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Epidemiology of COVID-19 in Northern Ireland, 26 February 2020–26 April 2020

Authors
  • Pett, J.1, 2
  • McAleavey, P.1
  • McGurnaghan, P.1
  • Spiers, R.1
  • O'Doherty, M.1
  • Patterson, L.1
  • Johnston, J.1
  • 1 Public Health Agency Northern Ireland, Northern Ireland
  • 2 Public Health England, UK
Type
Published Article
Journal
Epidemiology and Infection
Publisher
Cambridge University Press
Publication Date
Jan 29, 2021
Volume
149
Identifiers
DOI: 10.1017/S0950268821000224
PMID: 33509318
PMCID: PMC7873460
Source
PubMed Central
Keywords
License
Green

Abstract

This paper describes the epidemiology of coronavirus disease 2019 (COVID-19) in Northern Ireland (NI) between 26 February 2020 and 26 April 2020, and analyses enhanced surveillance and contact tracing data collected between 26 February 2020 and 13 March 2020 to estimate secondary attack rates (SAR) and relative risk of infection among different categories of contacts of individuals with laboratory confirmed severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection. Our results show that during the study period COVID-19 cumulative incidence and mortality was lower in NI than the rest of the UK. Incidence and mortality were also lower than in the Republic of Ireland (ROI), although these observed differences are difficult to interpret given considerable differences in testing and surveillance between the two nations. SAR among household contacts was 15.9% (95% CI 6.6%–30.1%), over 6 times higher than the SAR among ‘high-risk’ contacts at 2.5% (95% CI 0.9%–5.4%). The results from logistic regression analysis of testing data on contacts of laboratory-confirmed cases show that household contacts had 11.0 times higher odds (aOR: 11.0, 95% CI 1.7–70.03, P -value: 0.011) of testing positive for SARS-CoV-2 compared to other categories of contacts. These results demonstrate the importance of the household as a locus of SARS-CoV-2 transmission, and the urgency of identifying effective interventions to reduce household transmission.

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