Outbreak of Norovirus Illness Among Wildfire Evacuation Shelter Populations - Butte and Glenn Counties, California, November 2018
Outbreak of Norovirus Illness Among Wildfire Evacuation Shelter Populations - Butte and Glenn Counties, California, November 2018
复制标题
DOI：
10.15585/mmwr.mm6920a1
复制
发表时间：
2020-05-22
影响因子：
33.9
通讯作者：
Lewis, Linda
中科院分区：
文献类型：
--
作者：
Karmarkar, Ellora;Jain, Seema;Lewis, Linda
关于这个话题我们已经知道了什么？诺如病毒感染是美国急性胃肠炎 (AGE) 的主要原因，具有高度传染性，并且对多种消毒剂具有耐药性。由于频繁的密切个人接触以及感染预防和控制 (IPC) 方面的挑战，疫情在灾难疏散避难所中很常见。本报告补充了哪些内容？在加利福尼亚州，2018 年 11 月 8 日至 30 日期间，在 Camp Fire 疏散避难所的约 1,100 名疏散人员中，总共发现了 292 名 AGE 患者； 17 名患者标本中有 16 名诺如病毒基因型 GII 呈阳性。4 Sydney [P16]。避难所评估揭示了疾病监测和 IPC 方面的缺陷，这促使公共卫生干预。这对公共卫生实践有何影响？在大规模自然灾害期间，在公共卫生资源的直接获取有限的情况下，在避难所启动时优先考虑有效的疾病监测和 IPC 可以改善 AGE 疫情的识别和控制。
What is already known about this topic?Norovirus infection, the leading cause of acute gastroenteritis (AGE) in the United States, is highly contagious and resistant to several disinfectants. Outbreaks are common in disaster evacuation shelters, given frequent close personal contact and challenges with infection prevention and control (IPC).What is added by this report?In California, during November 8-30, 2018, a total of 292 patients with AGE were identified among approximately 1,100 evacuees in Camp Fire evacuation shelters; 16 of 17 patient specimens were positive for norovirus genotype GII.4 Sydney [P16]. Shelter assessment revealed deficiencies in illness surveillance and IPC, which prompted public health intervention.What are the implications for public health practice?During a large-scale natural disaster, in a setting where immediate access to public health resources is limited, prioritizing effective illness surveillance and IPC at shelter initiation could improve AGE outbreak identification and control.