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南非与 Beta SARS-CoV-2 变体相关的传染性和病死率变化的初步评估:一项生态学研究。

A tentative assessment of the changes in transmissibility and fatality risk associated with Beta SARS-CoV-2 variants in South Africa: an ecological study.

机构信息

JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China.

CUHK Shenzhen Research Institute, Shenzhen, China.

出版信息

Pathog Glob Health. 2022 May;116(3):137-139. doi: 10.1080/20477724.2021.2014236. Epub 2021 Dec 20.

DOI:10.1080/20477724.2021.2014236
PMID:34928191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9090418/
Abstract

The circulation of SARS-CoV-2 Beta (B.1.351) variants challenged the control of COVID-19 pandemic. The numbers of COVID-19 cases and deaths and SARS-CoV-2 sequences in South Africa were collected. We reconstructed the variant-specified reproduction numbers (R t) and delay-adjusted case fatality ratio (CFR) to examine the changes in transmissibility and fatality risk of Beta over non-Beta variants. We estimated that Beta variants were 41% (95%CI: 16, 73) more transmissible and 53% (95%CI: 6, 108) more fatal than non-Beta variants. Higher risks of infection and fatality might lead to increasing volumes of infections and critical patients.

摘要

新冠病毒 Beta(B.1.351)变体的传播对新冠疫情的控制构成了挑战。我们收集了南非的新冠病例和死亡人数以及新冠病毒序列。我们重建了特定变体的繁殖数(Rt)和延迟调整的病死率(CFR),以研究 Beta 变体相对于非 Beta 变体的传染性和致死风险的变化。我们估计,Beta 变体比非 Beta 变体的传染性高 41%(95%CI:16,73),致死率高 53%(95%CI:6,108)。感染和致死风险的增加可能会导致感染人数和重症患者数量的增加。

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本文引用的文献

1
Increased transmissibility and global spread of SARS-CoV-2 variants of concern as at June 2021.截至2021年6月,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变异株的传播性增加及其在全球的传播情况。
Euro Surveill. 2021 Jun;26(24). doi: 10.2807/1560-7917.ES.2021.26.24.2100509.
2
The SARS-CoV-2 B.1.351 lineage (VOC β) is outgrowing the B.1.1.7 lineage (VOC α) in some French regions in April 2021.2021 年 4 月,在法国的一些地区,SARS-CoV-2 的 B.1.351 谱系(VOC β)的增长率超过了 B.1.1.7 谱系(VOC α)。
Euro Surveill. 2021 Jun;26(23). doi: 10.2807/1560-7917.ES.2021.26.23.2100447.
3
Inferring the Association between the Risk of COVID-19 Case Fatality and N501Y Substitution in SARS-CoV-2.推断 SARS-CoV-2 中 N501Y 取代与 COVID-19 病例死亡率之间的关联。
Viruses. 2021 Apr 8;13(4):638. doi: 10.3390/v13040638.
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Lack of detail in population-level data impedes analysis of SARS-CoV-2 variants of concern and clinical outcomes.人群层面数据缺乏细节,阻碍了对新冠病毒变异株及临床结果的分析。
Lancet Infect Dis. 2021 Sep;21(9):1195-1197. doi: 10.1016/S1473-3099(21)00201-2. Epub 2021 Apr 12.
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Quantifying the transmission advantage associated with N501Y substitution of SARS-CoV-2 in the UK: an early data-driven analysis.量化 N501Y 取代 SARS-CoV-2 在英国的传播优势:一项早期基于数据的分析。
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