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Volume 28, Number 1—January 2022
Research

Transmission Dynamics of Large Coronavirus Disease Outbreak in Homeless Shelter, Chicago, Illinois, USA, 2020

Yi-Shin Chang, Stockton Mayer, Elizabeth S. Davis, Evelyn Figueroa, Paul Leo, Patricia W. Finn1Comments to Author , and David L. Perkins1
Author affiliations: University of Illinois at Chicago, Chicago, Illinois, USA (Y.-S. Chang, S. Mayer, E. Figueroa, P. Leo, P.W. Finn, D.L. Perkins); Rush University Medical Center, Chicago (E.S. Davis)

Main Article

Table 1

Model parameters for fitting in study of transmission dynamics of coronavirus disease outbreak in homeless shelter, Chicago, Illinois, USA, 2020*

Fitted variables Range of values fitted Description of variable Referenced ranges for fitting Directly dependent model parameters Dependent model phases Dependent model compartments
β0
0–445
Initial β
NA
β, R0
1, 2, 3, 4
S, E
βf_pct_β0
0–1
Final β as percentage of β0
NA
β
1, 2, 3, 4
S, E
k
0.01–2
Rate of transformation of β
NA
β
1, 2, 3, 4
S, E
tTrans
1–50
Day where β reaches halfway between β0 and βf
NA
β
1, 2, 3, 4
S, E
Incubation period
2.8–4.0
Time between E and I compartments
(8)
σ
1, 2, 3, 4
E, Ia, Is
Asymptomatic percentage
0.18–0.87
Asymptomatic percentage
(9,10)
σs, σa, R0
1, 2, 3, 4
E, Ia, Is
Infectious period for symptomatic persons, d
3–8
Infectious duration for symptomatic persons
(11,12)
ϒsp, R0
1, 2, 3, 4
Is, R+s
Infectious period for asymptomatic persons, d
3–8
Infectious duration for asymptomatic persons
(11,12)
ϒap, R0
1, 2, 3, 4
Is, R+a
Period of RT-PCR–positivity for symptomatic persons, d
16–35
Duration of RT-PCRpositivity of symptomatic persons
(13,14)
ϒsn
1, 2, 3, 4
R+s, R–s
Period of RT-PCR–positivity for asymptomatic persons, d
3–35
Duration of RT-PCRpositivity for asymptomatic persons
(13,14)
ϒan
1, 2, 3, 4
R+a, R–a
α
0.01–1
Rate of detection of symptomatic infectious persons through screening
NA
α
2, 3, 4
Is, Isolsoft, Hotel
λ0_pct_β
0–1
Rate of transmission between persons in Isolsoft and S compartment, as a percentage of β
NA
λ0
2, 3
S, E
λisol_pct_β
0–0.5
Rate of transmission between persons in isolation units and S compartment, as a percentage of β
NA
λisol
4
S, E
Isolation duration, d
14
Rate of return from isolation units to R compartment = 1/[14 d]†
NA
ρ
2, 3, 4
Isol, R
RT-PCR sensitivity
0.72–0.90
RT-PCR sensitivity
N.S. Padhye, unpub. data‡

1 and 2,§ 4
-
ω0
0.05–1.0
Rate of hospital admission of Infectious symptomatic persons before screening
NA
ω0
1
Is, Hosp
ω 0.05–1.0 Rate of hospital admission of Isolsoft symptomatic persons during phase 2 NA ω 2 Isolsoft, Hosp

*Details of optimization and calculation can be found in the Appendix (https://wwwnc.cdc.gov/EID/article/28/1/21-0780-App1.pdf). E, exposed; Ia, infectious asymptomatic; Is, infectious symptomatic; NA, not applicable; R+, recovered PCT-positive; R–, recovered PCR-negative; RT-PCR, reverse transcription PCR; R0, basic reproduction number; S, susceptible.

†Value not fitted.

https://www.medrxiv.org/content/10.1101/2020.04.24.20078949v2.

§Fitting based on hospital-based test results.

