Health Protection Team, UK Health Security Agency East Midlands, Nottingham, UK.
Lincolnshire County Council, Lincoln, UK.
Epidemiol Infect. 2023 Feb 3;151:e26. doi: 10.1017/S0950268823000134.
We describe the management of two linked severe acute respiratory coronavirus 2 (SARS-CoV-2) outbreaks, predominantly amongst 18-35-year-olds, in a UK county in July-to-September 2021, following the lifting of national coronavirus disease 2019 (COVID-19)-associated social restrictions. One was associated with a nightclub and one with five air force bases. On week beginning 2nd August 2021, air force contact tracing teams detected 68 cases across five bases within one county; 21 (30.9%) were associated with a night-time economy venue, 13 (19.1%) with night-time economy venues in the county's main town and at least one case per base ( = 6, 8.8%) with a particular nightclub in this town, which itself had been associated with 302 cases in the previous week (coinciding with its reopening following a national lockdown). In response, Public Health England/United Kingdom Health Security Agency, air force and local authority teams collaboratively implemented communication strategies and enhanced access to SARS-CoV-2 testing and vaccination. Key challenges included attempting to encourage behaviours that reduce likelihood of transmission to a population who may have considered themselves at low risk from severe COVID-19. This report may inform future preparation for, and management of, easing of potential future pandemic-related social restrictions, and how an outbreak in this context may be addressed.
我们描述了 2021 年 7 月至 9 月期间,在英国一个郡中两起严重急性呼吸冠状病毒 2(SARS-CoV-2)爆发的管理情况,主要涉及 18-35 岁人群,此时正值全国 2019 年冠状病毒病(COVID-19)相关社会限制解除之后。一起爆发与一家夜总会有关,另一起与五个空军基地有关。在 2021 年 8 月 2 日那一周,空军接触者追踪小组在一个郡的五个基地内发现了 68 例病例;其中 21 例(30.9%)与夜间经济场所有关,13 例(19.1%)与郡主要城镇的夜间经济场所有关,至少有一例病例(=6,8.8%)与该城镇的一家特定夜总会有关,而该夜总会本身在前一周就与 302 例病例有关(恰逢其在全国封锁后重新开放)。作为回应,英国公共卫生署/英国卫生安全局、空军和地方当局团队协作实施了沟通策略,并加强了对 SARS-CoV-2 的检测和疫苗接种。主要挑战包括试图鼓励减少传播风险的行为,以减少可能对自己认为感染严重 COVID-19 风险较低的人群的传播。本报告可能为未来准备和管理缓解潜在未来大流行相关社会限制提供信息,并说明在这种情况下如何处理疫情爆发。