Serveur d'exploration sur la grippe en Allemagne

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Protective measures and H5N1-seroprevalence among personnel tasked with bird collection during an outbreak of avian influenza A/H5N1 in wild birds, Ruegen, Germany, 2006.

Identifieur interne : 000403 ( Main/Exploration ); précédent : 000402; suivant : 000404

Protective measures and H5N1-seroprevalence among personnel tasked with bird collection during an outbreak of avian influenza A/H5N1 in wild birds, Ruegen, Germany, 2006.

Auteurs : Wei Cai [Allemagne] ; Brunhilde Schweiger ; Udo Buchholz ; Silke Buda ; Martina Littmann ; Jörg Heusler ; Walter Haas

Source :

RBID : pubmed:19835632

Descripteurs français

English descriptors

Abstract

BACKGROUND

In Germany, the first outbreak of highly pathogenic avian influenza A/H5N1 occurred among wild birds on the island of Ruegen between February and April 2006. The aim of this study was to investigate the use of recommended protective measures and to measure H5N1-seroprevalence among personnel tasked with bird collection.

METHODS

Inclusion criteria of our study were participation in collecting wild birds on Ruegen between February and March 2006. Study participants were asked to complete a questionnaire, and to provide blood samples. For evaluation of the use of protective measures, we developed a personal protective equipment (PPE)-score ranging between 0 and 9, where 9 corresponds to a consistent and complete use of PPE. Sera were tested by plaque neutralization (PN) and microneutralization (MN) assays. Reactive sera were reanalyzed in the World Health Organization-Collaborating Centre (WHO-CC) using MN assay.

RESULTS

Of the eligible personnel, consisting of firemen, government workers and veterinarians, 61% (97/154) participated in the study. Of those, 13% reported having always worn all PPE-devices during bird collection (PPE-score: 9). Adherence differed between firemen (mean PPE-score: 6.6) and government workers (mean PPE-score: 4.5; p = 0.006). The proportion of personnel always adherent to wearing PPE was lowest for masks (19%). Of the participants, 18% had received seasonal influenza vaccination prior to the outbreak. There were no reports of influenza-like illness. Five sera initially H5-reactive by PN assay were negative by WHO-CC confirmatory testing.

CONCLUSION

Gaps and variability in adherence demonstrate the risk of exposure to avian influenza under conditions of wild bird collection, and justify serological testing and regular training of task personnel.


DOI: 10.1186/1471-2334-9-170
PubMed: 19835632
PubMed Central: PMC2767352


Affiliations:


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Le document en format XML

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<term>Birds (virology)</term>
<term>Disease Outbreaks (veterinary)</term>
<term>Female (MeSH)</term>
<term>Germany (epidemiology)</term>
<term>Guideline Adherence (statistics & numerical data)</term>
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<term>Influenza, Human (epidemiology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
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<term>Adhésion aux directives (statistiques et données numériques)</term>
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<term>Femelle (MeSH)</term>
<term>Grippe chez les oiseaux (épidémiologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Oiseaux (virologie)</term>
<term>Sous-type H5N1 du virus de la grippe A (MeSH)</term>
<term>Zoonoses (épidémiologie)</term>
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<term>Influenza A Virus, H5N1 Subtype</term>
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<term>Jeune adulte</term>
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<term>Études séroépidémiologiques</term>
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<b>BACKGROUND</b>
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<p>In Germany, the first outbreak of highly pathogenic avian influenza A/H5N1 occurred among wild birds on the island of Ruegen between February and April 2006. The aim of this study was to investigate the use of recommended protective measures and to measure H5N1-seroprevalence among personnel tasked with bird collection.</p>
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<p>
<b>METHODS</b>
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<p>Inclusion criteria of our study were participation in collecting wild birds on Ruegen between February and March 2006. Study participants were asked to complete a questionnaire, and to provide blood samples. For evaluation of the use of protective measures, we developed a personal protective equipment (PPE)-score ranging between 0 and 9, where 9 corresponds to a consistent and complete use of PPE. Sera were tested by plaque neutralization (PN) and microneutralization (MN) assays. Reactive sera were reanalyzed in the World Health Organization-Collaborating Centre (WHO-CC) using MN assay.</p>
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<p>
<b>RESULTS</b>
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<p>Of the eligible personnel, consisting of firemen, government workers and veterinarians, 61% (97/154) participated in the study. Of those, 13% reported having always worn all PPE-devices during bird collection (PPE-score: 9). Adherence differed between firemen (mean PPE-score: 6.6) and government workers (mean PPE-score: 4.5; p = 0.006). The proportion of personnel always adherent to wearing PPE was lowest for masks (19%). Of the participants, 18% had received seasonal influenza vaccination prior to the outbreak. There were no reports of influenza-like illness. Five sera initially H5-reactive by PN assay were negative by WHO-CC confirmatory testing.</p>
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<b>CONCLUSION</b>
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<p>Gaps and variability in adherence demonstrate the risk of exposure to avian influenza under conditions of wild bird collection, and justify serological testing and regular training of task personnel.</p>
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<li>Allemagne</li>
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<li>Berlin</li>
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<name sortKey="Buda, Silke" sort="Buda, Silke" uniqKey="Buda S" first="Silke" last="Buda">Silke Buda</name>
<name sortKey="Haas, Walter" sort="Haas, Walter" uniqKey="Haas W" first="Walter" last="Haas">Walter Haas</name>
<name sortKey="Heusler, Jorg" sort="Heusler, Jorg" uniqKey="Heusler J" first="Jörg" last="Heusler">Jörg Heusler</name>
<name sortKey="Littmann, Martina" sort="Littmann, Martina" uniqKey="Littmann M" first="Martina" last="Littmann">Martina Littmann</name>
<name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name>
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