tetano
Editor, Senior Moderator
Epidemiol Health
. 2020 Jul 29;e2020056.
doi: 10.4178/epih.e2020056. Online ahead of print.
Outbreak investigation: transmission of COVID-19 starting from a spa facility in a local community in Korea
Taewon Han[SUP] 1 2 [/SUP]
Affiliations
Abstract
Objectives: In Korea, there have been 10,480 confirmed cases of coronavirus disease 2019 (COVID-19) as of April 11, 2020. We investigated the transmission of COVID-19 in a cluster of cases.
Methods: We analyzed the epidemiological characteristics of 10 confirmed COVID-19 patients in an outbreak that started at spa facility A in local community A in South Korea on March 28, 2020 and traced them through April 8, 2020. Epidemiological surveys and diagnostic tests were conducted for each contact, and the secondary attack rate was estimated.
Results: There were 3 male confirmed patients (30%) and 7 female confirmed patients (70%), and their mean age was 53.5 years (range, 2-73 years). Two patients (20%) were asymptomatic. The incubation period was between 3 and 12 days. Three confirmed patients were infected at women's spa facility A and 7 confirmed patients were second, third, and fourth generations of transmission. Seven confirmed patients contracted COVID-19 through presymptomatic contact. In total, 192 contacts were identified, with a secondary attack rate of 3.64%. Eighty-three contacts (43.2%) were aged 40-59 years, and the secondary attack rate was the highest (12.1%) in those aged ≥ 60 years. Most exposures (156; 81.3%) involved casual contact. The number of visitors using the women's spa facility was 58, including 3 confirmed patients, resulting in a secondary outbreak rate of 5.9%.
Conclusion: This study presents a cluster of cases occurring in a setting with high temperature and humidity. The second, third, and fourth generations were transmitted through presymptomatic contact.
Keywords: COVID-19, Presymptomatic transmission, Outbreak investigation, Spa facility, Secondary attack rate, Close contact.
. 2020 Jul 29;e2020056.
doi: 10.4178/epih.e2020056. Online ahead of print.
Outbreak investigation: transmission of COVID-19 starting from a spa facility in a local community in Korea
Taewon Han[SUP] 1 2 [/SUP]
Affiliations
- PMID: 32777883
- DOI: 10.4178/epih.e2020056
Abstract
Objectives: In Korea, there have been 10,480 confirmed cases of coronavirus disease 2019 (COVID-19) as of April 11, 2020. We investigated the transmission of COVID-19 in a cluster of cases.
Methods: We analyzed the epidemiological characteristics of 10 confirmed COVID-19 patients in an outbreak that started at spa facility A in local community A in South Korea on March 28, 2020 and traced them through April 8, 2020. Epidemiological surveys and diagnostic tests were conducted for each contact, and the secondary attack rate was estimated.
Results: There were 3 male confirmed patients (30%) and 7 female confirmed patients (70%), and their mean age was 53.5 years (range, 2-73 years). Two patients (20%) were asymptomatic. The incubation period was between 3 and 12 days. Three confirmed patients were infected at women's spa facility A and 7 confirmed patients were second, third, and fourth generations of transmission. Seven confirmed patients contracted COVID-19 through presymptomatic contact. In total, 192 contacts were identified, with a secondary attack rate of 3.64%. Eighty-three contacts (43.2%) were aged 40-59 years, and the secondary attack rate was the highest (12.1%) in those aged ≥ 60 years. Most exposures (156; 81.3%) involved casual contact. The number of visitors using the women's spa facility was 58, including 3 confirmed patients, resulting in a secondary outbreak rate of 5.9%.
Conclusion: This study presents a cluster of cases occurring in a setting with high temperature and humidity. The second, third, and fourth generations were transmitted through presymptomatic contact.
Keywords: COVID-19, Presymptomatic transmission, Outbreak investigation, Spa facility, Secondary attack rate, Close contact.