Did COVID-19 surveillance system sensitivity change after Omicron? A retrospective observational study in England
Abstract
Background
During
the
COVID-19
pandemic
in
England,
increases
and
falls
cases
were
monitored
using
many
surveillance
systems
(SS).
However,
sensitivity
may
have
changed
as
different
variants
introduced
to
population,
due
greater
disease-resistance
after
comprehensive
vaccination
programmes
widespread
natural
infection
or
for
other
reasons.
Methods
Time
series
data
from
ten
epidemic
trackers
England
that
available
Sept
2021-June
2022
compared
each
Spearman
correlation
statistics.
Least
biased
most
timely
SS
identified
‘best’
standard
trackers,
while
tracking
datasets
we
denote
complementary
trackers.
We
best
with
Correlation
calculations
95%
confidence
intervals
made
between
tested
hypothesis
was
especially
poor
during
transition
periods
when
Delta,
Omicron
BA.1
BA.2
sublineages
dominant.
Daily
ascertainment
percentages
of
incident
detected
variant’s
dominance
calculated.
statistically
significant
(at
p
<
0.05)
differences
distribution
values
dominance,
Welch’s
oneway
ANOVA.
Results
rho
significantly
positive
over
whole
period.
There
no
apparent
visual
indication
correlations
period
Delta
BA.1.
but
these
relatively
small
fluctuations
full
Ascertainment
highest
against
least
tracker
incidence.
three
variant-dominant
periods.
Conclusions
From
September
2021
June
2022,
generally
reflected
case
rises
falls.
Delta-dominant
highly
stable.
Factors
than
which
variant
dominant
seem
likely
affected
how
well
true
Опубликована: Апрель 28, 2025
Язык: Английский