Epidemiological Traceability Investigation of a New Wave of COVID-19 Outbreaks in Beijing
Abstract Background: To investigate a new wave of COVID-19 outbreaks in Beijing at the end of 2020, and to analyze the infection situation and transmission chain of each generation.Methods: Using a unified questionnaire, through the combination of field investigation and telephone survey, and with the help of trajectory big data technology to track the infected persons and close contacts for clues and case investigation. All nasal/pharyngeal swabs were collected and detected by real-time fluorescence quantitative RT-PCR method. The propagation relationship was analyzed by using the schematic diagram of transmission chain.Results: The outbreak involved 21 infected persons (15 confirmed cases and 6 asymptomatic). The first case was only an index case rather than the source of infection. The infected persons were spread through family exposure, workplace exposure, public premises exposure, vehicle exposure, diet exposure and so on. The average incubation period was 4 days, and those who had contact during both the virus incubation period and the symptom period had a higher risk of infection (c2=30.688, P<0.001). Unprotected family exposure, diet exposure, and exposure to small spaces, such as within transport, presented a higher risk of infection (c2=33.461, P<0.001). Conclusion: Against the background of global integration, the COVID-19 situation is still grim, still can not relax. While speeding up the recovery of the economy, "external defense input and internal defense rebound" is still the top priority in China's epidemic prevention and control work.