Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia

To examine intrahousehold secondary transmission of pandemic (H1N1) 2009 virus in households in Victoria, Australia, we conducted a retrospective cross-sectional study in late 2009. We randomly selected case-patients reported during May–June 2009 and their household contacts. Information collected i...

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Main Authors: Caroline van Gemert, Margaret Hellard, Emma S. McBryde, James Fielding, Tim Spelman, Nasra Higgins, Rosemary Lester, Hassan Vally, Isabel Bergeri
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2011-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/17/9/10-1948_article
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author Caroline van Gemert
Margaret Hellard
Emma S. McBryde
James Fielding
Tim Spelman
Nasra Higgins
Rosemary Lester
Hassan Vally
Isabel Bergeri
author_facet Caroline van Gemert
Margaret Hellard
Emma S. McBryde
James Fielding
Tim Spelman
Nasra Higgins
Rosemary Lester
Hassan Vally
Isabel Bergeri
author_sort Caroline van Gemert
collection DOAJ
description To examine intrahousehold secondary transmission of pandemic (H1N1) 2009 virus in households in Victoria, Australia, we conducted a retrospective cross-sectional study in late 2009. We randomly selected case-patients reported during May–June 2009 and their household contacts. Information collected included household characteristics, use of prevention and control measures, and signs and symptoms. Secondary cases were defined as influenza-like illness in household contacts within the specified period. Secondary transmission was identified for 18 of 122 susceptible household contacts. To identify independent predictors of secondary transmission, we developed a model. Risk factors were concurrent quarantine with the household index case-patient, and a protective factor was antiviral prophylaxis. These findings show that timely provision of antiviral prophylaxis to household contacts, particularly when household members are concurrently quarantined during implementation of pandemic management strategies, delays or contains community transmission of pandemic (H1N1) 2009 virus.
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spelling doaj.art-83e59147a1d44801b692dd7602d332782022-12-21T18:43:22ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592011-09-011791599160710.3201/eid1709.101948Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, AustraliaCaroline van GemertMargaret HellardEmma S. McBrydeJames FieldingTim SpelmanNasra HigginsRosemary LesterHassan VallyIsabel BergeriTo examine intrahousehold secondary transmission of pandemic (H1N1) 2009 virus in households in Victoria, Australia, we conducted a retrospective cross-sectional study in late 2009. We randomly selected case-patients reported during May–June 2009 and their household contacts. Information collected included household characteristics, use of prevention and control measures, and signs and symptoms. Secondary cases were defined as influenza-like illness in household contacts within the specified period. Secondary transmission was identified for 18 of 122 susceptible household contacts. To identify independent predictors of secondary transmission, we developed a model. Risk factors were concurrent quarantine with the household index case-patient, and a protective factor was antiviral prophylaxis. These findings show that timely provision of antiviral prophylaxis to household contacts, particularly when household members are concurrently quarantined during implementation of pandemic management strategies, delays or contains community transmission of pandemic (H1N1) 2009 virus.https://wwwnc.cdc.gov/eid/article/17/9/10-1948_articlecross-sectional studypandemic (H1N1) 2009family characteristicssecondary transmissionquarantineantiviral prophylaxis
spellingShingle Caroline van Gemert
Margaret Hellard
Emma S. McBryde
James Fielding
Tim Spelman
Nasra Higgins
Rosemary Lester
Hassan Vally
Isabel Bergeri
Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
Emerging Infectious Diseases
cross-sectional study
pandemic (H1N1) 2009
family characteristics
secondary transmission
quarantine
antiviral prophylaxis
title Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
title_full Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
title_fullStr Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
title_full_unstemmed Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
title_short Intrahousehold Transmission of Pandemic (H1N1) 2009 Virus, Victoria, Australia
title_sort intrahousehold transmission of pandemic h1n1 2009 virus victoria australia
topic cross-sectional study
pandemic (H1N1) 2009
family characteristics
secondary transmission
quarantine
antiviral prophylaxis
url https://wwwnc.cdc.gov/eid/article/17/9/10-1948_article
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