Adolescent with COVID-19 as the Source of an Outbreak at a 3-week Family Gathering — Four States, June–July 2020

Details

• Personal Author:
  Morris, Sapna Bamrah ; Schwartz, Noah G. ; Patel, Pragna ; Abbo, Lilian ; Beauchamps, Laura ; Balan, Shuba ; Lee, Ellen H. ; Paneth-Pollak, Rachel ; Geevarughese, Anita ; Lash, Maura K. ; Dorsinville, Marie S. ; Ballen, Vennus ; Eiras, Daniel P. ; Newton-Cheh, Christopher ; Smith, Emer ; Robinson, Sara ; Stogsdill, Patricia ; Lim, Sarah ; Fox, MD, Sharon E. ; Richardson, Gillian ; Hand, Julie ; Oliver, Nora T. ; Kofman, Aaron ; Bryant, Bobbi ; Ende, Zachary ; Datta, Deblina ; Belay, Ermias ; Godfred-Cato, Shana
• Corporate Authors:
  CDC COVID-9 Response Team. ; Centers for Disease Control and Prevention (U.S.) Epidemic Intelligence Service. ; Rhode Island. Department of Health. ; Georgia. Department of Public Health. ; Cook County (Ill.). Department of Public Health. ; Massachusetts. Department of Public Health.
• Description:
  There is increasing evidence that children and adolescents can efficiently transmit SARS-CoV-2, the Virus that causes coronaVirus disease 2019 (COVID-19) (1–3). During July–August 2020, four state health departments and CDC investigated a COVID-19 outbreak that occurred during a 3-week family gathering of five households in which an adolescent aged 13 years was the index and suspected primary patient; 11 subsequent cases occurred.
  
  Both heads of each household were interviewed to assess demographic characteristics, exposures, symptoms, close contacts, and outcomes. Parents provided data for all children, adolescents, and young adults. Thirteen of the index patient’s relatives sought viral tTesting; test results were reported by respondents, and all test results that were reported to be positive were verified in state reporting systems. For three children and adolescents who were not tested while symptomatic, a chemiluminescent immunoassay* detecting total antibody to SARS-CoV-2 was performed 28–46 days after symptom onset; results were positive for all three children and adolescents, including the index patient and her two brothers, indicating earlier infection. Likely exposure periods† and infectious periods§ were estimated from symptom onset dates. This activity was reviewed by CDC and was conducted consistent with applicable federal law and CDC policy.
  
  Suggested citation for this article: Schwartz NG, Moorman AC, Makaretz A, et al. Adolescent with COVID-19 as the Source of an Outbreak at a 3-Week Family Gathering — Four States, June–July 2020. MMWR Morb Mortal Wkly Rep. ePub: 5 October 2020.
  
  mm6940e2.htm?s_cid=mm6940e2_w
  
  mm6940e2-H.pdf
  
  
• Content Notes:
  Case Reports -- Published Case Series -- Discussion -- Acknowledgments -- Table 1 -- Table 2 -- References.
• Subjects:
  Adolescent Adult CoronaVirus Infections CoronaVirus Infections/Transmission COVID-19 Disease Outbreaks Pandemics Pneumonia, Viral Pneumonia, Viral/Transmission
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2020; v. 69 Early Release
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Document Type:
  Journal Article
• Place as Subject:
  Georgia ; Illinois ; Massachusetts ; Rhode Island
• Pages in Document:
  3 pdf pages
• Volume:
  69
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:952a8a731e2912f01a233eb9e0f535d5239e345d75a496b02062e337fa001ac358dfc483b2157f684f854c97818c629a986dc824fc2f83e16c374561d183e37e
• Download URL:
  https://stacks.cdc.gov/view/cdc/94832/cdc_94832_DS1.pdf
• File Type:
  [PDF - 212.06 KB ]