Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003

We analyzed the effectiveness of personal protective equipment and oseltamivir use during the 2003 avian influenza A (H7N7) epidemic in the Netherlands by linking databases containing information about farm visits, human infections, and use of oseltamivir and personal protective equipment. Using a s...

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Main Authors: Dennis E. te Beest, Michiel van Boven, Marian E.H. Bos, Arjan Stegeman, Marion P.G. Koopmans
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2010-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/16/10/09-1412_article
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author Dennis E. te Beest
Michiel van Boven
Marian E.H. Bos
Arjan Stegeman
Marion P.G. Koopmans
author_facet Dennis E. te Beest
Michiel van Boven
Marian E.H. Bos
Arjan Stegeman
Marion P.G. Koopmans
author_sort Dennis E. te Beest
collection DOAJ
description We analyzed the effectiveness of personal protective equipment and oseltamivir use during the 2003 avian influenza A (H7N7) epidemic in the Netherlands by linking databases containing information about farm visits, human infections, and use of oseltamivir and personal protective equipment. Using a stringent case definition, based on self-reported conjunctivitis combined with a positive hemagglutination-inhibition assay, we found that prophylactic treatment with oseltamivir significantly reduced the risk for infection per farm visit from 0.145 (95% confidence interval [CI] 0.078–0.233) to 0.031 (95% CI 0.008–0.073). The protective effect was ≈79% (95% CI 40%–97%). These results are comparable with the reported effect of prophylactic treatment with oseltamivir on human seasonal influenza. No significant protective effect was found for use of respirators or safety glasses, possibly because of limitations of the data.
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spelling doaj.art-c4c54bbecfae40a5a2f64055275804e42022-12-22T00:09:43ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-10-0116101562156810.3201/eid1610.091412Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003Dennis E. te BeestMichiel van BovenMarian E.H. BosArjan StegemanMarion P.G. KoopmansWe analyzed the effectiveness of personal protective equipment and oseltamivir use during the 2003 avian influenza A (H7N7) epidemic in the Netherlands by linking databases containing information about farm visits, human infections, and use of oseltamivir and personal protective equipment. Using a stringent case definition, based on self-reported conjunctivitis combined with a positive hemagglutination-inhibition assay, we found that prophylactic treatment with oseltamivir significantly reduced the risk for infection per farm visit from 0.145 (95% confidence interval [CI] 0.078–0.233) to 0.031 (95% CI 0.008–0.073). The protective effect was ≈79% (95% CI 40%–97%). These results are comparable with the reported effect of prophylactic treatment with oseltamivir on human seasonal influenza. No significant protective effect was found for use of respirators or safety glasses, possibly because of limitations of the data.https://wwwnc.cdc.gov/eid/article/16/10/09-1412_articleAvian influenzazoonosespoultryhuman infectionpersonal protective measuresantiviral
spellingShingle Dennis E. te Beest
Michiel van Boven
Marian E.H. Bos
Arjan Stegeman
Marion P.G. Koopmans
Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
Emerging Infectious Diseases
Avian influenza
zoonoses
poultry
human infection
personal protective measures
antiviral
title Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
title_full Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
title_fullStr Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
title_full_unstemmed Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
title_short Effectiveness of Personal Protective Equipment and Oseltamivir Prophylaxis during Avian Influenza A (H7N7) Epidemic, the Netherlands, 2003
title_sort effectiveness of personal protective equipment and oseltamivir prophylaxis during avian influenza a h7n7 epidemic the netherlands 2003
topic Avian influenza
zoonoses
poultry
human infection
personal protective measures
antiviral
url https://wwwnc.cdc.gov/eid/article/16/10/09-1412_article
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