Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers
Identifieur interne : 000296 ( PascalFrancis/Checkpoint ); précédent : 000295; suivant : 000297Effectiveness 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.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Frontière, Homme, Voyage, Santé publique.
English descriptors
- KwdEn :
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.
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Jennings</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Pathology, University of Otago Christchurch and Canterbury Health Laboratories</s1><s2>Christchurch</s2><s3>NZL</s3><sZ>2 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Duncan, Alasdair R" sort="Duncan, Alasdair R" uniqKey="Duncan A" first="Alasdair R." last="Duncan">Alasdair R. Duncan</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and General Practice, University of Otago Christchurch</s1><s3>NZL</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Department of Public Health and General Practice, University of Otago Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Brunton, Cheryl R" sort="Brunton, Cheryl R" uniqKey="Brunton C" first="Cheryl R." last="Brunton">Cheryl R. Brunton</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and General Practice, University of Otago Christchurch</s1><s3>NZL</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Department of Public Health and General Practice, University of Otago Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Michael G" sort="Baker, Michael G" uniqKey="Baker M" first="Michael G." last="Baker">Michael G. 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Priest</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Preventive and Social Medicine, University of Otago</s1><s2>Dunedin</s2><s3>NZL</s3><sZ>1 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Dunedin</wicri:noRegion></affiliation></author><author><name sortKey="Jennings, Lance C" sort="Jennings, Lance C" uniqKey="Jennings L" first="Lance C." last="Jennings">Lance C. Jennings</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Pathology, University of Otago Christchurch and Canterbury Health Laboratories</s1><s2>Christchurch</s2><s3>NZL</s3><sZ>2 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Duncan, Alasdair R" sort="Duncan, Alasdair R" uniqKey="Duncan A" first="Alasdair R." last="Duncan">Alasdair R. Duncan</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and General Practice, University of Otago Christchurch</s1><s3>NZL</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Department of Public Health and General Practice, University of Otago Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Brunton, Cheryl R" sort="Brunton, Cheryl R" uniqKey="Brunton C" first="Cheryl R." last="Brunton">Cheryl R. Brunton</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and General Practice, University of Otago Christchurch</s1><s3>NZL</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Department of Public Health and General Practice, University of Otago Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Michael G" sort="Baker, Michael G" uniqKey="Baker M" first="Michael G." last="Baker">Michael G. Baker</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Public Health, University of Otago Wellington</s1><s2>Wellington</s2><s3>NZL</s3><sZ>5 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">American journal of public health : (1971)</title><title level="j" type="abbreviated">Am. j. publ. health : (1971)</title><idno type="ISSN">0090-0036</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">American journal of public health : (1971)</title><title level="j" type="abbreviated">Am. j. publ. health : (1971)</title><idno type="ISSN">0090-0036</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Airline</term><term>Border</term><term>Diagnosis</term><term>Efficiency</term><term>Human</term><term>Influenza</term><term>Medical screening</term><term>Public health</term><term>Travel</term><term>Travel disease</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie du voyageur</term><term>Efficacité</term><term>Frontière</term><term>Dépistage</term><term>Diagnostic</term><term>Grippe</term><term>Compagnie aérienne</term><term>Homme</term><term>Voyage</term><term>Santé publique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Frontière</term><term>Homme</term><term>Voyage</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0090-0036</s0></fA01><fA02 i1="01"><s0>AJPEAG</s0></fA02><fA03 i2="1"><s0>Am. j. publ. health : (1971)</s0></fA03><fA05><s2>103</s2></fA05><fA06><s2>8</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Effectiveness of Border Screening for Detecting Influenza in Arriving Airline Travelers</s1></fA08><fA11 i1="01" i2="1"><s1>PRIEST (Patricia C.)</s1></fA11><fA11 i1="02" i2="1"><s1>JENNINGS (Lance C.)</s1></fA11><fA11 i1="03" i2="1"><s1>DUNCAN (Alasdair R.)</s1></fA11><fA11 i1="04" i2="1"><s1>BRUNTON (Cheryl R.)</s1></fA11><fA11 i1="05" i2="1"><s1>BAKER (Michael G.)</s1></fA11><fA14 i1="01"><s1>Department of Preventive and Social Medicine, University of Otago</s1><s2>Dunedin</s2><s3>NZL</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Pathology, University of Otago Christchurch and Canterbury Health Laboratories</s1><s2>Christchurch</s2><s3>NZL</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Public Health and General Practice, University of Otago Christchurch</s1><s3>NZL</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Public Health, University of Otago Wellington</s1><s2>Wellington</s2><s3>NZL</s3><sZ>5 aut.</sZ></fA14><fA20><s1>1412-1418</s1></fA20><fA21><s1>2013</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>2009</s2><s5>354000506500100100</s5></fA43><fA44><s0>0000</s0><s1>© 2013 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>18 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>13-0247257</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>American journal of public health : (1971)</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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Priest</name></noRegion><name sortKey="Baker, Michael G" sort="Baker, Michael G" uniqKey="Baker M" first="Michael G." last="Baker">Michael G. Baker</name><name sortKey="Brunton, Cheryl R" sort="Brunton, Cheryl R" uniqKey="Brunton C" first="Cheryl R." last="Brunton">Cheryl R. Brunton</name><name sortKey="Duncan, Alasdair R" sort="Duncan, Alasdair R" uniqKey="Duncan A" first="Alasdair R." last="Duncan">Alasdair R. Duncan</name><name sortKey="Jennings, Lance C" sort="Jennings, Lance C" uniqKey="Jennings L" first="Lance C." last="Jennings">Lance C. Jennings</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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