Evidence map›Paper›PMID 33906635›Full record

ArticleBMC public health2021

Estimation of the serial interval and proportion of pre-symptomatic transmission events of COVID- 19 in Ireland using contact tracing data.

Conor G McAloon, Patrick Wall, John Griffin, Miriam Casey, Ann Barber, Mary Codd, Eamonn Gormley, Francis Butler, Locksley L McV Messam, Cathal Walsh and 11 more

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Conor G McAloonSchool of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland. conor.mcaloon@ucd.ie.
Patrick WallSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland.
John GriffinCentre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland.
Miriam CaseyCentre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland.
Ann BarberCentre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland.
Mary CoddSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland.
Eamonn GormleySchool of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Francis ButlerSchool of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, Ireland.
Locksley L McV MessamSchool of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Cathal WalshDepartment of Mathematics and Statistics, University of Limerick, Limerick, Ireland.
Conor TeljeurHealth Information and Quality Authority, George's Court, Dublin 7, Ireland.
Breda SmythDepartment of Public Health, Health Service Executive West, Galway, Ireland.
Philip NolanNational University of Ireland Maynooth, Kildare, Ireland.
Martin J GreenSchool of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK.
Luke O'GradySchool of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Kieran CulhaneCentral Statistics Office, Ardee Road, Rathmines, Dublin, Ireland.
Claire BuckleyCOVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland.
Ciara CarrollCOVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland.
Sarah DoyleCOVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland.
Jennifer MartinCOVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland.
Simon J MoreSchool of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe serial interval is the period of time between the onset of symptoms in an infector and an infectee and is an important parameter which can impact on the estimation of the reproduction number. Whilst several parameters influencing infection transmission are expected to be consistent across populations, the serial interval can vary across and within populations over time. Therefore, local estimates are preferable for use in epidemiological models developed at a regional level. We used data collected as part of the national contact tracing process in Ireland to estimate the serial interval of SARS-CoV-2 infection in the Irish population, and to estimate the proportion of transmission events that occurred prior to the onset of symptoms.

resultsAfter data cleaning, the final dataset consisted of 471 infected close contacts from 471 primary cases. The median serial interval was 4 days, mean serial interval was 4.0 (95% confidence intervals 3.7, 4.3) days, whilst the 25th and 75th percentiles were 2 and 6 days respectively. We found that intervals were lower when the primary or secondary case were in the older age cohort (greater than 64 years). Simulating from an incubation period distribution from international literature, we estimated that 67% of transmission events had greater than 50% probability of occurring prior to the onset of symptoms in the infector.

conclusionsWhilst our analysis was based on a large sample size, data were collected for the primary purpose of interrupting transmission chains. Similar to other studies estimating the serial interval, our analysis is restricted to transmission pairs where the infector is known with some degree of certainty. Such pairs may represent more intense contacts with infected individuals than might occur in the overall population. It is therefore possible that our analysis is biased towards shorter serial intervals than the overall population.

Indexed as

Contact TracingCOVID-19AgedHumansIrelandSARS-CoV-2Time FactorsContact tracingCOVID-19SARS-CoV-2Serial interval

Identifiers

PMID33906635
PMCPMC8076671

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.