Epidemiological transmission patterns and use of whole genome sequencing in investigating campus based covid-19 outbreaks during the second and third waves of SARS-Cov-2 infection
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University College Dublin School of Public Health, Physiotherapy and Sports science "University College Dublin, Woodview House, Belfied, D04 V1W8, Dublin" Ireland
University College Dublin
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A446
This study describes the investigation and management of multiple outbreaks of SARS-Cov2 during the second and third wave of the pandemic at University College Dublin, Ireland from September 2020 to September 2021.

Relevant data were gathered as part of the public health outbreak investigations led by the UCD Internal Covid Control Team (ICCT) in collaboration with the public health teams of the Health Service Executive (HSE). Results are presented for PCR (polymerase chain reaction) confirmed cases and their close contacts, reported to the UCD ICCT between September 2020 to September 2021.

There were 189 cases notified to ICCT. Among these, 77 cases were in residence on-campus cases. Ten epidemiologically linked clusters identified, where the number of cases linked with each cluster varied between 2 to 12. Additional cases during this period had no obvious epidemiological link to the identified clusters. Of 843 close contacts with PCR test results, 26% (n=217) tested positive. 77% (n=145) self-reported with mild to moderately symptoms while 23% (n=44) self-reported as asymptomatic. Retrospective Whole Genome Sequence (WGS) analysis was undertaken after the outbreaks had subsided. The test positive cases were grouped into 6 clusters and it was shown that many of the apparent sporadic cases were included in these clusters.

The proportion of close contacts testing positive varied significantly throughout the pandemic, with testing policy and type of exposure having the greatest impact. Whole genome sequencing can give a better understanding of webs of transmission to complement epidemiological investigations. It is now possible to undertake sequencing in real time where it can make a contribution to outbreak control and resolution. Public Health professionals should become familiar with WGS and bioinformatics as useful tools in their armoury for the control of all communicable diseases not only SARS-CoV-2.

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