{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:58:34Z","timestamp":1793372314756,"version":"4.5.0"},"posted":{"date-parts":[[2022,2,8]]},"group-title":"Infectious Diseases (except HIV\/AIDS)","reference-count":42,"publisher":"openRxiv","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2022,2,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                <jats:p>We evaluated the clinical and socioeconomic burdens of respiratory disease in a cohort of Guatemalan banana plantation workers. All eligible workers were offered enrollment from June 15\u2013December 30, 2020, and annually, then followed for influenza-like illnesses (ILI) through: 1) self-reporting to study nurses, 2) sentinel surveillance at health posts, and 3) absenteeism. Workers with ILI submitted nasopharyngeal swabs for influenza, RSV, and SARS-CoV-2 testing, then completed surveys at days 0, 7, and 28. Through October 10, 2021, 1,833 workers developed 169 ILIs (12.0\/100 person-years) and 43 (25.4%) of these ILIs were laboratory-confirmed SARS-CoV-2 (3.1\/100 person-years). Workers with SARS-CoV-2-positive ILI reported more anosmia (p&lt;0.01), dysgeusia (p&lt;0.01), difficulty concentrating (p=0.01), and irritability (p=0.01), and greater clinical and well-being severity scores (Flu-iiQ) than test-negative ILIs; they also had greater absenteeism (p&lt;0.01) and lost income (median US$127.1, p&lt;0.01). These results support the prioritization of Guatemalan farm workers for COVID-19 vaccination.<\/jats:p>","DOI":"10.1101\/2022.02.07.22270274","type":"posted-content","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T01:00:13Z","timestamp":1644368413000},"source":"Crossref","is-referenced-by-count":3,"title":["Clinical and Economic Impact of COVID-19 on Plantation Workers: Preliminary Results from the Guatemala Agricultural Workers and Respiratory Illness Impact (AGRI) Study"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2374-1448","authenticated-orcid":false,"given":"Daniel","family":"Olson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diva M.","family":"Calvimontes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly 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