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The Attack Rate of H1N1 in Various Berthing Configurations On Board an Aircraft Carrier

Identifieur interne : 001B69 ( PascalFrancis/Curation ); précédent : 001B68; suivant : 001B70

The Attack Rate of H1N1 in Various Berthing Configurations On Board an Aircraft Carrier

Auteurs : Jared L. Harwood [États-Unis] ; Joseph T. Lavan [États-Unis] ; George J. Ii Brand [États-Unis]

Source :

RBID : Pascal:13-0236619

Descripteurs français

English descriptors

Abstract

Objective: We compared attack rates for novel H1N1 influenza A (H1N1) among various groups aboard an aircraft carrier as influenced by characteristics of their living arrangements. Methods: During an outbreak of H1N1 on board the USS George Washington (GW), group affiliation (department or squadron membership) data were obtained on all patients who were placed in respiratory isolation based on their diagnosis with presumptive H1N1. Because berthing spaces are assigned by department and various characteristics of each department's berthing spaces are known, analysis of attack rates in comparison to these characteristics was possible. Attack rates were compared with the square feet of living space per sailor, occupancy rate of the berthing areas, and size of the berthing areas. These results were further correlated with the mission of the various departments or squadrons. Results: The average attack rate was 3%, with the highest rates occurring in departments or squadrons whose mission required ongoing contact with civilian populations ashore. The attack rate among officers was 2.04 versus 3.19 among enlisted personnel; this difference was not significant (P = .21). The attack rate for women was 1.90 versus 3.09 for men, which was significant (P = .05). Although attack rates varied considerably based on organizational mission, no correlation was found between attack rate and square feet of living space per person or occupancy rate or size of berthing spaces. Conclusions: The attack rate of the outbreak overall was limited to 3%. Smaller and more crowded berthing configurations did not contribute to higher attack rates, suggesting that transmission occurs most frequently elsewhere while engaged in other activities such as working, eating, or relaxing. Further studies are necessary to filter out potential correlations or variables not identified in this study, such as the difference between the number of men and women isolated.
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A08 01  1  ENG  @1 The Attack Rate of H1N1 in Various Berthing Configurations On Board an Aircraft Carrier
A11 01  1    @1 HARWOOD (Jared L.)
A11 02  1    @1 LAVAN (Joseph T.)
A11 03  1    @1 BRAND (George J. II)
A14 01      @1 Department of Orthopaedics, The Ohio State University @2 Columbus @3 USA @Z 1 aut.
A14 02      @1 Aerospace Medicine Residency, Naval Aerospace Medical Institute @2 Pensacola, Florida @3 USA @Z 2 aut.
A14 03      @1 Training and Education Standards Division, Marine Air Ground Task Force @2 Twentynine Palms, California @3 USA @Z 3 aut.
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C01 01    ENG  @0 Objective: We compared attack rates for novel H1N1 influenza A (H1N1) among various groups aboard an aircraft carrier as influenced by characteristics of their living arrangements. Methods: During an outbreak of H1N1 on board the USS George Washington (GW), group affiliation (department or squadron membership) data were obtained on all patients who were placed in respiratory isolation based on their diagnosis with presumptive H1N1. Because berthing spaces are assigned by department and various characteristics of each department's berthing spaces are known, analysis of attack rates in comparison to these characteristics was possible. Attack rates were compared with the square feet of living space per sailor, occupancy rate of the berthing areas, and size of the berthing areas. These results were further correlated with the mission of the various departments or squadrons. Results: The average attack rate was 3%, with the highest rates occurring in departments or squadrons whose mission required ongoing contact with civilian populations ashore. The attack rate among officers was 2.04 versus 3.19 among enlisted personnel; this difference was not significant (P = .21). The attack rate for women was 1.90 versus 3.09 for men, which was significant (P = .05). Although attack rates varied considerably based on organizational mission, no correlation was found between attack rate and square feet of living space per person or occupancy rate or size of berthing spaces. Conclusions: The attack rate of the outbreak overall was limited to 3%. Smaller and more crowded berthing configurations did not contribute to higher attack rates, suggesting that transmission occurs most frequently elsewhere while engaged in other activities such as working, eating, or relaxing. Further studies are necessary to filter out potential correlations or variables not identified in this study, such as the difference between the number of men and women isolated.
C02 01  X    @0 002B30A01C
C02 02  X    @0 002B05C02C
C03 01  X  FRE  @0 Taux @5 02
C03 01  X  ENG  @0 Rate @5 02
C03 01  X  SPA  @0 Tasa @5 02
C03 02  X  FRE  @0 Porteur @5 03
C03 02  X  ENG  @0 Carrier @5 03
C03 02  X  SPA  @0 Portador @5 03
C03 03  X  FRE  @0 Grippe @5 05
C03 03  X  ENG  @0 Influenza @5 05
C03 03  X  SPA  @0 Gripe @5 05
C03 04  X  FRE  @0 Santé publique @5 06
C03 04  X  ENG  @0 Public health @5 06
C03 04  X  SPA  @0 Salud pública @5 06
C03 05  X  FRE  @0 Monde @2 NG @5 08
C03 05  X  ENG  @0 World @2 NG @5 08
C03 05  X  SPA  @0 Mundo @2 NG @5 08
C03 06  X  FRE  @0 Isolement @5 09
C03 06  X  ENG  @0 Isolation @5 09
C03 06  X  SPA  @0 Aislamiento @5 09
C03 07  X  FRE  @0 Epidémie @5 11
C03 07  X  ENG  @0 Epidemic @5 11
C03 07  X  SPA  @0 Epidemia @5 11
C03 08  X  FRE  @0 Vaisseau sanguin @5 12
C03 08  X  ENG  @0 Blood vessel @5 12
C03 08  X  SPA  @0 Vaso sanguíneo @5 12
C03 09  X  FRE  @0 Espace @5 17
C03 09  X  ENG  @0 Space @5 17
C03 09  X  SPA  @0 Espacio @5 17
C03 10  X  FRE  @0 Pandémie @4 INC @5 86
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Appareil circulatoire @5 37
C07 03  X  ENG  @0 Circulatory system @5 37
C07 03  X  SPA  @0 Aparato circulatorio @5 37
N21       @1 224
N44 01      @1 OTO
N82       @1 OTO

