Epidemiological characteristics of COVID-19 cases among Indians residing in Kuwait
Affiliations
Affiliations
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait.
- School Oral Health Program, Ministry of Health, Kuwait City, Kuwait.
- Dental Division, Ahmadi Hospital, Kuwait Oil Company, Kuwait City, Kuwait.
- School Oral Health Program, Forsyth Institute, Kuwait City, Kuwait.
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, California, United States of America.
- Smile Inn Dental Centre, Kuwait City, Kuwait.
- Public Health Administration, Ministry of Health, Kuwait City, Kuwait.
Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic has rapidly spread to most countries around the world. Disproportionate spread of COVID-19 among the Indian community in Kuwait prompted heightened surveillance in this community.
Aims: To study the epidemiological characteristics of COVID-19 patients and their contacts among the Indian community in Kuwait.
Methods: Data collection was done as a part of contact tracing efforts undertaken by the Kuwaiti Ministry of Health.
Results: We analysed contact-tracing data for the initial 1348 laboratory-confirmed Indian patients and 6357 contacts (5681 close and 676 casual). The mean (standard deviation) age of the patients was 39.43 (10.5) years and 76.5% of the cases were asymptomatic or had only mild symptoms. Asymptomatic patients were significantly older [40.05 (10.42) years] than patients with severe symptoms [37.54 (10.54) years] (P = 0.024). About 70% of the patients were living in shared accommodation. Most of the close contacts were living in the same household, as compared with casual contacts, who were primarily workplace contacts (P < 0.001). Among the different occupations, healthcare workers had the highest proportion of cases (18.4%). Among the 216 pairs of cases with a clear relationship between the index and secondary cases, the mean serial interval was estimated to be 3.89 (3.69) days, with a median of 3 and interquartile range of 1-5 days.
Conclusion: An early increase in the number of COVID-19 cases among the Indian community could be primarily attributed to crowded living conditions and the high proportion of healthcare workers in this community.
Keywords: COVID-19; Kuwait; SARS-CoV-2; contact tracing; epidemiology.
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