Infection of healthcare workers despite a high vaccination rate during the fifth wave of COVID-19 due to Omicron variant in Hong Kong DOI Creative Commons
Shuk‐Ching Wong,

Veronica Wing-Man Chan,

Lithia Lai-Ha Yuen

et al.

Infection Prevention in Practice, Journal Year: 2022, Volume and Issue: 5(1), P. 100261 - 100261

Published: Nov. 29, 2022

No nosocomial infection was recorded in our healthcare workers (HCWs) during the early phase of coronavirus disease 2019 (COVID-19) pandemic. With emergence Omicron variant increased transmissibility, HCWs occurred as expected. We aimed to study epidemiology and describe control measures outbreak variant.With daily rapid antigen testing molecular confirmation test for COVID-19, infected were interviewed by nurses (ICNs) investigate potential source infection. The COVID-19 Hong Kong served reference.During fifth wave (31 December 2021 31 May 2022), 1,200,068 cases reported (incidence 95 times higher than preceding waves Kong; 162,103 vs 1,707 per million population respectively, P<0.001). proportion significantly that general (24.9%, 1,607/6,452 16.2%, 1,200,068/7,403,100 respectively; P<0.01). non-clinical staff clinical (31.8%, 536/1,687 22.5%, 1,071/4,765 Of 82.8% (1,330/1,607) ICNs, 99.5% (1,324/1,330) had been fully vaccinated; 49.5% (659/1,330) no identifiable source; 40.7% (541/1,330) probably from household members; 9.8% (130/1,330) possible exposure confirmed patients or HCWs, but lapse inappropriate use personal protective equipment recalled.Omicron is highly transmissible such breakthrough despite high level vaccination.

Language: Английский

Vaccine effectiveness of one, two, and three doses of BNT162b2 and CoronaVac against COVID-19 in Hong Kong: a population-based observational study DOI
Martina McMenamin, Joshua Nealon, Yun Lin

et al.

The Lancet Infectious Diseases, Journal Year: 2022, Volume and Issue: 22(10), P. 1435 - 1443

Published: July 15, 2022

Language: Английский

Citations

320

Twin peaks: The Omicron SARS-CoV-2 BA.1 and BA.2 epidemics in England DOI Creative Commons
Paul Elliott, Oliver Eales, Nicholas Steyn

et al.

Science, Journal Year: 2022, Volume and Issue: 376(6600)

Published: May 24, 2022

Rapid transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant has led to record-breaking incidence rates around world. The Real-time Assessment Community Transmission-1 (REACT-1) study tracked SARS-CoV-2 infection in England using reverse transcription polymerase chain reaction (RT-PCR) results from self-administered throat and nose swabs randomly selected participants aged 5 years older approximately monthly May 2020 March 2022. Weighted prevalence 2022 was highest recorded REACT-1 at 6.37% ( N = 109,181), with BA.2 largely replacing BA.1 variant. Prevalence increasing overall, greatest increase those 65 74 75 older. This associated increased hospitalizations deaths, but much lower levels than previous waves against a backdrop high vaccination.

Language: Английский

Citations

103

Contribution of low population immunity to the severe Omicron BA.2 outbreak in Hong Kong DOI Creative Commons

Lin‐Lei Chen,

Syed Muhammad Abdullah, Wan-Mui Chan

et al.

Nature Communications, Journal Year: 2022, Volume and Issue: 13(1)

Published: June 24, 2022

Abstract Monitoring population protective immunity against SARS-CoV-2 variants is critical for risk assessment. We hypothesize that Hong Kong’s explosive Omicron BA.2 outbreak in early 2022 could be explained by low herd immunity. Our seroprevalence study using sera collected from January to December 2021 shows a very prevalence of neutralizing antibodies (NAb) ancestral virus among older adults. The age group-specific NAb generally correlates with the vaccination uptake rate, but adults have much lower seropositive rate than rate. For all groups, variant virus. suggests this and exceptionally high case-fatality ≥80 year-old group (9.2%) attributed lack population, especially vulnerable adults, ongoing sero-surveillance essential.

Language: Английский

Citations

64

Severity of SARS-CoV-2 Omicron BA.2 infection in unvaccinated hospitalized children: comparison to influenza and parainfluenza infections DOI Creative Commons
Winnie W. Y. Tso, Mike Yat Wah Kwan,

Yu Liang Wang

et al.

Emerging Microbes & Infections, Journal Year: 2022, Volume and Issue: 11(1), P. 1742 - 1750

Published: June 22, 2022

There has been a rapid surge of hospitalization due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variants globally. The severity BA.2 in unexposed, unvaccinated, hospitalized children is unknown. We investigated and clinical outcomes COVID-19 infection during wave uninfected, unvaccinated comparison with influenza parainfluenza viral infections. This population-based study retrieved data from HK territory-wide CDARS database hospitalisations all public hospitals compared for BA.2-dominant fifth (5-28 February 2022, n = 1144), viruses (1 January 2015-31 December 2019, 32212 16423, respectively) 0-11 years old. Two deaths (0.2%) out 1144 cases initial were recorded. Twenty-one (1.8%) required PICU admission, relative risk was higher than virus (n 254, 0.8%, adjusted RR 2.1, 95%CI 1.3-3.3, p 0.001). proportion neurological complications 15.0% 171) Omicron, which 2707, 8.4%, 1.6, 1.4-1.9 1258, 7.7%, 1.9, 1.6-2.2, < 0.001 both, respectively). Croup occurred 61, 5.3%) more 601, 1.9%, 2.0, 1.5-2.6, 0.001) but not 889, 5.4%). Our findings showed that who had no past or vaccination, mild. appeared be neuropathogenic viruses. It targeted upper airways virus.

