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[Influenza (H1N1) 2009 outbreaks in educational settings. Catalonia].

Identifieur interne : 000351 ( Main/Exploration ); précédent : 000350; suivant : 000352

[Influenza (H1N1) 2009 outbreaks in educational settings. Catalonia].

Auteurs : Nuria Torner [Canada] ; Maite Morteruel ; Ana Martínez ; Pere Godoy

Source :

RBID : pubmed:21750848

Descripteurs français

English descriptors

Abstract

BACKGROUND

In spite of the advances in the knowledge of the influenza A (H1N1) 2009 virus the efficiency of its transmission among close contacts, and the efficiency of non pharmacological interventions to reduce the attack rates AR is not well known. The goal of this study is to characterize the occurrence of confirmed influenza A (H1N1) 2009 virus outbreaks in school settings in Catalonia during the pandemic period and to assess the effectiveness of interventions carried out for their control.

METHODS

Incidence of A (H1N1) 2009 outbreaks reported from may to December 2009 and their attack rates were calculated whether preventive recommendations were issued and interventions implemented. Variable associations were calculated by χ² test, means were compared by t-Student and proportions by the statistic z , statistical significance was established at α=0,05.

RESULTS

In total 238 outbreaks were notified. The global attack rate was 15.5%. The AR was only available for 173 (72.7%) outbreaks, of which, 142 (82.1%; p<0.001) had an AR below 25%. The main area of transmission was the school, where 209 outbreaks occurred (88%; p<0.001), of which 187 (78.6%; p<0.001) corresponded to elementary-high school educational centers. There was significantly shorter mean duration of outbreaks depending on the emission of recommendations (p=0.04).

CONCLUSIONS

The assessment of influenza A(H1N1)2009 outbreaks presents supporting evidence of preventive measures and hygiene in the control of transmission in school settings.


DOI: 10.1590/S1135-57272011000100012
PubMed: 21750848


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Influenza (H1N1) 2009 outbreaks in educational settings. Catalonia].</title>
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<name sortKey="Torner, Nuria" sort="Torner, Nuria" uniqKey="Torner N" first="Nuria" last="Torner">Nuria Torner</name>
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<nlm:affiliation>Departamento de Salud, Generalitat de Cataluña, Lleida. nuria.torner@gencat.cat</nlm:affiliation>
<country wicri:rule="url">Canada</country>
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<name sortKey="Morteruel, Maite" sort="Morteruel, Maite" uniqKey="Morteruel M" first="Maite" last="Morteruel">Maite Morteruel</name>
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<name sortKey="Martinez, Ana" sort="Martinez, Ana" uniqKey="Martinez A" first="Ana" last="Martínez">Ana Martínez</name>
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<name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name>
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<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Enfant (MeSH)</term>
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<term>Espagne (épidémiologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Épidémies de maladies (MeSH)</term>
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<term>Grippe humaine</term>
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<term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
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<b>BACKGROUND</b>
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<p>In spite of the advances in the knowledge of the influenza A (H1N1) 2009 virus the efficiency of its transmission among close contacts, and the efficiency of non pharmacological interventions to reduce the attack rates AR is not well known. The goal of this study is to characterize the occurrence of confirmed influenza A (H1N1) 2009 virus outbreaks in school settings in Catalonia during the pandemic period and to assess the effectiveness of interventions carried out for their control.</p>
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<b>METHODS</b>
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<p>Incidence of A (H1N1) 2009 outbreaks reported from may to December 2009 and their attack rates were calculated whether preventive recommendations were issued and interventions implemented. Variable associations were calculated by χ² test, means were compared by t-Student and proportions by the statistic z , statistical significance was established at α=0,05.</p>
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<p>
<b>RESULTS</b>
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<p>In total 238 outbreaks were notified. The global attack rate was 15.5%. The AR was only available for 173 (72.7%) outbreaks, of which, 142 (82.1%; p<0.001) had an AR below 25%. The main area of transmission was the school, where 209 outbreaks occurred (88%; p<0.001), of which 187 (78.6%; p<0.001) corresponded to elementary-high school educational centers. There was significantly shorter mean duration of outbreaks depending on the emission of recommendations (p=0.04).</p>
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<b>CONCLUSIONS</b>
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<p>The assessment of influenza A(H1N1)2009 outbreaks presents supporting evidence of preventive measures and hygiene in the control of transmission in school settings.</p>
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