-
Case fatality risk of the SARS-CoV-2 variant of concern B.1.1.7 in England, 16 November to 5 February
- Daniel J Grint1 , Kevin Wing1 , Elizabeth Williamson1 , Helen I McDonald1 , Krishnan Bhaskaran1 , David Evans2 , Stephen JW Evans1 , Alex J Walker2 , George Hickman2 , Emily Nightingale3 , Anna Schultze1 , Christopher T Rentsch1 , Chris Bates4 , Jonathan Cockburn4 , Helen J Curtis2 , Caroline E Morton2 , Sebastian Bacon2 , Simon Davy2 , Angel YS Wong1 , Amir Mehrkar2 , Laurie Tomlinson1 , Ian J Douglas1 , Rohini Mathur1 , Paula Blomquist5 , Brian MacKenna2 , Peter Ingelsby2 , Richard Croker2 , John Parry4 , Frank Hester4 , Sam Harper4 , Nicholas J DeVito2 , Will Hulme2 , John Tazare1 , Ben Goldacre2,6 , Liam Smeeth1,6 , Rosalind M Eggo1,6
-
View Affiliations Hide AffiliationsAffiliations: 1 Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom 2 The DataLab, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom 3 Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom 4 The Phoenix Partnership (TPP), TPP House, Leeds, United Kingdom 5 COVID-19 Outbreak Surveillance Team, Public Health England, London, United Kingdom 6 These authors contributed equallyDaniel Grintdaniel.grint lshtm.ac.uk
-
View Citation Hide Citation
Citation style for this article: Grint Daniel J, Wing Kevin, Williamson Elizabeth, McDonald Helen I, Bhaskaran Krishnan, Evans David, Evans Stephen JW, Walker Alex J, Hickman George, Nightingale Emily, Schultze Anna, Rentsch Christopher T, Bates Chris, Cockburn Jonathan, Curtis Helen J, Morton Caroline E, Bacon Sebastian, Davy Simon, Wong Angel YS, Mehrkar Amir, Tomlinson Laurie, Douglas Ian J, Mathur Rohini, Blomquist Paula, MacKenna Brian, Ingelsby Peter, Croker Richard, Parry John, Hester Frank, Harper Sam, DeVito Nicholas J, Hulme Will, Tazare John, Goldacre Ben, Smeeth Liam, Eggo Rosalind M. Case fatality risk of the SARS-CoV-2 variant of concern B.1.1.7 in England, 16 November to 5 February. Euro Surveill. 2021;26(11):pii=2100256. https://doi.org/10.2807/1560-7917.ES.2021.26.11.2100256 Received: 04 Mar 2021; Accepted: 18 Mar 2021
Abstract
The SARS-CoV-2 B.1.1.7 variant of concern (VOC) is increasing in prevalence across Europe. Accurate estimation of disease severity associated with this VOC is critical for pandemic planning. We found increased risk of death for VOC compared with non-VOC cases in England (hazard ratio: 1.67; 95% confidence interval: 1.34–2.09; p < 0.0001). Absolute risk of death by 28 days increased with age and comorbidities. This VOC has potential to spread faster with higher mortality than the pandemic to date.
Article metrics loading...
Full text loading...
References
-
Davies NG, Abbott S, Barnard RC, Jarvis CI, Kucharski AJ, Munday JD, et al. Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England. Science. 2021;eabg3055. https://doi.org/10.1126/science.abg3055 PMID: 33658326
-
European Centre for Disease Prevention and Control (ECDC). SARS-CoV-2 - increased circulation of variants of concern and vaccine rollout in the EU/EEA,14th update. Stockholm: ECDC; 2021. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/RRA-covid-19-14th-update-15-feb-2021.pdf
-
Public Health England (PHE). Investigation of novel SARS-CoV-2 variant. Variant of concern 20201/01. London: PHE. [Accessed: 25 Feb 2021]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/959438/Technical_Briefing_VOC_SH_NJL2_SH2.pdf
-
Cox DR. Regression models and life‐tables. J R Stat Soc B. 1972;34(2):187-202. https://doi.org/10.1111/j.2517-6161.1972.tb00899.x
-
Cox DR, Oakes D. Analysis of survival data. London: CRC press; 1984. ISBN 9780412244902.
-
Ministry of Housing, Communities Local Government. The English indices of deprivation 2019 (IoD2019). London: Ministry of Housing, Communities Local Government; 2019. Available from: https://www.gov.uk/government/statistics/english-indices-of-deprivation-2019
-
NERVTAG. NERVTAG paper on COVID-19 variant of concern B.1.1.7: Paper from the New and Emerging Respiratory Virus Threats Advisory Group (NERVTAG) on new coronavirus (COVID-19) variant B.1.1.7. London: Department of Health and Social Care; 2021. Available from: https://www.gov.uk/government/publications/nervtag-paper-on-covid-19-variant-of-concern-b117
-
Iacobucci G. Covid-19: New UK variant may be linked to increased death rate, early data indicate. BMJ. 2021;372(230):n230. https://doi.org/10.1136/bmj.n230 PMID: 33500262
-
Davies NG, Jarvis CI, CMMID COVID-19 Working Group, Edmunds WJ, Jewell NP, Diaz-Ordaz K, Keogh RH, et al. Increased mortality in community-tested cases of SARS-CoV-2 lineage B.1.1.7. Nature. 2021. https://doi.org/10.1038/s41586-021-03426-1 PMID: 33723411
-
Challen R, Brooks-Pollock E, Read JM, Dyson L, Tsaneva-Atanasova K, Danon L. Risk of mortality in patients infected with SARS-CoV-2 variant of concern 202012/1: matched cohort study. BMJ. 2021;372(579):n579. https://doi.org/10.1136/bmj.n579 PMID: 33687922
-
Walker JL, Grint DJ, Strongman H, Eggo RM, Peppa M, Minassian C, et al. UK prevalence of underlying conditions which increase the risk of severe COVID-19 disease: a point prevalence study using electronic health records. BMC Public Health. 2021;21(1):484. https://doi.org/10.1186/s12889-021-10427-2 PMID: 33706738
-
Department of Health and Social Care. New UK-wide methodology agreed to record COVID-19 deaths. London: Department of Health and Social Care; 2020. Available from: https://www.gov.uk/government/news/new-uk-wide-methodology-agreed-to-record-covid-19-deaths
-
Public Health England (PHE). PHE monitoring of the effectiveness of COVID-19 vaccination. London: PHE; 2021. Available from: https://www.gov.uk/government/publications/phe-monitoring-of-the-effectiveness-of-covid-19-vaccination
Data & Media loading...
Supplementary data
-
-
Supplement
-