Cheng Y P, Kong D F, Zhang J, Lyu Z Q, Chen Z G, Xiong H W, Lu Y, Luo Q S, Lyu Q Y, Zhao J, Wen Y, Wan J, Lu F F, Lu J H, Zou X, Zhang Z
Institute for Infectious Disease Prevention and Control, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.
Central Laboratory,Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2023 Mar 10;44(3):379-385. doi: 10.3760/cma.j.cn112338-20221031-00926.
To explore the epidemiological characteristic of a COVID-19 outbreak caused by 2019-nCoV Omicron variant BF.7 and other provinces imported in Shenzhen and analyze transmission chains and characteristics. Field epidemiological survey was conducted to identify the transmission chain, analyze the generation relationship among the cases. The 2019-nCoV nucleic acid positive samples were used for gene sequencing. From 8 to 23 October, 2022, a total of 196 cases of COVID-19 were reported in Shenzhen, all the cases had epidemiological links. In the cases, 100 were men and 96 were women, with a median of age, , ) was 33(25, 46) years. The outbreak was caused by traverlers initial cases infected with 2019-nCoV who returned to Shenzhen after traveling outside of Guangdong Province.There were four transmission chains, including the transmission in place of residence and neighbourhood, affecting 8 persons, transmission in social activity in the evening on 7 October, affecting 65 persons, transmission in work place on 8 October, affecting 48 persons, and transmission in a building near the work place, affecting 74 persons. The median of the incubation period of the infection, (, ) was 1.44 (1.11, 2.17) days. The incubation period of indoor exposure less than that of the outdoor exposure, (, ) was 1.38 (1.06, 1.84) and 1.95 (1.22, 2.99) days, respcetively ( =10.27, =0.001). With the increase of case generation, the number and probability of gene mutation increased. In the same transmission chain, the proportion of having 1-3 mutation sites was high in the cases in the first generation. The transmission chains were clear in this epidemic. The incubation period of Omicron variant BF.7 infection was shorter, the transmission speed was faster, and the gene mutation rate was higher. It is necessary to conduct prompt response and strict disease control when epidemic occurs.
为探索深圳一起由2019-nCoV奥密克戎变异株BF.7引起及外省输入导致的新型冠状病毒肺炎(COVID-19)疫情的流行病学特征,分析传播链条及特点。开展现场流行病学调查以确定传播链条,分析病例间的代际关系。采集新型冠状病毒核酸阳性样本进行基因测序。2022年10月8日至23日,深圳共报告196例COVID-19病例,所有病例均有流行病学关联。病例中,男性100例,女性96例,年龄中位数为33(25,46)岁。此次疫情由在广东省外旅行后返回深圳的感染新型冠状病毒的旅行者引发首例病例。共有四条传播链,包括居住地及小区内传播,涉及8人;10月7日晚社交活动传播,涉及65人;10月8日工作场所传播,涉及48人;工作场所附近一栋楼内传播,涉及74人。感染潜伏期中位数为1.44(1.11,2.17)天。室内暴露潜伏期短于室外暴露,分别为1.38(1.06,1.84)天和1.95(1.22,2.99)天(Z =10.27,P =0.001)。随着病例代际增加,基因突变数量和概率增加。在同一传播链中,第一代病例中具有1 - 3个突变位点的比例较高。本次疫情传播链条清晰。奥密克戎变异株BF.7感染潜伏期较短,传播速度较快,基因突变率较高。疫情发生时需及时响应并严格防控。