Evidence map›Paper›PMID 34849500›Full record

ArticleThe Lancet regional health. Europe2022

Impact of SARS-CoV-2 Delta variant on incubation, transmission settings and vaccine effectiveness: Results from a nationwide case-control study in France.

Rebecca Grant, Tiffany Charmet, Laura Schaeffer, Simon Galmiche, Yoann Madec, Cassandre Von Platen, Olivia Chény, Faïza Omar, Christophe David, Alexandra Rogoff and 7 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 5 pooled it
9.8field-weighted citation impact, top 1% of its field
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

87 citing papers in PubMed, 5 syntheses or guidelines pooled it, 155 citations in OpenAlex.

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  7. Machine learning and probabilistic approaches for forecasting infectious disease transmission and cases.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
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27 more citing papers are in PubMed but not listed here.

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

17 authors at 6 institutions in 1 country.

Rebecca GrantInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Tiffany CharmetInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Laura SchaefferInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Simon GalmicheInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Yoann MadecInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Cassandre Von PlatenInstitut Pasteur, Université de Paris, Centre for Translational Research, F-75015 Paris, France.
Olivia ChényInstitut Pasteur, Université de Paris, Centre for Translational Research, F-75015 Paris, France.
Faïza OmarInstitut IPSOS, Paris, France.
Christophe DavidInstitut IPSOS, Paris, France.
Alexandra RogoffCaisse Nationale d'Assurance Maladie, Paris, France.
Juliette PaireauInstitut Pasteur, Université de Paris, CNRS UMR2000, Mathematical Modelling of Infectious Diseases Unit, F-75015 Paris, France.
Simon CauchemezInstitut Pasteur, Université de Paris, CNRS UMR2000, Mathematical Modelling of Infectious Diseases Unit, F-75015 Paris, France.
Fabrice CarratSorbonne Université, Inserm, IPLESP, hôpital Saint-Antoine, APHP, 27 rue Chaligny, Paris F75571.
Alexandra SeptfonsSanté Publique France, Saint-Maurice, France.
Daniel Levy-BruhlSanté Publique France, Saint-Maurice, France.
Alexandra MaillesSanté Publique France, Saint-Maurice, France.
Arnaud FontanetInstitut Pasteur, Université de Paris, Emerging Diseases Epidemiology Unit, F-75015 Paris, France.
Institut Pasteur · FRSanté Publique France · FRCentre National de la Recherche Scientifique · FRConservatoire National des Arts et Métiers · FRInserm · FRl'Assurance Maladie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to assess the settings and activities associated with SARS-CoV-2 infection in the context of B.1.617.2 (Delta) variant circulation in France, as well as the protection against symptomatic Delta infection.

methodsIn this nationwide case-control study, cases were SARS-CoV-2 infected adults recruited between 23 May and 13 August 2021. Controls were non-infected adults from a national representative panel matched to cases by age, sex, region, population density and calendar week. Participants completed an online questionnaire and multivariable logistic regression analysis was used to determine the association between acute SARS-CoV-2 infection and recent activity-related exposures, past history of SARS-CoV-2 infection, and COVID-19 vaccination.

findingsWe did not find any differences in the settings and activities associated with Delta versus non-Delta infections and grouped them for subsequent analyses. In multivariable analysis involving 12634 cases (8644 Delta and 3990 non-Delta) and 5560 controls, we found individuals under 40 years and attending bars (aOR:1.9; 95%CI:1.6-2.2) or parties (aOR:3.4; 95%CI:2.8-4.2) to be at increased risk of infection. In those aged 40 years and older, having children attend daycare (aOR:1.9; 95%CI:1.1-3.3), kindergarten (aOR:1.6; 95%CI:1.2-2.1), primary school (aOR:1.4; 95%CI:1.2-1.6) or middle school (aOR:1.3; 95%CI:1.2-1.6) were associated with increased risk of infection. We found strong protection against symptomatic Delta infection for those with prior infection whether it was recent (2-6 months) (95%; 95%CI:90-97) or associated with one dose (85%; 95%CI:78-90) or two doses of mRNA vaccine (96%; 95%CI:87-99). For those without past infection, protection was lower with two doses of mRNA vaccine (67%; 95%CI:63-71).

interpretationIn line with other observational studies, we find reduced vaccine effectiveness against symptomatic Delta infections. The settings and activities at increased risk of infection indicate where efforts to reinforce individual and public health measures need to be concentrated.

Identifiers

PMID34849500
PMCPMC8616730
OpenAlexW3215580824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.