Measles outbreak from Hong Kong International Airport to the hospital due to secondary vaccine failure in healthcare workers.
Identifieur interne : 003090 ( Ncbi/Merge ); précédent : 003089; suivant : 003091Measles outbreak from Hong Kong International Airport to the hospital due to secondary vaccine failure in healthcare workers.
Auteurs : Vincent C C. Cheng [République populaire de Chine] ; Shuk-Ching Wong [République populaire de Chine] ; Sally C Y. Wong [République populaire de Chine] ; Siddharth Sridhar [République populaire de Chine] ; Jonathan H K. Chen [République populaire de Chine] ; Cyril C Y. Yip [République populaire de Chine] ; Derek L L. Hung [République populaire de Chine] ; Xin Li [République populaire de Chine] ; Vivien W M. Chuang [République populaire de Chine] ; Owen T Y. Tsang [République populaire de Chine] ; Gibson K S. Woo [République populaire de Chine] ; Shuk-Kwan Chuang [République populaire de Chine] ; Kwok-Yung Yuen [République populaire de Chine]Source :
- Infection control and hospital epidemiology [ 1559-6834 ] ; 2019.
Abstract
To report an outbreak of measles with epidemiological link between Hong Kong International Airport (HKIA) and a hospital.
DOI: 10.1017/ice.2019.278
PubMed: 31587686
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region</wicri:regionArea>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Quality & Safety Division (Infection, Emergency, and Contingency), Hospital Authority, Hong Kong Special Administrative Region</wicri:regionArea>
<wicri:noRegion>Hong Kong Special Administrative Region</wicri:noRegion>
</affiliation>
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<author><name sortKey="Tsang, Owen T Y" sort="Tsang, Owen T Y" uniqKey="Tsang O" first="Owen T Y" last="Tsang">Owen T Y. Tsang</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Infectious Disease Center, Hospital Authority, Hong Kong Special Administrative Region</wicri:regionArea>
<wicri:noRegion>Hong Kong Special Administrative Region</wicri:noRegion>
</affiliation>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Public Health Laboratory Services Branch, Centre for Health Protection, Department of Health, Hong Kong Special Administrative Region</wicri:regionArea>
<wicri:noRegion>Hong Kong Special Administrative Region</wicri:noRegion>
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<author><name sortKey="Chuang, Shuk Kwan" sort="Chuang, Shuk Kwan" uniqKey="Chuang S" first="Shuk-Kwan" last="Chuang">Shuk-Kwan Chuang</name>
<affiliation wicri:level="1"><nlm:affiliation>Centre for Health Protection, Department of Health, Hong Kong Special Administrative Region, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Centre for Health Protection, Department of Health, Hong Kong Special Administrative Region</wicri:regionArea>
<wicri:noRegion>Hong Kong Special Administrative Region</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yuen, Kwok Yung" sort="Yuen, Kwok Yung" uniqKey="Yuen K" first="Kwok-Yung" last="Yuen">Kwok-Yung Yuen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region</wicri:regionArea>
<wicri:noRegion>Hong Kong Special Administrative Region</wicri:noRegion>
</affiliation>
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<idno type="eISSN">1559-6834</idno>
<imprint><date when="2019" type="published">2019</date>
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<front><div type="abstract" xml:lang="en">To report an outbreak of measles with epidemiological link between Hong Kong International Airport (HKIA) and a hospital.</div>
</front>
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<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1559-6834</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>40</Volume>
<Issue>12</Issue>
<PubDate><Year>2019</Year>
<Month>12</Month>
</PubDate>
</JournalIssue>
<Title>Infection control and hospital epidemiology</Title>
<ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation>
</Journal>
<ArticleTitle>Measles outbreak from Hong Kong International Airport to the hospital due to secondary vaccine failure in healthcare workers.</ArticleTitle>
<Pagination><MedlinePgn>1407-1415</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1017/ice.2019.278</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To report an outbreak of measles with epidemiological link between Hong Kong International Airport (HKIA) and a hospital.</AbstractText>
<AbstractText Label="METHODS">Epidemiological investigations, patients' measles serology, and phylogenetic analysis of the hemagglutinin (H) and nucleoprotein (N) genes of measles virus isolates were conducted.</AbstractText>
<AbstractText Label="RESULTS">In total, 29 HKIA staff of diverse ranks and working locations were infected with measles within 1 month. Significantly fewer affected staff had history of travel than non-HKIA-related measles patients [10 of 29 (34.5%) vs 28 of 35 (80%); P < .01]. Of 9 airport staff who could recall detailed exposure history, 6 (66.7%) had visited self-service food premises at HKIA during the incubation period, where food trays, as observed during the epidemiological field investigation, were not washed after use. Furthermore, 1 airport baggage handler who was admitted to hospital A before rash onset infected 2 healthcare workers (HCWs) known to have 2 doses of MMR vaccination with positive measles IgG and lower viral loads in respiratory specimens. Infections in these 2 HCWs warranted contact tracing of another 168 persons (97 patients and 71 HCWs). Phylogenetic comparison of H and N gene sequences confirmed the clonality of outbreak strains.</AbstractText>
