1; Harpriya Kaur, PhD2; Kay Honanie, MSN1; Royce Jenkins, MEd3; Duane A. Humeyestewa, MBA3; Rachel M. Burke, PhD2; Tracy M. Billy1; Oren Mayer, PhD2,4; Mose Herne, MPH, MS1; Mark Anderson, MD, PhD2; Ravikiran Bhairavabhotla, PhD2; Graydon Yatabe, MPH2; S.
Arunmozhi Balajee, PhD2 (View author affiliations)Large gatherings pose a risk for SARS-CoV-2 transmission.Among 60 immediate and extended family and community members of the Hopi Tribe, 29 (48%) laboratory-confirmed COVID-19 cases occurred; 14% were presymptomatic, and 24% of patients were asymptomatic.
The majority of presymptomatic and asymptomatic cases occurred in children and young adults.Frequent and recurring social interactions among extended family members permitted repeated.