Characteristics of within-household varicella transmission events associated with school outbreaks in Shanghai, China, 2009-2018.

Abstract:

:Transmission of varicella occurs frequently in schools and households. We investigated the characteristics of varicella cases derived from within-household transmission and the modes of varicella transmission between school and household settings in Shanghai, China, from 2009 to 2018. Within-household transmission occurred in 278 households, of which 134 transmission events were between children. Sixty-one household varicella transmission events may be attributed to isolation procedures for infected students during school outbreaks, and 7.6% of school outbreaks were caused by schoolchildren cases derived from within-household transmission. The frequency of 'school-household-school' transmission adds an additional layer of complexity to the control of school varicella outbreaks. Administration of varicella vaccine as post-exposure prophylaxis after exposure is considered to be an effective measure to control varicella spread within households and schools.

journal_name

Epidemiol Infect

authors

Chen YF,Zhou Q,Liu JY,Gong RJ,Mao SQ,Ye ZJ,Wu QS

doi

10.1017/S0950268820000448

subject

Has Abstract

pub_date

2020-02-14 00:00:00

pages

e127

eissn

0950-2688

issn

1469-4409

pii

S0950268820000448

journal_volume

148

pub_type

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