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J Formos Med Assoc . Epidemiology of the first 100 cases of COVID-19 in Taiwan and its implications on outbreak control

tetano

Editor, Senior Moderator
J Formos Med Assoc


. 2020 Jul 13;S0929-6646(20)30326-0.
doi: 10.1016/j.jfma.2020.07.015. Online ahead of print.
Epidemiology of the first 100 cases of COVID-19 in Taiwan and its implications on outbreak control


Tsung-Pei Tsou[SUP] 1 [/SUP], Wan-Chin Chen[SUP] 1 [/SUP], Angela Song-En Huang[SUP] 1 [/SUP], Shan-Chwen Chang[SUP] 2 [/SUP], Taiwan COVID-19 Outbreak Investigation Team



Collaborators, Affiliations

Abstract

Purpose: To describe the epidemiology and outcome of the first 100 COVID-19 cases in Taiwan.
Methods: We included the first 100 patients with laboratory-confirmed SARS-CoV-2 infection in Taiwan. Demographic, clinical, epidemiological and laboratory data were extracted from outbreak investigation reports and medical records.
Results: Illness onset of the 100 patients was during January 11 to March 16, 2020. Twenty-nine (29%) had at least one underlying condition and ten (10%) were asymptomatic. Seventy-one were imported, including four clusters. Twenty-nine were locally-acquired, including four clusters. The median days from onset to report was longer in locally-acquired cases (10 vs 3 days). Three patients died (case fatality rate 3%) and all of them had underlying conditions. As of May 13, 2020, 93 had been discharged in stable condition; the median hospital stay was 30 days (range, 10-79 days).
Conclusion: The first 100 cases of COVID-19 in Taiwan showed the persistent threat of imported cases from different countries. Even though sporadic locally-acquired disease has been identified, through contact investigation, isolation, quarantine and implementation of social distancing measures, the epidemic is contained to a manageable level with minimal local transmission.

Keywords: COVID-19; Epidemiology; SARS-CoV-2; Taiwan.
 
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