Pandemic influenza A(H1N1) outbreak among a group of medical students who traveled to the Dominican Republic.
Identifieur interne : 000284 ( Main/Exploration ); précédent : 000283; suivant : 000285Pandemic influenza A(H1N1) outbreak among a group of medical students who traveled to the Dominican Republic.
Auteurs : Anna Vilella [Espagne] ; Beatriz Serrano ; Maria A. Marcos ; Anna Serradesanferm ; Josep Mensa ; Edward Hayes ; Andres Anton ; Jose Rios ; Tomas Pumarola ; Antoni TrillaSource :
- Journal of travel medicine [ 1708-8305 ]
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Espagne (épidémiologie), Femelle (MeSH), Grippe humaine (diagnostic), Grippe humaine (transmission), Grippe humaine (épidémiologie), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Pandémies (MeSH), Réaction de polymérisation en chaine en temps réel (MeSH), République dominicaine (MeSH), Sous-type H1N1 du virus de la grippe A (génétique), Sous-type H1N1 du virus de la grippe A (isolement et purification), Sous-type H1N1 du virus de la grippe A (pathogénicité), Voyage (MeSH), Véhicules de transport aérien (MeSH), Épidémies de maladies (MeSH), Étudiant médecine (statistiques et données numériques).
- MESH :
- diagnostic : Grippe humaine.
- génétique : Sous-type H1N1 du virus de la grippe A.
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- pathogénicité : Sous-type H1N1 du virus de la grippe A.
- statistiques et données numériques : Étudiant médecine.
- épidémiologie : Espagne, Grippe humaine.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Pandémies, Réaction de polymérisation en chaine en temps réel, République dominicaine, Voyage, Véhicules de transport aérien, Épidémies de maladies.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adult (MeSH), Aircraft (MeSH), Disease Outbreaks (MeSH), Dominican Republic (MeSH), Female (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (genetics), Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza A Virus, H1N1 Subtype (pathogenicity), Influenza, Human (diagnosis), Influenza, Human (epidemiology), Influenza, Human (transmission), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Real-Time Polymerase Chain Reaction (MeSH), Spain (epidemiology), Students, Medical (statistics & numerical data), Travel (MeSH), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Spain.
- geographic : Dominican Republic.
- diagnosis : Influenza, Human.
- epidemiology : Influenza, Human.
- genetics : Influenza A Virus, H1N1 Subtype.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- pathogenicity : Influenza A Virus, H1N1 Subtype.
- statistics & numerical data : Students, Medical.
- transmission : Influenza, Human.
- Adult, Aircraft, Disease Outbreaks, Female, Humans, Male, Middle Aged, Pandemics, Real-Time Polymerase Chain Reaction, Travel, Young Adult.
Abstract
BACKGROUND
From the beginning of the influenza pandemic until the time the outbreak described here was detected, 77,201 cases of pandemic influenza A(H1N1) with 332 deaths had been reported worldwide, mostly in the United States and Mexico. All of the cases reported in Spain until then had a recent history of travel to Mexico, the Dominican Republic, or Chile. We describe an outbreak of influenza among medical students who traveled from Spain to the Dominican Republic in June 2009.
METHODS
We collected diagnostic samples and clinical histories from consenting medical students who had traveled to the Dominican Republic and from their household contacts after their return to Spain.
RESULTS
Of 113 students on the trip, 62 (55%) developed symptoms; 39 (45%) of 86 students tested had laboratory evidence of influenza A(H1N1) infection. Most students developed symptoms either just before departure from the Dominican Republic or within days of returning to Spain. The estimated secondary attack rate of influenza-like illness among residential contacts of ill students after return to Spain was 2.1%.
CONCLUSIONS
The attack rate of influenza A(H1N1) can vary widely depending on the circumstances of exposure. We report a high attack rate among a group of traveling medical students but a much lower secondary attack rate among their contacts after return from the trip. These findings may aid the development of recommendations to prevent influenza.
