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American Journal of Epidemiology Vol. 129, No. 2: 341-348
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health

research-article

AN OUTBREAK OF INFLUENZA A/TAIWAN/1/86 (H1N1) INFECTIONS AT A NAVAL BASE AND ITS ASSOCIATION WITH AIRPLANE TRAVEL

KARL C. KLONTZ1,, NOREEN A. HYNES2, ROBERT A. GUNN1, MICHAEL H. WILDER2, MAURICE W. HARMON2 and ALAN P. KENDAL2

1Division of Field Services, Epidemiology Program Office, Centers for Disease Control Atlanta, GA
2Influenza Branch, Division of Viral Diseases, Canter for Infectious Diseases, Centers for Disease control Atlanta, GA
3Preventive Health Services, Florida Department of Health and Rehabilitative Services Tallahassee, FL

Reprint requests to Dr. Karl C. Klontz, Preventive Health Services, Building 6, Florida Department of Health and Rehabilitative Services, 1317 Winewood Boulevard, Tallahassee, FL 32399-0700

In late October 1986, an outbreak of Influenza-like illness was detected at the Naval Air Station in Key West. Florida. Between October 10 and November 7, 1986, 60 active duty personnel reported experiencing a respiratory illness charactenzed by fever, cough, sore throat, and myalgla. Influenza A/Taiwan/1/86 (H1N1) virus was recovered from three symptomatic patients. Forty-one (68%) of 60 case-patients belonged to a 114-person squadron that had traveled to Puerto Rico for a temporary assignment from October 17–28, 1986. Among squadron members, the attack rate for persons previously vaccinated with the 1986–1987 trivalent influenza vaccine and for those unvaccinated was the same (37%). Trans{alpha}{alpha}{alpha}{alpha}{alpha}{alpha}mission of infection among squadron personnel appeared to have commenced in Key West and continued in a barracks in Puerto Rico and aboard two DC-9 aircraft that transported the squadron back to Key West on October 28. There was no evidence that the outbreak spread to the surrounding civllian communities in Puerto Rico or Key West This was the first reported outbreak of respiratory illness due to influenza A/Talwan/1/86 (H1N1) in the continental United States in the 1986–1987 influenza season.

Influenza; military personnel; travel


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