Serveur d'exploration sur la grippe aux Pays-Bas

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Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands.

Identifieur interne : 000372 ( Main/Exploration ); précédent : 000371; suivant : 000373

Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands.

Auteurs : Marion Koopmans [Pays-Bas] ; Berry Wilbrink ; Marina Conyn ; Gerard Natrop ; Hans Van Der Nat ; Harry Vennema ; Adam Meijer ; Jim Van Steenbergen ; Ron Fouchier ; Albert Osterhaus ; Arnold Bosman

Source :

RBID : pubmed:14987882

Descripteurs français

English descriptors

Abstract

BACKGROUND

An outbreak of highly pathogenic avian influenza A virus subtype H7N7 started at the end of February, 2003, in commercial poultry farms in the Netherlands. Although the risk of transmission of these viruses to humans was initially thought to be low, an outbreak investigation was launched to assess the extent of transmission of influenza A virus subtype H7N7 from chickens to humans.

METHODS

All workers in poultry farms, poultry farmers, and their families were asked to report signs of conjunctivitis or influenza-like illness. People with complaints were tested for influenza virus type A subtype H7 (A/H7) infection and completed a health questionnaire about type of symptoms, duration of illness, and possible exposures to infected poultry.

FINDINGS

453 people had health complaints--349 reported conjunctivitis, 90 had influenza-like illness, and 67 had other complaints. We detected A/H7 in conjunctival samples from 78 (26.4%) people with conjunctivitis only, in five (9.4%) with influenza-like illness and conjunctivitis, in two (5.4%) with influenza-like illness only, and in four (6%) who reported other symptoms. Most positive samples had been collected within 5 days of symptom onset. A/H7 infection was confirmed in three contacts (of 83 tested), one of whom developed influenza-like illness. Six people had influenza A/H3N2 infection. After 19 people had been diagnosed with the infection, all workers received mandatory influenza virus vaccination and prophylactic treatment with oseltamivir. More than half (56%) of A/H7 infections reported here arose before the vaccination and treatment programme.

INTERPRETATION

We noted an unexpectedly high number of transmissions of avian influenza A virus subtype H7N7 to people directly involved in handling infected poultry, and we noted evidence for person-to-person transmission. Our data emphasise the importance of adequate surveillance, outbreak preparedness, and pandemic planning.


DOI: 10.1016/S0140-6736(04)15589-X
PubMed: 14987882


Affiliations:


