Could influenza transmission be reduced by restricting mass gatherings? Towards an evidence-based policy framework
Identifieur interne : 000C77 ( Main/Exploration ); précédent : 000C76; suivant : 000C78Could influenza transmission be reduced by restricting mass gatherings? Towards an evidence-based policy framework
Auteurs : David A. Ishola [Royaume-Uni] ; Nick Phin [Royaume-Uni]Source :
- Journal of Epidemiology and Global Health [ 2210-6006 ] ; 2011.
Abstract
Mass gatherings (MG) may provide ideal conditions for influenza transmission. The evidence for an association between MG and influenza transmission is reviewed to assess whether restricting MG may reduce transmission.
Major databases were searched (Pubmed, EMBASE, Scopus, CINAHL), producing 1706 articles that were sifted by title, abstract, and full-text. A narrative approach was adopted for data synthesis.
Twenty-four papers met the inclusion criteria, covering MG of varying sizes and settings, and including 9 observational studies, 10 outbreak reports, 4 event reports, and a quasi-experimental study. There is some evidence that certain types of MG may be associated with increased risk of influenza transmission. MG may also “seed” new strains into an area, and may instigate community transmission in a pandemic. Restricting MGs, in combination with other social distancing interventions, may help reduce transmission, but it was not possible to identify conclusive evidence on the individual effect of MG restriction alone. Evidence suggests that event duration and crowdedness may be the key factors that determine the risk of influenza transmission, and possibly the type of venue (indoor/outdoor).
These factors potentially represent a basis for a policy-making framework for MG restrictions in the event of a severe pandemic.
Url:
DOI: 10.1016/j.jegh.2011.06.004
PubMed: 23856374
PubMed Central: 7104184
Affiliations:
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Ishola</name><affiliation wicri:level="1"><nlm:aff id="aff1">Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ</wicri:regionArea><wicri:noRegion>London NW9 5EQ</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Centre for Infectious Disease Epidemiology, Department of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London NW3 2PF, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Infectious Disease Epidemiology, Department of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London NW3 2PF</wicri:regionArea><orgName type="university">University College de Londres</orgName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Phin, Nick" sort="Phin, Nick" uniqKey="Phin N" first="Nick" last="Phin">Nick Phin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ</wicri:regionArea><wicri:noRegion>London NW9 5EQ</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Faculty of Health and Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Health and Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL</wicri:regionArea><wicri:noRegion>Chester CH1 1SL</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23856374</idno><idno type="pmc">7104184</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104184</idno><idno type="RBID">PMC:7104184</idno><idno type="doi">10.1016/j.jegh.2011.06.004</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000D91</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D91</idno><idno type="wicri:Area/Pmc/Curation">000D91</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D91</idno><idno type="wicri:Area/Pmc/Checkpoint">000843</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000843</idno><idno type="wicri:Area/Ncbi/Merge">000929</idno><idno type="wicri:Area/Ncbi/Curation">000929</idno><idno type="wicri:Area/Ncbi/Checkpoint">000929</idno><idno type="wicri:doubleKey">2210-6006:2011:Ishola D:could:influenza:transmission</idno><idno type="wicri:Area/Main/Merge">000C82</idno><idno type="wicri:Area/Main/Curation">000C77</idno><idno type="wicri:Area/Main/Exploration">000C77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Could influenza transmission be reduced by restricting mass gatherings? Towards an evidence-based policy framework</title><author><name sortKey="Ishola, David A" sort="Ishola, David A" uniqKey="Ishola D" first="David A." last="Ishola">David A. Ishola</name><affiliation wicri:level="1"><nlm:aff id="aff1">Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ</wicri:regionArea><wicri:noRegion>London NW9 5EQ</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Centre for Infectious Disease Epidemiology, Department of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London NW3 2PF, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Infectious Disease Epidemiology, Department of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London NW3 2PF</wicri:regionArea><orgName type="university">University College de Londres</orgName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Phin, Nick" sort="Phin, Nick" uniqKey="Phin N" first="Nick" last="Phin">Nick Phin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ</wicri:regionArea><wicri:noRegion>London NW9 5EQ</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Faculty of Health and Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Health and Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL</wicri:regionArea><wicri:noRegion>Chester CH1 1SL</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Epidemiology and Global Health</title><idno type="ISSN">2210-6006</idno><idno type="eISSN">2210-6014</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Mass gatherings (MG) may provide ideal conditions for influenza transmission. The evidence for an association between MG and influenza transmission is reviewed to assess whether restricting MG may reduce transmission.</p></sec><sec><title>Methods</title><p>Major databases were searched (Pubmed, EMBASE, Scopus, CINAHL), producing 1706 articles that were sifted by title, abstract, and full-text. A narrative approach was adopted for data synthesis.</p></sec><sec><title>Results</title><p>Twenty-four papers met the inclusion criteria, covering MG of varying sizes and settings, and including 9 observational studies, 10 outbreak reports, 4 event reports, and a quasi-experimental study. There is some evidence that certain types of MG may be associated with increased risk of influenza transmission. MG may also “seed” new strains into an area, and may instigate community transmission in a pandemic. Restricting MGs, in combination with other social distancing interventions, may help reduce transmission, but it was not possible to identify conclusive evidence on the individual effect of MG restriction alone. Evidence suggests that event duration and crowdedness may be the key factors that determine the risk of influenza transmission, and possibly the type of venue (indoor/outdoor).</p></sec><sec><title>Conclusion</title><p>These factors potentially represent a basis for a policy-making framework for MG restrictions in the event of a severe pandemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Brankston, G" uniqKey="Brankston G">G. Brankston</name></author><author><name sortKey="Gitterman, L" uniqKey="Gitterman L">L. Gitterman</name></author><author><name sortKey="Hirji, Z" uniqKey="Hirji Z">Z. Hirji</name></author><author><name sortKey="Lemieux, C" uniqKey="Lemieux C">C. 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Lam</name></author><author><name sortKey="Ng, M W" uniqKey="Ng M">M.W. Ng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Braunack Mayer, A J" uniqKey="Braunack Mayer A">A.J. Braunack-Mayer</name></author><author><name sortKey="Street, J M" uniqKey="Street J">J.M. Street</name></author><author><name sortKey="Rogers, W A" uniqKey="Rogers W">W.A. Rogers</name></author><author><name sortKey="Givney, R" uniqKey="Givney R">R. Givney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jefferson, T" uniqKey="Jefferson T">T. Jefferson</name></author><author><name sortKey="Del Mar, C" uniqKey="Del Mar C">C. Del Mar</name></author><author><name sortKey="Dooley, L" uniqKey="Dooley L">L. Dooley</name></author><author><name sortKey="Ferroni, E" uniqKey="Ferroni E">E. Ferroni</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Ishola, David A" sort="Ishola, David A" uniqKey="Ishola D" first="David A." last="Ishola">David A. Ishola</name></noRegion><name sortKey="Ishola, David A" sort="Ishola, David A" uniqKey="Ishola D" first="David A." last="Ishola">David A. Ishola</name><name sortKey="Phin, Nick" sort="Phin, Nick" uniqKey="Phin N" first="Nick" last="Phin">Nick Phin</name><name sortKey="Phin, Nick" sort="Phin, Nick" uniqKey="Phin N" first="Nick" last="Phin">Nick Phin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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