{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:52:39Z","timestamp":1790837559103,"version":"4.1.0"},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Neglected rural communities in Latin America are highly vulnerable to COVID-19 due to a poor health infrastructure and limited access to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diagnosis. Manab\u00ed is a province of the Coastal Region of Ecuador characterized by a high prevalence of rural population living under poverty conditions. In the current study, we present the retrospective analysis of the results of a massive SARS-CoV-2 testing operation in nonhospitalized populations from Manab\u00ed carried out from August to September 2020. A total of 4,003 people from 15 cantons were tested for SARS-CoV-2 by reverse-transcriptase quantitative polymerase chain reaction, resulting in an overall infection rate of 16.13% for SARS-CoV-2, with several communities &gt;\u00a030%. Moreover, 29 SARS-CoV-2 super-spreader community-dwelling individuals with viral loads above 10<jats:sup>8<\/jats:sup> copies\/mL were found. These results support that uncontrolled COVID-19 community transmission was happening in Manab\u00ed during the first semester of COVID-19 pandemic. This report endorses the utility of massive SARS-CoV-2 testing among asymptomatic population for control and surveillance of COVID-19.<\/jats:p>","DOI":"10.4269\/ajtmh.21-0582","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T12:26:27Z","timestamp":1637151987000},"page":"121-126","source":"Crossref","is-referenced-by-count":10,"title":["COVID-19 Community Transmission and Super Spreaders in Rural Villages from Manabi Province in the Coastal Region of Ecuador Assessed by Massive Testing of Community-Dwelling Population"],"prefix":"10.4269","volume":"106","author":[{"given":"Maria Bel\u00e9n","family":"Rodriguez-Paredes","sequence":"first","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"},{"name":"2\u201cUDLA-COVID-19 Team,\u201d Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo Alexander","family":"Vallejo-Janeta","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"},{"name":"2\u201cUDLA-COVID-19 Team,\u201d Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Morales-Jadan","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byron","family":"Freire-Paspuel","sequence":"additional","affiliation":[{"name":"2\u201cUDLA-COVID-19 Team,\u201d Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esteban","family":"Ortiz-Prado","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aquiles R.","family":"Henriquez-Trujillo","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismar A.","family":"Rivera-Olivero","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Jaramillo","sequence":"additional","affiliation":[{"name":"2\u201cUDLA-COVID-19 Team,\u201d Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tannya","family":"Lozada","sequence":"additional","affiliation":[{"name":"3Direcci\u00f3n General de Investigaci\u00f3n, Universidad de Las Am\u00e9ricas, Quito, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Garcia-Bereguiain","sequence":"additional","affiliation":[{"name":"1One Health Research Group, Universidad de Las Am\u00e9ricas, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/1\/article-p121.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/106\/1\/article-p121.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T12:09:03Z","timestamp":1641384543000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/1\/article-p121.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,5]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.21-0582","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,5]]}}}