Evidence map›Paper›PMID 39114528›Full record

ArticleWestern Pacific surveillance and response journal : WPSAR

Within-household SARS-CoV-2 transmission and vaccine effectiveness in the first three COVID-19 school outbreaks in northern Viet Nam, September-December 2021.

Trang Thu Vu, Tu Huy Ngo, Khanh Cong Nguyen, Vu Thi Lan, Cu Thi Bich Hanh, Le Hong Son, Huyen Thi Nguyen, Hien Thi Nguyen, Nghia Duy Ngu, Duong Nhu Tran and 3 more

Abstract read
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Article in Western Pacific surveillance and response journal : WPSAR. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Trang Thu VuNational Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Tu Huy NgoDepartment of Communicable Disease Control and Prevention, National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Khanh Cong NguyenDepartment of Communicable Disease Control and Prevention, National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Vu Thi LanHa Nam Center for Disease Control, Ha Nam, Viet Nam.
Cu Thi Bich HanhPhu Tho Center for Disease Control, Phu Tho, Viet Nam.
Le Hong SonThanh Hoa Center for Disease Control, Thanh Hoa, Viet Nam.
Huyen Thi NguyenNational Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Hien Thi NguyenNational Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Nghia Duy NguDepartment of Communicable Disease Control and Prevention, National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Duong Nhu TranNational Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Duc-Anh DangNational Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Florian VogtNational Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Thai Quang PhamDepartment of Communicable Disease Control and Prevention, National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The risk of transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from schoolchildren to their household and the protective effects of vaccination in these settings remain poorly understood. We assessed the transmission dynamics of schoolchildren with SARS-CoV-2 within their households and the protective effects of coronavirus disease (COVID-19) vaccination among household members in Viet Nam. Methods: We estimated the attack rate, vaccine effectiveness and adjusted risk ratio (aRR) of factors associated with SARS-CoV-2 transmission to household contacts of children confirmed to have COVID-19 who attended three schools in Ha Nam, Phu Tho and Thanh Hoa provinces between September and December 2021 using multivariable regression with household-level random effects. Results: This retrospective cohort study included 157 children infected with SARS-CoV-2 and their 540 household contacts. The attack rate among household contacts was 24.6% (133/540). Overall, vaccine effectiveness among household contacts was 39% (95% confidence interval [CI]: -1 to -63), higher among males than females and higher in adults aged > 40 years. COVID-19 transmission was greater among female household contacts compared with males (aRR: 1.35, 95% CI: 0.94 to 1.95), although not statistically significant, and highest among those aged 19-39 years (aRR: 2.51, 95% CI: 1.50 to 4.21). Fully vaccinated household contacts had significantly lower infection risk (aRR: 0.46, 95% CI: 0.26 to 0.84). Discussion: We found substantial onward transmission of SARS-CoV-2 from schoolchildren to household members, and older people were more likely to be protected by vaccination. We recommend that schoolchildren and all household members living with schoolchildren receive at least two doses of a COVID-19 vaccine. Recognizing the role of schoolchildren in the onward transmission of COVID-19 is an important lesson learned by Viet Nam that can help not only in managing other outbreaks but also in protecting schoolchildren by predicting the progress of the outbreak and preparing for a timely response.

Indexed as

COVID-19COVID-19 VaccinesSARS-CoV-2AdolescentAdultChildChild, PreschoolDisease OutbreaksFamily CharacteristicsFemaleHumansMaleMiddle AgedRetrospective StudiesSchoolsVaccine EfficacyCOVID-19 Vaccines

Identifiers

PMID39114528
PMCPMC11304045

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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.