Shragai, Talya, Pratt, Caroline, Castro Georgi, Joaudimir, Donnelly, Marisa A. P., Schwartz, Noah G., Soto, Raymond, Chuey, Meagan, Chu, Victoria T., Marcenac, Perrine, Park, Geun Woo, Ahmad, Ausaf, Albanese, Bernadette, Totten, Sarah Elizabeth, Austin, Brett, Bunkley, Paige, Cherney, Blake, Dietrich, Elizabeth A., Figueroa, Erica, Folster, Jennifer M., and Godino, Claire
While risk of fomite transmission of SARS-CoV-2 is considered low, there is limited environmental data within households. This January—April 2021 investigation describes frequency and types of surfaces positive for SARS-CoV-2 by real-time reverse transcription polymerase chain reaction (RT-PCR) among residences with ≥1 SARS-CoV-2 infection, and associations of household characteristics with surface RT-PCR and viable virus positivity. Of 1232 samples from 124 households, 27.8% (n = 342) were RT-PCR positive with nightstands (44.1%) and pillows (40.9%) most frequently positive. SARS-CoV-2 lineage, documented household transmission, greater number of infected persons, shorter interval between illness onset and sampling, total household symptoms, proportion of infected persons ≤12 years old, and persons exhibiting upper respiratory symptoms or diarrhea were associated with more positive surfaces. Viable virus was isolated from 0.2% (n = 3 samples from one household) of all samples. This investigation suggests that while SARS-CoV-2 on surfaces is common, fomite transmission risk in households is low. [ABSTRACT FROM AUTHOR]