Crucial control measures to contain China's first Delta variant outbreak. Issue 4 (18th January 2022)

• Record Type: Journal Article
• Authors: Luo, Lei; Yang, Zifeng; Liang, Jingyi; Ma, Yu; Wang, Hui; Hon, Chitin; Jiang, Mei; Lin, Zhengshi; Guan, Wenda; Mai, Zhitong; Li, Yongming; Mai, Kailin; Zeng, Zhiqi; Tu, Chuanmeizi; Song, Jian; Liu, Bin; Liu, Yong; He, Jianfeng; Li, Huiyuan; Li, Bosheng; Dong, Hang; Miao, Yutian; Fan, Shujun; Fan, Lirui; Liang, Xingyi; Li, Ke; Chen, Chun; Deng, Huihong; Yang, Zhicong; Zhong, Nanshan
• Is Part Of: National science review. Volume 9:Issue 4(2022)
• Publication Date: 2022-01-18
• Subjects: COVID-19 -- public health -- control measure -- close contact -- mass testing; Science -- Periodicals; 505
• DOI: 10.1093/nsr/nwac004
• Languages: English
• ISSNs: 2095-5138

Abstract

Abstract: The SARS-CoV-2 B.1.617.2 (Delta) variant flared up in late May in Guangzhou, China. Transmission characteristics of Delta variant were analysed for 153 confirmed cases and two complete transmission chains with seven generations were fully presented. A rapid transmission occurred in five generations within 10 days. The basic reproduction number (R0 ) was 3.60 (95% confidence interval: 2.50–5.30). After redefining the concept of close contact, the proportion of confirmed cases discovered from close contacts increased from 43% to 100%. With the usage of a yellow health code, the potential exposed individuals were self-motivated to take a nucleic acid test and regained public access with a negative testing result. Facing the massive requirement of screening, novel facilities like makeshift inflatable laboratories were promptly set up as a vital supplement and 17 cases were found, with 1 pre-symptomatic. The dynamic adjustment of these three interventions resulted in the decline of Rt from 5.00 to 1.00 within 9 days. By breaking the transmission chain and eliminating the transmission source through extending the scope of the close-contact tracing, health-code usage and mass testing, the Guangzhou Delta epidemic was effectively contained.