SARS-COV-2 ANTIGEN SCREENING DURING THE FIRST POST-LOCKDOWN MAJOR MUSIC FESTIVAL IN NOVI SAD, SERBIA, IN JULY 2021
Abstract
Many countries have resumed mass gathering events like music festivals, despite potential risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmissions. This study aimed to examine the frequency of SARS-CoV-2 infection among visitors to a mass event, the EXIT festival, in relation to the proposed preventive measures. A total of 466 visitors were included in this longitudinal study conducted in Novi Sad, Serbia, during July, 2021. All subjects were tested with RDT-Ag test for the presence of SARS-CoV-2 virus at the beginning of the study and seven days after. Basic socio-demographic and epidemiological data were collected through a questionnaire. The average age of participants was 28.34 ± 8.87 years with the majority of men (53.7%). There were 170 (36.5%) vaccinated participants. A 97.1% in vaccinated and 92.2% in unvaccinated group, reported to regularly wear a protective mask (p=0.029). At the second cross-sectional testing, 354 subjects were tested, of which 150 (42.4%) were vaccinated. There was no statistically significant difference in application of preventive measures during and after the festival, in respect to vaccination status of the participants. Twenty participants (5.6%) reported some of the COVID-19-like symptoms in the first seven days after visiting the festival, but no COVID-19 infection was confirmed at the RDT-Ag testing. Despite the potential effectiveness of applied preventive measures such as RDT-Ag screening, mask-wearing and vaccination, additional caution is needed when holding these events during a period of high SARS-CoV-2 transmission, as well as when the new virus variants emerge in community.
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World Health Organization. Public Health for Mass Gatherings: Key Considerations. World Heal Organ. 2015. Available: https://apps.who.int/iris/handle/10665/162109
Tavan A, Tafti AD, Nekoie-Moghadam M, et al. Risks threatening the health of people participating in mass gatherings: A systematic review. J Educ Health Promot. 2019;8: 209. doi:10.4103/jehp.jehp_214_19
McCloskey B, Zumla A, Ippolito G, Blumberg L, Arbon P, Cicero A, et al. Mass gathering events and reducing further global spread of COVID-19: a political and public health dilemma. Lancet. 2020;395: 1096–1099. doi:10.1016/S0140-6736(20)30681-4
World Health Organization. Key planning recommendations for mass gatherings in the context of COVID-19: interim guidance, first issued 14 February 2020, third update 4 November 2021. 2020. Available: https://apps.who.int/iris/handle/10665/332235
Brown CM, Vostok J, Johnson H, et al. Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings — Barnstable County, Massachusetts, July 2021. MMWR Morb Mortal Wkly Rep. 2021;70: 1059–1062. doi:10.15585/mmwr.mm7031e2
COVID-19 Health System Response Monitor. Which strategies are countries using for mass gatherings and community events and how have they changed throughout the pandemic? – Cross-Country Analysis. 2021 [cited 2 May 2022] pp. 30–31. Available: https://analysis.covid19healthsystem.org/index.php/2021/03/02/which-strategies-are-countries-using-for-mass-gatherings-and-community-events-and-how-have-they-changed-throughout-the-pandemic/
World Health Organization. Holding gatherings during the COVID-19 pandemic: WHO policy brief, 2 August 2021. World Heal Organ. 2021. Available: https://www.who.int/publications/i/item/holding-gatherings-during-the-covid-19-pandemic-who-policy-brief-2-august-2021
Harris M, Kreindler J, El-Osta A, Esko T, Majeed A. Safe management of full-capacity live/mass events in COVID-19 will require mathematical, epidemiological and economic modelling. J R Soc Med. 2021;114: 290–294. doi:10.1177/01410768211007759
Health Information and Quality Authority. Evidence summary of public health measures to limit the transmission of SARS-CoV-2 at mass gatherings Health Information and Quality Authority Evidence summary of public health measures to limit the transmission of SARS-CoV-2 at mass gatherings. 2021.
