RT Journal Article
SR Electronic
T1 Epidemiology of SARS-CoV-2 during the first three waves in Scotland: a national record linkage study
JF Journal of Epidemiology and Community Health
JO J Epidemiol Community Health
FD BMJ Publishing Group Ltd
SP 1
OP 8
DO 10.1136/jech-2022-219367
VO 77
IS 1
A1 Kirstin Leslie
A1 Beth Findlay
A1 Theresa Ryan
A1 Leonardo I Green
A1 Ciaran Harvey
A1 Alice E Whettlock
A1 Jen Bishop
A1 Vicki Ponce Hardy
A1 April Went
A1 Lesley Wallace
A1 Allan McLeod
A1 Amanda Weir
A1 Kimberly Marsh
YR 2023
UL http://jech.bmj.com/content/77/1/1.abstract
AB Background The early COVID-19 pandemic in Scotland—defined as the era before widespread access to vaccination and monoclonal antibody treatment—can be characterised into three distinct waves: March–July 2020, July 2020–April 2021 and May–August 2021. Each wave was met with various societal restrictions in an effort to reduce disease transmission and associated morbidity and mortality. Understanding the epidemiology of infections during these waves can provide valuable insights into future pandemic planning.Methods Scottish RT-PCR testing data reported up until 8 August 2021, the day prior to most restrictions being lifted in Scotland, were included. Demographic characteristics including age, sex and social deprivation associated with transmission, morbidity and mortality were compared across waves. A case–control analysis for each wave was then modelled to further compare risk factors associated with death over time.Results Of the 349 904 reported cases, there were 18 099, 197 251 and 134 554 in waves 1, 2 and 3, respectively. Hospitalisations, intensive care unit admissions and deaths appeared highest in wave 2, though risk factors associated with COVID-19 death remained similar across the waves. Higher deprivation and certain comorbidities were associated with higher deaths in all waves.Conclusions Despite the higher number of cases reported in waves 2 and 3, case fatality rates were lower: likely a combination of improved detection of infections in younger age groups, introduction of social measures and vaccination. Higher social deprivation and comorbidities resulted in higher deaths for all waves.No data are available.