Community and Close Contact Exposures Associated with COVID-19 Among Symptomatic Adults ≥18 Years in 11 Outpatient Health Care Facilities — United States, July 2020

Fisher, Kiva A.; Tenforde, Mark W.; Feldstein, Leora R.; Lindsell, Christopher J.; Shapiro, Nathan I.; Files, D. Clark; Gibbs, Kevin W.; Erickson, Heidi L.; Prekker, Matthew E.; Steingrub, Jay S.; Exline, Matthew C.; Henning, Daniel J.; Wilson, Jennifer G.; Brown, Samuel M.; Peltan, Ithan D.; Rice, Todd W.; Hager, David N.; Ginde, Adit A.; Talbot, H. Keipp; Casey, Jonathan D.; Grijalva, Carlos G.; Flannery, Brendan; Patel, Manish M.; Self, Wesley H.; Hart, Kimberly W.; McClellan, Robert; Tan, Hsi-nien; Baughman, Adrienne; Hennesy, Nora A.; Grear, Brittany; Wu, Michael; Mlynarczyk, Kristin; Marzano, Luc; Plata, Zuwena; Caplan, Alexis; Olson, Samantha M.; Ogokeh, Constance E.; Smith, Emily R.; Kim, Sara S.; Griggs, Eric P.; Richards, Bridget; Robinson, Sonya; Kim, Kaylee; Kassem, Ahmed M.; Sciarratta, Courtney N.; Marcet, Paula L.

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Community and Close Contact Exposures Associated with COVID-19 Among Symptomatic Adults ≥18 Years in 11 Outpatient Health Care Facilities — United States, July 2020

Supporting Files Public Domain

September 11 2020
By Fisher, Kiva A. ; Tenforde, Mark W. ; Feldstein, Leora R. ; ...
Series: Weekly Report: Morbidity and Mortality Weekly Report (MMWR)

File Language:

English

Details

Journal Article:

Morbidity and Mortality Weekly Report (MMWR)
Personal Author:

Fisher, Kiva A. ; Tenforde, Mark W. ; Feldstein, Leora R. ; Lindsell, Christopher J. ; Shapiro, Nathan I. ; Files, D. Clark ; Gibbs, Kevin W. ; Erickson, Heidi L. ; Prekker, Matthew E. ; Steingrub, Jay S. ; Exline, Matthew C. ; Henning, Daniel J. ; Wilson, Jennifer G. ; Brown, Samuel M. ; Peltan, Ithan D. ; Rice, Todd W. ; Hager, David N. ; Ginde, Adit A. ; Talbot, H. Keipp ; Casey, Jonathan D. ; Grijalva, Carlos G. ; Flannery, Brendan ; Patel, Manish M. ; Self, Wesley H. ; Hart, Kimberly W. ; McClellan, Robert ; Tan, Hsi-nien ; Baughman, Adrienne ; Hennesy, Nora A. ; Grear, Brittany ; Wu, Michael ; Mlynarczyk, Kristin ; Marzano, Luc ; Plata, Zuwena ; Caplan, Alexis ; Olson, Samantha M. ; Ogokeh, Constance E. ; Smith, Emily R. ; Kim, Sara S. ; Griggs, Eric P. ; Richards, Bridget ; Robinson, Sonya ; Kim, Kaylee ; Kassem, Ahmed M. ; Sciarratta, Courtney N. ; Marcet, Paula L.
Corporate Authors:

IVY Network Investigators ; CDC COVID-19 Response Team
Description:

Community and close contact exposures continue to drive the coronaVirus disease 2019 (COVID-19) pandemic. CDC and other public health authorities recommend community mitigation strategies to reduce Transmission of SARS-CoV-2, the Virus that causes COVID-19 (1,2). Characterization of community exposures can be difficult to assess when widespread Transmission is occurring, especially from asymptomatic persons within inherently interconnected communities. Potential exposures, such as close contact with a person with confirmed COVID-19, have primarily been assessed among COVID-19 cases, without a non-COVID-19 comparison group (3,4). To assess community and close contact exposures associated with COVID-19, exposures reported by case-patients (154) were compared with exposures reported by control-participants (160). Case-patients were symptomatic adults (persons aged ≥18 years) with SARS-CoV-2 infection confirmed by reverse transcription-polymerase chain reaction (RT-PCR) tTesting. Control-participants were symptomatic outpatient adults from the same health care facilities who had negative SARS-CoV-2 test results. Close contact with a person with known COVID-19 was more commonly reported among case-patients (42%) than among control-participants (14%). Case-patients were more likely to have reported dining at a restaurant (any area designated by the restaurant, including indoor, patio, and outdoor seating) in the 2 weeks preceding illness onset than were control-participants (adjusted odds ratio [aOR] = 2.4; 95% confidence interval [CI] = 1.5-3.8). Restricting the Analysis to participants without known close contact with a person with confirmed COVID-19, case-patients were more likely to report dining at a restaurant (aOR = 2.8, 95% CI = 1.9-4.3) or going to a bar/coffee shop (aOR = 3.9, 95% CI = 1.5-10.1) than were control-participants. Exposures and activities where mask use and social distancing are difficult to maintain, including going to places that offer on-site eating or drinking, might be important risk factors for acquiring COVID-19. As communities reopen, efforts to reduce possible exposures at locations that offer on-site eating and drinking options should be considered to protect customers, employees, and communities.
Subjects:

Adolescent Adult Ambulatory Care Facilities Community-Acquired Infections Contact Tracing CoronaVirus Infections COVID-19 Environmental Exposure Female Full Report Humans Male Middle Aged Pandemics Pneumonia, Viral Young Adult
Source:

MMWR Morbidity Mortal Weekly Rep. 69(36):1258-1264
Series:

Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
ISSN:

0149-2195 (print) ; 1545-861X (digital)
Pubmed ID:

32915165
Pubmed Central ID:

PMC7499837
Document Type:

Journal Article
Place as Subject:

United States
Pages in Document:

7 pdf pages
Volume:

69
Issue:

36
Collection(s):

Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:

urn:sha-512:1142e4afc7bd51431ade3c9177f602cefa6097734885e4b6a9a8e696dae671c0227e0a518b5b80ce4a4f99ea28ca33f84ca5f5b603ade2123e9e45f460654f02
Download URL:

https://stacks.cdc.gov/view/cdc/94413/cdc_94413_DS1.pdf
File Type:

[PDF - 133.34 KB ]

File Language:

English

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