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Journal of Public Health Medicine 22:116-120 (2000)
© 2000 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

Outbreaks of influenza A in nursing homes in Sheffield during the 1997-1998 season: implications for diagnosis and control


CA Read0,z
A Mohsen1
JS Nguyen-Van-Tam2
M McKendrick1
G Kudesia3

0 Department of Public Health Medicine, Rotherham Health Authority, Bevan House, Oakwood Hall Drive, Rotherham S60 3AQ, UK
1 Department of Infection and Tropical Medicine, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK
2 Division of Public Health Medicine and Epidemiology, University of Nottingham, and Communicable Disease Surveillance Centre (Trent), Queen's Medical Centre, Nottingham NG7 2UH, UK
3 Public Health Laboratory Service (at the Northern General Hospital), Herries Road, Sheffield S5 7BQ, UK
z Corresponding author

Three recent outbreaks of influenza A in nursing and residential homes in Sheffield were characterized by high attack rates among both residents and staff, and a high mortality rate among residents. The epidemiology of the outbreaks was unusual in that all three occurred towards the end of a quiet influenza season, against a generally low level of community activity, and involved strains of influenza that were not included in the current season's vaccine. The outbreak investigation was aided by the use of a novel rapid diagnostic technique. In future the combination of vaccination, surveillance, rapid diagnosis and new antineuraminidase drugs should improve prospects for control of influenza within closed communities.

Keywords: influenza outbreak, nursing homes, mortality, elderly


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