Influenza A(H1N1)pdm09 during air travel

被引:27
作者
Neatherlin, John [1 ]
Cramer, Elaine H. [1 ,2 ]
Dubray, Christine [1 ]
Marienau, Karen J. [1 ]
Russell, Michelle [1 ]
Sun, Hong [1 ]
Whaley, Melissa [1 ]
Hancock, Kathy [1 ]
Duong, Krista K. [1 ]
Kirking, Hannah L. [1 ,3 ]
Schembri, Christopher [1 ,2 ]
Katz, Jacqueline M. [1 ]
Cohen, Nicole J. [1 ]
Fishbein, Daniel B. [1 ]
机构
[1] US Ctr Dis Control & Prevent, Atlanta, GA 30333 USA
[2] SRA Int, Global Hlth Sector, Atlanta, GA 30329 USA
[3] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53792 USA
关键词
H1N1; Influenza A; Air travel; Transmission risk; Aircraft; Pandemic; A H1N1 VIRUS; NEW-YORK-CITY; HOUSEHOLD TRANSMISSION; OUTBREAK; INFECTION;
D O I
10.1016/j.tmaid.2013.02.004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The global spread of the influenza A(H1N1)pdm09 virus (pH1N1) associated with travelers from North America during the onset of the 2009 pandemic demonstrates the central role of international air travel in virus migration. To characterize risk factors for pH1N1 transmission during air travel, we investigated travelers and airline employees from four North American flights carrying ill travelers with confirmed pH1N1 infection. Of 392 passengers and crew identified, information was available for 290 (74%) passengers were interviewed. Overall attack rates for acute respiratory infection and influenza-like illness 1-7 days after travel were 5.2% and 2.4% respectively. Of 43 individuals that provided sera, 4 (9.3%) tested positive for pH1N1 antibodies, including 3 with serologic evidence of asymptomatic infection. Investigation of novel influenza aboard aircraft may be instructive. However, beyond the initial outbreak phase, it may compete with community-based mitigation activities, and interpretation of findings will be difficult in the context of established community transmission. Published by Elsevier Ltd.
引用
收藏
页码:110 / 118
页数:9
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