COVID-19 Outbreak in a Military Unit in Korea

Experimental assessment of low temperature plasma devices for bacterial aerosol inactivation in the air duct of HVAC systems

In light of growing concerns about indoor air quality and the transmission of pathogens, this study aims to evaluate the effectiveness of low temperature plasma (LTP) devices in inactivating bacterial aerosols in the air duct of HVAC systems, exploring methods to enhance air purification efficiency. This research employed experimental methods to explore the deactivation effects of LTP on common bacteria such as E. coli and Bacillus subtilis, focusing on the role of air parameters such as the airflow rate, relative humidity, and temperature in influencing the device's performance. Notably, the study determined that an operational voltage of 3000 V for the LTP device, combined with conditions of low airflow, low humidity, and high temperature, significantly enhances the inactivation of bacterial aerosols, achieving an 82% inactivation rate at a negative ion concentration of 2.4 × 1011 ions per m3 and a wind speed of 3 m s-1. Despite the generation of ozone and ultraviolet light as by-products, their concentrations were found to be within safe limits for human exposure. In addition, this study identified an effective inactivation range, alongside an optimal arrangement for the airflow direction within ducts, to maximize the sterilization efficiency of the LTP device. Given these promising results, the study advocates for the integration of LTP technology into the air duct of HVAC systems of public buildings to improve air quality and reduce the risk of airborne disease transmission.

Military affected by the first wave of COVID-19 in Senegal: stress and resilience factors during care

COVID-19 had a psychological impact on the population, particularly those affected. Our objective was to investigate stress and resilience factors in the Senegalese soldiers affected during the first wave of COVID-19. Our retrospective and qualitative study included military personnel listed as contacts, suspects, or positive cases and supported by the Armed Forces Psychological Support Program during the period of isolation. The stress factors were health-related, sociological, and occupational. The conditions and the experience of isolation, stigmatization, and suspension of their professional projects were concerns for the soldiers. They had relied on personal, familial, and professional resources to cultivate resilience during the quarantine. Isolation during the pandemic showed psychological consequences, the foundations of which have been found in our study.

Evaluation of diagnostic performance of SARS-CoV-2 infection using digital droplet polymerase chain reaction in individuals with or without COVID-19 symptoms

BACKGROUND

Reverse transcription-quantitative PCR (RT-qPCR) is commonly used to diagnose SARS-CoV-2, but it has limited sensitivity in detecting the virus in asymptomatic close contacts and convalescent patients. In this study, we propose the use of reverse transcription-digital droplet PCR (RT-ddPCR) to detect SARS-CoV-2 in clinical samples.

METHODS

The clinical performance of RT-ddPCR targeting of ORF1ab and N genes was evaluated in parallel with RT-qPCR using 200 respiratory samples collected from close contacts and patients at different phases of infection.

RESULTS

The limits of detection (LODs) for RT-ddPCR assays were determined using six dilutions of ACCUPLEX SARS-Cov-2 reference material. The LODs of ORF1ab and N genes were 3.7 copies/reaction and 2.2 copies/reaction, respectively. Compared to RT-qPCR, RT-ddPCR increased the positive rate by 12.0% in 142 samples from SARS-CoV-2-infected patients. Additionally, RT-ddPCR detected SARS-CoV-2 in three of 26 specimens from close contacts that tested negative by RT-qPCR, and infection was confirmed using follow-up samples. Finally, RT-ddPCR improved the equivocal results from RT-qPCR in 56.3% (9/16) of convalescent patient samples.

CONCLUSIONS

Detecting SARS-CoV-2 in samples with low viral loads using RT-qPCR can be challenging. However, our study suggests that RT-ddPCR, with its higher sensitivity and accuracy, is better suited for detecting low viral copies in samples, particularly those from close contacts and convalescent patients.

Trends in Confirmed COVID-19 Cases in the Korean Military Before and After the Emergence of the Omicron Variant

BACKGROUND

Due to the higher transmissibility and increased immune escape of the omicron variant of severe acute respiratory syndrome coronavirus 2, the number of patients with coronavirus disease 2019 (COVID-19) has skyrocketed in the Republic of Korea. Here, we analyzed the change in trend of the number of confirmed COVID-19 cases in the Korean military after the emergence of the omicron variant on December 5, 2021.

METHODS

An interrupted time-series analysis was performed of the daily number of newly confirmed COVID-19 cases in the Korean military from September 1, 2021 to April 10, 2022, before and after the emergence of the omicron variant. Moreover, the daily number of newly confirmed COVID-19 cases in the Korean military and in the population of Korean civilians adjusted to the same with military were compared.

RESULTS

The trends of COVID-19 occurrence in the military after emergence of the omicron variant was significantly increased (regression coefficient, 23.071; 95% confidence interval, 16.122-30.020; P < 0.001). The COVID-19 incidence rate in the Korean military was lower than that in the civilians, but after the emergence of the omicron variant, the increased incidence rate in the military followed that of the civilian population.

CONCLUSION

The outbreak of the omicron variant occurred in the Korean military despite maintaining high vaccination coverage and intensive non-pharmacological interventions.