World Health Organization. Critical preparedness, readiness and response actions for COVID-19: interim guidance, 27 May 2021. 2021; 16 p. Available: https://apps.who.int/iris/handle/10665/341520
Centers for Disease Control and Prevention. Overview of Testing for SARS-CoV-2, the virus that causes COVID-19. In: Cdc.Gov [Internet]. 2022 [cited 2 May 2022]. Available: https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-overview.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fphp%2Ftesting%2Fexpanded-screening-testing.html
Haas EJ, Angulo FJ, McLaughlin JM, et al. Impact and effectiveness of mRNA BNT162b2 vaccine against SARS-CoV-2 infections and COVID-19 cases, hospitalisations, and deaths following a nationwide vaccination campaign in Israel: an observational study using national surveillance data. Lancet. 2021;397: 1819–1829. doi:10.1016/S0140-6736(21)00947-8
Ministry of Health of the State of Israel. Israel to Lift All Coronavirus Restrictions. 2021 [cited 2 May 2022]. Available: https://www.gov.il/en/departments/news/23052021-02
Lumley SF, O’Donnell D, Stoesser NE, et al. Antibody Status and Incidence of SARS-CoV-2 Infection in Health Care Workers. N Engl J Med. 2021;384: 533–540. doi:10.1056/NEJMoa2034545
World Health Organization. Coronavirus disease (COVID-19): Mass gatherings. In: World Health Organization [Internet]. 2021 [cited 2 May 2022]. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-mass-gatherings
European Centre for Disease Prevention and Control. Assessing SARS-CoV-2 circulation, variants of concern, non-pharmaceutical interventions and vaccine rollout in the EU/EEA, 15th update. Stockholm; 2021. Available: https://www.ecdc.europa.eu/en/covid-19/timeline-ecdc-response.
Bolze A, Luo S, White S, et al. SARS-CoV-2 variant Delta rapidly displaced variant Alpha in the United States and led to higher viral loads. Cell Reports Med. 2022;3: 100564. doi:10.1016/j.xcrm.2022.100564
Ristić M, Nikolić N, Čabarkapa V, Turkulov V, Petrović V. Validation of the STANDARD Q COVID-19 antigen test in Vojvodina, Serbia. PLoS One. 2021;16: e0247606. doi:10.1371/journal.pone.0247606
Llibre J, Revollo B, Blanco I, et al. SARS-CoV-2 transmission in an indoor mass-gathering live music event. A randomized clinical trial. 2021. doi:10.21203/RS.3.RS-244584/V1
Revollo B, Blanco I, Soler P, et al. Same-day SARS-CoV-2 antigen test screening in an indoor mass-gathering live music event: a randomised controlled trial. Lancet Infect Dis. 2021;21: 1365–1372. doi:10.1016/S1473-3099(21)00268-1
Estelle CD, Perl TM. To Test or Not to Test: COVID-19 Prevention Strategies to Keep Large Gatherings Safe. Ann Intern Med. 2021;174: 1470–1471. doi:10.7326/M21-2976
Heinrich Heine University Düsseldorf. G*Power: Statistical Power Analyses for Mac and Windows. In: Version 3.1.9.4 Germany [Internet]. 2019 [cited 2 May 2022]. Available: https://www.psychologie.hhu.de/arbeitsgruppen/allgemeine-psychologie-und-arbeitspsychologie/gpower
Peng B, Zhou W, Pettit RW, et al. Reducing COVID-19 quarantine with SARS-CoV-2 testing: a simulation study. BMJ Open. 2021;11: e050473. doi:10.1136/bmjopen-2021-050473
