Potential transmission of SARS-CoV-2 on a flight from Singapore to Hangzhou, China: an epidemiological investigation
Open accessAbstract
Background Between January 24, 2020 and February 15, 2020, an outbreak of COVID-19 occurred among 335 passengers on a flight from Singapore to Hangzhou in China. This study aimed to investigate the source of the outbreak and assess the risk of transmission of COVID-19 during the flight.Method Using a standardized questionnaire, we collected information on the travelers' demographic characteristics and illness before, during, and after the flight. We also collected data on factors potentially associated with COVID-19 transmission during the flight.Results A total of 16 COVID-19 patients were diagnosed among all passengers; the overall attack rate was 4.8%. The attack rate among passengers who had departed from Wuhan was significantly higher than that among those who had departed from other places. One passenger without an epidemiological history of exposure before boarding developed COVID-19. During the flight, he was seated near four infected passengers from Wuhan for approximately an hour and did not wear his facemask correctly during the flight.Conclusions COVID-19 transmission may have occurred during the flight. However, the majority of the cases in the flight-associated outbreak could not be attributed to transmission on the flight but were associated with exposure to the virus in Wuhan or to infected members in a single tour group.
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- Authors
- Chen, J., He, H., Cheng, W., Liu, Y., Sun, Z., Chai, C., Kong, Q., Sun, W., Zhang, J., Guo, S., Shi, X., Wang, J., Chen, E., & Chen, Z.
- Affiliations
- Hangzhou Center for Disease Control and Prevention (CN)
- Zhejiang Center for Disease Control and Prevention (CN)
- Corresponding author
- Chen, Junfang
- Chen, Enfu
- Chen, Zhiping
- ORCID
- Venue
- Travel Medicine and Infectious Disease
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 36
- Pages
- 101816
- ISSN
- 1477-8939 (ISSN-L)
- PMC
- PMC7336905
- OpenAlex
- W3040324996
- Cited by
- 66
- References
- 23
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 10 · 2022: 15 · 2021: 22 · 2020: 12
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Travel Medicine and Infectious Disease (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Science and Technology Department of Zhejiang Province
- Topics
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Travel-related health issues
- Keywords
- COVID-19 pandemic, SARS-CoV-2, airborne transmission, attack rate, masking, infection source, travel-associated infection
- MeSH terms
- Betacoronavirus, Travel-Related Illness, COVID-19, SARS-CoV-2, Adult, China, Disease Outbreaks, Female, Humans, Male, Masks, Middle Aged, Pneumonia, Viral, Singapore, Coronavirus Infections, Asymptomatic Infections, Pandemics, Air Travel
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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