Serveur d'exploration sur la grippe en Espagne

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[Outbreak of pandemic virus (H1N1) 2009 in a residence for mentally disabled persons in Balearic Island, Spain].

Identifieur interne : 000427 ( Main/Exploration ); précédent : 000426; suivant : 000428

[Outbreak of pandemic virus (H1N1) 2009 in a residence for mentally disabled persons in Balearic Island, Spain].

Auteurs : Jaume Giménez Duran [Espagne] ; Ant Nia Galmés Truyols ; Antonio Nicolau Riutort ; Jorge Reina Prieto ; Maria De Carmen Gallegos Lvarez ; Antonio Pareja Bezares ; Juana María Vanrell Berga

Source :

RBID : pubmed:21203728

Descripteurs français

English descriptors

Abstract

BACKGROUND

The flu season 2009-2010 has been shorter and less severe than expected. Since January 2010, influenza surveillance systems indicated rates of very low incidence of influenza without detection of virus circulation. In this context, a hospital reported a suspected outbreak of severe respiratory disease, the aetiology proved influenza A(H1N1)v. We describe the outbreak and public health measures for their control.

METHODS

Descriptive study of an outbreak of pandemic influenza virus in a residency home for mentally disabled. Establishment of active surveillance. The case definition of influenza was very sensitive to detect new cases early, treated early and minimize transmission. Steps were taken to contain the influenza virus infection.

RESULTS

Among 38 cases detected 7 had serious complications(all of them with risk factors). There were no deaths. The overall attack rate was 35.2%. The first cases were workers. The residents were ill at the peak of the outbreak, and among workers the presentation was more dispersed. None of the workers and only three of residents had been vaccinated.

CONCLUSIONS

Workers possibly have initiated and contributed to the maintenance of transmission. We emphasize the need to comply with vaccination recommendations, not just those with risk factors, but particularly for workers in contact with those.


DOI: 10.1590/s1135-57272010000500017
PubMed: 21203728


Affiliations:


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


Le document en format XML

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<title xml:lang="en">[Outbreak of pandemic virus (H1N1) 2009 in a residence for mentally disabled persons in Balearic Island, Spain].</title>
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<name sortKey="Gimenez Duran, Jaume" sort="Gimenez Duran, Jaume" uniqKey="Gimenez Duran J" first="Jaume" last="Giménez Duran">Jaume Giménez Duran</name>
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<nlm:affiliation>Servicio de Epidemiología, Dirección General de Salud Pública y Participación, Conselleria de Salut i Consum, Govern de les Illes Balears, Palma de Mallorca, Spain. jgimenez@dgsanita.caib.es</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Galmes Truyols, Ant Nia" sort="Galmes Truyols, Ant Nia" uniqKey="Galmes Truyols A" first="Ant Nia" last="Galmés Truyols">Ant Nia Galmés Truyols</name>
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<name sortKey="Nicolau Riutort, Antonio" sort="Nicolau Riutort, Antonio" uniqKey="Nicolau Riutort A" first="Antonio" last="Nicolau Riutort">Antonio Nicolau Riutort</name>
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<name sortKey="Reina Prieto, Jorge" sort="Reina Prieto, Jorge" uniqKey="Reina Prieto J" first="Jorge" last="Reina Prieto">Jorge Reina Prieto</name>
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<author>
<name sortKey="Gallegos Lvarez, Maria De Carmen" sort="Gallegos Lvarez, Maria De Carmen" uniqKey="Gallegos Lvarez M" first="Maria De Carmen" last="Gallegos Lvarez">Maria De Carmen Gallegos Lvarez</name>
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<name sortKey="Pareja Bezares, Antonio" sort="Pareja Bezares, Antonio" uniqKey="Pareja Bezares A" first="Antonio" last="Pareja Bezares">Antonio Pareja Bezares</name>
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<name sortKey="Vanrell Berga, Juana Maria" sort="Vanrell Berga, Juana Maria" uniqKey="Vanrell Berga J" first="Juana María" last="Vanrell Berga">Juana María Vanrell Berga</name>
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<name sortKey="Galmes Truyols, Ant Nia" sort="Galmes Truyols, Ant Nia" uniqKey="Galmes Truyols A" first="Ant Nia" last="Galmés Truyols">Ant Nia Galmés Truyols</name>
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<name sortKey="Nicolau Riutort, Antonio" sort="Nicolau Riutort, Antonio" uniqKey="Nicolau Riutort A" first="Antonio" last="Nicolau Riutort">Antonio Nicolau Riutort</name>
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<name sortKey="Reina Prieto, Jorge" sort="Reina Prieto, Jorge" uniqKey="Reina Prieto J" first="Jorge" last="Reina Prieto">Jorge Reina Prieto</name>
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<name sortKey="Gallegos Lvarez, Maria De Carmen" sort="Gallegos Lvarez, Maria De Carmen" uniqKey="Gallegos Lvarez M" first="Maria De Carmen" last="Gallegos Lvarez">Maria De Carmen Gallegos Lvarez</name>
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<term>Cross Infection (complications)</term>
<term>Cross Infection (epidemiology)</term>
<term>Disabled Persons (MeSH)</term>
<term>Disease Outbreaks (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Facilities (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Male (MeSH)</term>
<term>Mental Disorders (complications)</term>
<term>Middle Aged (MeSH)</term>
<term>Spain (epidemiology)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (complications)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infection croisée (complications)</term>
<term>Infection croisée (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Personnes handicapées (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Troubles mentaux (complications)</term>
<term>Épidémies de maladies (MeSH)</term>
<term>Établissements de santé (MeSH)</term>
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<term>Spain</term>
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<term>Influenza, Human</term>
<term>Mental Disorders</term>
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<term>Cross Infection</term>
<term>Influenza, Human</term>
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<term>Espagne</term>
<term>Grippe humaine</term>
<term>Infection croisée</term>
<term>Troubles mentaux</term>
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<term>Disabled Persons</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Health Facilities</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Personnes handicapées</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Épidémies de maladies</term>
<term>Établissements de santé</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>The flu season 2009-2010 has been shorter and less severe than expected. Since January 2010, influenza surveillance systems indicated rates of very low incidence of influenza without detection of virus circulation. In this context, a hospital reported a suspected outbreak of severe respiratory disease, the aetiology proved influenza A(H1N1)v. We describe the outbreak and public health measures for their control.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Descriptive study of an outbreak of pandemic influenza virus in a residency home for mentally disabled. Establishment of active surveillance. The case definition of influenza was very sensitive to detect new cases early, treated early and minimize transmission. Steps were taken to contain the influenza virus infection.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Among 38 cases detected 7 had serious complications(all of them with risk factors). There were no deaths. The overall attack rate was 35.2%. The first cases were workers. The residents were ill at the peak of the outbreak, and among workers the presentation was more dispersed. None of the workers and only three of residents had been vaccinated.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Workers possibly have initiated and contributed to the maintenance of transmission. We emphasize the need to comply with vaccination recommendations, not just those with risk factors, but particularly for workers in contact with those.</p>
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