Associations of Early COVID-19 Cases in San Francisco With Domestic and International Travel

Clin Infect Dis. 2020 Dec 31;71(11):2976-2980. doi: 10.1093/cid/ciaa599.

Abstract

In early-to-mid March 2020, 20 of 46 (43%) COVID-19 cases at a tertiary care hospital in San Francisco, California were travel related. Cases were significantly associated with travel to either Europe (odds ratio, 6.1) or New York (odds ratio, 32.9). Viral genomes recovered from 9 of 12 (75%) cases co-clustered with lineages circulating in Europe.

Keywords: SARS coronavirus 2 (SARS-CoV-2); hospital epidemiology; pandemic; risk-based screening; travel history.

MeSH terms

  • COVID-19*
  • Europe
  • Humans
  • New York
  • SARS-CoV-2
  • San Francisco / epidemiology
  • Travel
  • Travel-Related Illness