Bus Riding as Amplification Mechanism for SARS-CoV-2 Transmission, Germany, 20211

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Schöll, Meike ; Höhn, Christoph ; Boucsein, Johannes ; Moek, Felix ; Plath, Jasper ; an der Heiden, Maria ; Huska, Matthew ; Kröger, Stefan ; Paraskevopoulou, Sofia ; Siffczyk, Claudia ; Buchholz, Udo ; Lachmann, Raskit
• Description:
  To examine the risk associated with bus riding and identify transmission chains, we investigated a COVID-19 outbreak in Germany in 2021 that involved index case-patients among bus-riding students. We used routine surveillance data, performed laboratory analyses, interviewed case-patients, and conducted a cohort study. We identified 191 case-patients, 65 (34%) of whom were elementary schoolchildren. A phylogenetically unique strain and epidemiologic analyses provided a link between air travelers and cases among bus company staff, schoolchildren, other bus passengers, and their respective household members. The attack rate among bus-riding children at 1 school was ≈4 times higher than among children not taking a bus to that school. The outbreak exemplifies how an airborne agent may be transmitted effectively through (multiple) short (<20 minutes) public transport journeys and may rapidly affect many persons.
• Subjects:
  Child Cohort Studies Disease Outbreaks Humans SARS-CoV-2
• Keywords:
  2019 Novel Coronavirus Disease Bacteria Burkholderia Pseudomallei Bus Coronavirus Disease COVID-19 Germany History Melioidosis Outbreak Respiratory Infections Schools Severe Acute Respiratory Syndrome Coronavirus 2 Travel Viruses Whole-genome Sequencing Zoonoses

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• Source:
  Emerg Infect Dis. 2024; 30(4):711-720
• Pubmed ID:
  38526123
• Pubmed Central ID:
  PMC10977817
• Document Type:
  Journal Article
• Place as Subject:
  Germany
• Volume:
  30
• Issue:
  4
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:d5008beae66a86f3ad08ced526f0892efa3aa959204a35b9646591a24ee71496
• Download URL:
  https://stacks.cdc.gov/view/cdc/152960/cdc_152960_DS1.pdf
• File Type:
  [PDF - 2.86 MB ]