An approach to estimate the number of SARS cases imported by international air travel

The worldwide spread of severe acute respiratory syndrome (SARS) raised questions about the risk of importation of such infection, in particular by air travel. Entry screening was implemented in some countries although poor evidence on its effectiveness is reported. We developed a model to estimate...

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Veröffentlicht in:Epidemiology and infection 2009-07, Vol.137 (7), p.1019-1031
Hauptverfasser: GOUBAR, A., BITAR, D., CAO, W. C., FENG, D., FANG, L. Q., DESENCLOS, J. C.
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container_end_page 1031
container_issue 7
container_start_page 1019
container_title Epidemiology and infection
container_volume 137
creator GOUBAR, A.
BITAR, D.
CAO, W. C.
FENG, D.
FANG, L. Q.
DESENCLOS, J. C.
description The worldwide spread of severe acute respiratory syndrome (SARS) raised questions about the risk of importation of such infection, in particular by air travel. Entry screening was implemented in some countries although poor evidence on its effectiveness is reported. We developed a model to estimate the number of imported SARS cases between regions, using the 2003 SARS epidemic data to apply this model for two scenarios: from Beijing to Frankfurt and from Hong Kong to London. We back-calculated the data to estimate individuals’ time of infection and built a model where every individual has a probability of being isolated, of traveling, and of being undetected at arrival. The findings, consistent with what was observed in 2003, suggest that entry screening does not affect the predicted number of imported cases. Inversely, importation depends on the transmission dynamic in the country of origin (including control measures in place) and on the intensity of air travel between regions.
doi_str_mv 10.1017/S0950268808001635
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subjects Air travel
Aircraft
Biological and medical sciences
Biological Products
Communicable Disease Control - methods
Disease models
Disease Outbreaks
Entry screening
Epidemics
Fundamental and applied biological sciences. Psychology
Hong Kong - epidemiology
Humans
importation
Infections
Infectious diseases
Influenza
Influenza, Legionnaires' Disease and Respiratory Infections
international travel
London - epidemiology
Mass Screening
Microbiology
Models, Biological
Monte Carlo Method
Monte Carlo simulation
SARS
SARS coronavirus
Severe acute respiratory syndrome
Severe Acute Respiratory Syndrome - epidemiology
Symptoms
Time Factors
Travel
Vehicular flight
title An approach to estimate the number of SARS cases imported by international air travel
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