European Journal of Epidemiology

, Volume 15, Issue 7, pp 655–658 | Cite as

An echovirus 30 outbreak with a high meningitis attack rate among children and household members at four day-care centers

  • U.C. Vieth
  • M. Kunzelmann
  • S. Diedrich
  • H. Timm
  • A. Ammon
  • O. Lyytikäinen
  • L.R. Petersen
Article

Abstract

Echovirus 30 (E 30) outbreaks in defined cohorts have rarely been reported. In June 1996, an outbreak of E 30 occurred in four day-care centers (DCCs) in neighboring villages in Germany. A retrospective cohort study of DCC children, employees and household members was done to determine the extent of the outbreak and risk factors for illness. Forty-two percent (39/92) of DCC children, 13% (30/228) of their household members, 5% (1/19) of employees and 2% (1/49) of household members of employees were ill. Onsets occurred over 31 days. Thirteen percent (12/92) of DCC children had meningitis. In only one of 16 households with multiple family members ill, illness in a family member preceeded that of the DCC child. Household members of ill DCC children were 15 times more likely to report illness than those of non-ill DCC children. We conclude that this outbreak was associated with a very high incidence of meningitis, the outbreak began in the DCCs and then spread to household members, and that household members of ill children compared to those of non-ill children were much more likely to report illness.

Aseptic meningitis Day care center Disease outbreaks Echovirus 30 Epidemiology 

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Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • U.C. Vieth
    • 1
  • M. Kunzelmann
    • 2
  • S. Diedrich
    • 1
  • H. Timm
    • 1
  • A. Ammon
    • 1
  • O. Lyytikäinen
    • 1
  • L.R. Petersen
    • 1
    • 3
  1. 1.Robert Koch-InstitutBerlin
  2. 2.Health Department of Landkreis Dahme-Spreewald, Königs WusterhausenGermany
  3. 3.Centers for Disease Control and PreventionAtlantaUSA

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