Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5627
pubmed:dateCreated
2003-6-20
pubmed:abstractText
We present an analysis of the first 10 weeks of the severe acute respiratory syndrome (SARS) epidemic in Hong Kong. The epidemic to date has been characterized by two large clusters-initiated by two separate "super-spread" events (SSEs)-and by ongoing community transmission. By fitting a stochastic model to data on 1512 cases, including these clusters, we show that the etiological agent of SARS is moderately transmissible. Excluding SSEs, we estimate that 2.7 secondary infections were generated per case on average at the start of the epidemic, with a substantial contribution from hospital transmission. Transmission rates fell during the epidemic, primarily as a result of reductions in population contact rates and improved hospital infection control, but also because of more rapid hospital attendance by symptomatic individuals. As a result, the epidemic is now in decline, although continued vigilance is necessary for this to be maintained. Restrictions on longer range population movement are shown to be a potentially useful additional control measure in some contexts. We estimate that most currently infected persons are now hospitalized, which highlights the importance of control of nosocomial transmission.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1095-9203
pubmed:author
pubmed:issnType
Electronic
pubmed:day
20
pubmed:volume
300
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1961-6
pubmed:dateRevised
2007-3-19
pubmed:meshHeading
pubmed-meshheading:12766206-Cluster Analysis, pubmed-meshheading:12766206-Contact Tracing, pubmed-meshheading:12766206-Cross Infection, pubmed-meshheading:12766206-Disease Outbreaks, pubmed-meshheading:12766206-Epidemiologic Methods, pubmed-meshheading:12766206-Hong Kong, pubmed-meshheading:12766206-Hospitalization, pubmed-meshheading:12766206-Humans, pubmed-meshheading:12766206-Infection Control, pubmed-meshheading:12766206-Mathematics, pubmed-meshheading:12766206-Models, Statistical, pubmed-meshheading:12766206-Patient Isolation, pubmed-meshheading:12766206-Probability, pubmed-meshheading:12766206-Public Health Practice, pubmed-meshheading:12766206-Quarantine, pubmed-meshheading:12766206-SARS Virus, pubmed-meshheading:12766206-Severe Acute Respiratory Syndrome, pubmed-meshheading:12766206-Stochastic Processes, pubmed-meshheading:12766206-World Health
pubmed:year
2003
pubmed:articleTitle
Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions.
pubmed:affiliation
Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, Exhibition Road, London SW7 2AZ, UK. s.riley@imperial.ac.uk
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't