Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Public health response to commercial airline travel of a person with Ebola virus infection – United States, 2014

Auteur     Joanna J. Regan
Auteur     Robynne Jungerman
Auteur     Sonia H. Montiel
Auteur     Kimberly Newsome
Auteur     Tina Objio
Auteur     Faith Washburn
Auteur     Efrosini Roland
Auteur     Emily Petersen
Auteur     Evelyn Twentyman
Auteur     Oluwatosin Olaiya
Auteur     Mary Naughton
Auteur     Francisco Alvarado-Ramy
Auteur     Susan A. Lippold
Auteur     Laura Tabony
Auteur     Carolyn L. McCarty
Auteur     Cara Bicking Kinsey
Auteur     Meghan Barnes
Auteur     Stephanie Black
Auteur     Ihsan Azzam
Auteur     Danielle Stanek
Auteur     John Sweitzer
Auteur     Anita Valiani
Auteur     Katrin S. Kohl
Auteur     Clive Brown
Auteur     Nicki Pesik
Auteur     Centers for Disease Control and Prevention (CDC)
Volume     64
Numéro     3
Pages     63-66
Publication     MMWR. Morbidity and mortality weekly report
ISSN     1545-861X
Date     Jan 30, 2015
Résumé     Before the current Ebola epidemic in West Africa, there were few documented cases of symptomatic Ebola patients traveling by commercial airline, and no evidence of transmission to passengers or crew members during airline travel. In July 2014 two persons with confirmed Ebola virus infection who were infected early in the Nigeria outbreak traveled by commercial airline while symptomatic, involving a total of four flights (two international flights and two Nigeria domestic flights). It is not clear what symptoms either of these two passengers experienced during flight; however, one collapsed in the airport shortly after landing, and the other was documented to have fever, vomiting, and diarrhea on the day the flight arrived. Neither infected passenger transmitted Ebola to other passengers or crew on these flights. In October 2014, another airline passenger, a U.S. health care worker who had traveled domestically on two commercial flights, was confirmed to have Ebola virus infection. Given that the time of onset of symptoms was uncertain, an Ebola airline contact investigation in the United States was conducted. In total, follow-up was conducted for 268 contacts in nine states, including all 247 passengers from both flights, 12 flight crew members, eight cleaning crew members, and one federal airport worker (81 of these contacts were documented in a report published previously). All contacts were accounted for by state and local jurisdictions and followed until completion of their 21-day incubation periods. No secondary cases of Ebola were identified in this investigation, confirming that transmission of Ebola during commercial air travel did not occur.

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