학술논문

COVID-19 Case Investigations Among Federally Quarantined Evacuees From Wuhan, China, and Exposed Personnel at a US Military Base, United States, February 5-21, 2020
Document Type
article
Source
Public Health Reports. 137(2)
Subject
Health Services and Systems
Public Health
Health Sciences
Human Society
Policy and Administration
Infectious Diseases
Biodefense
Vaccine Related
Emerging Infectious Diseases
Prevention
Infection
Good Health and Well Being
United States
Humans
Quarantine
COVID-19
Military Facilities
Pandemics
SARS-CoV-2
China
COVID-19 Miramar Response Team Working Group
coronavirus
federal quarantine
repatriation
Nursing
Public Health and Health Services
Health services and systems
Public health
Policy and administration
Language
Abstract
In February 2020, during the early days of the COVID-19 pandemic, 232 evacuees from Wuhan, China, were placed under federal 14-day quarantine upon arrival at a US military base in San Diego, California. We describe the monitoring of evacuees and responders for symptoms of COVID-19, case and contact investigations, infection control procedures, and lessons learned to inform future quarantine protocols for evacuated people from a hot spot resulting from a novel pathogen. Thirteen (5.6%) evacuees had COVID-19-compatible symptoms and 2 (0.9%) had laboratory-confirmed SARS-CoV-2. Two case investigations identified 43 contacts; 3 (7.0%) contacts had symptoms but tested negative for SARS-CoV-2 infection. Daily symptom and temperature screening of evacuees and enacted infection control procedures resulted in rapid case identification and isolation and no detected secondary transmission among evacuees or responders. Lessons learned highlight the challenges associated with public health response to a novel pathogen and the evolution of mitigation strategies as knowledge of the pathogen evolves.