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Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France

Author

Listed:
  • Laurent Gerbaud

    (Public Health Department, National Center for Scientific Research, University Hospital of Clermont-Ferrand, Clermont Auvergne University, SIGMA Clermont, Pascal Institute, 63000 Clermont-Ferrand, France)

  • Candy Guiguet-Auclair

    (Public Health Department, National Center for Scientific Research, University Hospital of Clermont-Ferrand, Clermont Auvergne University, SIGMA Clermont, Pascal Institute, 63000 Clermont-Ferrand, France)

  • Franck Breysse

    (Emergency Department of Diaconat Fonderie Hospital, 68100 Mulhouse, France)

  • Joséphine Odoul

    (Public Health Department, University Hospital of Clermont-Ferrand, 63000 Clermont-Ferrand, France)

  • Lemlih Ouchchane

    (Public Health Department, National Center for Scientific Research, University Hospital of Clermont-Ferrand, Clermont Auvergne University, SIGMA Clermont, Pascal Institute, 63000 Clermont-Ferrand, France)

  • Jonathan Peterschmitt

    (Sundgau Medical Center, 68210 Bernwiller, France)

  • Camille Dezfouli-Desfer

    (Emergency Department of Diaconat Fonderie Hospital, 68100 Mulhouse, France)

  • Vincent Breton

    (Laboratoire de Physique de Clermont, National Center for Scientific Research, National Institute of Nuclear and Particle Physics, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France)

Abstract

Background: Understanding SARS-CoV-2 dynamics and transmission is a serious issue. Its propagation needs to be modeled and controlled. The Alsace region in the East of France has been among the first French COVID-19 clusters in 2020. Methods: We confront evidence from three independent and retrospective sources: a population-based survey through internet, an analysis of the medical records from hospital emergency care services, and a review of medical biology laboratory data. We also check the role played in virus propagation by a large religious meeting that gathered over 2000 participants from all over France mid-February in Mulhouse. Results: Our results suggest that SARS-CoV-2 was circulating several weeks before the first officially recognized case in Alsace on 26 February 2020 and the sanitary alert on 3 March 2020. The religious gathering seems to have played a role for secondary dissemination of the epidemic in France, but not in creating the local outbreak. Conclusions: Our results illustrate how the integration of data coming from multiple sources could help trigger an early alarm in the context of an emerging disease. Good information data systems, able to produce earlier alerts, could have avoided a general lockdown in France.

Suggested Citation

  • Laurent Gerbaud & Candy Guiguet-Auclair & Franck Breysse & Joséphine Odoul & Lemlih Ouchchane & Jonathan Peterschmitt & Camille Dezfouli-Desfer & Vincent Breton, 2020. "Hospital and Population-Based Evidence for COVID-19 Early Circulation in the East of France," IJERPH, MDPI, vol. 17(19), pages 1-17, September.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7175-:d:422012
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    References listed on IDEAS

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    1. Michael C Grant & Luke Geoghegan & Marc Arbyn & Zakaria Mohammed & Luke McGuinness & Emily L Clarke & Ryckie G Wade, 2020. "The prevalence of symptoms in 24,410 adults infected by the novel coronavirus (SARS-CoV-2; COVID-19): A systematic review and meta-analysis of 148 studies from 9 countries," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-19, June.
    2. Costagliola, D. & Flahault, A. & Galinec, D. & Garnerin, P. & Menares, J. & Valleron, A.-J., 1991. "A routine tool for detection and assessment of epidemics of influenza-like syndromes in France," American Journal of Public Health, American Public Health Association, vol. 81(1), pages 97-99.
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