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2020-10-13Zeitschriftenartikel
Mass gathering events and undetected transmission of SARS-CoV-2 in vulnerable populations leading to an outbreak with high case fatality ratio in the district of Tirschenreuth, Germany
dc.contributor.authorBrandl, Michael
dc.contributor.authorSelb, Regina
dc.contributor.authorSeidl-Pillmeier, Susanne
dc.contributor.authorMarosevic, Durdica
dc.contributor.authorBuchholz, Udo
dc.contributor.authorRehmet, Sybille
dc.date.accessioned2024-02-23T14:35:52Z
dc.date.available2024-02-23T14:35:52Z
dc.date.issued2020-10-13none
dc.identifier.other10.1017/S0950268820002460
dc.identifier.urihttp://edoc.rki.de/176904/11514
dc.description.abstractIn early March 2020, a COVID-19-outbreak occurred in the district of Tirschenreuth, Germany. The outbreak was characterised by a rapid increase in case numbers and a comparatively high crude case fatality ratio (CFR; 11%). Until the beginning of May 2020, 1122 cases were reported in the district. To investigate the outbreak, we analysed surveillance and other data available at the district health department, including data on cases living in care facilities and public health measures applied. Furthermore, we compared the number of tests performed in Tirschenreuth and in Germany as a whole. We interviewed the first 110 cases in order to investigate potential exposures at the beginning of the outbreak. We found that returning ski-travellers from Austria and Italy and early undetected community transmission likely initiated the outbreak which was then accelerated by Bavarian beer festivities. Testing of mainly acute cases in the district of Tirschenreuth resulted in a higher rate of positive tests compared to the whole of Germany. Despite adjustment for age, the CFR continued to exceed the German mean which was due to spread to vulnerable populations. Strict public health measures likely contributed to control the outbreak by mid-April 2020.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY-NC-ND 3.0 DE) Namensnennung - Nicht-kommerziell - Keine Bearbeitung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/de/
dc.subjectCOVID-19eng
dc.subjectSARS-CoV-2eng
dc.subjectOutbreakseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleMass gathering events and undetected transmission of SARS-CoV-2 in vulnerable populations leading to an outbreak with high case fatality ratio in the district of Tirschenreuth, Germanynone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11514-5
dc.type.versionpublishedVersionnone
local.edoc.container-titleEpidemiology and Infectionnone
local.edoc.container-issn1469-4409none
local.edoc.pages6none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.cambridge.org/core/journals/epidemiology-and-infectionnone
local.edoc.container-publisher-nameCambridge University Pressnone
local.edoc.container-volume148none
local.edoc.container-issuee252none
local.edoc.container-reportyear2020none
local.edoc.container-firstpage1none
local.edoc.container-lastpage6none

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