacts of other cases ((RR: 25.3; 95% CI: 10.2 to 63) vs (RR: 14.6; 95% CI: 5.7 to 37.7)). Among asymptomatic primary case, RR was increased among household contacts (RR: 16.5; 95% CI: 13.2 to 20.7) of congregation primaries compared with others.ConclusionOur study showed an increase in disease transmission among household contacts than community contacts. Also, symptomatic primary cases and primary cases with exposure to the congregation had more secondary cases than others.

scholarly journals High transmissibility of COVID-19 near symptom onset

2020 ◽  
Author(s):  
Hao-Yuan Cheng ◽  
Shu-Wan Jian ◽  
Ding-Ping Liu ◽  
Ta-Chou Ng ◽  
Wan-Ting Huang ◽  
...  
Keyword(s):  
Symptom Onset ◽  
Attack Rate ◽  
Paired Data ◽  
Rapid Reduction ◽  
Social Distancing ◽  
Household Contacts ◽  
Exposure Windows ◽  
Index Cases ◽  
Over Time ◽  
Close Contacts

AbstractBackgroundThe dynamics of coronavirus disease 2019 (COVID-19) transmissibility after symptom onset remains unknown.MethodsWe conducted a prospective case-ascertained study on laboratory-confirmed COVID-19 cases and their contacts. Secondary clinical attack rate (considering symptomatic cases only) was analyzed for different exposure windows after symptom onset of index cases and for different exposure settings.ResultsThirty-two confirmed patients were enrolled and 12 paired data (index-secondary cases) were identified among the 1,043 contacts. The secondary clinical attack rate was 0.9% (95% CI 0.5–1.7%). The attack rate was higher among those whose exposure to index cases started within five days of symptom onset (2.4%, 95% CI 1.1–4.5%) than those who were exposed later (zero case from 605 close contacts, 95% CI 0–0.61%). The attack rate was also higher among household contacts (13.6%, 95% CI 4.7–29.5%) and non- household family contacts (8.5%, 95% CI 2.4–20.3%) than that in healthcare or other settings. The higher secondary clinical attack rate for contacts near symptom onset remained when the analysis was restricted to household and family contacts. There was a trend of increasing attack rate with the age of contacts (p for trend < 0.001).ConclusionsHigh transmissibility of COVID-19 near symptom onset suggests that finding and isolating symptomatic patients alone may not suffice to contain the epidemic, and more generalized social distancing measures are required. Rapid reduction of transmissibility over time implies that prolonged hospitalization of mild cases might not be necessary in large epidemics.

scholarly journals Household Secondary Attack Rate of COVID-19 and Associated Determinants

2020 ◽  
Author(s):  
Qin-Long Jing ◽  
Ming-Jin Liu ◽  
Jun Yuan ◽  
Zhou-Bin Zhang ◽  
An-Ran Zhang ◽  
...  
Keyword(s):  
Incubation Period ◽  
Attack Rate ◽  
Population Level ◽  
Human Movement ◽  
The Elderly ◽  
Contact Tracing ◽  
Infectious Period ◽  
Reproductive Number ◽  
Household Contacts ◽  
Close Contacts

AbstractBackgroundAs of April 2, 2020, the global reported number of COVID-19 cases has crossed over 1 million with more than 55,000 deaths. The household transmissibility of SARS-CoV-2, the causative pathogen, remains elusive.MethodsBased on a comprehensive contact-tracing dataset from Guangzhou, we estimated both the population-level effective reproductive number and individual-level secondary attack rate (SAR) in the household setting. We assessed age effects on transmissibility and the infectivity of COVID-19 cases during their incubation period.ResultsA total of 195 unrelated clusters with 212 primary cases, 137 nonprimary (secondary or tertiary) cases and 1938 uninfected close contacts were traced. We estimated the household SAR to be 13.8% (95% CI: 11.1-17.0%) if household contacts are defined as all close relatives and 19.3% (95% CI: 15.5-23.9%) if household contacts only include those at the same residential address as the cases, assuming a mean incubation period of 4 days and a maximum infectious period of 13 days. The odds of infection among children (<20 years old) was only 0.26 (95% CI: 0.13-0.54) times of that among the elderly (≥60 years old). There was no gender difference in the risk of infection. COVID-19 cases were at least as infectious during their incubation period as during their illness. On average, a COVID-19 case infected 0.48 (95% CI: 0.39-0.58) close contacts. Had isolation not been implemented, this number increases to 0.62 (95% CI: 0.51-0.75). The effective reproductive number in Guangzhou dropped from above 1 to below 0.5 in about 1 week.ConclusionSARS-CoV-2 is more transmissible in households than SARS-CoV and MERS-CoV, and the elderly ≥60 years old are the most vulnerable to household transmission. Case finding and isolation alone may be inadequate to contain the pandemic and need to be used in conjunction with heightened restriction of human movement as implemented in Guangzhou.

scholarly journals Household transmission in people infected with SARS-CoV-2 (COVID-19) in Lima-Perú

2020 ◽  
Author(s):  
Yolanda Angulo-Bazán ◽  
Gilmer Solis-Sánchez ◽  
Joshi Acosta ◽  
Fany Cardenas ◽  
Ana Jorge ◽  
...  
Keyword(s):  
Attack Rate ◽  
Serological Test ◽  
Significant Proportion ◽  
Epidemiological Surveillance ◽  
Primary Case ◽  
Household Transmission ◽  
Surveillance Activity ◽  
Household Members ◽  
Review Study ◽  
Close Contacts

