Influenza B virus outbreak at a religious residential school for boys in Northern Bangladesh, 2011.
Haque, Farhana;
Sturm-Ramirez, Katharine;
Homaira, Nusrat;
Gurley, Emily Suzane;
Hossain, Md Jahangir;
Hasan, SM Murshid;
Chowdhury, Sukanta;
Sarkar, Shamim;
Khan, Abdul Khaleque Md Dawlat;
Rahman, Mustafizur;
+2 more...Rahman, Mahmudur;
Luby, Stephen P;
(2017)
Influenza B virus outbreak at a religious residential school for boys in Northern Bangladesh, 2011.
Influenza and other respiratory viruses, 11 (2).
pp. 165-169.
ISSN 1750-2640
DOI: https://doi.org/10.1111/irv.12430
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BACKGROUND: National media reported a febrile illness among dormitory residents of a boys' religious school. We investigated the outbreak to identify cause. METHODS: Individuals with fever (>100°F) and cough or sore throat between 1 and 13 August 2011 were influenza-like-illness (ILI) case-patients. We collected histories and specimens from hospitalized case-patients and visited campus to explore environmental context. RESULTS: All 28 case-patients were dormitory residents including 27 hospitalizations. Accommodation space per resident was <0.8 square metres. Nasal and oropharyngeal swabs from 22 case-patients were positive for influenza B virus using real-time reverse transcription polymerase chain reaction (rRT-PCR). CONCLUSIONS: Overcrowding likely facilitated transmission leading to this dormitory outbreak.