SARS-CoV-2 and work-related transmission: results of a prospective cohort of airport workers, 2020

INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has spread rapidly around the globe. Even though multiple strategies are available for controlling infectious respiratory diseases, the current approach for managing this pandemic is the prevention of person-to-person transmission. Despite the quarantine strategy, some work positions must remain active, such as airport personnel. OBJECTIVES: To identify risk factors for COVID-19 transmission among workers at the El Dorado, Luis Carlos Galán Airport from March to July 2020. METHODS: This is a prospective cohort study with workers of the El Dorado International Airport, in Bogotá, Colombia. A sociodemographic questionnaire was for searching for symptoms associated with COVID-19 and other risk factors. Nasopharyngeal swabs were collected for determining the presence of COVID-19. In order to identify seroconversion, we used an automated chemiluminescent immunoassay for anti-SARS-CoV-2 IgM and IgG antibodies. Patients with positive results were followed-up for 21 days. RESULTS: We observed an incidence of infection of 7.9%; most cases were asymptomatic. The main risk factor associated with infection was the duration of daily commute (relative risk 1.02 [95% confidence interval, 1.002-1.041]). CONCLUSIONS: We observed asymptomatic infection by COVID-19 among airport workers. Future research should contribute with knowledge for developing strategies that guarantee the protection of airport workers.