ABSTRACTObjectiveDescribe the characteristics of SARS-CoV-2 infection among household members with a confirmed primary case of COVID-19 in low burden districts in Metropolitan Lima.Materials and MethodsA retrospective, secondary database review study was conducted. The information was collected from an epidemiological surveillance activity in close contacts (co-inhabitants) in 52 households in Metropolitan Lima with only one member with COVID-19. A reevaluation was carried out in 10 households. Epidemiological and clinical variables were evaluated and its association with the result of the rapid serological test (presence of IgG, IgM or both).ResultsSecondary cases were found in 40 households, which represents an average of 49.9% identification per household. A secondary attack rate of 53.0% (125 cases) was found among cohabitants, with 77.6% of cases being symptomatic (symptomatic / asymptomatic ratio: 3.5). The presence of fever and / or chills was found in 40.0% of people with a positive result, followed by a sore throat, in 39.2%. Ageusia and anosmia were present in 22.4% and 20.8% of cases, respectively. A reevaluation in 40 family members 33.6 ± 2.7 days after the first evaluation, show the persistence of positive IgM and IgG in the 20 positive cases in the first evaluation.ConclusionHaving a primary case of COVID-19 in home, the secondary attack rate of this infection is 53%; however, in a significant proportion of households evaluated there was no positive case, beyond the primary case. The epidemiological and clinical characteristics found in this case were in accordance with what has already been reported in other international series.

Evaluation of Clinical Profile, Diagnostic Tests, And Prognosis of Cryptococcal Meningitis in HIV Infected Patients in Western India

2020 ◽  
Vol 20 ◽  
Author(s):  
Deepak Kumar ◽  
Suresh Bishnoi ◽  
Durga Shankar Meena ◽  
Gopal Krishana Bohra ◽  
Naresh Midha ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Clinical Features ◽  
Cryptococcal Meningitis ◽  
Fatal Outcome ◽  
Clinical Profile ◽  
Western India ◽  
Antigen Test ◽  
Cryptococcal Antigen ◽  
India Ink ◽  
Csf Examination

Background: Cryptococcal meningitis is a dreaded complication in HIV infected patients. It was associated with high mortality and morbidity before the advent of Highly Active Anti-Retroviral Therapy. A study was planned in our institute to evaluate the clinical profile, laboratory findings, and prognostic factors for survival in these patients. Settings and Design: A prospective hospital-based observational study, conducted in the Department of Medicine at a tertiary care centre in western Rajasthan. Method and Material: HIV infected patients presenting with clinical features of meningitis, and positive CSF culture for Cryptococcus were included in our study. All cases underwent detailed clinical history, physical examinations and relevant laboratory investigations including CD4 count and CSF examination. Results: 48 HIV infected cryptococcal meningitis patients were analysed, and the most common presenting clinical features were headache (85.42%), and fever (72.92%), followed by neck stiffness (62.50%). CSF examination was also done for Cryptococcal Antigen test which was reactive in all cases (100%), and India ink staining was positive in 43 cases (89.58%). Significant fatal outcome was associated with patients presenting with altered sensorium, loss of consciousness, cranial nerve palsy and CD4 cell count of less than 100. Similarly, on laboratory and imaging diagnosis, cryptococcal antigen test (>3+reactive), fundus examination (papilloedema) and abnormal CT/MRI brain imaging were associated with poor survival. Conclusion: Cryptococcal meningitis is a potentially lethal infection in immunocompromised individuals and should be diagnosed early with high clinical suspicion as around 10% of the cases may not be detected on India ink staining and a large proportion (75%) of cases may have normal imaging at initial evaluation. Early diagnosis, watchful eye on prognostic factors and treatment is vital to improve outcome in these patients.

scholarly journals Status of Isoetes coromandeliana L.f. and Equisetum debile Roxb. ex Voucher in Gujarat State, Western India

2015 ◽  
Vol 7 (4) ◽  
pp. 441-443
Author(s):  
Suresh K. PATEL ◽  
Ronak N. KACHHIYAPATEL ◽  
Anirudh P. SINGH ◽  
Kishore S. Rajput
Keyword(s):  
Field Work ◽  
Western India ◽  
Anthropogenic Pressure ◽  
Legal Action ◽  
Work Study ◽  
Current Field ◽  
Gujarat State ◽  
New Location ◽  
Conservation And Management ◽  
Near Threatened

Occurrence of Isoetes coromandeliana L.f. in natural ponds of Harni, Savali and Tuwa (India) is known since 1956 by earlier workers. Equisetum debile Roxb. ex Voucher was also reported in 1962 growing as wild at Savali. Available literature indicates that I. coromandeliana falls under the category of ‘near threatened’ in Asian continents and as an ‘endangered species’ at national (India) level. In the current field work study, the authors could not locate the investigated species from the locations earlier documented by researchers. Few saplings of I. coromandeliana were observed at Talod and Vaktapur near Gandhinagar, a new location for the species. In contrast, E. debile appeared to be lost in wild from Gujarat. Their extinction from earlier reported locations is associated with anthropogenic pressure and thus legal action for their protection is needed. The present paper suggests further survey and habitat based studies and recommends conservation and management action plans based upon the ecology of the habitat.

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