DOI: 10.1111/j.1708-8305.2011.00580.x
PubMed: 22221806
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aircraft (MeSH)</term>
<term>Disease Outbreaks (MeSH)</term>
<term>Dominican Republic (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (genetics)</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza A Virus, H1N1 Subtype (pathogenicity)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (transmission)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Real-Time Polymerase Chain Reaction (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Students, Medical (statistics & numerical data)</term>
<term>Travel (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (transmission)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Réaction de polymérisation en chaine en temps réel (MeSH)</term>
<term>République dominicaine (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (génétique)</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
<term>Sous-type H1N1 du virus de la grippe A (pathogénicité)</term>
<term>Voyage (MeSH)</term>
<term>Véhicules de transport aérien (MeSH)</term>
<term>Épidémies de maladies (MeSH)</term>
<term>Étudiant médecine (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Dominican Republic</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Students, Medical</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Étudiant médecine</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aircraft</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Real-Time Polymerase Chain Reaction</term>
<term>Travel</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Réaction de polymérisation en chaine en temps réel</term>
<term>République dominicaine</term>
<term>Voyage</term>
<term>Véhicules de transport aérien</term>
<term>Épidémies de maladies</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>From the beginning of the influenza pandemic until the time the outbreak described here was detected, 77,201 cases of pandemic influenza A(H1N1) with 332 deaths had been reported worldwide, mostly in the United States and Mexico. All of the cases reported in Spain until then had a recent history of travel to Mexico, the Dominican Republic, or Chile. We describe an outbreak of influenza among medical students who traveled from Spain to the Dominican Republic in June 2009.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We collected diagnostic samples and clinical histories from consenting medical students who had traveled to the Dominican Republic and from their household contacts after their return to Spain.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of 113 students on the trip, 62 (55%) developed symptoms; 39 (45%) of 86 students tested had laboratory evidence of influenza A(H1N1) infection. Most students developed symptoms either just before departure from the Dominican Republic or within days of returning to Spain. The estimated secondary attack rate of influenza-like illness among residential contacts of ill students after return to Spain was 2.1%.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The attack rate of influenza A(H1N1) can vary widely depending on the circumstances of exposure. We report a high attack rate among a group of traveling medical students but a much lower secondary attack rate among their contacts after return from the trip. These findings may aid the development of recommendations to prevent influenza.</p>
</div>
</front>
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<Title>Journal of travel medicine</Title>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">From the beginning of the influenza pandemic until the time the outbreak described here was detected, 77,201 cases of pandemic influenza A(H1N1) with 332 deaths had been reported worldwide, mostly in the United States and Mexico. All of the cases reported in Spain until then had a recent history of travel to Mexico, the Dominican Republic, or Chile. We describe an outbreak of influenza among medical students who traveled from Spain to the Dominican Republic in June 2009.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We collected diagnostic samples and clinical histories from consenting medical students who had traveled to the Dominican Republic and from their household contacts after their return to Spain.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 113 students on the trip, 62 (55%) developed symptoms; 39 (45%) of 86 students tested had laboratory evidence of influenza A(H1N1) infection. Most students developed symptoms either just before departure from the Dominican Republic or within days of returning to Spain. The estimated secondary attack rate of influenza-like illness among residential contacts of ill students after return to Spain was 2.1%.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The attack rate of influenza A(H1N1) can vary widely depending on the circumstances of exposure. We report a high attack rate among a group of traveling medical students but a much lower secondary attack rate among their contacts after return from the trip. These findings may aid the development of recommendations to prevent influenza.</AbstractText>
<CopyrightInformation>© 2011 International Society of Travel Medicine.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vilella</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
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<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
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<tree><noCountry><name sortKey="Anton, Andres" sort="Anton, Andres" uniqKey="Anton A" first="Andres" last="Anton">Andres Anton</name>
<name sortKey="Hayes, Edward" sort="Hayes, Edward" uniqKey="Hayes E" first="Edward" last="Hayes">Edward Hayes</name>
<name sortKey="Marcos, Maria A" sort="Marcos, Maria A" uniqKey="Marcos M" first="Maria A" last="Marcos">Maria A. Marcos</name>
<name sortKey="Mensa, Josep" sort="Mensa, Josep" uniqKey="Mensa J" first="Josep" last="Mensa">Josep Mensa</name>
<name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomas" last="Pumarola">Tomas Pumarola</name>
<name sortKey="Rios, Jose" sort="Rios, Jose" uniqKey="Rios J" first="Jose" last="Rios">Jose Rios</name>
<name sortKey="Serradesanferm, Anna" sort="Serradesanferm, Anna" uniqKey="Serradesanferm A" first="Anna" last="Serradesanferm">Anna Serradesanferm</name>
<name sortKey="Serrano, Beatriz" sort="Serrano, Beatriz" uniqKey="Serrano B" first="Beatriz" last="Serrano">Beatriz Serrano</name>
<name sortKey="Trilla, Antoni" sort="Trilla, Antoni" uniqKey="Trilla A" first="Antoni" last="Trilla">Antoni Trilla</name>
</noCountry>
<country name="Espagne"><region name="Catalogne"><name sortKey="Vilella, Anna" sort="Vilella, Anna" uniqKey="Vilella A" first="Anna" last="Vilella">Anna Vilella</name>
</region>
</country>
</tree>
</affiliations>
</record>
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