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2019-05-09Zeitschriftenartikel DOI: 10.25646/6255
Contact tracing following measles exposure on three international flights, Germany, 2017
dc.contributor.authorThole, Sebastian
dc.contributor.authorKalhoefer, Daniela
dc.contributor.authoran der Heiden, Maria
dc.contributor.authorNordmann, Doris
dc.contributor.authorDaniels-Haardt, Inka
dc.contributor.authorJurke, Annette
dc.date.accessioned2019-09-10T11:57:43Z
dc.date.available2019-09-10T11:57:43Z
dc.date.issued2019-05-09none
dc.identifier.other10.2807/1560-7917.ES.2019.24.19.1800500
dc.identifier.urihttp://edoc.rki.de/176904/6272
dc.description.abstractWhen a person with contagious measles has travelled by aircraft, European guidelines recommend contact tracing of passengers and crew within 5 days of exposure for post-exposure prophylaxis (PEP), and within 12 days of exposure for informing passengers and crew, in order to prevent further transmissions. To be effective, contact tracing requires prompt diagnosis, immediate notification of public health authorities and rapid availability of passenger contact data. We report two events of contact tracing initiated in Germany after two individuals with measles travelled on three international flights. In one event, contact tracing was initiated late because laboratory confirmation of a clinically diagnosed measles case was awaited unnecessarily. Accessing passenger contact data was difficult in both events because of data protection issues with the airline which was not based in Germany. In both events, passengers were not reached in time to provide PEP, and one event resulted in at least two secondary measles cases. As all passengers were reached before the incubation period ended, tertiary cases were most probably prevented. Public health authorities and the transport sector must collaborate to resolve competing legal regulations for infection prevention and data protection, to simplify and accelerate identification of air travellers exposed to communicable diseases.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectGermanyeng
dc.subjectMMReng
dc.subjectaircrafteng
dc.subjectcommunicable disease controleng
dc.subjectinfection controleng
dc.subjectmeasleseng
dc.subjectmeasles-mumps-rubella vaccineeng
dc.subjectpost-exposure prophylaxiseng
dc.subjectpublic health practiceeng
dc.subjectvaccines and immunisationeng
dc.subjectviral infectionseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleContact tracing following measles exposure on three international flights, Germany, 2017none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6272-2
dc.identifier.doihttp://dx.doi.org/10.25646/6255
dc.type.versionpublishedVersionnone
local.edoc.container-titleEurosurveillancenone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.19.1800500#abstract_contentnone
local.edoc.container-publisher-nameInstitut de Veille Sanitairenone
local.edoc.container-volume24none
local.edoc.container-issue19none
local.edoc.container-reportyear2017none
local.edoc.container-year2019none
local.edoc.container-firstpage1none
local.edoc.container-lastpage6none
local.edoc.rki-departmentInfektionsepidemiologienone
dc.description.versionPeer Reviewednone

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