Emerging infectious diseases · 2020 · 521 citations · 6 references
Public HealthInfectious Disease ControlInfectious DiseasesEpidemiologyInfectious Disease EpidemiologyOutbreak InvestigationInfectious Disease SurveillanceOutbreak ControlOutbreak ManagementOutbreak PreventionVirus EpidemiologyAttack RateContact Tracing Data AnalysisDisease Outbreak DynamicsEpidemiologic Data AnalysisOutbreak DescriptionOutbreak Descriptive AnalysisOutbreak Investigation In WorkplacesSymptomatic Prevalence
The study describes the epidemiology of a COVID‑19 outbreak in a South Korean call center. The authors collected demographic data using standardized epidemiologic forms and performed descriptive analyses reporting frequencies and proportions. Among 1,143 tested, 97 (8.5%) were confirmed, 94 of whom worked in the call center, yielding a 43.5% attack rate; the household secondary attack rate was 16.2%, only 4 cases remained asymptomatic, and extensive contact tracing, testing, and early quarantine halted further spread.
We describe the epidemiology of a coronavirus disease (COVID-19) outbreak in a call center in South Korea. We obtained information on demographic characteristics by using standardized epidemiologic investigation forms. We performed descriptive analyses and reported the results as frequencies and proportions for categoric variables. Of 1,143 persons who were tested for COVID-19, a total of 97 (8.5%, 95% CI 7.0%-10.3%) had confirmed cases. Of these, 94 were working in an 11th-floor call center with 216 employees, translating to an attack rate of 43.5% (95% CI 36.9%-50.4%). The household secondary attack rate among symptomatic case-patients was 16.2% (95% CI 11.6%- 22.0%). Of the 97 persons with confirmed COVID-19, only 4 (1.9%) remained asymptomatic within 14 days of quarantine, and none of their household contacts acquired secondary infections. Extensive contact tracing, testing all contacts, and early quarantine blocked further transmission and might be effective for containing rapid outbreaks in crowded work settings.
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Estimation of the asymptomatic ratio of novel coronavirus infections (COVID-19)
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