An echovirus 30 outbreak with a high meningitis attack rate among children and household members at four day-care centers.
Echovirus 30 (E 30) outbreaks in defined cohorts have rarely been reported.
In June 1996, an outbreak of E 30 occurred in four day-care centers (DCCs) in neighboring villages in Germany.
A retrospective cohort study of DCC children, employees and household members was done to determine the extent of the outbreak and risk factors for illness.
Forty-two percent (39/92) of DCC children, 13% (30/228) of their household members, 5% (1/19) of employees and 2% (1/49) of household members of employees were ill.
Onsets occurred over 31 days.
Thirteen percent (12/92) of DCC children had meningitis.
In only one of 16 households with multiple family members ill, illness in a family member preceeded that of the DCC child.
Household members of ill DCC children were 15 times more likely to report illness than those of non-ill DCC children.
We conclude that this outbreak was associated with a very high incidence of meningitis, the outbreak began in the DCCs and then spread to household members, and that household members of ill children compared to those of non-ill children were much more likely to report illness.
Mots-clés Pascal : Méningite, Echovirus, Enterovirus, Picornaviridae, Virus, Garderie enfant, Epidémiologie, Incidence, Facteur risque, Enfant, Homme, Milieu familial, Allemagne, Europe, Rétrospective, Etude cohorte, Système nerveux pathologie, Système nerveux central pathologie
Mots-clés Pascal anglais : Meningitis, Echovirus, Enterovirus, Picornaviridae, Virus, Day care center, Epidemiology, Incidence, Risk factor, Child, Human, Family environment, Germany, Europe, Retrospective, Cohort study, Nervous system diseases, Central nervous system disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0516273
Code Inist : 002B05C02A. Création : 18/05/2000.