Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009

Lijie Zhang; Zhibin Peng; Jianming Ou; Guang Zeng; Robert E Fontaine; Mingbin Liu; Fuqiang Cui; Rongtao Hong; Hang Zhou; Yang Huai; Shuk-Kwan Chuang; Yiu-Hong Leung; Yunxia Feng; Yuan Luo; Tao Shen; Bao-Ping Zhu; Marc-Alain Widdowson; Hongjie Yu

doi:10.3201/eid1909.121765

Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009

Lijie Zhang, Zhibin Peng, Jianming Ou, Guang Zeng, Robert E Fontaine, Mingbin Liu, Fuqiang Cui, Rongtao Hong, Hang Zhou, Yang Huai, Shuk-Kwan Chuang, Yiu-Hong Leung, Yunxia Feng, Yuan Luo, Tao Shen, Bao-Ping Zhu, Marc-Alain Widdowson, Hongjie Yu

Institute of Tropical Medicine

Research output: Contribution to journal › A1: Web of Science-article › peer-review

Abstract

In response to several influenza A(H1N1)pdm09 infections that developed in passengers after they traveled on the same 2 flights from New York, New York, USA, to Hong Kong, China, to Fuzhou, China, we assessed transmission of influenza A(H1N1)pdm09 virus on these flights. We defined a case of infection as onset of fever and respiratory symptoms and detection of virus by PCR in a passenger or crew member of either flight. Illness developed only in passengers who traveled on the New York to Hong Kong flight. We compared exposures of 9 case-passengers with those of 32 asymptomatic control-passengers. None of the 9 case-passengers, compared with 47% (15/32) of control-passengers, wore a face mask for the entire flight (odds ratio 0, 95% CI 0-0.71). The source case-passenger was not identified. Wearing a face mask was a protective factor against influenza infection. We recommend a more comprehensive intervention study to accurately estimate this effect.

Original language	English
Journal	Emerging Infectious Diseases
Volume	19
Issue number	9
Pages (from-to)	1403-1410
Number of pages	8
ISSN	1080-6040
DOIs	https://doi.org/10.3201/eid1909.121765
Publication status	Published - 2013

Keywords

Adolescent
Adult
Aircraft
Case-Control Studies
Child
Communicable Disease Control/methods
Disease Outbreaks
Female
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human/epidemiology
Male
Masks
Middle Aged
Retrospective Studies
Travel
Young Adult

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10.3201/eid1909.121765

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Zhang, L., Peng, Z., Ou, J., Zeng, G., Fontaine, R. E., Liu, M., Cui, F., Hong, R., Zhou, H., Huai, Y., Chuang, S.-K., Leung, Y.-H., Feng, Y., Luo, Y., Shen, T., Zhu, B.-P., Widdowson, M.-A., & Yu, H. (2013). Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009. Emerging Infectious Diseases, 19(9), 1403-1410. https://doi.org/10.3201/eid1909.121765

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title = "Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009",

abstract = "In response to several influenza A(H1N1)pdm09 infections that developed in passengers after they traveled on the same 2 flights from New York, New York, USA, to Hong Kong, China, to Fuzhou, China, we assessed transmission of influenza A(H1N1)pdm09 virus on these flights. We defined a case of infection as onset of fever and respiratory symptoms and detection of virus by PCR in a passenger or crew member of either flight. Illness developed only in passengers who traveled on the New York to Hong Kong flight. We compared exposures of 9 case-passengers with those of 32 asymptomatic control-passengers. None of the 9 case-passengers, compared with 47% (15/32) of control-passengers, wore a face mask for the entire flight (odds ratio 0, 95% CI 0-0.71). The source case-passenger was not identified. Wearing a face mask was a protective factor against influenza infection. We recommend a more comprehensive intervention study to accurately estimate this effect.",

keywords = "Adolescent, Adult, Aircraft, Case-Control Studies, Child, Communicable Disease Control/methods, Disease Outbreaks, Female, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human/epidemiology, Male, Masks, Middle Aged, Retrospective Studies, Travel, Young Adult",

author = "Lijie Zhang and Zhibin Peng and Jianming Ou and Guang Zeng and Fontaine, {Robert E} and Mingbin Liu and Fuqiang Cui and Rongtao Hong and Hang Zhou and Yang Huai and Shuk-Kwan Chuang and Yiu-Hong Leung and Yunxia Feng and Yuan Luo and Tao Shen and Bao-Ping Zhu and Marc-Alain Widdowson and Hongjie Yu",

