About: SARS-CoV-2 surveillance in decedents in a large, urban medical examiner's office

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About: SARS-CoV-2 surveillance in decedents in a large, urban medical examiner's office Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	SARS-CoV-2 surveillance in decedents in a large, urban medical examiner's office
Creator	Lephart, Paul Martin, Emily Eisenberg, Marisa Lauring, Adam Myers, Jeffrey Konopka, Kristine Nguyen, Teresa Schmidt, Carl Brouwer, Andrew Jaworski, Andrea
Source	MedRxiv
abstract	Background: SARS-CoV-2 has become a global pandemic. Given the challenges in implementing widespread SARS-CoV-2 testing, there is increasing interest in alternative surveillance strategies. Methods: We tested nasopharyngeal swabs from 821 decedents in the Wayne County Medical Examiner's office for SARS-CoV-2. All decedents were assessed by a COVID-19 checklist, and decedents flagged by the checklist (237) were preferentially tested. A random sample of decedents not flagged by the checklist were also tested (584). We statistically analyzed the characteristics of decedents (age, sex, race, and manner of death), differentiating between those flagged by the checklist and not and between those SARS-CoV-2 positive and not. Results: Decedents were more likely to be male (70% vs 48%) and Black (55% vs 36%) than the catchment population. Seven-day average percent positivity among flagged decedents closely matched the trajectory of percent positivity in the catchment population, particularly during the peak of the outbreak (March and April). After a lull in May to mid-June, new positive tests in late June coincided with increased case detection in the catchment. We found large racial disparities in test results: despite no statistical difference in the racial distribution between those flagged and not, SARS-CoV-2 positive decedents were substantially more likely to be Black (89% vs 51%). SARS-CoV-2 positive decedents were also more likely to be older and to have died of natural causes, including of COVID-19 disease. Conclusions: Disease surveillance through medical examiners and coroners could supplement other forms of surveillance and may serve as a possible early outbreak warning sign.
has issue date	2020-08-07(xsd:dateTime)
bibo:doi	10.1101/2020.08.03.20162883
has license	medrxiv
sha1sum (hex)	c0ba44845fe08ef1b9bf66629a8f6a8280032110
schema:url	https://doi.org/10.1101/2020.08.03.20162883
resource representing a document's title	SARS-CoV-2 surveillance in decedents in a large, urban medical examiner's office
resource representing a document's body	covid:c0ba44845fe08ef1b9bf66629a8f6a8280032110#body_text
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