The SARS outbreak in a general hospital in Tianjin, China – the case of super-spreader
Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a high case-fatality rate and devastating socio-economic impact. In this report we summarized the results from an epidemiological investigation of a SARS outbreak in a hospital in Tianjin, between April and May 2003....
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| Veröffentlicht in: | Epidemiology and infection 2006-08, Vol.134 (4), p.786-791 |
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| creator | WANG, SH. X. LI, Y. M. SUN, B. C. ZHANG, S. W. ZHAO, W. H. WEI, M. T. CHEN, K. X. ZHAO, X. L. ZHANG, Z. L. KRAHN, M. CHEUNG, A. C. WANG, P. P. |
| description | Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a high case-fatality rate and devastating socio-economic impact. In this report we summarized the results from an epidemiological investigation of a SARS outbreak in a hospital in Tianjin, between April and May 2003. We collected epidemiological and clinical data on 111 suspect and probable cases of SARS associated with the outbreak. Transmission chain and outbreak clusters were investigated. The outbreak was single sourced and had eight clusters. All SARS cases in the hospital were traced to a single patient who directly infected 33 people. The patients ranged from 16 to 82 years of age (mean age 38·5 years); 38·7% were men. The overall case fatality in the SARS outbreak was 11·7% (13/111). The outbreak lasted around 4 weeks after the index case was identified. SARS is a highly contagious condition associated with substantial case fatality; an outbreak can result from one patient in a relatively short period. However, stringent public health measures seemed to be effective in breaking the disease transmission chain. |
| doi_str_mv | 10.1017/S095026880500556X |
| format | Article |
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X. ; LI, Y. M. ; SUN, B. C. ; ZHANG, S. W. ; ZHAO, W. H. ; WEI, M. T. ; CHEN, K. X. ; ZHAO, X. L. ; ZHANG, Z. L. ; KRAHN, M. ; CHEUNG, A. C. ; WANG, P. P.</creator><creatorcontrib>WANG, SH. X. ; LI, Y. M. ; SUN, B. C. ; ZHANG, S. W. ; ZHAO, W. H. ; WEI, M. T. ; CHEN, K. X. ; ZHAO, X. L. ; ZHANG, Z. L. ; KRAHN, M. ; CHEUNG, A. C. ; WANG, P. P.</creatorcontrib><description>Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a high case-fatality rate and devastating socio-economic impact. In this report we summarized the results from an epidemiological investigation of a SARS outbreak in a hospital in Tianjin, between April and May 2003. We collected epidemiological and clinical data on 111 suspect and probable cases of SARS associated with the outbreak. Transmission chain and outbreak clusters were investigated. The outbreak was single sourced and had eight clusters. All SARS cases in the hospital were traced to a single patient who directly infected 33 people. The patients ranged from 16 to 82 years of age (mean age 38·5 years); 38·7% were men. The overall case fatality in the SARS outbreak was 11·7% (13/111). The outbreak lasted around 4 weeks after the index case was identified. SARS is a highly contagious condition associated with substantial case fatality; an outbreak can result from one patient in a relatively short period. However, stringent public health measures seemed to be effective in breaking the disease transmission chain.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S095026880500556X</identifier><identifier>PMID: 16371174</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiology ; China - epidemiology ; Cities ; Communicable Diseases, Emerging - epidemiology ; Communicable Diseases, Emerging - transmission ; Communicable Diseases, Emerging - virology ; Contact Tracing ; Cross Infection - epidemiology ; Cross Infection - transmission ; Cross Infection - virology ; Disease control ; Disease Outbreaks ; Disease transmission ; Economic impact ; Epidemics ; Epidemiology ; Fatalities ; Female ; Hospital administration ; Hospitals ; Hospitals, General ; Humans ; Infections ; Infectious diseases ; Male ; Middle Aged ; Patients ; SARS ; SARS coronavirus ; Severe acute respiratory syndrome ; Severe Acute Respiratory Syndrome - epidemiology ; Severe Acute Respiratory Syndrome - transmission</subject><ispartof>Epidemiology and infection, 2006-08, Vol.134 (4), p.786-791</ispartof><rights>2005 Cambridge University Press</rights><rights>Copyright 2006 Cambridge University Press</rights><rights>Cambridge University Press 2005 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-8a26d15ddd44d8188745337a62e2a55a8d91f226ac0155c9335d0cf1b477d7ec3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3865967$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3865967$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16371174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WANG, SH. X.</creatorcontrib><creatorcontrib>LI, Y. M.</creatorcontrib><creatorcontrib>SUN, B. C.</creatorcontrib><creatorcontrib>ZHANG, S. W.</creatorcontrib><creatorcontrib>ZHAO, W. H.</creatorcontrib><creatorcontrib>WEI, M. T.</creatorcontrib><creatorcontrib>CHEN, K. X.</creatorcontrib><creatorcontrib>ZHAO, X. L.</creatorcontrib><creatorcontrib>ZHANG, Z. L.</creatorcontrib><creatorcontrib>KRAHN, M.</creatorcontrib><creatorcontrib>CHEUNG, A. C.</creatorcontrib><creatorcontrib>WANG, P. P.