Risk of severe COVID-19 from the Delta and Omicron variants in relation to vaccination status, sex, age and comorbidities – surveillance results from southern Sweden, July 2021 to January 2022

Author:

Kahn Fredrik1ORCID,Bonander Carl2ORCID,Moghaddassi Mahnaz3ORCID,Rasmussen Magnus1ORCID,Malmqvist Ulf4,Inghammar Malin1ORCID,Björk Jonas54ORCID

Affiliation:

1. Department of Clinical Sciences Lund, Section for Infection Medicine, Skåne University Hospital, Lund University, Lund, Sweden

2. School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden

3. Social Medicine and Global Health, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden

4. Clinical Studies Sweden, Forum South, Skåne University Hospital, Lund, Sweden

5. Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden

Abstract

We compared the risk of severe COVID-19 during two periods 2021 and 2022 when Delta and Omicron, respectively, were the dominating virus variants in Scania county, Sweden. We adjusted for differences in sex, age, comorbidities, prior infection and vaccination. Risk of severe disease from Omicron was markedly lower among vaccinated cases. It was also lower among the unvaccinated but remained high (> 5%) for older people and middle-aged men with two or more comorbidities. Efforts to increase vaccination uptake should continue.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference10 articles.

1. SARS-CoV-2 Omicron VOC transmission in Danish households.;Lyngse;medRxiv,2021

2. Buchan SA, Chung H, Brown KA, Austin PC, Fell DB, Gubbay JB, et al. Effectiveness of COVID-19 vaccines against Omicron or Delta infection. medRxiv. 2022:2021.12.30.21268565. https://doi.org/10.1101/2021.12.30.21268565

3. Ulloa AC, Buchan SA, Daneman N, Brown KA. Early estimates of SARS-CoV-2 Omicron variant severity based on a matched cohort study, Ontario, Canada. medRxiv. 2021:2021.12.24.21268382. https://doi.org/10.1101/2021.12.24.21268382

4. Reduced risk of hospitalisation associated with infection with SARS-CoV-2 Omicron relative to Delta: a Danish cohort study.;Bager;SSRN,2022

5. Ferguson N, Ghani A, Hinsley W, Volz E. Report 50 - Hospitalisation risk for Omicron cases in England. London: Imperial College; 2021. Available from: https://www.imperial.ac.uk/mrc-global-infectious-disease-analysis/covid-19/report-50-severity-omicron

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