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Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers

Identifieur interne : 001865 ( Main/Exploration ); précédent : 001864; suivant : 001866

Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers

Auteurs : Patricia C. Priest [Nouvelle-Zélande] ; Lance C. Jennings [Nouvelle-Zélande] ; Alasdair R. Duncan [Nouvelle-Zélande] ; Cheryl R. Brunton [Nouvelle-Zélande] ; Michael G. Baker [Nouvelle-Zélande]

Source :

American journal of public health : (1971) [ 0090-0036 ] ; 2013.

RBID : Pascal:13-0247257

Descripteurs français

Pascal (Inist)
- Maladie du voyageur, Efficacité, Frontière, Dépistage, Diagnostic, Grippe, Compagnie aérienne, Homme, Voyage, Santé publique.
Wicri :
- topic : Frontière, Homme, Voyage, Santé publique.

English descriptors

KwdEn :
- Airline, Border, Diagnosis, Efficiency, Human, Influenza, Medical screening, Public health, Travel, Travel disease.

Abstract

Objectives. We measured symptom and influenza prevalence, and the effectiveness of symptom and temperature screening for identifying influenza, in arriving international airline travelers. Methods. This cross-sectional study collected data from travelers to Christchurch International Airport, New Zealand, in winter 2008, via a health questionnaire, temperature testing, and respiratory sampling. Results. Forms were returned by 15 976 (68%) travelers. Of these, 17% reported at least 1 influenza symptom, with runny or blocked nose (10%) and cough (8%) most common. Respiratory specimens were obtained from 3769 travelers. Estimated prevalence of influenza was 1.1% (4% among symptomatic, 0.2% among asymptomatic). The sensitivity of screening criteria ranged from 84% for "any symptom" to 3% for a fever of 37.8 °C or greater. The positive predictive value was low for all criteria. Conclusions. Border screening using self-reported symptoms and temperature testing has limitations for preventing pandemic influenza from entering a country. Using "any symptom" or cough would lead to many uninfected people being investigated, yet some infected people would remain undetected. If more specific criteria such as fever were used, most infected people would enter the country despite screening.

Affiliations:

Nouvelle-Zélande

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

to stream PascalFrancis, to step Corpus: 000254
to stream PascalFrancis, to step Corpus: 000453
to stream PascalFrancis, to step Curation: 001B73
to stream PascalFrancis, to step Checkpoint: 000296
to stream Main, to step Merge: 001893
to stream Main, to step Curation: 001865

Le document en format XML

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<front><div type="abstract" xml:lang="en">Objectives. We measured symptom and influenza prevalence, and the effectiveness of symptom and temperature screening for identifying influenza, in arriving international airline travelers. Methods. This cross-sectional study collected data from travelers to Christchurch International Airport, New Zealand, in winter 2008, via a health questionnaire, temperature testing, and respiratory sampling. Results. Forms were returned by 15 976 (68%) travelers. Of these, 17% reported at least 1 influenza symptom, with runny or blocked nose (10%) and cough (8%) most common. Respiratory specimens were obtained from 3769 travelers. Estimated prevalence of influenza was 1.1% (4% among symptomatic, 0.2% among asymptomatic). The sensitivity of screening criteria ranged from 84% for "any symptom" to 3% for a fever of 37.8 °C or greater. The positive predictive value was low for all criteria. Conclusions. Border screening using self-reported symptoms and temperature testing has limitations for preventing pandemic influenza from entering a country. Using "any symptom" or cough would lead to many uninfected people being investigated, yet some infected people would remain undetected. If more specific criteria such as fever were used, most infected people would enter the country despite screening.</div>
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Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers

Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri