Evidence map›Paper›PMID 42664259›Full record

ArticlePLoS computational biology2026

Disentangling the drivers of heterogeneity in SARS-CoV-2 transmission from data on viral load and daily contact rates.

Billy J Quilty, Lloyd A C Chapman, James D Munday, Kerry L M Wong, Amy Gimma, Suzanne Pickering, Stuart Neil, Rui Pedro Galao, W John Edmunds, Christopher I Jarvis and 1 more

Abstract read
In one paragraph

Article in PLoS computational biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Billy J QuiltyCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Lloyd A C ChapmanCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0001-7727-7102
James D MundayCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Kerry L M WongCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Amy GimmaCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-2645-7212
Suzanne PickeringDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Stuart NeilDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Rui Pedro GalaoDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
W John EdmundsCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Christopher I JarvisCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Adam J KucharskiCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Funding

Bill & Melinda Gates Foundation OPP1139859Medical Research Council MC_PC_19065Wellcome Trust
6 · The paper itself

Abstract

SARS-CoV-2 transmission is highly overdispersed, with a minority of individuals responsible for the majority of transmission, though the drivers of this heterogeneity are unclear. Here, we assess the contribution of variation in viral load and daily contact rates to this heterogeneity by combining published viral load estimates and contact survey data in a mathematical model to estimate the secondary infection distribution. Using data from the BBC Pandemic and CoMix contact surveys, we estimate the secondary infection distribution throughout the pandemic in the UK in 2020, and the effectiveness of frequent and pre-event rapid testing for reducing superspreading events. We find that individual heterogeneity in contacts rather than individual heterogeneity in shedding is the main driver of observed heterogeneity in the secondary infection distribution. Our results suggest that everyone testing every 3 days would reduce the reproduction number below 1 and be equivalent in terms of impact on secondary infections to everyone testing only before events with a minimum event size of 10 for pre-pandemic contact levels. This work demonstrates the potential for using viral load and contact data to estimate heterogeneity in transmission and the effectiveness of rapid testing strategies for curbing transmission in future pandemics.

Indexed as

COVID-19SARS-CoV-2Viral LoadBasic Reproduction NumberComputational BiologyContact TracingHumansPandemicsUnited Kingdom

Identifiers

PMID42664259
PMCPMC13552949

What OpenQuestion holds

Textmetadata
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.