Cross sectional investigation of a COVID-19 outbreak at a London Army barracks: Neutralising antibodies and virus isolation.


Journal

The Lancet regional health. Europe
ISSN: 2666-7762
Titre abrégé: Lancet Reg Health Eur
Pays: England
ID NLM: 101777707

Informations de publication

Date de publication:
Mar 2021
Historique:
entrez: 19 4 2021
pubmed: 20 4 2021
medline: 20 4 2021
Statut: ppublish

Résumé

Military personnel in enclosed societies are at increased risk of respiratory infections. We investigated an outbreak of Coronavirus Disease 2019 in a London Army barracks early in the pandemic. Army personnel, their families and civilians had nasal and throat swabs for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) by reverse transcriptase -polymerase chain reaction (RT-PCR), virus isolation and whole genome sequencing, along with blood samples for SARS-CoV-2 antibodies. All tests were repeated 36 days later. During the first visit, 304 (254 Army personnel, 10 family members, 36 civilians, 4 not stated) participated and 24/304 (8%) were SARS-CoV-2 RT-PCR positive. Infectious virus was isolated from 7/24 (29%). Of the 285 who provided a blood sample, 7% (19/285) were antibody positive and 63% (12/19) had neutralising antibodies. Twenty-two (22/34, 64%) individuals with laboratory-confirmed infection were asymptomatic. Nine SARS-CoV-2 RT-PCR positive participants were also antibody positive but those who had neutralising antibodies did not have infectious virus. At the second visit, no new infections were detected, and 13% (25/193) were seropositive, including 52% (13/25) with neutralising antibodies. Risk factors for SARS-CoV-2 antibody positivity included contact with a confirmed case (RR 25.2; 95% CI 14-45), being female (RR 2.5; 95% CI 1.0-6.0) and two-person shared bathroom (RR 2.6; 95% CI 1.1-6.4). We identified high rates of asymptomatic SARS-CoV-2 infection. Public Health control measures can mitigate spread but virus re-introduction from asymptomatic individuals remains a risk. Most seropositive individuals had neutralising antibodies and infectious virus was not recovered from anyone with neutralising antibodies. PHE.

Sections du résumé

BACKGROUND BACKGROUND
Military personnel in enclosed societies are at increased risk of respiratory infections. We investigated an outbreak of Coronavirus Disease 2019 in a London Army barracks early in the pandemic.
METHODS METHODS
Army personnel, their families and civilians had nasal and throat swabs for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) by reverse transcriptase -polymerase chain reaction (RT-PCR), virus isolation and whole genome sequencing, along with blood samples for SARS-CoV-2 antibodies. All tests were repeated 36 days later.
FINDINGS RESULTS
During the first visit, 304 (254 Army personnel, 10 family members, 36 civilians, 4 not stated) participated and 24/304 (8%) were SARS-CoV-2 RT-PCR positive. Infectious virus was isolated from 7/24 (29%). Of the 285 who provided a blood sample, 7% (19/285) were antibody positive and 63% (12/19) had neutralising antibodies. Twenty-two (22/34, 64%) individuals with laboratory-confirmed infection were asymptomatic. Nine SARS-CoV-2 RT-PCR positive participants were also antibody positive but those who had neutralising antibodies did not have infectious virus. At the second visit, no new infections were detected, and 13% (25/193) were seropositive, including 52% (13/25) with neutralising antibodies. Risk factors for SARS-CoV-2 antibody positivity included contact with a confirmed case (RR 25.2; 95% CI 14-45), being female (RR 2.5; 95% CI 1.0-6.0) and two-person shared bathroom (RR 2.6; 95% CI 1.1-6.4).
INTERPRETATION CONCLUSIONS
We identified high rates of asymptomatic SARS-CoV-2 infection. Public Health control measures can mitigate spread but virus re-introduction from asymptomatic individuals remains a risk. Most seropositive individuals had neutralising antibodies and infectious virus was not recovered from anyone with neutralising antibodies.
FUNDING BACKGROUND
PHE.

Identifiants

pubmed: 33870245
doi: 10.1016/j.lanepe.2020.100015
pii: S2666-7762(20)30015-6
pmc: PMC7834392
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100015

Informations de copyright

Crown Copyright © 2020 Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Hannah Taylor (H)

Immunisation and Countermeasures Division, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
Army Medical Services, Robertson House, Camberley, GU15 4NP, UK.

William Wall (W)

Army Medical Services, Robertson House, Camberley, GU15 4NP, UK.

David Ross (D)

Army Medical Services, Robertson House, Camberley, GU15 4NP, UK.

Roshni Janarthanan (R)

London Health Protection Team, Public Health England, London, UK.

Liyang Wang (L)

London Health Protection Team, Public Health England, London, UK.

Felicity Aiano (F)

Immunisation and Countermeasures Division, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.

Joanna Ellis (J)

Virus Reference Department, Public Health England, London, UK.

Robin Gopal (R)

Virus Reference Department, Public Health England, London, UK.

Nick Andrews (N)

Infectious Disease Informatics, Public Health England, London, UK.

Monika Patel (M)

Virus Reference Department, Public Health England, London, UK.

Angie Lackenby (A)

Virus Reference Department, Public Health England, London, UK.

Richard Myers (R)

Infectious Disease Informatics, Public Health England, London, UK.

Mary E Ramsay (ME)

Immunisation and Countermeasures Division, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.

J Yimmy Chow (JY)

London Health Protection Team, Public Health England, London, UK.

Maria Zambon (M)

Virus Reference Department, Public Health England, London, UK.

Shamez N Ladhani (SN)

Immunisation and Countermeasures Division, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
Paediatric Infectious Diseases Research Group, St. George's University of London, Cranmer Terrace, London SW17 0RE, UK.

Classifications MeSH