Global Transitions (Jan 2023)

Cold-chain-based epidemiology: Scientific evidence and logic in introduction and transmission of SARS-CoV-2

  • Ying Lin,
  • Xiaozhou He,
  • Wenwen Lei,
  • Zhiyuan Jia,
  • Jue Liu,
  • Cunrui Huang,
  • Jingkun Jiang,
  • Qihui Wang,
  • Fengqin Li,
  • Wei Ma,
  • Min Liu,
  • George F. Gao,
  • Guizhen Wu,
  • Jun Liu

Journal volume & issue
Vol. 5
pp. 170 – 181

Abstract

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During the COVID-19 pandemic, a series of outbreaks and related investigations have indicated that the virus can be transmitted via cold-chain environment media. The causal relationship between the cold chain and the introduction and spread of viruses has been established. However, due to its stealthy nature, cold-chain environment media is often overlooked. Herein, we aim to provide a systematic review of the existing evidences and logical chains of virus transmission and introduction through cold-chain, from the perspectives of epidemiological investigations, laboratory researches, and molecular epidemiological evidences of cold-chain-related outbreaks. Additionally, scientific evidences also include the survival capacity of the virus in cold-chain environments, as well as modeling of virus transmission and risk assessment. These evidences and the logical framework related to cold-chain transmission put forward the initiation of cold-chain-based epidemiology (CCBE) as one of the important portions of the epidemiology of infectious diseases. Close multidisciplinary collaboration in this field will be essential for the preparation of future pandemics.

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