Document Detail


Pandemic Influenza A(H1N1) Outbreak Among a Group of Medical Students Who Traveled to the Dominican Republic.
MedLine Citation:
PMID:  22221806     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background. From the beginning of the influenza pandemic until the time the outbreak described here was detected, 77,201 cases of pandemic influenza A(H1N1) with 332 deaths had been reported worldwide, mostly in the United States and Mexico. All of the cases reported in Spain until then had a recent history of travel to Mexico, the Dominican Republic, or Chile. We describe an outbreak of influenza among medical students who traveled from Spain to the Dominican Republic in June 2009. Methods. We collected diagnostic samples and clinical histories from consenting medical students who had traveled to the Dominican Republic and from their household contacts after their return to Spain. Results. Of 113 students on the trip, 62 (55%) developed symptoms; 39 (45%) of 86 students tested had laboratory evidence of influenza A(H1N1) infection. Most students developed symptoms either just before departure from the Dominican Republic or within days of returning to Spain. The estimated secondary attack rate of influenza-like illness among residential contacts of ill students after return to Spain was 2.1%. Conclusions. The attack rate of influenza A(H1N1) can vary widely depending on the circumstances of exposure. We report a high attack rate among a group of traveling medical students but a much lower secondary attack rate among their contacts after return from the trip. These findings may aid the development of recommendations to prevent influenza.
Authors:
Anna Vilella; Beatriz Serrano; Maria A Marcos; Anna Serradesanferm; Josep Mensa; Edward Hayes; Andres Anton; Jose Rios; Tomas Pumarola; Antoni Trilla
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-8
Journal Detail:
Title:  Journal of travel medicine     Volume:  19     ISSN:  1708-8305     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9434456     Medline TA:  J Travel Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  9-14     Citation Subset:  -    
Copyright Information:
© 2011 International Society of Travel Medicine.
Affiliation:
Preventive Medicine and Epidemiology Department, Hospital Clinic, Barcelona, Spain Public Health Department, University of Barcelona, Barcelona, Spain Barcelona Centre for International Health Research (CRESIB, Hospital Clinic-Universitat de Barcelona), Barcelona, Spain Departments of Microbiology Departments of Infectious Diseases, Hospital Clinic, Barcelona, Spain Clinical Pharmacology Service, IDIBAPS (Hospital Clinic), Barcelona, Spain.
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