Language: Английский

Citations

56

Evolution and Control of COVID-19 Epidemic in Hong Kong DOI Creative Commons
Shuk‐Ching Wong, Albert Ka-Wing Au,

Janice Lo

et al.

Viruses, Journal Year: 2022, Volume and Issue: 14(11), P. 2519 - 2519

Published: Nov. 14, 2022

Hong Kong SAR has adopted universal masking, social distancing, testing of all symptomatic and high-risk groups for isolation confirmed cases in healthcare facilities, quarantine contacts as epidemiological control measures without city lockdown or border closure. These successfully suppressed the community transmission pre-Omicron SARS-CoV-2 variants lineages during first to fourth wave. No nosocomial infection was documented among workers 300 days. The strategy COVID-19 containment provide additional time achieve population immunity by vaccination. near-zero situation about 8 months 2021 did not enable adequate immunization eligible population. A combination factors identified, especially complacency associated with low local activity, together vaccine hesitancy. importation highly transmissible Omicron variant kickstarted fifth wave COVID-19, which could no longer be controlled our initial measures. explosive wave, partially contributed vertical airborne high-rise residential buildings, resulted over one million infection. In this review, we summarize epidemiology public health against dissemination until day 1000.

Language: Английский

Citations

51

SARS-CoV-2 Omicron sublineages show comparable cell entry but differential neutralization by therapeutic antibodies DOI Creative Commons
Prerna Arora, Lu Zhang, Nadine Krüger

et al.

Cell Host & Microbe, Journal Year: 2022, Volume and Issue: 30(8), P. 1103 - 1111.e6

Published: May 6, 2022

Language: Английский

Citations

45

Antiviral Efficacy and Safety of Molnupiravir Against Omicron Variant Infection: A Randomized Controlled Clinical Trial DOI Creative Commons
Rongrong Zou, Ling Peng, Dan Shu

et al.

Frontiers in Pharmacology, Journal Year: 2022, Volume and Issue: 13

Published: June 15, 2022

Background: The rapid worldwide spread of the Omicron variant SARS-CoV-2 has unleashed a new wave COVID-19 outbreaks. efficacy molnupiravir, an approved drug, is still unknown in patients infected with variant. Objective: Evaluated antiviral and safety molnupiravir variant, symptom duration within 5 days. Methods: We conducted randomized, controlled trial involving mild or moderate COVID-19. Patients were randomized to orally receive (800 mg) plus basic treatment only for days (BID). drug was evaluated using reverse transcriptase polymerase chain reaction. Results: Results showed that time viral RNA clearance (primary endpoint) significantly decreased group (median, 9 days) compared control 10 (Log-Rank p = 0.0092). Of receiving 18.42% achieved on day treatment, (0%) (p On 7, 40.79%, 6.45% groups, respectively, 0.0004). In addition, good profile, no serious adverse events reported. Conclusion: Molnupiravir accelerated Clinical Trial Registration: [chictr.org.cn], identifier [ChiCTR2200056817].

Language: Английский

Citations

43

Nanopore sequencing technology and its applications DOI Creative Commons

Peijie Zheng,

Chuntao Zhou,

Yuemin Ding

et al.

MedComm, Journal Year: 2023, Volume and Issue: 4(4)

Published: July 10, 2023

Abstract Since the development of Sanger sequencing in 1977, technology has played a pivotal role molecular biology research by enabling interpretation biological genetic codes. Today, nanopore is one leading third‐generation technologies. With its long reads, portability, and low cost, widely used various scientific fields including epidemic prevention control, disease diagnosis, animal plant breeding. Despite initial concerns about high error rates, continuous innovation platforms algorithm analysis effectively addressed accuracy. During coronavirus (COVID‐19) pandemic, critical detecting severe acute respiratory syndrome coronavirus‐2 virus genome containing pandemic. However, lack understanding this may limit popularization application. Nanopore poised to become mainstream choice for preventing controlling COVID‐19 future epidemics while creating value other such as oncology botany. This work introduces contributions during pandemic promote public use emerging outbreaks worldwide. We discuss application microbial detection, cancer genomes, genomes summarize strategies improve

Language: Английский

Citations

35

Effect of vaccine booster, vaccine type, and hybrid immunity on humoral and cellular immunity against SARS-CoV-2 ancestral strain and Omicron variant sublineages BA.2 and BA.5 among older adults with comorbidities: a cross sectional study DOI Creative Commons
Carol Ho-Yan Fong, Xiaojuan Zhang,

Lin-Lei Chen

et al.

EBioMedicine, Journal Year: 2023, Volume and Issue: 88, P. 104446 - 104446

Published: Jan. 25, 2023

Language: Английский

Citations

25

Antibody escape and cryptic cross-domain stabilization in the SARS-CoV-2 Omicron spike protein DOI Creative Commons
Kamyab Javanmardi, Thomas H. Segall-Shapiro, Chia‐Wei Chou

et al.

Cell Host & Microbe, Journal Year: 2022, Volume and Issue: 30(9), P. 1242 - 1254.e6

Published: Aug. 4, 2022

Language: Английский

Citations

36