An Infection Control Program for a 2009 Influenza A H1N1 Outbreak in a University-Based Summer Camp

作者：Tsalik Ephraim L^*; Cunningham Coleen K; Cunningham Hannah M; Lopez Marti Maria G; Sangvai Devdutta G; Purdy William K; Anderson Deverick J; Thompson Jessica R; Brown Monte; Woods Christopher W; Jaggers L Brett; Hendershot Edward F

来源：Journal of American College Health, 2011, 59(5): 419-426.

DOI：10.1080/07448481.2010.534215

• influenza
• infection control
• adolescent medicine
• disease outbreaks
• epidemiology

Objectives: Describe two 2009-H1N1 influenza outbreaks in university-based summer camps and the implementation of an infection control program. Participants: 7,906 campers across 73 residential camps from May 21-August 2, 2009. Methods: Influenza-like-illness (ILI) was defined as fever with cough and/or sore throat. Influenza A was identified using PCR or rapid-antigen testing. We implemented an infection control program consisting of education, hand hygiene, disinfection, symptom screening, and ILI case management. Results: An initial ILI cluster involved 60 cases across 3 camps from June 17-July 2. Academic Camp-1 had the most cases (n = 45, 14.9% attack rate); influenza A was identified in 84% of those tested. Despite implementation of an infection control program, a second ILI cluster began on July 12 in Academic Camp-2 (n = 47, 15.0% attack rate). Conclusions: ILI can spread rapidly in a university-based residential camp. Infection control is an important aspect of the medical response but is challenging to implement.

• 出版日期2011