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Published on: March 19, 2015
Reintroduction of influenza A to a nursing building
P J Drinka1, S Gravenstein, P Krause
1Wisconsin Veterans Home, King 54946-0620, USA.
Abstract:
We report an outbreak of influenza A from a four-building veterans' facility in King, Wisconsin. Influenza was isolated in 154 of 721 residents over a 121-day period. Building A had 2 cases, no isolates for 40 days, followed by 27 cases. Building B had 25 cases, no isolates for 75 days, followed by 4 cases. Building C had 23 cases, no isolates for 14 days, followed by 17 cases. Influenza A may be reintroduced to a nursing building. Surveillance with contingency plans for restarting of prophylaxis must continue for the duration of influenza in the community.
Insights
An influenza A outbreak occurred in a Wisconsin veterans' facility, infecting 154 residents over 121 days. Continuous surveillance and prophylaxis plans are crucial to manage potential reintroductions of the virus.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Influenza A outbreaks pose significant risks in congregate living settings.
- Veterans' facilities require specific public health surveillance strategies.
Purpose of the Study:
- To document and analyze an influenza A outbreak in a Wisconsin veterans' facility.
- To inform public health strategies for managing influenza in long-term care settings.
Main Methods:
- Retrospective analysis of influenza A cases over a 121-day period.
- Case data collection from a four-building veterans' facility.
- Isolation of influenza A virus from residents.
Main Results:
- 154 out of 721 residents were infected with influenza A.
- The outbreak spanned 121 days, with varying case numbers and isolate-free periods across buildings.
- Building A experienced a delayed surge in cases after an initial period with no isolates.
Conclusions:
- Influenza A can be reintroduced into nursing facilities, necessitating ongoing vigilance.
- Continuous surveillance and adaptable prophylaxis plans are essential during community-wide influenza activity.
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