Large Summertime Influenza A Outbreak among Tourists in Alaska and the Yukon Territory
Identifieur interne : 002E07 ( Main/Exploration ); précédent : 002E06; suivant : 002E08Large Summertime Influenza A Outbreak among Tourists in Alaska and the Yukon Territory
Auteurs : Timothy M. Uyeki [Géorgie (pays)] ; Suzanne B. Zane [Géorgie (pays)] ; R. Bodnar Ulana [Géorgie (pays)] ; Katherine L. Fielding [Géorgie (pays)] ; Jane A. Buxton [Canada] ; Joy M. Miller [Géorgie (pays)] ; Michael Beller [États-Unis] ; Jay C. Butler [États-Unis] ; Keiji Fukuda [Géorgie (pays)] ; Susan A. Maloney [Géorgie (pays)] ; Martin S. Cetron [Géorgie (pays)]Source :
- Clinical Infectious Diseases [ 1058-4838 ] ; 2003-05-01.
Abstract
We investigated a large summertime outbreak of acute respiratory illness during May-September 1998 in Alaska and the Yukon Territory, Canada. Surveillance for acute respiratory illness (ARI), influenza-like illness (ILI), and pneumonia conducted at 31 hospital, clinic, and cruise ship infirmary sites identified 5361 cases of ARI (including 2864 cases of ILI [53%] and 171 cases of pneumonia [3.2%]) occurring primarily in tourists and tourism workers (from 18 and 37 countries, respectively). Influenza A viruses were isolated from 41 of 210 patients with ILI at 8 of 14 land sites and 8 of 17 cruise ship infirmaries. Twenty-two influenza isolates were antigenically characterized, and all were influenza A/Sydney/05/97-like (H3N2) viruses. No other predominant pathogens were identified. We estimated that >33,000 cases of ARI might have occurred during this protracted outbreak, which was attributed primarily to influenza A/Sydney/05/97-like (H3N2) viruses. Modern travel patterns may facilitate similar outbreaks, indicating the need for increased awareness about influenza by health care providers and travelers and the desirability of year-round influenza surveillance in some regions.
Url:
DOI: 10.1086/374053
Affiliations:
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Zane</name><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Division of Global Migration and Quarantine, National Center for Infectious Diseases, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Bodnar Ulana, R" sort="Bodnar Ulana, R" uniqKey="Bodnar Ulana R" first="R." last="Bodnar Ulana">R. 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Miller</name><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Division of Global Migration and Quarantine, National Center for Infectious Diseases, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Beller, Michael" sort="Beller, Michael" uniqKey="Beller M" first="Michael" last="Beller">Michael Beller</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alaska</region></placeName><wicri:cityArea>Section of Epidemiology, Division of Public Health, Alaska Department of Health and Social Services, Anchorage</wicri:cityArea></affiliation></author><author><name sortKey="Butler, Jay C" sort="Butler, Jay C" uniqKey="Butler J" first="Jay C." last="Butler">Jay C. Butler</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alaska</region></placeName><wicri:cityArea>Arctic Investigations Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Anchorage</wicri:cityArea></affiliation></author><author><name sortKey="Fukuda, Keiji" sort="Fukuda, Keiji" uniqKey="Fukuda K" first="Keiji" last="Fukuda">Keiji Fukuda</name><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Influenza Branch, Division of Viral and Rickettsial Diseases, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Maloney, Susan A" sort="Maloney, Susan A" uniqKey="Maloney S" first="Susan A." last="Maloney">Susan A. 