Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022

Background: Studying the transmissibility of the SARS-CoV-2 and its driving factors is valuable due to the ongoing emergence of new variants. We examined the household transmission characteristics of the Omicron-dominant variant. Methods: The study took place in Wellington, New Zealand, from 7-Febru...

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Main Authors: Nayyereh Aminisani, Q. Sue Huang, Lauren Jelley, Timothy Wood, Tineke Jennings, Danielle Currin, Ruth Seeds, Maritza Marull, Amanda Kvalsvig, Michael G. Baker, Nhung Nghiem, Paul G. Thomas, Richard J. Webby
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Vaccine: X
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590136225000324
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author Nayyereh Aminisani
Q. Sue Huang
Lauren Jelley
Timothy Wood
Tineke Jennings
Danielle Currin
Ruth Seeds
Maritza Marull
Amanda Kvalsvig
Michael G. Baker
Nhung Nghiem
Paul G. Thomas
Richard J. Webby
author_facet Nayyereh Aminisani
Q. Sue Huang
Lauren Jelley
Timothy Wood
Tineke Jennings
Danielle Currin
Ruth Seeds
Maritza Marull
Amanda Kvalsvig
Michael G. Baker
Nhung Nghiem
Paul G. Thomas
Richard J. Webby
author_sort Nayyereh Aminisani
collection DOAJ
description Background: Studying the transmissibility of the SARS-CoV-2 and its driving factors is valuable due to the ongoing emergence of new variants. We examined the household transmission characteristics of the Omicron-dominant variant. Methods: The study took place in Wellington, New Zealand, from 7-February to 2-October 2022. When an individual had a confirmed case of SARS-CoV-2, all household members were instructed to take a swab every 3rd day until two consecutive negative swabs were obtained from the last person with SARS-CoV-2. Participants were monitored daily for acute respiratory symptoms until no further symptoms. Results: We enrolled 75 households with confirmed cases of SARS-CoV-2 (total enrolled individuals = 306). The median serial interval was 4 days, and the secondary attack rate (SAR) was 60.6 % (95 % confidence interval (CI) 54.1–66.7). The SAR was higher for older household contacts and lower for contacts of fully vaccinated index cases. The SAR was highest when both the index case and the contacts were unvaccinated or received only one vaccine dose (88 %). Conclusions: In this household cohort, the SARS-CoV-2 Omicron variant showed a high SAR which was modifiable by vaccination; the vaccination status of the index case and household members significantly reduced this.
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language English
publishDate 2025-06-01
publisher Elsevier
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series Vaccine: X
spelling doaj-art-0e38663282db4e5ca4cf5fa8bb2fc44d2025-08-20T03:25:06ZengElsevierVaccine: X2590-13622025-06-012410063810.1016/j.jvacx.2025.100638Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022Nayyereh Aminisani0Q. Sue Huang1Lauren Jelley2Timothy Wood3Tineke Jennings4Danielle Currin5Ruth Seeds6Maritza Marull7Amanda Kvalsvig8Michael G. Baker9Nhung Nghiem10Paul G. Thomas11Richard J. Webby12Institute of Environmental Science and Research, Wellington, New Zealand; Corresponding author.Institute of Environmental Science and Research, Wellington, New ZealandInstitute of Environmental Science and Research, Wellington, New Zealand; University of Otago, Wellington & Dunedin, New ZealandInstitute of Environmental Science and Research, Wellington, New ZealandRegional Public Health, Te Whatu Ora – Health New Zealand Capital, Coast and Hutt Valley, Wellington, New ZealandInstitute of Environmental Science and Research, Wellington, New ZealandInstitute of Environmental Science and Research, Wellington, New ZealandInstitute of Environmental Science and Research, Wellington, New ZealandUniversity of Otago, Wellington & Dunedin, New ZealandUniversity of Otago, Wellington & Dunedin, New ZealandUniversity of Otago, Wellington & Dunedin, New ZealandWorld Health Organization Collaborating Center for Influenza, St Jude Children's Research Hospital, Memphis, USAWorld Health Organization Collaborating Center for Influenza, St Jude Children's Research Hospital, Memphis, USABackground: Studying the transmissibility of the SARS-CoV-2 and its driving factors is valuable due to the ongoing emergence of new variants. We examined the household transmission characteristics of the Omicron-dominant variant. Methods: The study took place in Wellington, New Zealand, from 7-February to 2-October 2022. When an individual had a confirmed case of SARS-CoV-2, all household members were instructed to take a swab every 3rd day until two consecutive negative swabs were obtained from the last person with SARS-CoV-2. Participants were monitored daily for acute respiratory symptoms until no further symptoms. Results: We enrolled 75 households with confirmed cases of SARS-CoV-2 (total enrolled individuals = 306). The median serial interval was 4 days, and the secondary attack rate (SAR) was 60.6 % (95 % confidence interval (CI) 54.1–66.7). The SAR was higher for older household contacts and lower for contacts of fully vaccinated index cases. The SAR was highest when both the index case and the contacts were unvaccinated or received only one vaccine dose (88 %). Conclusions: In this household cohort, the SARS-CoV-2 Omicron variant showed a high SAR which was modifiable by vaccination; the vaccination status of the index case and household members significantly reduced this.http://www.sciencedirect.com/science/article/pii/S2590136225000324SARS-CoV-2 omicron variantHousehold transmissionSecondary attack rateSerial interval
spellingShingle Nayyereh Aminisani
Q. Sue Huang
Lauren Jelley
Timothy Wood
Tineke Jennings
Danielle Currin
Ruth Seeds
Maritza Marull
Amanda Kvalsvig
Michael G. Baker
Nhung Nghiem
Paul G. Thomas
Richard J. Webby
Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
Vaccine: X
SARS-CoV-2 omicron variant
Household transmission
Secondary attack rate
Serial interval
title Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
title_full Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
title_fullStr Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
title_full_unstemmed Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
title_short Household transmission of the SARS-CoV-2 omicron variant in New Zealand, 2022
title_sort household transmission of the sars cov 2 omicron variant in new zealand 2022
topic SARS-CoV-2 omicron variant
Household transmission
Secondary attack rate
Serial interval
url http://www.sciencedirect.com/science/article/pii/S2590136225000324
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