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Pascal:13-0236619

Le document en format XML

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<div type="abstract" xml:lang="en">Objective: We compared attack rates for novel H1N1 influenza A (H1N1) among various groups aboard an aircraft carrier as influenced by characteristics of their living arrangements. Methods: During an outbreak of H1N1 on board the USS George Washington (GW), group affiliation (department or squadron membership) data were obtained on all patients who were placed in respiratory isolation based on their diagnosis with presumptive H1N1. Because berthing spaces are assigned by department and various characteristics of each department's berthing spaces are known, analysis of attack rates in comparison to these characteristics was possible. Attack rates were compared with the square feet of living space per sailor, occupancy rate of the berthing areas, and size of the berthing areas. These results were further correlated with the mission of the various departments or squadrons. Results: The average attack rate was 3%, with the highest rates occurring in departments or squadrons whose mission required ongoing contact with civilian populations ashore. The attack rate among officers was 2.04 versus 3.19 among enlisted personnel; this difference was not significant (P = .21). The attack rate for women was 1.90 versus 3.09 for men, which was significant (P = .05). Although attack rates varied considerably based on organizational mission, no correlation was found between attack rate and square feet of living space per person or occupancy rate or size of berthing spaces. Conclusions: The attack rate of the outbreak overall was limited to 3%. Smaller and more crowded berthing configurations did not contribute to higher attack rates, suggesting that transmission occurs most frequently elsewhere while engaged in other activities such as working, eating, or relaxing. Further studies are necessary to filter out potential correlations or variables not identified in this study, such as the difference between the number of men and women isolated.</div>
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   |type=    RBID
   |clé=     Pascal:13-0236619
   |texte=   The Attack Rate of H1N1 in Various Berthing Configurations On Board an Aircraft Carrier
}}

Wicri

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