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Cluster of SARS among Medical Students Exposed to Single Patient, Hong Kong
Open accessAbstract
We studied transmission patterns of severe acute respiratory syndrome (SARS) among medical students exposed exclusively to the first SARS patient in the Prince of Wales Hospital in Hong Kong, before his illness was recognized. We conducted a retrospective cohort study of 66 medical students who visited the index patient's ward, including 16 students with SARS and 50 healthy students. The risk of contracting SARS was sevenfold greater among students who definitely visited the index case's cubicle than in those who did not (10/27 [41%] versus 1/20 [5%], relative risk 7.4; 95% confidence interval 1.0 to 53.3). Illness rates increased directly with proximity of exposure to the index case. However, four of eight students who were in the same cubicle, but were not within 1 m of the index case-patient, contracted SARS. Proximity to the index case-patient was associated with transmission, which is consistent with droplet spread. Transmission through fomites or small aerosols cannot be ruled out.
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Research works printed but not linked: 15
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Cited by
Chu, D. K., Akl, E. A., Duda, S., Solo, K., Yaacoub, S., Schünemann, H. J., Chu, D. K., Akl, E. A., El-harakeh, A., Bognanni, A., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)31142-9 · Cited by 3,843
Evidence of Airborne Transmission of the Severe Acute Respiratory Syndrome Virus
Yu, I. T. S., Li, Y., Wong, T. W., Tam, W., Chan, A. T., Lee, J. H. W., Leung, D. Y. C., & Ho, T. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa032867 · Cited by 1,256
Self-citationTransmissibility and transmission of respiratory viruses
Leung, N. H. L. (2021) · Nature Reviews Microbiology · doi:10.1038/s41579-021-00535-6 · Cited by 890
Violent expiratory events: on coughing and sneezing
Bourouiba, L., Dehandschoewercker, E., & Bush, J. W. M. (2014) · Journal of Fluid Mechanics · doi:10.1017/jfm.2014.88 · Cited by 828
Probable airborne transmission of SARS-CoV-2 in a poorly ventilated restaurant
Li, Y., Qian, H., Hang, J., Chen, X., Cheng, P., Ling, H., Wang, S., Liang, P., Li, J., Xiao, S., et al. (2021) · Building and Environment · doi:10.1016/j.buildenv.2021.107788 · Cited by 689
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Metadata
- Authors
- Wong, T.-W., Lee, C.-K., Tam, W., Lau, J. T.-F., Yu, T.-S., Lui, S.-F., Chan, P. K. S., Li, Y., Bresee, J. S., Sung, J. J. Y., Parashar, U. D., & for the Outbreak Study Group
- Venue
- Emerging Infectious Diseases
- Published
- 2004-02
- Volume
- 10
- Issue
- 2
- Pages
- 269-276
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- OpenAlex
- W2116544382
- Cited by
- 265
- References
- 0
- FWCI
- 13.01
- Type
- journal article
- Language
- en
- Open access
- diamond
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- Wong, T.-W., Lee, C.-K., Tam, W., Lau, J. T.-F., Yu, T.-S., Lui, S.-F., Chan, P. K. S., Li, Y., Bresee, J. S., Sung, J. J. Y., Parashar, U. D., & for the Outbreak Study Group. (2004). Cluster of SARS among Medical Students Exposed to Single Patient, Hong Kong. Emerging Infectious Diseases. https://doi.org/10.3201/eid1002.030452
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