year = "2013",

doi = "10.3201/eid1909.121765",

language = "English",

volume = "19",

pages = "1403--1410",

journal = "Emerging Infectious Diseases",

issn = "1080-6040",

publisher = "Centers for Disease Control and Prevention (CDC)",

number = "9",

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Zhang, L, Peng, Z, Ou, J, Zeng, G, Fontaine, RE, Liu, M, Cui, F, Hong, R, Zhou, H, Huai, Y, Chuang, S-K, Leung, Y-H, Feng, Y, Luo, Y, Shen, T, Zhu, B-P, Widdowson, M-A & Yu, H 2013, 'Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009', Emerging Infectious Diseases, vol. 19, no. 9, pp. 1403-1410. https://doi.org/10.3201/eid1909.121765

TY - JOUR

T1 - Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009

AU - Zhang, Lijie

AU - Peng, Zhibin

AU - Ou, Jianming

AU - Zeng, Guang

AU - Fontaine, Robert E

AU - Liu, Mingbin

AU - Cui, Fuqiang

AU - Hong, Rongtao

AU - Zhou, Hang

AU - Huai, Yang

AU - Chuang, Shuk-Kwan

AU - Leung, Yiu-Hong

AU - Feng, Yunxia

AU - Luo, Yuan

AU - Shen, Tao

AU - Zhu, Bao-Ping

AU - Widdowson, Marc-Alain

AU - Yu, Hongjie

PY - 2013

Y1 - 2013

N2 - In response to several influenza A(H1N1)pdm09 infections that developed in passengers after they traveled on the same 2 flights from New York, New York, USA, to Hong Kong, China, to Fuzhou, China, we assessed transmission of influenza A(H1N1)pdm09 virus on these flights. We defined a case of infection as onset of fever and respiratory symptoms and detection of virus by PCR in a passenger or crew member of either flight. Illness developed only in passengers who traveled on the New York to Hong Kong flight. We compared exposures of 9 case-passengers with those of 32 asymptomatic control-passengers. None of the 9 case-passengers, compared with 47% (15/32) of control-passengers, wore a face mask for the entire flight (odds ratio 0, 95% CI 0-0.71). The source case-passenger was not identified. Wearing a face mask was a protective factor against influenza infection. We recommend a more comprehensive intervention study to accurately estimate this effect.

AB - In response to several influenza A(H1N1)pdm09 infections that developed in passengers after they traveled on the same 2 flights from New York, New York, USA, to Hong Kong, China, to Fuzhou, China, we assessed transmission of influenza A(H1N1)pdm09 virus on these flights. We defined a case of infection as onset of fever and respiratory symptoms and detection of virus by PCR in a passenger or crew member of either flight. Illness developed only in passengers who traveled on the New York to Hong Kong flight. We compared exposures of 9 case-passengers with those of 32 asymptomatic control-passengers. None of the 9 case-passengers, compared with 47% (15/32) of control-passengers, wore a face mask for the entire flight (odds ratio 0, 95% CI 0-0.71). The source case-passenger was not identified. Wearing a face mask was a protective factor against influenza infection. We recommend a more comprehensive intervention study to accurately estimate this effect.

KW - Adolescent

KW - Adult

KW - Aircraft

KW - Case-Control Studies

KW - Child

KW - Communicable Disease Control/methods

KW - Disease Outbreaks

KW - Female

KW - Humans

KW - Influenza A Virus, H1N1 Subtype

KW - Influenza, Human/epidemiology

KW - Male

KW - Masks

KW - Middle Aged

KW - Retrospective Studies

KW - Travel

KW - Young Adult

U2 - 10.3201/eid1909.121765

DO - 10.3201/eid1909.121765

M3 - A1: Web of Science-article

C2 - 23968983

SN - 1080-6040

VL - 19

SP - 1403

EP - 1410

JO - Emerging Infectious Diseases

JF - Emerging Infectious Diseases

IS - 9

ER -

Protection by face masks against influenza A(H1N1)pdm09 virus on trans-Pacific passenger aircraft, 2009

Abstract

Keywords

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