Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data

Background: Hokkaido was the first Japanese prefecture to be affected by COVID-19. Since the beginning of the pandemic, the Japanese government has been publishing the information of each individual who was tested positive for the virus. Method: The current study analyzed the 1269 SARS-CoV-2 cases c...

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Autores principales: Meng-Hao Li, Abu Bakkar Siddique, Ali Andalibi, Naoru Koizumi
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:9c738f8dd0b64268bf8e771f1a2aaed02021-11-25T16:45:54ZAnalysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data10.3390/atmos121115282073-4433https://doaj.org/article/9c738f8dd0b64268bf8e771f1a2aaed02021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4433/12/11/1528https://doaj.org/toc/2073-4433Background: Hokkaido was the first Japanese prefecture to be affected by COVID-19. Since the beginning of the pandemic, the Japanese government has been publishing the information of each individual who was tested positive for the virus. Method: The current study analyzed the 1269 SARS-CoV-2 cases confirmed in Hokkaido in order to examine sex-based differences in symptomology and infectiveness, as well as the status of reinfections and the viral transmission networks. Results: The majority of asymptomatic patients were females and older. Females were 1.3-fold more likely to be asymptomatic (<i>p</i> < 0.001) while a decade of difference in age increased the likelihood of being asymptomatic by 1% (<i>p</i> < 0.001). The data contained information up to quaternary viral transmission. The transmission network revealed that, although asymptomatic patients are more likely to transmit the virus, the individuals infected by asymptomatic cases are likely to be asymptomatic (<i>p</i> < 0.001). Four distinct co-occurrences of symptoms were observed, including (i) fever/fatigue, (ii) pharyngitis/rhinitis, (iii) ageusia/anosmia, and (iv) nausea/vomiting/diarrhea. The presences of diarrhea (<i>p</i> = 0.05) as well as nausea/vomiting (<i>p</i> < 0.001) were predictive of developing dyspnea, i.e., severe disease. About 1% of the patients experienced reinfection. Conclusions: Sex and symptomatology appear to play important roles in determining the levels of viral transmission as well as disease severity.Meng-Hao LiAbu Bakkar SiddiqueAli AndalibiNaoru KoizumiMDPI AGarticleSAR-COV2COVID-19viral transmission networksseverity factorasymptomatic carriersMeteorology. ClimatologyQC851-999ENAtmosphere, Vol 12, Iss 1528, p 1528 (2021)
institution DOAJ
collection DOAJ
language EN
topic SAR-COV2
COVID-19
viral transmission networks
severity factor
asymptomatic carriers
Meteorology. Climatology
QC851-999
spellingShingle SAR-COV2
COVID-19
viral transmission networks
severity factor
asymptomatic carriers
Meteorology. Climatology
QC851-999
Meng-Hao Li
Abu Bakkar Siddique
Ali Andalibi
Naoru Koizumi
Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
description Background: Hokkaido was the first Japanese prefecture to be affected by COVID-19. Since the beginning of the pandemic, the Japanese government has been publishing the information of each individual who was tested positive for the virus. Method: The current study analyzed the 1269 SARS-CoV-2 cases confirmed in Hokkaido in order to examine sex-based differences in symptomology and infectiveness, as well as the status of reinfections and the viral transmission networks. Results: The majority of asymptomatic patients were females and older. Females were 1.3-fold more likely to be asymptomatic (<i>p</i> < 0.001) while a decade of difference in age increased the likelihood of being asymptomatic by 1% (<i>p</i> < 0.001). The data contained information up to quaternary viral transmission. The transmission network revealed that, although asymptomatic patients are more likely to transmit the virus, the individuals infected by asymptomatic cases are likely to be asymptomatic (<i>p</i> < 0.001). Four distinct co-occurrences of symptoms were observed, including (i) fever/fatigue, (ii) pharyngitis/rhinitis, (iii) ageusia/anosmia, and (iv) nausea/vomiting/diarrhea. The presences of diarrhea (<i>p</i> = 0.05) as well as nausea/vomiting (<i>p</i> < 0.001) were predictive of developing dyspnea, i.e., severe disease. About 1% of the patients experienced reinfection. Conclusions: Sex and symptomatology appear to play important roles in determining the levels of viral transmission as well as disease severity.
format article
author Meng-Hao Li
Abu Bakkar Siddique
Ali Andalibi
Naoru Koizumi
author_facet Meng-Hao Li
Abu Bakkar Siddique
Ali Andalibi
Naoru Koizumi
author_sort Meng-Hao Li
title Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
title_short Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
title_full Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
title_fullStr Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
title_full_unstemmed Analysis of Symptomology, Infectiveness, and Reinfections between Male and Female COVID-19 Patients: Evidence from Japanese Registry Data
title_sort analysis of symptomology, infectiveness, and reinfections between male and female covid-19 patients: evidence from japanese registry data
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9c738f8dd0b64268bf8e771f1a2aaed0
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