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Emerg Infect Dis . Infection Rates and Symptomatic Proportion of SARS-CoV-2 and Influenza in Pediatric Population, China, 2023

tetano

Editor, Senior Moderator
Emerg Infect Dis


. 2024 Aug 6;30(9).
doi: 10.3201/eid3009.240065. Online ahead of print.
Infection Rates and Symptomatic Proportion of SARS-CoV-2 and Influenza in Pediatric Population, China, 2023

Chao Shi, Yuhe Zhang, Sheng Ye, Jiyang Zhou, Fuyu Zhu, Yumeng Gao, Yan Wang, Bingbing Cong, Shuyu Deng, You Li, Bing Lu, Xin Wang
Abstract

We conducted a longitudinal cohort study of SARS-CoV-2 and influenza rates in childcare centers and schools in Wuxi, China, collecting 1,760 environmental samples and 9,214 throat swabs from 593 students (regardless of symptoms) in weekly collections during February-June 2023. We estimated a cumulative infection rate of 124.8 (74 episodes)/1,000 persons for SARS-CoV-2 and 128.2 (76 episodes)/1,000 persons for influenza. The highest SARS-CoV-2 infection rate was in persons 18 years of age, and for influenza, in children 4 years of age. The asymptomatic proportion of SARS-CoV-2 was 59.6% and 66.7% for influenza; SARS-CoV-2 symptomatic proportion was lower in 16-18-year-olds than in 4-6-year-olds. Only samples from frequently touched surface tested positive for SARS-CoV-2 (4/1,052) and influenza (1/1,052). We found asynchronous circulation patterns of SARS-CoV-2 and influenza, similar to trends in national sentinel surveillance. The results support vaccination among pediatric populations and other interventions, such as environmental disinfection in educational settings.

Keywords: COVID-19; China; SARS-CoV-2; circulation patterns; coronavirus disease; educational settings; environmental virus positivity; infection rates; influenza; longitudinal cohort; pediatric; respiratory infections; severe acute respiratory syndrome coronavirus 2; symptomatic proportions; viruses; zoonoses.

 
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