Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions - PubMed (original) (raw)

. 2003 Jun 20;300(5627):1961-6.

doi: 10.1126/science.1086478. Epub 2003 May 23.

Christophe Fraser, Christl A Donnelly, Azra C Ghani, Laith J Abu-Raddad, Anthony J Hedley, Gabriel M Leung, Lai-Ming Ho, Tai-Hing Lam, Thuan Q Thach, Patsy Chau, King-Pan Chan, Su-Vui Lo, Pak-Yin Leung, Thomas Tsang, William Ho, Koon-Hung Lee, Edith M C Lau, Neil M Ferguson, Roy M Anderson

Affiliations

• PMID: 12766206
• DOI: 10.1126/science.1086478

Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions

Steven Riley et al. Science. 2003.

Abstract

We present an analysis of the first 10 weeks of the severe acute respiratory syndrome (SARS) epidemic in Hong Kong. The epidemic to date has been characterized by two large clusters-initiated by two separate "super-spread" events (SSEs)-and by ongoing community transmission. By fitting a stochastic model to data on 1512 cases, including these clusters, we show that the etiological agent of SARS is moderately transmissible. Excluding SSEs, we estimate that 2.7 secondary infections were generated per case on average at the start of the epidemic, with a substantial contribution from hospital transmission. Transmission rates fell during the epidemic, primarily as a result of reductions in population contact rates and improved hospital infection control, but also because of more rapid hospital attendance by symptomatic individuals. As a result, the epidemic is now in decline, although continued vigilance is necessary for this to be maintained. Restrictions on longer range population movement are shown to be a potentially useful additional control measure in some contexts. We estimate that most currently infected persons are now hospitalized, which highlights the importance of control of nosocomial transmission.

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Comment in

• Epidemiology. Modeling the SARS epidemic.
  Dye C, Gay N. Dye C, et al. Science. 2003 Jun 20;300(5627):1884-5. doi: 10.1126/science.1086925. Epub 2003 May 23. Science. 2003. PMID: 12766208 No abstract available.

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