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


Le document en format XML

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<b>BACKGROUND</b>
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<p>An outbreak of highly pathogenic avian influenza A virus subtype H7N7 started at the end of February, 2003, in commercial poultry farms in the Netherlands. Although the risk of transmission of these viruses to humans was initially thought to be low, an outbreak investigation was launched to assess the extent of transmission of influenza A virus subtype H7N7 from chickens to humans.</p>
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<b>METHODS</b>
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<p>All workers in poultry farms, poultry farmers, and their families were asked to report signs of conjunctivitis or influenza-like illness. People with complaints were tested for influenza virus type A subtype H7 (A/H7) infection and completed a health questionnaire about type of symptoms, duration of illness, and possible exposures to infected poultry.</p>
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<b>FINDINGS</b>
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<p>453 people had health complaints--349 reported conjunctivitis, 90 had influenza-like illness, and 67 had other complaints. We detected A/H7 in conjunctival samples from 78 (26.4%) people with conjunctivitis only, in five (9.4%) with influenza-like illness and conjunctivitis, in two (5.4%) with influenza-like illness only, and in four (6%) who reported other symptoms. Most positive samples had been collected within 5 days of symptom onset. A/H7 infection was confirmed in three contacts (of 83 tested), one of whom developed influenza-like illness. Six people had influenza A/H3N2 infection. After 19 people had been diagnosed with the infection, all workers received mandatory influenza virus vaccination and prophylactic treatment with oseltamivir. More than half (56%) of A/H7 infections reported here arose before the vaccination and treatment programme.</p>
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<p>
<b>INTERPRETATION</b>
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<p>We noted an unexpectedly high number of transmissions of avian influenza A virus subtype H7N7 to people directly involved in handling infected poultry, and we noted evidence for person-to-person transmission. Our data emphasise the importance of adequate surveillance, outbreak preparedness, and pandemic planning.</p>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">An outbreak of highly pathogenic avian influenza A virus subtype H7N7 started at the end of February, 2003, in commercial poultry farms in the Netherlands. Although the risk of transmission of these viruses to humans was initially thought to be low, an outbreak investigation was launched to assess the extent of transmission of influenza A virus subtype H7N7 from chickens to humans.</AbstractText>
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<AbstractText Label="FINDINGS" NlmCategory="RESULTS">453 people had health complaints--349 reported conjunctivitis, 90 had influenza-like illness, and 67 had other complaints. We detected A/H7 in conjunctival samples from 78 (26.4%) people with conjunctivitis only, in five (9.4%) with influenza-like illness and conjunctivitis, in two (5.4%) with influenza-like illness only, and in four (6%) who reported other symptoms. Most positive samples had been collected within 5 days of symptom onset. A/H7 infection was confirmed in three contacts (of 83 tested), one of whom developed influenza-like illness. Six people had influenza A/H3N2 infection. After 19 people had been diagnosed with the infection, all workers received mandatory influenza virus vaccination and prophylactic treatment with oseltamivir. More than half (56%) of A/H7 infections reported here arose before the vaccination and treatment programme.</AbstractText>
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<PubMedPubDate PubStatus="medline">
<Year>2004</Year>
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<PubMedPubDate PubStatus="entrez">
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">14987882</ArticleId>
<ArticleId IdType="doi">10.1016/S0140-6736(04)15589-X</ArticleId>
<ArticleId IdType="pii">S0140-6736(04)15589-X</ArticleId>
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<affiliations>
<list>
<country>
<li>Pays-Bas</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Bosman, Arnold" sort="Bosman, Arnold" uniqKey="Bosman A" first="Arnold" last="Bosman">Arnold Bosman</name>
<name sortKey="Conyn, Marina" sort="Conyn, Marina" uniqKey="Conyn M" first="Marina" last="Conyn">Marina Conyn</name>
<name sortKey="Fouchier, Ron" sort="Fouchier, Ron" uniqKey="Fouchier R" first="Ron" last="Fouchier">Ron Fouchier</name>
<name sortKey="Meijer, Adam" sort="Meijer, Adam" uniqKey="Meijer A" first="Adam" last="Meijer">Adam Meijer</name>
<name sortKey="Natrop, Gerard" sort="Natrop, Gerard" uniqKey="Natrop G" first="Gerard" last="Natrop">Gerard Natrop</name>
<name sortKey="Osterhaus, Albert" sort="Osterhaus, Albert" uniqKey="Osterhaus A" first="Albert" last="Osterhaus">Albert Osterhaus</name>
<name sortKey="Van Der Nat, Hans" sort="Van Der Nat, Hans" uniqKey="Van Der Nat H" first="Hans" last="Van Der Nat">Hans Van Der Nat</name>
<name sortKey="Van Steenbergen, Jim" sort="Van Steenbergen, Jim" uniqKey="Van Steenbergen J" first="Jim" last="Van Steenbergen">Jim Van Steenbergen</name>
<name sortKey="Vennema, Harry" sort="Vennema, Harry" uniqKey="Vennema H" first="Harry" last="Vennema">Harry Vennema</name>
<name sortKey="Wilbrink, Berry" sort="Wilbrink, Berry" uniqKey="Wilbrink B" first="Berry" last="Wilbrink">Berry Wilbrink</name>
</noCountry>
<country name="Pays-Bas">
<noRegion>
<name sortKey="Koopmans, Marion" sort="Koopmans, Marion" uniqKey="Koopmans M" first="Marion" last="Koopmans">Marion Koopmans</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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{{Explor lien
   |wiki=    Sante
   |area=    GrippePaysBasV1
   |flux=    Main
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   |clé=     pubmed:14987882
   |texte=   Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands.
}}

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