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  1. Article ; Online: Key performance indicators of COVID-19 contact tracing in Belgium from September 2020 to December 2021.

    Kremer, Cécile / Willem, Lander / Boone, Jorden / Arrazola de Oñate, Wouter / Hammami, Naïma / Faes, Christel / Hens, Niel

    PloS one

    2023  Volume 18, Issue 10, Page(s) e0292346

    Abstract: The goal of tracing, testing, and quarantining contacts of infected individuals is to contain the spread of infectious diseases, a strategy widely used during the COVID-19 pandemic. However, limited research exists on the effectiveness of contact tracing, ...

    Abstract The goal of tracing, testing, and quarantining contacts of infected individuals is to contain the spread of infectious diseases, a strategy widely used during the COVID-19 pandemic. However, limited research exists on the effectiveness of contact tracing, especially with regard to key performance indicators (KPIs), such as the proportion of cases arising from previously identified contacts. In our study, we analyzed contact tracing data from Belgium collected between September 2020 and December 2021 to assess the impact of contact tracing on SARS-CoV-2 transmission and understand its characteristics. Among confirmed cases involved in contact tracing in the Flemish and Brussels-Capital regions, 19.1% were previously identified as close contacts and were aware of prior exposure. These cases, referred to as 'known' to contact tracing operators, reported on average fewer close contacts compared to newly identified individuals (0.80 versus 1.05), resulting in fewer secondary cases (0.23 versus 0.28). Additionally, we calculated the secondary attack rate, representing infections per contact, which was on average lower for the 'known' cases (0.22 versus 0.25) between December 2020 and August 2021. These findings indicate the effectiveness of contact tracing in Belgium in reducing SARS-CoV-2 transmission. Although we were unable to quantify the exact number of prevented cases, our findings emphasize the importance of contact tracing as a public health measure. In addition, contact tracing data provide indications of potential shifts in transmission patterns among different age groups associated with emerging variants of concern and increasing vaccination rates.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Contact Tracing/methods ; SARS-CoV-2 ; Pandemics/prevention & control ; Belgium/epidemiology
    Language English
    Publishing date 2023-10-20
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0292346
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Key performance indicators of COVID-19 contact tracing in Belgium from September 2020 to December 2021

    Kremer, Cécile / Willem, Lander / Boone, Jorden / Arrazola de Oñate, Wouter / Hammami, Naïma / Faes, Christel / Hens, Niel

    medRxiv

    Abstract: Background Contact tracing aims to prevent onward transmission of infectious diseases and data obtained during tracing provide unique information on transmission characteristics. A key performance indicator that has been proposed to evaluate contact ... ...

    Abstract Background Contact tracing aims to prevent onward transmission of infectious diseases and data obtained during tracing provide unique information on transmission characteristics. A key performance indicator that has been proposed to evaluate contact tracing is the proportion of cases arising from known contacts. However, few empirical studies have investigated the effectiveness of contact tracing. Methods Using data collected between September 2020 and December 2021 in Belgium, we investigated the impact of contact tracing on SARS-CoV-2 transmission. We compared confirmed cases that were previously identified as a close contact to those that were not yet known, in terms of their traced contacts and secondary cases as well as the serial interval. In addition, we established contact and transmission patterns by age. Findings Previously traced, hence 9known9, cases comprised 20% of all cases and they were linked to relatively fewer close contacts as well as fewer secondary cases and a lower secondary attack rate compared to cases that were not already known. In addition we observed a shorter serial interval for 9known9 cases. There was a relative increase in transmission from children to adults during circulation of the Delta and Omicron variants, without an increase in the extent of contact between these age groups. Interpretation These results suggest that contact tracing in Belgium has been effective in reducing onward transmission and that individuals aware of their exposure to SARSCoV- 2 seemed more reserved in their social contact behaviour. Data from a reference period or region are needed to measure the impact of contact tracing in terms of the number of cases and deaths averted.
    Keywords covid19
    Language English
    Publishing date 2022-10-06
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.10.04.22280542
    Database COVID19

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