The Coronavirus Infection Survey study
Date: May 2020
Since May 2020, data made available by the ONS has been used to provide a weekly snapshot of coronavirus (Covid-19) infections within the UK. The Coronavirus Infection Survey (CIS) provides vital insights into the number of positive cases, incidence rates and antibody levels and continues to be crucial in informing the government’s response to the Covid-19 pandemic.
Following the onset of the Covid-19 outbreak in the UK, understanding how the coronavirus spread through the population was essential in controlling the pandemic. The ONS and its partners were asked by the UK Government to track infections for a sample of participants of all ages across England to estimate infection rates. From an initial six-month pilot of 20,000 participants in private residential households, the CIS has increased to 150,000 weekly samples across all UK nations.
The CIS is a nationally representative survey that provides important insights into the underlying characteristics of those infected, helping to uncover potential health inequalities within the population. It is the first longitudinal community survey of Covid-19 infection rates within the UK and provides the following statistics:
- percentage of the population testing positive at a given time
- incidence rates (the number of new infections per day)
- percentage of the population testing positive for antibodies.
Data for the CIS is collected through nose and throat swabs from UK households for participants over two-years old. Additional analysis for a sub-sample of participants aged 15 years and over identifies Covid-19 antibodies, providing evidence as to whether an individual has had an immune response due to either a Covid-19 infection or vaccination.
An accompanying household questionnaire provides socio-demographic data along with contextual information such as whether individuals are self-isolating, working from home or have been in contact with a suspected carrier of Covid-19. More recently, additional questions have collected data on participant experiences of the pandemic, looking at whether a participant has been vaccinated, is travelling to work or has experienced symptoms of long Covid. CIS data is provided twice a week for researchers to analyse within the ONS Secure Research Service (SRS).
Several modelling techniques, such as dynamic Bayesian multi-level regression with post-stratification, are used to account for socio-demographic and contextual data variability and bias. Once processed, data for groupings of participants testing positive for Covid-19 are compared using pairwise statistical testing. This establishes any significance in infection rates between the groupings, helping to identify potential risk factors.
The CIS continues to provide weekly bulletins detailing the levels of coronavirus within the UK population along with the percentage testing positive for antibodies. At the peak of the pandemic in England (27 December 2020 to 2 January 2021), the study estimated that 1 in 50 people (2.06%) were infected with Covid-19. Respective infection rates during this period for Wales was 1 in 70 people (1.45%). At the peak of the pandemic in Scotland (6 December to 12 December 2020), 1 in 100 people (1.00%) were estimated to be infected. While at the peak in Northern Ireland (17 January to 23 January 2021), this was 1 in 50 (2.01%).
Percentage of population in England estimated to test positive for Covid-19.
The CIS has shown that a higher percentage of individuals from ethnic minority backgrounds have had Covid-19. Between 26 April to 2 August 2020, the study also found that just 28% of participants testing positive for Covid-19 reported any symptoms.
CIS research outcomes have contributed to the Scientific Advisory Group for Emergencies’ (SAGE) estimates of the rate of infection transmission (often referred to as the R number) as well as informing government policies on exiting lockdown and local-level lockdown decisions in high-risk areas.
The findings have been frequently cited in the coronavirus daily news briefings, as well as in the House of Commons and Select Committee meetings. They are also referenced in a Government Equalities Office report on Covid-19 health inequalities. Regularly mentioned within the media, CIS research has been featured in articles by the BBC, the Telegraph, the Guardian, and the Times along with many other newspapers and magazines.
CIS data has provided epidemiologists and the UK government with insights to help identify the common characteristics of those infected with Covid-19. It has contributed evidence on the impact of protective measures (e.g., social distancing and personal protection equipment) and uncovered some of the most common symptoms associated with a Covid-19 infection.
Cited widely within academic research, the CIS data continues to be available for accredited researchers in the SRS, enabling a wider body of research to be generated.
Publications and reports
- ONS statistical bulletins: Coronavirus (Covid-19) Infection Survey
- ONS methodology guide, March 2021: Methods and further information
- ONS articles: Coronavirus (Covid-19) Infection Survey
- ONS articles: Antibody and vaccination data for the UK
- The Lancet paper, December 2020: Community prevalence of SARS-CoV-2 in England from April to November 2020: results from the ONS Coronavirus Infection Survey
- medRxiv pre-print paper, January 2021: Increased infections, but not viral burden, with a new SARS-CoV-2 variant
- ONS paper, February 2021: Update on long Covid-19 prevalence estimate, 1 February 2021
Blogs, news posts, and videos
- The Andrew Marr Show video, June 2020: Sir Ian Diamond on coronavirus figures and risk to BAME communities
- BBC article, August 2020: Coronavirus: UK to ramp up coronavirus monitoring programme
- SAGE paper, September 2020: Direct and indirect impacts of Covid-19 on excess deaths and morbidity
- GOV.UK news story, October 2020: Deputy Chief Medical Officer Professor Jonathan Van-Tam outlines the current Covid-19 situation
- ONS article, December 2020: Why have Black and South Asian people been hit hardest by COVID-19?
- ONS blog, April 2021: Antibodies and Immunity – how do they relate to one another?
- ONS blog, May 2021, Coronavirus (COVID-19) latest insights
Presentations and awards
- Commended, ONS Research Excellence Awards 2020
About the ONS Secure Research Service
The ONS SRS is an accredited trusted research environment, using the Five Safes Framework to provide secure access to de-identified, unpublished data. If you would like to discuss writing a future case study with us, please get in touch: email@example.com