MMWR Morb Mortal Wkly Rep. 2020 Oct 2;69(39):1419-1424. doi: 10.15585/mmwr.mm6939e4.
Although children and young adults are reportedly at lower risk for severe disease and death from infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), than are persons in other age groups (1), younger persons can experience infection and subsequently transmit infection to those at higher risk for severe illness (2-4). Although at lower risk for severe disease, some young adults experience serious illness, and asymptomatic or mild cases can result in sequelae such as myocardial inflammation (5). In the United States, approximately 45% of persons aged 18-22 years were enrolled in colleges and universities in 2019 (6). As these institutions reopen, opportunities for infection increase; therefore, mitigation efforts and monitoring reports of COVID-19 cases among young adults are important. During August 2-September 5, weekly incidence of COVID-19 among persons aged 18-22 years rose by 55.1% nationally; across U.S. Census regions,* increases were greatest in the Northeast, where incidence increased 144.0%, and Midwest, where incidence increased 123.4%. During the same period, changes in testing volume for SARS-CoV-2 in this age group ranged from a 6.2% decline in the West to a 170.6% increase in the Northeast. In addition, the proportion of cases in this age group among non-Hispanic White (White) persons increased from 33.8% to 77.3% during May 31-September 5. Mitigation and preventive measures targeted to young adults can likely reduce SARS-CoV-2 transmission among their contacts and communities. As colleges and universities resume operations, taking steps to prevent the spread of COVID-19 among young adults is critical (7).
尽管儿童和青少年因感染严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)而导致 2019 年冠状病毒病(COVID-19)的严重疾病和死亡的风险低于其他年龄组(1),但他们仍有可能感染该病毒,随后将其传播给罹患重症的高风险人群(2-4)。尽管年轻人患重病的风险较低,但有些年轻人会出现严重疾病,无症状或轻症病例可能导致心肌炎症等后遗症(5)。在美国,大约有 45%的 18-22 岁人群在 2019 年就读于高校(6)。随着这些机构重新开放,感染的机会增加;因此,减轻感染风险的措施和监测年轻人中 COVID-19 病例的报告非常重要。在 2020 年 8 月 2 日至 9 月 5 日期间,全美 18-22 岁人群的 COVID-19 每周发病率上升了 55.1%;全美各个州,发病率上升幅度最大的地区为东北部,上升了 144.0%,其次为中西部,上升了 123.4%。在此期间,该年龄段人群的 SARS-CoV-2 检测量变化范围为西部地区下降 6.2%,至东北部地区上升 170.6%。此外,在 5 月 31 日至 9 月 5 日期间,该年龄段人群中,非西班牙裔白人(White)病例的比例从 33.8%上升至 77.3%。针对年轻人的缓解和预防措施可能会减少他们接触者和社区中的 SARS-CoV-2 传播。随着高校重新开学,采取措施预防 COVID-19 在年轻人中传播至关重要(7)。