Evidence regarding the important role of adolescents and young adults (AYA) in accelerating and sustaining coronavirus disease 2019 (COVID-19) outbreaks is growing. Furthermore, data suggest two known factors that contribute to high severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmissibility-presymptomatic transmission and asymptomatic case presentations-may be amplified in AYA. However, AYA have not been prioritized as a key population in the public health response to the COVID-19 pandemic. Policy decisions that limit public health attention on AYA and are driven by the assumption of insignificant forward transmission from AYA pose a risk to inadvertently reinvigorate local transmission dynamics. In this viewpoint, we highlight evidence regarding the increased potential of AYA to transmit SARS-CoV-2 that, to date, has received little attention, discuss adolescent and young adult specific considerations for future COVID-19 control measures, and provide applied programmatic suggestions.
Reconsidering assumptions of adolescent and young adult SARS-CoV-2 transmission dynamics
Clinical Infectious Diseases, 73 (Suppl 2), S146-S163. doi: 10.1093/cid/ciaa1348. PMCID: PMC7499536.