</creatorcontrib><title>The SARS outbreak in a general hospital in Tianjin, China – the case of super-spreader</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a high case-fatality rate and devastating socio-economic impact. In this report we summarized the results from an epidemiological investigation of a SARS outbreak in a hospital in Tianjin, between April and May 2003. We collected epidemiological and clinical data on 111 suspect and probable cases of SARS associated with the outbreak. Transmission chain and outbreak clusters were investigated. The outbreak was single sourced and had eight clusters. All SARS cases in the hospital were traced to a single patient who directly infected 33 people. The patients ranged from 16 to 82 years of age (mean age 38·5 years); 38·7% were men. The overall case fatality in the SARS outbreak was 11·7% (13/111). The outbreak lasted around 4 weeks after the index case was identified. SARS is a highly contagious condition associated with substantial case fatality; an outbreak can result from one patient in a relatively short period. However, stringent public health measures seemed to be effective in breaking the disease transmission chain.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiology</subject><subject>China - epidemiology</subject><subject>Cities</subject><subject>Communicable Diseases, Emerging - epidemiology</subject><subject>Communicable Diseases, Emerging - transmission</subject><subject>Communicable Diseases, Emerging - virology</subject><subject>Contact Tracing</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - transmission</subject><subject>Cross Infection - virology</subject><subject>Disease control</subject><subject>Disease Outbreaks</subject><subject>Disease transmission</subject><subject>Economic impact</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Female</subject><subject>Hospital administration</subject><subject>Hospitals</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>SARS</subject><subject>SARS coronavirus</subject><subject>Severe acute respiratory syndrome</subject><subject>Severe Acute Respiratory Syndrome - epidemiology</subject><subject>Severe Acute Respiratory Syndrome - transmission</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkd-KEzEUxoMobq0-gCASvPDK0SSTvzfCWnQVC6Kt0LuQTjJtum0yJjPLeuc7-IY-iSktXf8gXuWQ33c-vnMOAA8xeo4RFi9mSDFEuJSIIcQYX9wCI0y5qihF6jYY7XG152fgXs4bhJAiUtwFZ5jXAmNBR2AxXzs4O_80g3Hol8mZS-gDNHDlgktmC9cxd74vRfmdexM2PjyDk7UPBv749h32pbsx2cHYwjx0LlW5KybWpfvgTmu22T04vmPw-c3r-eRtNf1w8W5yPq0axmRfSUO4xcxaS6mVWEpBWV0Lw4kjhjEjrcItIdw0CDPWqLpmFjUtXlIhrHBNPQYvD77dsNw527jQl9y6S35n0lcdjde_k-DXehWvdNkEogwVg6dHgxS_DC73eudz47ZbE1wcsuaSSYI4_68QK8opLunH4Mkfwk0cUihb0AQxKiRRqojwQdSkmHNy7SkyRnp_Xf3XdUvP419nvek4nrMIHh0Em9zHdOK15ExxUXB1wD737vqETbrUhQqm-cVH_X6CuJouZvpV0dfHjGa3TN6u3M0k_075E2kUxxQ</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>WANG, SH. 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X.</au><au>LI, Y. M.</au><au>SUN, B. C.</au><au>ZHANG, S. W.</au><au>ZHAO, W. H.</au><au>WEI, M. T.</au><au>CHEN, K. X.</au><au>ZHAO, X. L.</au><au>ZHANG, Z. L.</au><au>KRAHN, M.</au><au>CHEUNG, A. C.</au><au>WANG, P. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The SARS outbreak in a general hospital in Tianjin, China – the case of super-spreader</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>134</volume><issue>4</issue><spage>786</spage><epage>791</epage><pages>786-791</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>Severe acute respiratory syndrome (SARS) is a newly emerged infectious disease with a high case-fatality rate and devastating socio-economic impact. In this report we summarized the results from an epidemiological investigation of a SARS outbreak in a hospital in Tianjin, between April and May 2003. We collected epidemiological and clinical data on 111 suspect and probable cases of SARS associated with the outbreak. Transmission chain and outbreak clusters were investigated. The outbreak was single sourced and had eight clusters. All SARS cases in the hospital were traced to a single patient who directly infected 33 people. The patients ranged from 16 to 82 years of age (mean age 38·5 years); 38·7% were men. The overall case fatality in the SARS outbreak was 11·7% (13/111). The outbreak lasted around 4 weeks after the index case was identified. SARS is a highly contagious condition associated with substantial case fatality; an outbreak can result from one patient in a relatively short period. However, stringent public health measures seemed to be effective in breaking the disease transmission chain.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>16371174</pmid><doi>10.1017/S095026880500556X</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2006-08, Vol.134 (4), p.786-791 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Cardiology China - epidemiology Cities Communicable Diseases, Emerging - epidemiology Communicable Diseases, Emerging - transmission Communicable Diseases, Emerging - virology Contact Tracing Cross Infection - epidemiology Cross Infection - transmission Cross Infection - virology Disease control Disease Outbreaks Disease transmission Economic impact Epidemics Epidemiology Fatalities Female Hospital administration Hospitals Hospitals, General Humans Infections Infectious diseases Male Middle Aged Patients SARS SARS coronavirus Severe acute respiratory syndrome Severe Acute Respiratory Syndrome - epidemiology Severe Acute Respiratory Syndrome - transmission |
| title | The SARS outbreak in a general hospital in Tianjin, China – the case of super-spreader |
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