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Could influenza transmission be reduced by restricting mass gatherings? Towards an evidence-based policy framework

Identifieur interne : 000D91 ( Pmc/Curation ); précédent : 000D90; suivant : 000D92

Could 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 :

RBID : PMC:7104184

Abstract

Introduction

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.

Methods

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.

Results

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).

Conclusion

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

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PMC:7104184

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<wicri:regionArea>Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ</wicri:regionArea>
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<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>
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<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>
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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Epidemiol Glob Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Epidemiol Glob Health</journal-id>
<journal-title-group>
<journal-title>Journal of Epidemiology and Global Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">2210-6006</issn>
<issn pub-type="epub">2210-6014</issn>
<publisher>
<publisher-name>Atlantis Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23856374</article-id>
<article-id pub-id-type="pmc">7104184</article-id>
<article-id pub-id-type="publisher-id">S2210-6006(11)00006-2</article-id>
<article-id pub-id-type="doi">10.1016/j.jegh.2011.06.004</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Could influenza transmission be reduced by restricting mass gatherings? Towards an evidence-based policy framework</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ishola</surname>
<given-names>David A.</given-names>
</name>
<email>david.ishola@hpa.org.uk</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Phin</surname>
<given-names>Nick</given-names>
</name>
<email>nick.phin@hpa.org.uk</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff3" ref-type="aff">c</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Services, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom</aff>
<aff id="aff2">
<label>b</label>
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</aff>
<aff id="aff3">
<label>c</label>
Faculty of Health and Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL, United Kingdom</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author at: Pandemic Influenza and Legionnaires’ Disease Section, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, United Kingdom. Tel.: +44 2083276661; fax: +44 2082007868.
<email>nick.phin@hpa.org.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>18</day>
<month>8</month>
<year>2011</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>12</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>8</month>
<year>2011</year>
</pub-date>
<volume>1</volume>
<issue>1</issue>
<fpage>33</fpage>
<lpage>60</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>3</month>
<year>2011</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>6</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>6</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2011 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.</copyright-statement>
<copyright-year>2011</copyright-year>
<copyright-holder>Ministry of Health, Saudi Arabia</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Influenza</kwd>
<kwd>Mass gathering</kwd>
<kwd>Transmission</kwd>
<kwd>Evidence</kwd>
<kwd>Policy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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