Department for Digital Culture Media & Sport (UK). Information for ticket holders attending the Euro 2020 Events Research Programme matches 2021. 2021. Available: https://www.gov.uk/government/publications/information-forticket-holders-attending-the-euro-2020-events-research-programmematches/information-for-ticket-holders-attending-the-euro-2020-eventsresearch-programme-matches#taking-part-in-the-event
UEFA EURO 2020 Amsterdam. Negative test required for stadium entry 2021. Available: https://euro2020amsterdam.nl/en/testen-wedstrijdbezoekuefa-euro-2020-in-amsterdam/%0A
Hashim HT, Babar MS, Essar MY, Ramadhan MA, Ahmad S. The Hajj and COVID-19: How the Pandemic Shaped the World’s Largest Religious Gathering. Am J Trop Med Hyg. 2021;104: 797–799. doi:10.4269/ajtmh.20-1563
Job S, Kapoor M, Panda PK, Mohan L, Ravikant . COVID-19 Prevention Protocol for an Organised Mass Gathering-An Essential Requisite in Pandemic and Post-Pandemic Phase. J Clin Diagnostic Res. 2021. doi:10.7860/jcdr/2021/47856.14713
Jokhdar H, Khan A, Asiri S, Motair W, Assiri A, Alabdulaali M. COVID-19 Mitigation Plans During Hajj 2020: A Success Story of Zero Cases. Heal Secur. 2021;19: 133–139. doi:10.1089/hs.2020.0144
Moritz S, Gottschick C, Horn J, et al. The risk of indoor sports and culture events for the transmission of COVID-19. Nat Commun. 2021;12: 5096. doi:10.1038/s41467-021-25317-9
Schade W, Reimer V, Seipenbusch M, Willer U, Hübner EG. Viral aerosol transmission of SARS-CoV-2 from simulated human emission in a concert hall. Int J Infect Dis. 2021;107: 12–14. doi:10.1016/j.ijid.2021.04.028
Hagemann G, Hu C, Al Hassani N, Kahil N. Infographic. Successful hosting of a mass sporting event during the COVID-19 pandemic. Br J Sports Med. 2021;55: 570–571. doi:10.1136/bjsports-2020-103511
Pedersen L, Lindberg J, Lind RR, Rasmusen H. Reopening elite sport during the COVID‐19 pandemic: Experiences from a controlled return to elite football in Denmark. Scand J Med Sci Sports. 2021;31: 936–939. doi:10.1111/sms.13915
Pray IW, Ford L, Cole D, et al. Performance of an Antigen-Based Test for Asymptomatic and Symptomatic SARS-CoV-2 Testing at Two University Campuses — Wisconsin, September–October 2020. MMWR Morb Mortal Wkly Rep. 2021;69: 1642–1647. doi:10.15585/mmwr.mm695152a3
Pilarowski G, Lebel P, Sunshine S, et al. Performance Characteristics of a Rapid Severe Acute Respiratory Syndrome Coronavirus 2 Antigen Detection Assay at a Public Plaza Testing Site in San Francisco. J Infect Dis. 2021;223: 1139–1144. doi:10.1093/infdis/jiaa802
Johansson MA, Quandelacy TM, Kada S, et al. SARS-CoV-2 Transmission From People Without COVID-19 Symptoms. JAMA Netw Open. 2021;4: e2035057. doi:10.1001/jamanetworkopen.2020.35057
Llibre JM, Videla S, Clotet B, Revollo B. Screening for SARS-CoV-2 Antigen Before a Live Indoor Music Concert: An Observational Study. Ann Intern Med. 2021;174: 1487–1488. doi:10.7326/M21-2278
Public Health England. SARS-CoV-2 variants of concern and variants under investigation in England - Technical briefing 31. Sage. 2021 [cited 2 May 2022]. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/993879/Variants_of_Concern_VOC_Technical_Briefing_15.pdf
Government of the Republic of Serbia. COVID-19 [In Serbian]. Available: https://www.srbija.gov.rs/sekcija/453027/covid-19.php
DOI: https://doi.org/10.22190/FUMB220507001L
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