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Volume 27, Number 9—September 2021
Research

Patterns of Virus Exposure and Presumed Household Transmission among Persons with Coronavirus Disease, United States, January–April 2020

Rachel M. BurkeComments to Author , Laura Calderwood, Marie E. Killerby, Candace E. Ashworth, Abby L. Berns, Skyler Brennan, Jonathan M. Bressler, Laurel Harduar Morano, Nathaniel M. Lewis, Tiffanie M. Markus, Suzanne M. Newton, Jennifer S. Read, Tamara Rissman, Joanne Taylor, Jacqueline E. Tate, Claire M. Midgley, and for the COVID-19 Case Investigation Form Working Group
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (R.M. Burke, M.E. Killerby, L. Harduar Morano. N.M. Lewis, S.M. Newton, J. Taylor, J.E. Tate, C.M. Midgley); Cherokee Nation Assurance, Arlington, Virginia, USA (L. Calderwood),; Virginia Department of Health, Richmond, Virginia, USA (C.E. Ashworth); Rhode Island Department of Health, Providence, Rhode Island, USA (A.L. Berns); Georgia Department of Health, Atlanta (S. Brennan); Alaska Department of Health and Social Services, Anchorage, Alaska, USA (J.M. Bressler); Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA (L. Harduar Morano); Vanderbilt University Medical Center, Nashville, Tennessee, USA (T.M. Markus); Vermont Department of Health, Burlington, Vermont, USA (J. Read); University of Vermont, Burlington (J.S. Read); Yale School of Public Health, New Haven, Connecticut, USA (T. Rissman)

Main Article

Table 1

Reported exposures of 179 COVID-19 case-patients with submitted case investigation forms by known contact with a laboratory-confirmed COVID-19 case-patient, United States, January–April 2020*

Exposure No known contact, no. (%), n = 97 Known contact, 
no. (%), n = 82 p value†
Workplace setting‡ 0.10
  Accommodation, food, and other services§ 9 (10.0) 2 (2.8)
  Construction 4 (4.4) 1 (1.4)
  Education¶ 9 (10.0) 5 (6.9)
  Healthcare 10 (11.1) 20 (27.8)
  Manufacturing 2 (2.2) 1 (1.4)
  Professional or office setting 10 (11.1) 7 (9.7)
  Transportation and warehousing and utilities 8 (8.9) 3 (4.2)
  Wholesale or retail trade 3 (3.3) 7 (9.7)
  Other 7 (7.8) 6 (8.3)
  Insufficient information 5 (5.6) 6 (8.3)
  Not currently in the workforce
23 (25.6)
14 (19.4)

Other exposure risks in previous 14 d
Spent time in a healthcare setting 0.0044
Yes 24 (26.1) 39 (48.1)
No 68 (73.9) 42 (51.9)
Close contact with a contact of a confirmed case 0.0002
Yes 3 (3.6) 17 (25.4)
No 81 (96.4) 50 (74.6)
Attended a mass gathering** 0.07
Yes 29 (35.8) 16 (21.3)
No 52 (64.2) 59 (78.7)
Used public transportation 0.0048
Yes 23 (44.2) 8 (16.3)
No 29 (55.8) 41 (83.7)
Attended or worked at a school or daycare 1.00
Yes 8 (14.3) 7 (14.3)
No 48 (85.7) 42 (85.7)
Had a household member who attended school or daycare 0.51
Yes 15 (18.3) 9 (13.0)
No 67 (81.7) 60 (87.0)
Travel away from home 0.14
International, with or without domestic 18 (18.9) 8 (10.0)
Domestic only 18 (18.9) 13 (16.3)
None 59 (62.1) 59 (73.8)

*A total of 23 persons did not know or did not report whether they had known contact with a person with laboratory-confirmed COVID-19 in the 14 d before their own illness onset. Denominators differ because some questions had incomplete responses. All complete responses are presented for each question. COVID-19, coronavirus disease. †χ2 or Fisher exact test. ‡Based on 2012 census industry codes. Mapping shown in Appendix 2 (https://wwwnc.cdc.gov/EID/article/27/9/20-4577-App2.pdf). §Not including public administration services. ¶Includes persons >18 y of age who are pursuing higher education. **Examples given in the questionnaire included religious event, wedding, party, dance, concert, banquet, festival, sports event, or other event.

Main Article

Page created: June 21, 2021
Page updated: August 17, 2021
Page reviewed: August 17, 2021
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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