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Volume 27, Number 5—May 2021
Research

Prevalence and Clinical Profile of Severe Acute Respiratory Syndrome Coronavirus 2 Infection among Farmworkers, California, USA, June–November 2020

Joseph A. Lewnard1Comments to Author , Ana M. Mora1, Oguchi Nkwocha, Katherine Kogut, Stephen A. Rauch, Norma Morga, Samantha Hernandez, Marcus P. Wong, Karen Huen, Kristin Andrejko, Nicholas P. Jewell, Kimberly L. Parra, Nina Holland, Eva Harris, Maximiliano Cuevas, Brenda Eskenazi, and on behalf of the CHAMACOS-Project-19 Study Team2
Author affiliations: University of California, Berkeley, Berkeley, California, USA (J.A. Lewnard, A.M. Mora, K. Kogut, S.A. Rauch, S. Hernandez, M.P. Wong, K. Huen, K. Andrejko, N.P. Jewell, N. Holland, E. Harris, B. Eskenazi); Universidad Nacional, Heredia, Costa Rica (A.M. Mora); Clínica de Salud del Valle de Salinas, Salinas, California, USA (O. Nkwocha, N. Morga, M. Cuevas); London School of Hygiene and Tropical Medicine, London, UK (N.P. Jewell); University of Arizona, Tucson, Arizona, USA (K.L. Parra)

Main Article

Table 3

Prevalence of COVID-19 symptoms and severe acute respiratory syndrome coronavirus 2 infection among farm workers enrolled in a cross-sectional study, Monterey County, California, USA, July 16–November 30, 2020*

Symptoms All participants, n = 1,108
Clinic participants, n = 558
Outreach participants, n = 550
Frequency Infected Frequency Infected Frequency Infected
Any symptom 301 (27.2) 83 (27.7) 200 (35.8) 68 (34.2) 101 (18.4) 15 (14.9)
No symptoms 807 (72.8) 57 (7.1) 358 (64.2) 36 (10.1) 449 (81.6) 21 (4.7)
Nonproductive cough 68 (6.1) 31 (45.6) 47 (8.4) 26 (55.3) 21 (3.8) 5 (23.8)
Productive cough 68 (6.1) 25 (37.3) 51 (9.1) 21 (42.0) 17 (3.1) 4 (23.5)
Pain or pressure in the ears 24 (2.2) 10 (41.7) 19 (3.4) 10 (52.6) 5 (0.9) 0
Blocked nose 62 (5.6) 22 (36.1) 50 (9.0) 19 (38.8) 12 (2.2) 3 (25.0)
Runny nose 78 (7.0) 24 (31.2) 56 (10.0) 18 (32.7) 22 (4.0) 6 (27.3)
Sneezing 95 (8.6) 21 (22.3) 61 (10.9) 16 (26.7) 34 (6.2) 5 (14.7)
Watery eyes 57 (5.1) 14 (25.0) 48 (8.6) 14 (29.8) 9 (1.6) 0
Hoarseness 49 (4.4) 19 (38.8) 42 (7.5) 17 (40.5) 7 (1.3) 2 (28.6)
Self-reported fever† 56 (5.1) 33 (58.9) 47 (8.4) 29 (61.7) 9 (1.6) 4 (44.4)
Sweating 48 (4.3) 22 (45.8) 40 (7.2) 20 (50.0) 8 (1.5) 2 (25.0)
Chills 74 (6.7) 35 (47.3) 63 (11.3) 33 (52.4) 11 (2.0) 2 (18.2)
Headache 147 (13.3) 46 (31.5) 100 (17.9) 39 (39.4) 47 (8.5) 7 (14.9)
Tickle in throat 49 (4.4) 17 (34.7) 36 (6.5) 15 (41.7) 13 (2.4) 2 (15.4)
Sore throat 103 (9.3) 32 (31.1) 78 (14.0) 29 (37.2) 25 (4.5) 3 (12.0)
Myalgia 97 (8.8) 44 (45.8) 79 (14.2) 40 (51.3) 18 (3.3) 4 (22.2)
Chest pain 26 (2.3) 11 (42.3) 21 (3.8) 10 (47.6) 5 (0.9) 1 (20.0)
Sinus pain 17 (1.5) 7 (41.2) 14 (2.5) 7 (50.0) 3 (0.5) 0 (0.0)
Swollen glands 18 (1.6) 5 (27.8) 11 (2.0) 5 (45.5) 7 (1.3) 0 (0.0)
Loss of appetite 38 (3.4) 21 (55.3) 32 (5.7) 18 (56.2) 6 (1.1) 3 (50.0)
Difficulty breathing 34 (3.1) 18 (52.9) 27 (4.8) 16 (59.3) 7 (1.3) 2 (28.6)
Wheezing 15 (1.4) 6 (40.0) 12 (2.2) 6 (50.0) 3 (0.5) 0
Shortness of breath 22 (2.0) 18 (81.8) 19 (3.4) 16 (84.2) 3 (0.5) 2 (66.7)
Diarrhea 40 (3.6) 15 (37.5) 33 (5.9) 14 (42.4) 7 (1.3) 1 (14.3)
Nausea 39 (3.5) 13 (33.3) 32 (5.7) 13 (40.6) 7 (1.3) 0
Stomach pain 47 (4.2) 15 (31.9) 34 (6.1) 12 (35.3) 13 (2.4) 3 (23.1)
Trouble thinking 18 (1.6) 5 (27.8) 10 (1.8) 5 (50.0) 8 (1.5) 0 (0.0)
Fatigue 94 (8.5) 33 (35.5) 70 (12.5) 31 (44.9) 24 (4.4) 2 (8.3)
Loss of sense of taste 33 (3.0) 22 (66.7) 26 (4.7) 18 (69.2) 7 (1.3) 4 (57.1)
Loss of sense of smell 32 (2.9) 22 (68.8) 25 (4.5) 19 (76.0) 7 (1.3) 3 (42.9)
Pain or pressure in the eyes 25 (2.3) 6 (24.0) 16 (2.9) 6 (37.5) 9 (1.6) 0

*Testing was performed by using transcription-mediated amplification (TMA) assay. Percentages were calculated excluding persons for whom data were not available. Clinic participants are those recruited on clinic premises, where they might have been seeking care for COVID-19 or any other illnesses. Outreach participants are those recruited at mobile testing operations in the community, who were not seeking medical care. For frequency, proportions are computed among all tested. For infected, proportions indicate the prevalence of current, TMA-positive infection among those with the indicated symptom(s) in the previous 2 weeks. COVID-19, coronavirus disease.
†Participants were not asked to verify whether they recorded their body temperature.

Main Article

1These authors contributed equally to this article.

2Members of the CHAMACOS-Project-19 Study Team are listed at the end of this article.

Page created: February 27, 2021
Page updated: April 20, 2021
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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