<AbstractText Label="CONCLUSION">Despite good herd immunity with overall seroprevalence of >95% against measles, major outbreaks of measles occurred among HKIA staff having daily contact with many international pssengers. Lessons from severe acute respiratory syndrome (SARS) and measles outbreaks suggested that an airport can be a strategic epidemic center. Pre-exanthem transmission of measles from airport staff to HCWs with secondary vaccine failure poses a grave challenge to hospital infection control.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Vincent C C</ForeName>
<Initials>VCC</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wong</LastName>
<ForeName>Shuk-Ching</ForeName>
<Initials>SC</Initials>
<AffiliationInfo><Affiliation>Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wong</LastName>
<ForeName>Sally C Y</ForeName>
<Initials>SCY</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sridhar</LastName>
<ForeName>Siddharth</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Jonathan H K</ForeName>
<Initials>JHK</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yip</LastName>
<ForeName>Cyril C Y</ForeName>
<Initials>CCY</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hung</LastName>
<ForeName>Derek L L</ForeName>
<Initials>DLL</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Xin</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chuang</LastName>
<ForeName>Vivien W M</ForeName>
<Initials>VWM</Initials>
<AffiliationInfo><Affiliation>Quality & Safety Division (Infection, Emergency, and Contingency), Hospital Authority, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tsang</LastName>
<ForeName>Owen T Y</ForeName>
<Initials>OTY</Initials>
<AffiliationInfo><Affiliation>Infectious Disease Center, Hospital Authority, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Woo</LastName>
<ForeName>Gibson K S</ForeName>
<Initials>GKS</Initials>
<AffiliationInfo><Affiliation>Public Health Laboratory Services Branch, Centre for Health Protection, Department of Health, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chuang</LastName>
<ForeName>Shuk-Kwan</ForeName>
<Initials>SK</Initials>
<AffiliationInfo><Affiliation>Centre for Health Protection, Department of Health, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yuen</LastName>
<ForeName>Kwok-Yung</ForeName>
<Initials>KY</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>10</Month>
<Day>07</Day>
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<Month>10</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<Month>10</Month>
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<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31587686</ArticleId>
<ArticleId IdType="pii">S0899823X19002782</ArticleId>
<ArticleId IdType="doi">10.1017/ice.2019.278</ArticleId>
</ArticleIdList>
</PubmedData>
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<affiliations><list><country><li>République populaire de Chine</li>
</country>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Cheng, Vincent C C" sort="Cheng, Vincent C C" uniqKey="Cheng V" first="Vincent C C" last="Cheng">Vincent C C. Cheng</name>
</noRegion>
<name sortKey="Chen, Jonathan H K" sort="Chen, Jonathan H K" uniqKey="Chen J" first="Jonathan H K" last="Chen">Jonathan H K. Chen</name>
<name sortKey="Chuang, Shuk Kwan" sort="Chuang, Shuk Kwan" uniqKey="Chuang S" first="Shuk-Kwan" last="Chuang">Shuk-Kwan Chuang</name>
<name sortKey="Chuang, Vivien W M" sort="Chuang, Vivien W M" uniqKey="Chuang V" first="Vivien W M" last="Chuang">Vivien W M. Chuang</name>
<name sortKey="Hung, Derek L L" sort="Hung, Derek L L" uniqKey="Hung D" first="Derek L L" last="Hung">Derek L L. Hung</name>
<name sortKey="Li, Xin" sort="Li, Xin" uniqKey="Li X" first="Xin" last="Li">Xin Li</name>
<name sortKey="Sridhar, Siddharth" sort="Sridhar, Siddharth" uniqKey="Sridhar S" first="Siddharth" last="Sridhar">Siddharth Sridhar</name>
<name sortKey="Tsang, Owen T Y" sort="Tsang, Owen T Y" uniqKey="Tsang O" first="Owen T Y" last="Tsang">Owen T Y. Tsang</name>
<name sortKey="Wong, Sally C Y" sort="Wong, Sally C Y" uniqKey="Wong S" first="Sally C Y" last="Wong">Sally C Y. Wong</name>
<name sortKey="Wong, Shuk Ching" sort="Wong, Shuk Ching" uniqKey="Wong S" first="Shuk-Ching" last="Wong">Shuk-Ching Wong</name>
<name sortKey="Woo, Gibson K S" sort="Woo, Gibson K S" uniqKey="Woo G" first="Gibson K S" last="Woo">Gibson K S. Woo</name>
<name sortKey="Yip, Cyril C Y" sort="Yip, Cyril C Y" uniqKey="Yip C" first="Cyril C Y" last="Yip">Cyril C Y. Yip</name>
<name sortKey="Yuen, Kwok Yung" sort="Yuen, Kwok Yung" uniqKey="Yuen K" first="Kwok-Yung" last="Yuen">Kwok-Yung Yuen</name>
</country>
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