Age-Dependent Risks of COVID-19 Putatively Caused by Variant Alpha in Japan

BACKGROUND: Osaka, the third largest prefecture in Japan, experienced a rapid replacement of preexisting strains of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by variant alpha during March-April 2021. Assessing the burden of variant alpha on health centers and medical institutions is vital to anticipating the surge of patients. The present study aimed to estimate the age-dependent risks of coronavirus disease (COVID-19) putatively caused by variant alpha in Japan, focusing on epidemiological dynamics in Osaka. METHODS: Descriptive analyses were conducted using data on confirmed, severe and fatal cases of COVID-19 from 16 November 2020 to 22 May 2021. All cases were divided into 6–9 age groups to compare the risks of confirmed diagnosis, severe illness and death from COVID-19 with variant alpha to those caused by preexisting strains. RESULTS: Individuals with COVID-19 aged under 30 years were more likely to be infected with variant alpha than those in their 40s. The incidence of severe illness and death among all age groups with COVID-19 due to variant alpha was higher than that due to preexisting strains. Patients older than 40 years experienced an increased risk of severe illness and death if infected with variant alpha. However, the proportion of severe cases was lower in the group aged 80 years and older infected with variant alpha than in those infected with preexisting strains. CONCLUSION: Our analysis suggests that the incidence of infection among young people aged below 30 years old increased relative to ordinary strains. Risks of severe illness and death in patients with variant alpha COVID-19 was higher than in those with preexisting strains in Osaka, Japan. However, a decrease in the risk of severe illness was observed in people aged ≥80 years, which is probably because medical facilities in Osaka were overwhelmed in April and May 2021. Continuous monitoring of COVID-19 cases with new variants is vital to secure sufficient medical resources for all patients who require medical care.