Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Begier, Elizabeth M. ; Asiki, Gershim ; Anywaine, Zaccheus ; Yockey, Brook ; Schriefer, Martin E. ; ... More +
Begier, Elizabeth M. ; Asiki, Gershim ; Anywaine, Zaccheus ; Yockey, Brook ; Schriefer, Martin E. ; Aleti, Philliam ; Ogen-Odoi, Asaph ; Staples, J. Erin ; Sexton, Christopher ; Bearden, Scott W. ; Kool, Jacob L. Less -
Description:
The public and clinicians have long-held beliefs that pneumonic plague is highly contagious; inappropriate alarm and panic have occurred during outbreaks. We investigated communicability in a naturally occurring pneumonic plague cluster. We defined a probable pneumonic plague case as an acute-onset respiratory illness with bloody sputum during December 2004 in Kango Subcounty, Uganda. A definite case was a probable case with laboratory evidence of Yersinia pestis infection. The cluster (1 definite and 3 probable cases) consisted of 2 concurrent index patient-caregiver pairs. Direct fluorescent antibody microscopy and polymerase chain reaction testing on the only surviving patient's sputum verified plague infection. Both index patients transmitted pneumonic plague to only 1 caregiver each, despite 23 additional untreated close contacts (attack rate 8%). Person-to-person transmission was compatible with transmission by respiratory droplets, rather than aerosols, and only a few close contacts, all within droplet range, became ill.
Subject:
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Adult
Contact Tracing
Disease Outbreaks
Female
Humans
Male
Population Surveillance
Research

Source:
Emerg Infect Dis. 12(3):460-467.
Document Type:
Journal Article
Place as Subject:
Uganda
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:9f9fa5323b2292c1224f23d9e8531c5d479284d78f2b0efbc1c471e60b656e79
File Type:

Supporting Files

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