High rate of transmission in a pulmonary tuberculosis outbreak in a primary school, north-eastern Italy, 2019

Author:

Cinquetti Sandro1,Dalmanzio Maria1,Ros Elisa1,Gentili Davide21,Ramigni Mauro3,Grossi Adriano45,Andrianou Xanthi D64,La Torre Leonardo Ermanno7,Rigoli Roberto8,Scotton Pier Giorgio9,Taraschi Angela10,Baldo Vincenzo11,Napoletano Giuseppina12,Russo Francesca12,Pezzotti Patrizio4,Rezza Giovanni4,Filia Antonietta4

Affiliation:

1. Public Health Office , Local Health Unit 2 Marca Trevigiana, Treviso, Italy

2. Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy

3. Epidemiology Office, Local Health Unit 2 Marca Trevigiana, Treviso, Italy

4. Department of Infectious Diseases, National Health Institute (Istituto Superiore di Sanità), Rome, Italy

5. University Cattolica del Sacro Cuore, Rome, Italy

6. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

7. Department of Radiology, Oderzo Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy

8. Department of Microbiology, Treviso Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy

9. Department of Infectious Diseases, Treviso Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy

10. Department of Pediatrics, Oderzo Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy

11. Hygiene and Public Health Unit, University of Padua, Padua, Italy

12. Prevention Department, Veneto Regional Health Authority, Venice, Italy

Abstract

Italy is a low-incidence country for tuberculosis (TB). We describe a TB outbreak in a primary school in north-eastern Italy, involving 10 cases of active pulmonary disease and 42 cases of latent infection. The index case was detected in March 2019, while the primary case, an Italian-born schoolteacher, was likely infectious since January 2018. Administration of a pre-employment health questionnaire to school staff with sustained contact with children should be considered in low-incidence countries.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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