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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Seroprevalence of SARS Coronavirus Among Residents Near a Hospital with a Nosocomial Outbreak</title><author><name sortKey="Tsai, Ming Han" sort="Tsai, Ming Han" uniqKey="Tsai M" first="Ming-Han" last="Tsai">Ming-Han Tsai</name><affiliation><nlm:aff id="aff1">Department of Pediatrics, Chang Gung Memorial Hospital, Keelung, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Graduate Institute of Clinical Medical Sciences, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Tzou Yien" sort="Lin, Tzou Yien" uniqKey="Lin T" first="Tzou-Yien" last="Lin">Tzou-Yien Lin</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Chiu, Cheng Hsun" sort="Chiu, Cheng Hsun" uniqKey="Chiu C" first="Cheng-Hsun" last="Chiu">Cheng-Hsun Chiu</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Pen Yi" sort="Lin, Pen Yi" uniqKey="Lin P" first="Pen-Yi" last="Lin">Pen-Yi Lin</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Huang, Yhu Chering" sort="Huang, Yhu Chering" uniqKey="Huang Y" first="Yhu-Chering" last="Huang">Yhu-Chering Huang</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Tsao, Kuo Chien" sort="Tsao, Kuo Chien" uniqKey="Tsao K" first="Kuo-Chien" last="Tsao">Kuo-Chien Tsao</name><affiliation><nlm:aff id="aff5">Department of Clinical Pathology, Chang Gung Memorial Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Huang, Chung Guei" sort="Huang, Chung Guei" uniqKey="Huang C" first="Chung-Guei" last="Huang">Chung-Guei Huang</name><affiliation><nlm:aff id="aff5">Department of Clinical Pathology, Chang Gung Memorial Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Hsu, Kuang Hung" sort="Hsu, Kuang Hung" uniqKey="Hsu K" first="Kuang-Hung" last="Hsu">Kuang-Hung Hsu</name><affiliation><nlm:aff id="aff6">Laboratory for Epidemiology and Department of Health Care Management, Chang Gung University, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Meng Chih" sort="Lin, Meng Chih" uniqKey="Lin M" first="Meng-Chih" last="Lin">Meng-Chih Lin</name><affiliation><nlm:aff id="aff7">Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Hwang, Kao Pin" sort="Hwang, Kao Pin" uniqKey="Hwang K" first="Kao-Pin" last="Hwang">Kao-Pin Hwang</name><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Yang, Kuender D" sort="Yang, Kuender D" uniqKey="Yang K" first="Kuender D." last="Yang">Kuender D. Yang</name><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18971158</idno><idno type="pmc">7134787</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134787</idno><idno type="RBID">PMC:7134787</idno><idno type="doi">10.1016/S0929-6646(08)60205-3</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">001137</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001137</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Seroprevalence of SARS Coronavirus Among Residents Near a Hospital with a Nosocomial Outbreak</title><author><name sortKey="Tsai, Ming Han" sort="Tsai, Ming Han" uniqKey="Tsai M" first="Ming-Han" last="Tsai">Ming-Han Tsai</name><affiliation><nlm:aff id="aff1">Department of Pediatrics, Chang Gung Memorial Hospital, Keelung, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Graduate Institute of Clinical Medical Sciences, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Tzou Yien" sort="Lin, Tzou Yien" uniqKey="Lin T" first="Tzou-Yien" last="Lin">Tzou-Yien Lin</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Chiu, Cheng Hsun" sort="Chiu, Cheng Hsun" uniqKey="Chiu C" first="Cheng-Hsun" last="Chiu">Cheng-Hsun Chiu</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Pen Yi" sort="Lin, Pen Yi" uniqKey="Lin P" first="Pen-Yi" last="Lin">Pen-Yi Lin</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Huang, Yhu Chering" sort="Huang, Yhu Chering" uniqKey="Huang Y" first="Yhu-Chering" last="Huang">Yhu-Chering Huang</name><affiliation><nlm:aff id="aff3">Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Tsao, Kuo Chien" sort="Tsao, Kuo Chien" uniqKey="Tsao K" first="Kuo-Chien" last="Tsao">Kuo-Chien Tsao</name><affiliation><nlm:aff id="aff5">Department of Clinical Pathology, Chang Gung Memorial Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Huang, Chung Guei" sort="Huang, Chung Guei" uniqKey="Huang C" first="Chung-Guei" last="Huang">Chung-Guei Huang</name><affiliation><nlm:aff id="aff5">Department of Clinical Pathology, Chang Gung Memorial Hospital, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Hsu, Kuang Hung" sort="Hsu, Kuang Hung" uniqKey="Hsu K" first="Kuang-Hung" last="Hsu">Kuang-Hung Hsu</name><affiliation><nlm:aff id="aff6">Laboratory for Epidemiology and Department of Health Care Management, Chang Gung University, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Lin, Meng