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Clusters of 2019 coronavirus disease (COVID‐19) cases in Chinese tour groups
dc.contributor.authorKong, Dechuan
dc.contributor.authorWang, Yuanping
dc.contributor.authorLu, Lu
dc.contributor.authorWu, Huanyu
dc.contributor.authorYe, Chuchu
dc.contributor.authorWagner, Abram L.
dc.contributor.authorYang, Jixing
dc.contributor.authorZheng, Yaxu
dc.contributor.authorGong, Xiaohuan
dc.contributor.authorZhu, Yiyi
dc.contributor.authorJin, Bihong
dc.contributor.authorXiao, Wenjia
dc.contributor.authorMao, Shenghua
dc.contributor.authorJiang, Chenyan
dc.contributor.authorLin, Sheng
dc.contributor.authorHan, Ruobing
dc.contributor.authorYu, Xiao
dc.contributor.authorCui, Peng
dc.contributor.authorFang, Qiwen
dc.contributor.authorLu, Yihan
dc.contributor.authorPan, Hao
dc.date.accessioned2021-05-12T17:26:36Z
dc.date.available2022-04-12 13:26:35en
dc.date.available2021-05-12T17:26:36Z
dc.date.issued2021-03
dc.identifier.citationKong, Dechuan; Wang, Yuanping; Lu, Lu; Wu, Huanyu; Ye, Chuchu; Wagner, Abram L.; Yang, Jixing; Zheng, Yaxu; Gong, Xiaohuan; Zhu, Yiyi; Jin, Bihong; Xiao, Wenjia; Mao, Shenghua; Jiang, Chenyan; Lin, Sheng; Han, Ruobing; Yu, Xiao; Cui, Peng; Fang, Qiwen; Lu, Yihan; Pan, Hao (2021). "Clusters of 2019 coronavirus disease (COVID‐19) cases in Chinese tour groups." Transboundary and Emerging Diseases (2): 684-691.
dc.identifier.issn1865-1674
dc.identifier.issn1865-1682
dc.identifier.urihttps://hdl.handle.net/2027.42/167531
dc.description.abstractInternational travel may facilitate the spread of the novel coronavirus disease (COVID‐19). The study describes clusters of COVID‐19 cases within Chinese tour groups travelling in Europe January 16–28. We compared characteristics of cases and non‐cases to determine transmission dynamics. The index case travelled from Wuhan, China, to Europe on 16 January 2020, and to Shanghai, China, on 27 January 2020, within a tour group (group A). Tour groups with the same outbound flight (group B) or the same tourism venue (group D) and all Chinese passengers on the inbound flight (group C) were investigated. The outbreak involved 11 confirmed cases, 10 suspected cases and six tourists who remained healthy. Group A, involving seven confirmed cases and six suspected cases, consisted of familial transmission followed by propagative transmission. There was less pathogenicity with propagative transmission than with familial transmission. Disease was transmitted in shared outbound flights, shopping venues within Europe and inbound flight back to China. The novel coronavirus caused clustered cases of COVID‐19 in tour groups. When tourism and travel opens up, governments will need to improve screening at airports and consider increased surveillance of tour groups—particularly those with older tour members.
dc.publisherWiley Periodicals, Inc.
dc.subject.othervirulence
dc.subject.otherChina
dc.subject.othercoronavirus
dc.subject.otherdisease outbreaks
dc.subject.othersevere acute respiratory syndrome coronavirus 2
dc.subject.othertravel
dc.titleClusters of 2019 coronavirus disease (COVID‐19) cases in Chinese tour groups
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelInfectious Diseases
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167531/1/tbed13729_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167531/2/tbed13729.pdf
dc.identifier.doi10.1111/tbed.13729
dc.identifier.sourceTransboundary and Emerging Diseases
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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