Main Article

References
  1. Tobolowsky  FA, Gonzales  E, Self  JL, Rao  CY, Keating  R, Marx  GE, et al. COVID-19 outbreak among three affiliated homeless service sites—King County, Washington, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:5236. DOIPubMedGoogle Scholar
  2. Baggett  TP, Keyes  H, Sporn  N, Gaeta  JM. Prevalence of SARS-CoV-2 infection in residents of a large homeless shelter in Boston. JAMA. 2020;323:21912. DOIPubMedGoogle Scholar
  3. Mosites  E, Parker  EM, Clarke  KEN, Gaeta  JM, Baggett  TP, Imbert  E, et al.; COVID-19 Homelessness Team. Assessment of SARS-CoV-2 infection prevalence in homeless shelters—four U.S. cities, March 27–April 15, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:5212. DOIPubMedGoogle Scholar
  4. Ghinai  I, Davis  ES, Mayer  S, Toews  KA, Huggett  TD, Snow-Hill  N, et al. Risk factors for SARS-CoV-2 infection in homeless shelters in Chicago, Illinois—March–May, 2020. Open Forum Infect Dis. 2020;7:ofaa477.
  5. Ghinai  I, Woods  S, Ritger  KA, McPherson  TD, Black  SR, Sparrow  L, et al. Community transmission of SARS-CoV-2 at two family gatherings—Chicago, Illinois, February–March 2020. MMWR Morb Mortal Wkly Rep. 2020;69:44650. DOIPubMedGoogle Scholar
  6. Byrd  RH, Lu  P, Nocedal  J, Zhu  C. A limited memory algorithm for bound constrained optimization. SIAM J Sci Comput. 1995;16:1190208. DOIGoogle Scholar
  7. R Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2014.
  8. He  X, Lau  EHY, Wu  P, Deng  X, Wang  J, Hao  X, et al. Author Correction: Temporal dynamics in viral shedding and transmissibility of COVID-19. Nat Med. 2020;26:14913. DOIPubMedGoogle Scholar
  9. Ing  AJ, Cocks  C, Green  JP. COVID-19: in the footsteps of Ernest Shackleton. Thorax. 2020;75:6934. DOIPubMedGoogle Scholar
  10. Mizumoto  K, Kagaya  K, Zarebski  A, Chowell  G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. [Erratum in: Euro Surveill. 2020;25:20200604c]. Euro Surveill. 2020;25:2000180. DOIPubMedGoogle Scholar
  11. Wölfel  R, Corman  VM, Guggemos  W, Seilmaier  M, Zange  S, Müller  MA, et al. Virological assessment of hospitalized patients with COVID-2019. [Erratum in: Nature. 2020;588:E35.]. Nature. 2020;581:4659. DOIPubMedGoogle Scholar
  12. Bullard  J, Dust  K, Funk  D, Strong  JE, Alexander  D, Garnett  L, et al. Predicting infectious SARS-CoV-2 from diagnostic samples. Clin Infect Dis. 2020;71:26636. DOIPubMedGoogle Scholar
  13. Yang  Z, Zeng  Z, Wang  K, Wong  SS, Liang  W, Zanin  M, et al. Modified SEIR and AI prediction of the epidemics trend of COVID-19 in China under public health interventions. J Thorac Dis. 2020;12:16574. DOIPubMedGoogle Scholar
  14. Xiao  AT, Tong  YX, Zhang  S. Profile of RT-PCR for SARS-CoV-2: a preliminary study from 56 COVID-19 patients. Clin Infect Dis. 2020;71:224951. DOIPubMedGoogle Scholar
  15. Li  Q, Guan  X, Wu  P, Wang  X, Zhou  L, Tong  Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020;382:1199207. DOIPubMedGoogle Scholar
  16. Hao  X, Cheng  S, Wu  D, Wu  T, Lin  X, Wang  C. Reconstruction of the full transmission dynamics of COVID-19 in Wuhan. Nature. 2020;584:4204. DOIPubMedGoogle Scholar
  17. Patanwala  M, Tieu  L, Ponath  C, Guzman  D, Ritchie  CS, Kushel  M. Physical, psychological, social, and existential symptoms in older homeless-experienced adults: an observational study of the Hope Home cohort. J Gen Intern Med. 2018;33:63543. DOIPubMedGoogle Scholar
  18. Song  J. Homelessness and distrust of medicine. In: Cockerham WC, Dingwall R, Quah S, editors. The Wiley Blackwell encyclopedia of health, illness, behavior, and society. Chichester, West Sussex, UK: Wiley-Blackwell; 2014.
  19. Cevik  M, Tate  M, Lloyd  O, Maraolo  AE, Schafers  J, Ho  A. SARS-CoV-2, SARS-CoV, and MERS-CoV viral load dynamics, duration of viral shedding, and infectiousness: a systematic review and meta-analysis. Lancet Microbe. 2021;2:e1322. DOIPubMedGoogle Scholar
  20. Liu  Y, Yan  LM, Wan  L, Xiang  TX, Le  A, Liu  JM, et al. Viral dynamics in mild and severe cases of COVID-19. Lancet Infect Dis. 2020;20:6567. DOIPubMedGoogle Scholar
  21. Alameda County Public Health Department. COVID-19 isolation housing. 2020 [cited 2020 Oct 1]. https://covid-19.acgov.org/isolation-housing
  22. Kite  A, Ritter  S. Kansas City to spend $80,000 to isolate homeless COVID-19 patients in a hotel. The Kansas City Star. 2020 Apr 2 [cited 2020 Oct 1]. https://www.kansascity.com/news/coronavirus/article241720841.html

Main Article

1These senior authors contributed equally to this article.

Page created: October 08, 2021
Page updated: December 20, 2021
Page reviewed: December 20, 2021
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