A mixed-methods approach to elucidate SARS-CoV-2 transmission routes and clustering in outbreaks in native workers and labour migrants in the fruit and vegetable packaging industry in South Holland, the Netherlands, May to July 2020
| Autor: | Bas B. Oude Munnink, Eva Dalebout, Reina S. Sikkema, Marion Koopmans, Barry de Heus, David F. Nieuwenhuijse, Ellen Verspui, Henricus J. Brockhoff, Janko van Beek, Danny Stougje, Laura H. Boogaard, Ewout Fanoy, Sophie L. Niemansburg |
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| Přispěvatelé: | Virology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
Transmission routes Food industry Proportional representation Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Infectious and parasitic diseases RC109-216 Disease Outbreaks law.invention Labour migrants SDG 3 - Good Health and Well-being law Vegetables Cluster Analysis Humans Socioeconomics Netherlands Transients and Migrants Whole-genome sequencing SARS-CoV-2 Outbreak COVID-19 General Medicine Infectious Diseases Transmission (mechanics) Geography Work (electrical) Fruit Preparedness Workforce Risk assessment |
| Zdroj: | International Journal of Infectious Diseases, 109, 24-32. Elsevier International Journal of Infectious Diseases, Vol 109, Iss, Pp 24-32 (2021) |
| ISSN: | 1201-9712 |
| Popis: | Objectives: To obtain insight into SARS-CoV-2 clustering and transmission routes during outbreaks in the predominantly migrant workforce of the fruit and vegetable packaging industry of South Holland, the Netherlands, May to July 2020. Design: This mixed-methods study applied direct observation and interviews, epidemiologic investigation, source and contact data analysis and whole-genome sequencing. Results: We detected 46 SARS-CoV-2 cases and 4 outbreaks with a proportional representation of labour migrant and native workers in 6 unrelated facilities. Complete viral genome sequences revealed at least 3 clusters of native workers and labour migrants, 2 within and 1 between facilities. On-site inspections found adequate implementation of preventative measures to which both native workers and labour migrants showed suboptimal adherence. Being a labour migrant was associated with living in shared housing, but not with more contacts or different sources. Conclusions: The fruit and vegetable packaging industry gave the impression of sufficient preparedness and control. Suboptimal adherence to the facilities’ preventative guidelines could have facilitated work floor transmission. Community and household transmission are likely to have contributed to outbreaks. We encourage further research into risk factors for transmission in labour migrants and application of these insights into targeted public health policy. |
| Databáze: | OpenAIRE |
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