# Human Epidemiology and Response to SARS-CoV-2 (HEROS)

> **NIH NIH P01** · HENRY FORD HEALTH SYSTEM · 2020 · $134,318

## Abstract

Project Summary
This request is in response to NOT-AI-20-031 for supplement funding in response to the CoVID-
19 emergency. COVID-19, the infectious disease caused by SARS-CoV-2, is rapidly affecting
humans around the globe. While initial epidemiological data have focused on cases that
resulted in severe respiratory disease seen predominantly in adults, little information regarding
the infection burden in children is available. This is complicated by the observation that many
virologically-confirmed cases in children are asymptomatic. Undocumented, and likely
infectious, cases could result in exposure to a far greater proportion of the community than
would otherwise occur. Indeed, it has been proposed that undocumented (or silent) infections
are the source for almost 80% of documented infections; thus, it is critical to determine the silent
and symptomatic infection rate in children. To overcome challenges for clinical study
implementation imposed by current healthcare access restrictions, a surveillance study under
design will enroll and prospectively observe eligible children, and their family members, that are
current participants in our NIH-funded, ongoing, birth cohort studies. These children and their
families are known to research staff and as part of their participation in HFHS studies, they have
already been exposed to the procedures involved in a surveillance study. We are requesting
support for the pediatric studies aligned with our Microbiota and Allergic Asthma Precision
Prevention (MAAP2) (PI: Johnson, Ownby P01AI089473) to participate in the multi-center
survey entitled Human Epidemiology and Response to SARS-CoV-2 (HEROS), Protocol #
DAIT-COVID-19-001. Our primary objective is to report the incidence of SARS-CoV-2 infection
(detection of virus in nasal secretions) over time in cohort children (index child) and household
contacts (caregivers and siblings). A secondary objective is to compare SARS-CoV-2 infection
status and antibody development for index children/siblings with atopic conditions (e.g. asthma,
eczema) versus children without atopic conditions. As an exploratory aim, we will investigate
whether SARS-CoV-2 infection (as determined by virus detected in nasal secretions) is
associated with the presence of virus in stool. Our targeted enrollment is 300 families recruited
over a 2-week period and followed for a minimum of 6 months. At predetermined intervals,
biological samples (nasal swabs, peripheral blood, stool) will be collected by the caregiver at
home using materials provided to the family. Symptom and exposure surveys will be completed
remotely via a smart phone, on-line, or telephone at the time of biological sample collection.
This timely, multi-site study can be rapidly implemented and realistically conducted without
necessitating any visits to a clinical research center and will provide invaluable information on
the infection burden of SARS-CoV-2 in children.

## Key facts

- **NIH application ID:** 10144521
- **Project number:** 3P01AI089473-06S1
- **Recipient organization:** HENRY FORD HEALTH SYSTEM
- **Principal Investigator:** Christine C Johnson
- **Activity code:** P01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $134,318
- **Award type:** 3
- **Project period:** 2020-05-18 → 2021-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10144521

## Citation

> US National Institutes of Health, RePORTER application 10144521, Human Epidemiology and Response to SARS-CoV-2 (HEROS) (3P01AI089473-06S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10144521. Licensed CC0.

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