Li W Y, Du Z C, Wang Y, Lin X, Lu L, Fang Q, Zhang W F, Cai M W, Xu L, Hao Y T
Division of Disease Prevention, Liwan District Center for Disease Control and Prevention of Guangzhou, Guangzhou 510000, China.
Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Oct 10;42(10):1763-1768. doi: 10.3760/cma.j.cn112338-20210613-00472.
To analyze the epidemiological characteristics of a local outbreak of COVID-19 caused by SARS-CoV-2 B.1.617.2(Delta) variant in Liwan district, Guangzhou, and provide evidence for the further prevention and control of the Delta variant of COVID-19. From May 21 to June 18, 2021, the incidence data of COVID-19 caused by Delta variant were obtained from National Notifiable Disease Report System of Chinese Disease Prevention and Control Information System and Liwan District Center for Disease Control and Prevention of Guangzhou.Frequency analysis (proportions), histograms, and percentage stacked area plots were used to describe the epidemiological characteristics of the outbreaks. The incubation period and time-varying reproduction numbers () estimations were used for the further analysis. By June 18, 2021, a total of 127 COVID-19 cases caused by Delta variant was reported in Liwan district. The youngest case was aged 2 years and the oldest was aged 85 years. There were 18.9% (24/127) aged <18 years, 43.3% (55/127) aged 18-59 years, and 37.8% (48/127) aged ≥60 years, the male to female ratio of the cases was 1∶1.35 (54∶73). The cases were mainly retired people (32.3%, 41/127), the jobless or unemployed (18.1%, 23/127), and students (16.5%, 21/127). The infections mainly occurred in Baihedong (70.1%, 89/127) and Zhongnan street (23.6%, 30/127) communities in the southern area of Liwan district. The median incubation period of the Delta variant infection was 6 days (range: 1-15 days). The clinical classification were mainly common type (64.6%, 82/127). The basic reproduction number () was 5.1, which once increased to 7.3. The transmissions mainly occurred in confined spaces, such as home (26.8%), restaurant (29.1%), neighborhood (3.9%), and market (3.1%), the household clustering was predominant. Close contacts tracing (66.1%) and community screening (33.1%) were the main ways to find the infections. The COVID-19 outbreak caused by Delta variant in Liwan district of Guangzhou was highly contagious, with the obvious characteristics of household clustering and high proportions of cases in adults aged 18-59 years and elderly people aged ≥60 years.
分析广州市荔湾区由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)B.1.617.2(德尔塔)变异株引起的新冠肺炎局部暴发的流行病学特征,为进一步防控新冠肺炎德尔塔变异株提供依据。2021年5月21日至6月18日,从中国疾病预防控制信息系统的国家法定传染病报告系统和广州市荔湾区疾病预防控制中心获取德尔塔变异株引起的新冠肺炎发病数据。采用频率分析(比例)、直方图和百分比堆积面积图描述暴发的流行病学特征。使用潜伏期和随时间变化的繁殖数(Rt)估计值进行进一步分析。截至2021年6月18日,荔湾区共报告127例由德尔塔变异株引起的新冠肺炎病例。最小病例年龄为2岁,最大病例年龄为85岁。年龄<18岁者占18.9%(24/127),18-59岁者占43.3%(55/127),≥60岁者占37.8%(48/127),病例男女比例为1∶1.35(54∶73)。病例主要为退休人员(32.3%,41/127)、无业或失业人员(18.1%,23/127)和学生(16.5%,21/127)。感染主要发生在荔湾区南部的白鹤洞(70.1%,89/127)和中南街(23.6%,30/127)社区。德尔塔变异株感染的中位潜伏期为6天(范围:1-15天)。临床分型主要为普通型(64.6%,82/127)。基本繁殖数(Rt)为5.1,一度增至7.3。传播主要发生在密闭空间,如家庭(26.8%)、餐馆(29.1%)、邻里(3.9%)和市场(3.1%),以家庭聚集为主。密切接触者追踪(66.1%)和社区筛查(33.1%)是发现感染的主要方式。广州市荔湾区由德尔塔变异株引起的新冠肺炎暴发传染性强,具有明显的家庭聚集特征,18-59岁成年人和≥60岁老年人病例比例高。