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Cetron</name><affiliation wicri:level="1"><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Division of Global Migration and Quarantine, National Center for Infectious Diseases, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Clinical Infectious Diseases</title><title level="j" type="abbrev">Clinical Infectious Diseases</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><publisher>The University of Chicago Press</publisher><date type="published" when="2003-05-01">2003-05-01</date><biblScope unit="volume">36</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1095">1095</biblScope><biblScope unit="page" to="1102">1102</biblScope></imprint><idno type="ISSN">1058-4838</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1058-4838</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">We investigated a large summertime outbreak of acute respiratory illness during May-September 1998 in Alaska and the Yukon Territory, Canada. Surveillance for acute respiratory illness (ARI), influenza-like illness (ILI), and pneumonia conducted at 31 hospital, clinic, and cruise ship infirmary sites identified 5361 cases of ARI (including 2864 cases of ILI [53%] and 171 cases of pneumonia [3.2%]) occurring primarily in tourists and tourism workers (from 18 and 37 countries, respectively). Influenza A viruses were isolated from 41 of 210 patients with ILI at 8 of 14 land sites and 8 of 17 cruise ship infirmaries. Twenty-two influenza isolates were antigenically characterized, and all were influenza A/Sydney/05/97-like (H3N2) viruses. No other predominant pathogens were identified. We estimated that >33,000 cases of ARI might have occurred during this protracted outbreak, which was attributed primarily to influenza A/Sydney/05/97-like (H3N2) viruses. Modern travel patterns may facilitate similar outbreaks, indicating the need for increased awareness about influenza by health care providers and travelers and the desirability of year-round influenza surveillance in some regions.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Géorgie (pays)</li><li>États-Unis</li></country><region><li>Alaska</li></region></list><tree><country name="Géorgie (pays)"><noRegion><name sortKey="Uyeki, Timothy M" sort="Uyeki, Timothy M" uniqKey="Uyeki T" first="Timothy M." last="Uyeki">Timothy M. Uyeki</name></noRegion><name sortKey="Bodnar Ulana, R" sort="Bodnar Ulana, R" uniqKey="Bodnar Ulana R" first="R." last="Bodnar Ulana">R. Bodnar Ulana</name><name sortKey="Cetron, Martin S" sort="Cetron, Martin S" uniqKey="Cetron M" first="Martin S." last="Cetron">Martin S. Cetron</name><name sortKey="Fielding, Katherine L" sort="Fielding, Katherine L" uniqKey="Fielding K" first="Katherine L." last="Fielding">Katherine L. Fielding</name><name sortKey="Fukuda, Keiji" sort="Fukuda, Keiji" uniqKey="Fukuda K" first="Keiji" last="Fukuda">Keiji Fukuda</name><name sortKey="Maloney, Susan A" sort="Maloney, Susan A" uniqKey="Maloney S" first="Susan A." last="Maloney">Susan A. Maloney</name><name sortKey="Miller, Joy M" sort="Miller, Joy M" uniqKey="Miller J" first="Joy M." last="Miller">Joy M. Miller</name><name sortKey="Miller, Joy M" sort="Miller, Joy M" uniqKey="Miller J" first="Joy M." last="Miller">Joy M. Miller</name><name sortKey="Uyeki, Timothy M" sort="Uyeki, Timothy M" uniqKey="Uyeki T" first="Timothy M." last="Uyeki">Timothy M. Uyeki</name><name sortKey="Zane, Suzanne B" sort="Zane, Suzanne B" uniqKey="Zane S" first="Suzanne B." last="Zane">Suzanne B. Zane</name><name sortKey="Zane, Suzanne B" sort="Zane, Suzanne B" uniqKey="Zane S" first="Suzanne B." last="Zane">Suzanne B. Zane</name></country><country name="Canada"><noRegion><name sortKey="Buxton, Jane A" sort="Buxton, Jane A" uniqKey="Buxton J" first="Jane A." last="Buxton">Jane A. Buxton</name></noRegion></country><country name="États-Unis"><region name="Alaska"><name sortKey="Beller, Michael" sort="Beller, Michael" uniqKey="Beller M" first="Michael" last="Beller">Michael Beller</name></region><name sortKey="Butler, Jay C" sort="Butler, Jay C" uniqKey="Butler J" first="Jay C." last="Butler">Jay C. Butler</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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