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Effects of Second Dose of SARS-CoV-2 Vaccination on Household Transmission, England

Zaidi, A; Harris, R; Hall, J; Woodhall, S; Andrews, N; Dunbar, K; Lopez-Bernal, J; (2023) Effects of Second Dose of SARS-CoV-2 Vaccination on Household Transmission, England. Emerging infectious diseases , 29 (1) pp. 127-132. 10.3201/eid2901.220996. Green open access

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Abstract

A single SARS-CoV-2 vaccine dose reduces onward transmission from case-patients. We assessed the potential effects of receiving 2 doses on household transmission for case-patients in England and their household contacts. We used stratified Cox regression models to calculate hazard ratios (HRs) for contacts becoming secondary case-patients, comparing contacts of 2-dose vaccinated and unvaccinated index case-patients. We controlled for age, sex, and vaccination status of case-patients and contacts, as well as region, household composition, and relative socioeconomic condition based on household location. During the Alpha-dominant period, HRs were 0.19 (0.13-0.28) for contacts of 2-dose BNT162b2-vaccinated case-patients and 0.54 (0.41-0.69) for contacts of 2-dose Ch4dOx1-vaccinated case-patients; during the Delta-dominant period, HRs were higher, 0.74 (0.72-0.76) for BNT162b2 and 1.06 (1.04-1.08) for Ch4dOx1. Reduction of onward transmission was lower for index case-patients who tested positive ≥2 months after the second dose of either vaccine.

Type: Article
Title: Effects of Second Dose of SARS-CoV-2 Vaccination on Household Transmission, England
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.3201/eid2901.220996
Publisher version: https://doi.org/10.3201/eid2901.220996
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: household, respiratory infections, severe acute respiratory syndrome coronavirus 2, transmission, vaccination, viruses, zoonoses, Humans, COVID-19 Vaccines, BNT162 Vaccine, SARS-CoV-2, COVID-19, Vaccination, England
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health
URI: https://discovery.ucl.ac.uk/id/eprint/10162668
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