Clusters of COVID-19 associated with Purim celebration in the Jewish community in Marseille, France, March 2020.
Identifieur interne : 001311 ( Main/Exploration ); précédent : 001310; suivant : 001312Clusters of COVID-19 associated with Purim celebration in the Jewish community in Marseille, France, March 2020.
Auteurs : Sarah Aherfi [France] ; Philippe Gautret [France] ; Hervé Chaudet [France] ; Didier Raoult [France] ; Bernard La Scola [France]Source :
- International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [ 1878-3511 ] ; 2020.
Abstract
OBJECTIVES
We investigated possible COVID-19 epidemic clusters and their common sources of exposure that led to a sudden increase in the incidence of COVID-19 in the Jewish community of Marseille between March 15 and March 20, 2020.
METHODS
All data were generated as part of routine work at Marseille university hospitals. Biological diagnoses were made by RT-PCR testing. A telephone survey of families in which a laboratory confirmed case was diagnosed was conducted to determine possible exposure events.
RESULTS
As of March 30, 2020, 63 patients were linked to 6 epidemic clusters. The 6 clusters were linked to religious and social activities: a ski trip, organized meals for the Purim Jewish celebration in community and family settings on March 10, a religious service and a charity gala. Notably, 40% of the patients were infected by index patients during the presymptomatic period, which was 2.5 days before symptom onset. When considering household members, all 12 patients who tested negative and who did not develop any relevant clinical symptoms compatible with COVID-19 were 1-16 years of age. The clinical attack rate (symptoms compatible with COVID-19, and biologically confirmed by PCR) in adults was 85% compared to 26% in children.
CONCLUSIONS
Family and community gatherings for the Purim Jewish celebration probably accelerated the spread of COVID-19 in the Marseille Jewish community, leading to multiple epidemic clusters. This investigation of family clusters suggested that all close contacts of patients with confirmed COVID-19 who were not infected were children.
DOI: 10.1016/j.ijid.2020.08.049
PubMed: 32829043
PubMed Central: PMC7441020
Affiliations:
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Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32829043</idno><idno type="pmid">32829043</idno><idno type="doi">10.1016/j.ijid.2020.08.049</idno><idno type="pmc">PMC7441020</idno><idno type="wicri:Area/Main/Corpus">000518</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000518</idno><idno type="wicri:Area/Main/Curation">000518</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000518</idno><idno type="wicri:Area/Main/Exploration">000518</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Clusters of COVID-19 associated with Purim celebration in the Jewish community in Marseille, France, March 2020.</title><author><name sortKey="Aherfi, Sarah" sort="Aherfi, Sarah" uniqKey="Aherfi S" first="Sarah" last="Aherfi">Sarah Aherfi</name><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France. Electronic address: sarah.aherfi@ap-hm.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France; VITROME, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France; VITROME, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Chaudet, Herve" sort="Chaudet, Herve" uniqKey="Chaudet H" first="Hervé" last="Chaudet">Hervé Chaudet</name><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="La Scola, Bernard" sort="La Scola, Bernard" uniqKey="La Scola B" first="Bernard" last="La Scola">Bernard La Scola</name><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></analytic><series><title level="j">International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases</title><idno type="eISSN">1878-3511</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>We investigated possible COVID-19 epidemic clusters and their common sources of exposure that led to a sudden increase in the incidence of COVID-19 in the Jewish community of Marseille between March 15 and March 20, 2020.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>All data were generated as part of routine work at Marseille university hospitals. Biological diagnoses were made by RT-PCR testing. A telephone survey of families in which a laboratory confirmed case was diagnosed was conducted to determine possible exposure events.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>As of March 30, 2020, 63 patients were linked to 6 epidemic clusters. The 6 clusters were linked to religious and social activities: a ski trip, organized meals for the Purim Jewish celebration in community and family settings on March 10, a religious service and a charity gala. Notably, 40% of the patients were infected by index patients during the presymptomatic period, which was 2.5 days before symptom onset. When considering household members, all 12 patients who tested negative and who did not develop any relevant clinical symptoms compatible with COVID-19 were 1-16 years of age. The clinical attack rate (symptoms compatible with COVID-19, and biologically confirmed by PCR) in adults was 85% compared to 26% in children.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Family and community gatherings for the Purim Jewish celebration probably accelerated the spread of COVID-19 in the Marseille Jewish community, leading to multiple epidemic clusters. This investigation of family clusters suggested that all close contacts of patients with confirmed COVID-19 who were not infected were children.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32829043</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-3511</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Aug</Month><Day>20</Day></PubDate></JournalIssue><Title>International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases</Title><ISOAbbreviation>Int. J. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Clusters of COVID-19 associated with Purim celebration in the Jewish community in Marseille, France, March 2020.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S1201-9712(20)30679-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijid.2020.08.049</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We investigated possible COVID-19 epidemic clusters and their common sources of exposure that led to a sudden increase in the incidence of COVID-19 in the Jewish community of Marseille between March 15 and March 20, 2020.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All data were generated as part of routine work at Marseille university hospitals. Biological diagnoses were made by RT-PCR testing. A telephone survey of families in which a laboratory confirmed case was diagnosed was conducted to determine possible exposure events.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">As of March 30, 2020, 63 patients were linked to 6 epidemic clusters. The 6 clusters were linked to religious and social activities: a ski trip, organized meals for the Purim Jewish celebration in community and family settings on March 10, a religious service and a charity gala. Notably, 40% of the patients were infected by index patients during the presymptomatic period, which was 2.5 days before symptom onset. When considering household members, all 12 patients who tested negative and who did not develop any relevant clinical symptoms compatible with COVID-19 were 1-16 years of age. The clinical attack rate (symptoms compatible with COVID-19, and biologically confirmed by PCR) in adults was 85% compared to 26% in children.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Family and community gatherings for the Purim Jewish celebration probably accelerated the spread of COVID-19 in the Marseille Jewish community, leading to multiple epidemic clusters. This investigation of family clusters suggested that all close contacts of patients with confirmed COVID-19 who were not infected were children.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Aherfi</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France. Electronic address: sarah.aherfi@ap-hm.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gautret</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France; VITROME, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaudet</LastName><ForeName>Hervé</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raoult</LastName><ForeName>Didier</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>La Scola</LastName><ForeName>Bernard</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France; MEPHI, Institut de Recherche pour le Développement (IRD), Aix-Marseille Université, Marseille, France; Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Int J Infect Dis</MedlineTA><NlmUniqueID>9610933</NlmUniqueID><ISSNLinking>1201-9712</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Jewish community</Keyword><Keyword MajorTopicYN="N">Purim</Keyword><Keyword MajorTopicYN="N">attack rate</Keyword><Keyword MajorTopicYN="N">children</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32829043</ArticleId><ArticleId IdType="pii">S1201-9712(20)30679-2</ArticleId><ArticleId IdType="doi">10.1016/j.ijid.2020.08.049</ArticleId><ArticleId IdType="pmc">PMC7441020</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Travel Med Infect Dis. 2020 Jul - 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