Quantifying the relationship between SARS-CoV-2 viral load and infectiousness

A Marc, M Kerioui, F Blanquart, J Bertrand, O Mitja… - Elife, 2021 - elifesciences.org
A Marc, M Kerioui, F Blanquart, J Bertrand, O Mitja, M Corbacho-Monné, M Marks, J Guedj
Elife, 2021elifesciences.org
The relationship between SARS-CoV-2 viral load and infectiousness is poorly known. Using
data from a cohort of cases and high-risk contacts, we reconstructed viral load at the time of
contact and inferred the probability of infection. The effect of viral load was larger in
household contacts than in non-household contacts, with a transmission probability as large
as 48% when the viral load was greater than 1010 copies per mL. The transmission
probability peaked at symptom onset, with a mean probability of transmission of 29%, with …
Abstract
The relationship between SARS-CoV-2 viral load and infectiousness is poorly known. Using data from a cohort of cases and high-risk contacts, we reconstructed viral load at the time of contact and inferred the probability of infection. The effect of viral load was larger in household contacts than in non-household contacts, with a transmission probability as large as 48% when the viral load was greater than 1010 copies per mL. The transmission probability peaked at symptom onset, with a mean probability of transmission of 29%, with large individual variations. The model also projects the effects of variants on disease transmission. Based on the current knowledge that viral load is increased by two-to eightfold with variants of concern and assuming no changes in the pattern of contacts across variants, the model predicts that larger viral load levels could lead to a relative increase in the probability of transmission of 24% to 58% in household contacts, and of 15% to 39% in non-household contacts.
eLife