Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Sources
2.1.1. Online Population-Based Survey
2.1.2. Emergency Care Service
- The patient interview revealed previous contacts with COVID-19 symptomatic persons.
- The following clinical signs were present: significantly impaired general condition, fever, myalgia, arthralgia, dry cough, significant asthenia, dyspnea, desaturation, sibilant rales at auscultation, chest pain, headaches, unexplained discomfort, anosmia, diarrhea, or abdominal pain. Symptom duration was considered. Productive cough and rhinorrhea were considered symptoms excluding COVID-19.
- Chest computed tomography (CT) scans suggested COVID-19: the presence of Ground Glass Opacities [12]. Ambiguous CT-scan images were double-checked by radiologists. A clear pneumonia spot precluded COVID-19.
- Biological indicators were in favor of COVID-19: lymphopenia, a negative influenza PCR test, or thrombocytopenia.
2.1.3. Medical Biology Laboratory
2.2. Data Analysis
3. Results
3.1. Epidemic Evolution of Possible COVID-19 Cases
3.1.1. Population-Based Survey
3.1.2. Emergency Care Service
3.1.3. Evolution of Influenza PCR Tests
3.2. Comparison of Epidemics among Adults and Children
3.3. Prevalence of Anosmia among COVID-19 Symptoms
3.4. Impact of the POC Gathering
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Household Composition | n |
---|---|
Household size, mean (SD) | 2.8 (1.2) |
Number of adults in the household, mean (SD) | 2.2 (0.9) |
Age of adults (years), mean (SD) | 44.4 (16.9) |
Children in the household, n (%) | |
No | 552 (62.5) |
Yes | 331 (37.5) |
Number of children in the household, mean (SD) | 1.7 (0.7) |
Age of children (years), mean (SD) | 7.5 (4.1) |
Number of possible cases of COVID-19 infection in the household, mean (SD) | 1.7 (0.9) |
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Gerbaud, L.; Guiguet-Auclair, C.; Breysse, F.; Odoul, J.; Ouchchane, L.; Peterschmitt, J.; Dezfouli-Desfer, C.; Breton, V. Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France. Int. J. Environ. Res. Public Health 2020, 17, 7175. https://doi.org/10.3390/ijerph17197175
Gerbaud L, Guiguet-Auclair C, Breysse F, Odoul J, Ouchchane L, Peterschmitt J, Dezfouli-Desfer C, Breton V. Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France. International Journal of Environmental Research and Public Health. 2020; 17(19):7175. https://doi.org/10.3390/ijerph17197175
Chicago/Turabian StyleGerbaud, Laurent, Candy Guiguet-Auclair, Franck Breysse, Joséphine Odoul, Lemlih Ouchchane, Jonathan Peterschmitt, Camille Dezfouli-Desfer, and Vincent Breton. 2020. "Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France" International Journal of Environmental Research and Public Health 17, no. 19: 7175. https://doi.org/10.3390/ijerph17197175