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High COVID-19 attack rate among attendees of wedding events in Bali, Indonesia, March 2020.

Identifieur interne : 000544 ( Main/Exploration ); précédent : 000543; suivant : 000545

High COVID-19 attack rate among attendees of wedding events in Bali, Indonesia, March 2020.

Auteurs : Bhavi Ravindran [Australie] ; Freya Hogarth [Australie] ; Kirsten Williamson [Australie] ; Rose Wright [Australie] ; Martyn Kirk [Australie] ; Craig Dalton [Australie]

Source :

RBID : pubmed:32938338

Descripteurs français

English descriptors

Abstract

Background

Large gatherings are associated with the spread of coronavirus 2019 disease (COVID-19); however, transmission dynamics are not well understood. We investigated a cluster of COVID-19 cases in returning Australian residents who attended wedding events in Bali, Indonesia, during 15- 21 March 2020. Attendees participated in various social events and were in close proximity, providing multiple opportunities for transmission.

Methods

We conducted a retrospective cohort study of the 41 attendees, of whom 17 participated in a structured interview that included history of illness, risk exposures and event attendance. We obtained data for the remaining 24 participants through corroborative histories and public health unit case investigations.

Results

COVID-19 was identified in 56% of attendees (23/41), with illness onset between 21 March and 2 April 2020. One secondary case was identified in a household contact of an attendee. The median age of cases was 31 years (range 3-64). One case was hospitalised and did not require critical care. There were no deaths. No cases occurred among six attendees who left prior to the actual wedding day. Guests attended multiple events and participated in high-risk transmission behaviours such as shaking hands, kissing, dancing, sharing drinks and sharing shisha (water pipes). Attack rates ranged from 64% to 87% for different exposures. We could not identify a single risk exposure that accounted for all cases; it is therefore likely there were multiple episodes of transmission.

Conclusion

Our investigation identified a high attack rate of COVID-19 among a cohort of wedding event attendees. Attendees engaged in close physical contact, shared drinks and shisha, and were in close proximity during the wedding events, which may have contributed to the high attack rate. This outbreak highlights the significant role social events can play in transmission of COVID-19 and underscores why it is important to limit gatherings and close physical contact to control the spread of the virus.


DOI: 10.33321/cdi.2020.44.76
PubMed: 32938338


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Coronavirus Infections (transmission)</term>
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<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
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<b>Background</b>
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<p>Large gatherings are associated with the spread of coronavirus 2019 disease (COVID-19); however, transmission dynamics are not well understood. We investigated a cluster of COVID-19 cases in returning Australian residents who attended wedding events in Bali, Indonesia, during 15- 21 March 2020. Attendees participated in various social events and were in close proximity, providing multiple opportunities for transmission.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Methods</b>
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<p>We conducted a retrospective cohort study of the 41 attendees, of whom 17 participated in a structured interview that included history of illness, risk exposures and event attendance. We obtained data for the remaining 24 participants through corroborative histories and public health unit case investigations.</p>
</div>
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<p>
<b>Results</b>
</p>
<p>COVID-19 was identified in 56% of attendees (23/41), with illness onset between 21 March and 2 April 2020. One secondary case was identified in a household contact of an attendee. The median age of cases was 31 years (range 3-64). One case was hospitalised and did not require critical care. There were no deaths. No cases occurred among six attendees who left prior to the actual wedding day. Guests attended multiple events and participated in high-risk transmission behaviours such as shaking hands, kissing, dancing, sharing drinks and sharing shisha (water pipes). Attack rates ranged from 64% to 87% for different exposures. We could not identify a single risk exposure that accounted for all cases; it is therefore likely there were multiple episodes of transmission.</p>
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<p>
<b>Conclusion</b>
</p>
<p>Our investigation identified a high attack rate of COVID-19 among a cohort of wedding event attendees. Attendees engaged in close physical contact, shared drinks and shisha, and were in close proximity during the wedding events, which may have contributed to the high attack rate. This outbreak highlights the significant role social events can play in transmission of COVID-19 and underscores why it is important to limit gatherings and close physical contact to control the spread of the virus.</p>
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<AbstractText Label="Background" NlmCategory="UNASSIGNED">Large gatherings are associated with the spread of coronavirus 2019 disease (COVID-19); however, transmission dynamics are not well understood. We investigated a cluster of COVID-19 cases in returning Australian residents who attended wedding events in Bali, Indonesia, during 15- 21 March 2020. Attendees participated in various social events and were in close proximity, providing multiple opportunities for transmission.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">We conducted a retrospective cohort study of the 41 attendees, of whom 17 participated in a structured interview that included history of illness, risk exposures and event attendance. We obtained data for the remaining 24 participants through corroborative histories and public health unit case investigations.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">COVID-19 was identified in 56% of attendees (23/41), with illness onset between 21 March and 2 April 2020. One secondary case was identified in a household contact of an attendee. The median age of cases was 31 years (range 3-64). One case was hospitalised and did not require critical care. There were no deaths. No cases occurred among six attendees who left prior to the actual wedding day. Guests attended multiple events and participated in high-risk transmission behaviours such as shaking hands, kissing, dancing, sharing drinks and sharing shisha (water pipes). Attack rates ranged from 64% to 87% for different exposures. We could not identify a single risk exposure that accounted for all cases; it is therefore likely there were multiple episodes of transmission.</AbstractText>
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<Keyword MajorTopicYN="N">Indonesia</Keyword>
<Keyword MajorTopicYN="N">SARS virus</Keyword>
<Keyword MajorTopicYN="N">coronavirus disease 2019 (COVID-19)</Keyword>
<Keyword MajorTopicYN="N">outbreak</Keyword>
<Keyword MajorTopicYN="N">public health</Keyword>
<Keyword MajorTopicYN="N">risk factors</Keyword>
<Keyword MajorTopicYN="N">severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)</Keyword>
<Keyword MajorTopicYN="N">shisha</Keyword>
<Keyword MajorTopicYN="N">smoking</Keyword>
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<Year>2020</Year>
<Month>9</Month>
<Day>17</Day>
<Hour>5</Hour>
<Minute>30</Minute>
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<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>9</Month>
<Day>18</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>9</Month>
<Day>25</Day>
<Hour>6</Hour>
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<PublicationStatus>epublish</PublicationStatus>
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<ArticleId IdType="pubmed">32938338</ArticleId>
<ArticleId IdType="doi">10.33321/cdi.2020.44.76</ArticleId>
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<li>Australie</li>
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<name sortKey="Ravindran, Bhavi" sort="Ravindran, Bhavi" uniqKey="Ravindran B" first="Bhavi" last="Ravindran">Bhavi Ravindran</name>
</noRegion>
<name sortKey="Dalton, Craig" sort="Dalton, Craig" uniqKey="Dalton C" first="Craig" last="Dalton">Craig Dalton</name>
<name sortKey="Hogarth, Freya" sort="Hogarth, Freya" uniqKey="Hogarth F" first="Freya" last="Hogarth">Freya Hogarth</name>
<name sortKey="Kirk, Martyn" sort="Kirk, Martyn" uniqKey="Kirk M" first="Martyn" last="Kirk">Martyn Kirk</name>
<name sortKey="Williamson, Kirsten" sort="Williamson, Kirsten" uniqKey="Williamson K" first="Kirsten" last="Williamson">Kirsten Williamson</name>
<name sortKey="Wright, Rose" sort="Wright, Rose" uniqKey="Wright R" first="Rose" last="Wright">Rose Wright</name>
</country>
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