COVID-19’s Rapid Spread in US Attributed to First Symptom

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The greater transmissibility of that variant named D614G, might be explained by infected individuals coughing and spreading the virus before they were incapacitated by fever. COVID-19 is most commonly spread through respiratory droplets, often amplified by a cough of symptomatic patients.

Those infected with the COVID-19 variant during the initial outbreak in China, the Wuhan reference strain, probably experienced fever as their first symptom, followed by cough.

Studying the likely order of symptoms, in addition to how the disease spreads, can inform additional research and health care about how people experience the disease.

The study, which was published by PLOS Computational Biology, also noted that:

In Japan, it’s likely a fever was the initial symptom when the Wuhan reference strain was dominant there. When the D614G variant supplanted it, a cough was likely the first symptom. This finding validates similar results from other geographical regions and supports the hypothesis that a cough occurs earlier in the D614G variant than the Wuhan reference strain.

The predicted symptom order was not altered by region, weather, patient age, or comorbidity.

The study did not answer the question of whether the order of symptoms found in the initial waves of the pandemic holds true for current variants.

Expert Analysis

“With the emergence of new variants and the likelihood COVID-19 becomes endemic in the population, it’s important that researchers continue to show how viral variants affect progression of symptoms and disease in individuals and populations.”

Peter Kuhn, a dean’s professor of biological sciences and professor of biological sciences, medicine, biomedical engineering and aerospace and mechanical engineering.

“Studying the likely order of symptoms may increase our understanding of how disease spreads and further inform future research and health care on how individuals are likely to experience disease.”

Joseph Larsen, graduate researcher at USC’s Convergent Science Institute of Cancer and doctoral candidate in USC Dornsife’s Quantitative and Computational Biology Department.


The latest findings expand on research that Kuhn and his collaborators published in August 2020 that discovered the order of symptoms from the Wuhan reference strain.

The discovery was based on a mathematical model using data from an outbreak in China in early 2020.

Source: Medindia

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