Chih" sort="Lin, Meng Chih" uniqKey="Lin M" first="Meng-Chih" last="Lin">Meng-Chih Lin</name><affiliation><nlm:aff id="aff7">Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Hwang, Kao Pin" sort="Hwang, Kao Pin" uniqKey="Hwang K" first="Kao-Pin" last="Hwang">Kao-Pin Hwang</name><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author><author><name sortKey="Yang, Kuender D" sort="Yang, Kuender D" uniqKey="Yang K" first="Kuender D." last="Yang">Kuender D. Yang</name><affiliation><nlm:aff id="aff4">College of Medicine, Taoyuan, Kaohsiung, Taiwan</nlm:aff></affiliation><affiliation><nlm:aff id="aff8">Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of the Formosan Medical Association</title><idno type="ISSN">0929-6646</idno><idno type="eISSN">0929-6646</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background/Purpose</title><p>An epidemic of severe acute respiratory syndrome (SARS) occurred in Taiwan from April to July 2003. A nosocomial outbreak of SARS occurred at Kaohsiung Chang Gung Memorial Hospital (CGMH) in May 2003. The purpose of our study was to survey the prevalence of the SARS coronavirus (CoV) in a community adjacent to Kaohsiung CGMH and collect demographic data, including basic information about health status, household, and possible risk factors for SARS-CoV infection.</p></sec><sec><title>Methods</title><p>We randomly recruited 1030 persons living in three precincts adjacent to Kaohsiung CGMH. For all subjects, we collected demographic data and measured the seroprevalence of the SARS-CoV with an enzyme-linked immunosorbent assay (ELISA) and an immunofluorescence assay (IFA).</p></sec><sec><title>Results</title><p>The ELISA was seropositive for 124 of 1030 participants (12%). The more sensitive and specific IFA confirmed SARS in only two cases (0.19%). Both confirmed cases were under 19 years of age and had no known SARS-related risk factors.</p></sec><sec><title>Conclusion</title><p>There was low post-epidemic seroprevalence of SARS-CoV in a community adjacent to a hospital which had a nosocomial SARS outbreak. 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uniqKey="Phil D">D Phil</name></author><author><name sortKey="Yuen, Ky" uniqKey="Yuen K">KY Yuen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Jw" uniqKey="Liu J">JW Liu</name></author><author><name sortKey="Lu, Sn" uniqKey="Lu S">SN Lu</name></author><author><name sortKey="Chen, Ss" uniqKey="Chen S">SS Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name></author><author><name sortKey="Ghani, Ac" uniqKey="Ghani A">AC Ghani</name></author><author><name sortKey="Leung, Gm" uniqKey="Leung G">GM Leung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Gwk" uniqKey="Wong G">GWK Wong</name></author><author><name sortKey="Hui, Dsc" uniqKey="Hui D">DSC Hui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Centers For Disease Control Sars Investigative Team" uniqKey="Centers For Disease 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Chung</name></author><author><name sortKey="Tsang, T" uniqKey="Tsang T">T Tsang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lerche, Nw" uniqKey="Lerche N">NW Lerche</name></author><author><name sortKey="Yee, Jl" uniqKey="Yee J">JL Yee</name></author><author><name sortKey="Jennings, Mb" uniqKey="Jennings M">MB Jennings</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Hs" uniqKey="Wu H">HS Wu</name></author><author><name sortKey="Chiu, Sc" uniqKey="Chiu S">SC Chiu</name></author><author><name sortKey="Tseng, Tc" uniqKey="Tseng T">TC Tseng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Wt" uniqKey="Chang W">WT Chang</name></author><author><name sortKey="Kao, Cl" uniqKey="Kao C">CL Kao</name></author><author><name sortKey="Chung, My" uniqKey="Chung M">MY Chung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yu, Wc" uniqKey="Yu W">WC 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Formos Med Assoc</journal-id><journal-id journal-id-type="iso-abbrev">J. Formos. Med. Assoc</journal-id><journal-title-group><journal-title>Journal of the Formosan Medical Association</journal-title></journal-title-group><issn pub-type="ppub">0929-6646</issn><issn pub-type="epub">0929-6646</issn><publisher><publisher-name>Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18971158</article-id><article-id pub-id-type="pmc">7134787</article-id><article-id pub-id-type="publisher-id">S0929-6646(08)60205-3</article-id><article-id pub-id-type="doi">10.1016/S0929-6646(08)60205-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Seroprevalence of SARS Coronavirus Among Residents Near a Hospital with a Nosocomial Outbreak</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Ming-Han</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Tzou-Yien</given-names></name><email>pidlin@adm.cgmh.org.tw</email><xref