A SARS-CoV-2 Outbreak Illustrating the Challenges in Limiting the Spread of the Virus — Hopi Tribe, May–June 2020
| Autor: | Mose Herne, Rachel M Burke, Duane Humeyestewa, Tracy M Billy, Jocelyn Hirschman, Graydon Yatabe, Oren Mayer, Harpriya Kaur, Mark Anderson, Ravikiran Bhairavabhotla, Kay Honanie, Royce Jenkins, S. Arunmozhi Balajee |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Hand washing Health (social science) Adolescent Epidemiology Health Toxicology and Mutagenesis Pneumonia Viral 01 natural sciences Disease Outbreaks Betacoronavirus Young Adult 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Health Information Management Health care medicine Humans Full Report 030212 general & internal medicine 0101 mathematics Child Pandemics Aged Clinical Laboratory Techniques SARS-CoV-2 business.industry Public health 010102 general mathematics Arizona COVID-19 Infant Outbreak Extended family General Medicine Emergency department Middle Aged Child Preschool Family medicine Community health Indians North American Female Contact Tracing Coronavirus Infections Laboratories business Contact tracing |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X 0149-2195 |
| DOI: | 10.15585/mmwr.mm6944a5 |
| Popis: | On June 3, 2020, a woman aged 73 years (patient A) with symptoms consistent with coronavirus disease 2019 (COVID-19) (1) was evaluated at the emergency department of the Hopi Health Care Center (HHCC, an Indian Health Services facility) and received a positive test result for SARS-CoV-2, the virus that causes COVID-19. The patient's symptoms commenced on May 27, and a sibling (patient B) of the patient experienced symptom onset the following day. On May 23, both patients had driven together and spent time in a retail store in Flagstaff, Arizona. Because of their similar exposures, symptom onset dates, and overlapping close contacts, these patients are referred to as co-index patients. The co-index patients had a total of 58 primary (i.e., direct) and secondary contacts (i.e., contacts of a primary contact); among these, 27 (47%) received positive SARS-CoV-2 test results. Four (15%) of the 27 contacts who became ill were household members of co-index patient B, 14 (52%) had attended family gatherings, one was a child who might have transmitted SARS-CoV-2 to six contacts, and eight (30%) were community members. Findings from the outbreak investigation prompted the HHCC and Hopi Tribe leadership to strengthen community education through community health representatives, public health nurses, and radio campaigns. In communities with similar extended family interaction, emphasizing safe ways to stay in touch, along with wearing a mask, frequent hand washing, and physical distancing might help limit the spread of disease. |
| Databáze: | OpenAIRE |
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