rid="aff3" ref-type="aff">c</xref><xref rid="aff4" ref-type="aff">d</xref><xref rid="cor1" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Chiu</surname><given-names>Cheng-Hsun</given-names></name><xref rid="aff3" ref-type="aff">c</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Pen-Yi</given-names></name><xref rid="aff3" ref-type="aff">c</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Yhu-Chering</given-names></name><xref rid="aff3" ref-type="aff">c</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Tsao</surname><given-names>Kuo-Chien</given-names></name><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Chung-Guei</given-names></name><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author"><name><surname>Hsu</surname><given-names>Kuang-Hung</given-names></name><xref rid="aff6" ref-type="aff">f</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Meng-Chih</given-names></name><xref rid="aff7" ref-type="aff">g</xref></contrib><contrib contrib-type="author"><name><surname>Hwang</surname><given-names>Kao-Pin</given-names></name><xref rid="aff4" ref-type="aff">d</xref><xref rid="aff8" ref-type="aff">h</xref></contrib><contrib contrib-type="author"><name><surname>Yang</surname><given-names>Kuender D.</given-names></name><xref rid="aff4" ref-type="aff">d</xref><xref rid="aff8" ref-type="aff">h</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Pediatrics, Chang Gung Memorial Hospital, Keelung, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff2"><label>b</label>Graduate Institute of Clinical Medical Sciences, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff3"><label>c</label>Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff4"><label>d</label>College of Medicine, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff5"><label>e</label>Department of Clinical Pathology, Chang Gung Memorial Hospital, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff6"><label>f</label>Laboratory for Epidemiology and Department of Health Care Management, Chang Gung University, Taoyuan, Kaohsiung, Taiwan</aff><aff id="aff7"><label>g</label>Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan</aff><aff id="aff8"><label>h</label>Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan</aff><author-notes><corresp id="cor1"><label>*</label><bold>Correspondence to:</bold> Dr Tzou-Yien Lin, Department of Pediatrics, Chang Gung Children's Hospital, 5 Fu-Hsin Street, Kwei-Shan, Taoyuan 333, Taiwan <email>pidlin@adm.cgmh.org.tw</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>3</day><month>12</month><year>2008</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>11</month><year>2008</year></pub-date><pub-date pub-type="epub"><day>3</day><month>12</month><year>2008</year></pub-date><volume>107</volume><issue>11</issue><fpage>885</fpage><lpage>891</lpage><history><date date-type="received"><day>4</day><month>1</month><year>2008</year></date><date date-type="rev-recd"><day>25</day><month>4</month><year>2008</year></date><date date-type="accepted"><day>27</day><month>5</month><year>2008</year></date></history><permissions><copyright-statement>Copyright © 2008 Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd.</copyright-statement><copyright-year>2008</copyright-year><copyright-holder>Formosan Medical Association & Elsevier</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>Background/Purpose</title><p>An epidemic of severe acute respiratory syndrome (SARS) occurred in Taiwan from April to July 2003. A nosocomial outbreak of SARS occurred at Kaohsiung Chang Gung Memorial Hospital (CGMH) in May 2003. The purpose of our study was to survey the prevalence of the SARS coronavirus (CoV) in a community adjacent to Kaohsiung CGMH and collect demographic data, including basic information about health status, household, and possible risk factors for SARS-CoV infection.</p></sec><sec><title>Methods</title><p>We randomly recruited 1030 persons living in three precincts adjacent to Kaohsiung CGMH. For all subjects, we collected demographic data and measured the seroprevalence of the SARS-CoV with an enzyme-linked immunosorbent assay (ELISA) and an immunofluorescence assay (IFA).</p></sec><sec><title>Results</title><p>The ELISA was seropositive for 124 of 1030 participants (12%). The more sensitive and specific IFA confirmed SARS in only two cases (0.19%). Both confirmed cases were under 19 years of age and had no known SARS-related risk factors.</p></sec><sec><title>Conclusion</title><p>There was low post-epidemic seroprevalence of SARS-CoV in a community adjacent to a hospital which had a nosocomial SARS outbreak. 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