Table A1

Pneumonic Plague Cluster, Uganda, 2004

Elizabeth M. Begier*

, Gershim Asiki†, Zaccheus Anywaine†, Brook Yockey‡, Martin Schriefer‡, Philliam Aleti§, Asaph Ogen-Odoi§, J. Erin Staples*‡, Christopher Sexton‡, Scott Bearden‡, and Jacob L. Kool‡

Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Nyapea Hospital, Nebbi District, Uganda; ‡Centers for Disease Control and Prevention, Fort Collins, Colorado, USA; §Uganda Virus Research Institute, Entebbe, Uganda

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Summary of contacts of index patients A1 and B1 after onset of bloody sputum

Relationship to patient (person count)	Exposures
Relationship to patient (person count)	Touched patient	Handled excreta or sputum	Patient coughed near face	Listened to patient whispering	Exposure description	Outcome plague illness
Index patient A1*
	Mother (1)	Yes	Yes	Yes	Yes	Primary caregiver during illness; washed body after death.	Case A2
	1.5-y-old daughter (1)	Yes	No	No	No	Slept facing A1 (chest level) for 1 night in same bed, the night before A1's death.	No
	Husband (1)	Yes	No	No	No	Slept in same bed facing away from A1 the night before her death; bicycled her to traditional healers; checked on her at healer's home in afternoon for ≈1 h.	No
	Traditional healer (1)	Yes	Yes	No	No	A1 spent her last day at healer's home, and healer buried bag of her bloody sputum. Provided A1 with tea and porridge. Spoke with her at a distance <2 m.	No
	Father (1)	Yes	No	No	No	Spent several hours with A1 during last day; spoke with her at a distance <2 m.	No
	Other male relatives (4)	Yes†	No	No	No	Put A1's body in casket; washed hands afterwards.	No
	Funeral attendees (50)	No	No	No	No	Viewed A1's body in casket; no one touched body.	No
Index patient B1‡
	Sister (1)	Yes	Yes	Yes	Yes	B1's primary caregiver during illness after bloody sputum noted, including during transport.	Case B2
	Brother (1)	Yes	Yes	No	Yes	Oversaw B1's transport on bicycle for care; assisted with care; washed B1's body after death	No
	Wife (1)	Yes	No	Yes	Yes	B1's primary caregiver before bloody sputum and afterwards assisted primary caregiver before B1 left family compound; slept in same hut as B1 the night before death with her head 1.8 m from that of B1.	No
	6-y-old daughter (1)	Yes	No	No	No	Slept in bed with B1 until too ill night before death, then slept with siblings as follows.	No
	Other children (3)	Yes	No	No	No	Slept in same hut as B1 night before death with their heads 1.8 m from that of B1.	No
	Other female attendants (8)	Yes	No	No	No	Assisted in caring for B1 before his departure for clinics	No
	Brothers 2 and 3 (2)	Yes	Yes	No	No	Assisted in keeping B1 upright while he was being transported on a bicycle to clinics; 1 helped wash body after death.	No
	Neighbor (1)	Yes	No	No	Yes	Friend of patient; listened to B1 speak very close to his face before departure to clinics.	No
	Nursing assistants at 2 clinics (2)	Yes	No	No	No	Assessed and treated patient, including multiple intramuscular injections.	No
	Funeral attendees (150)	No	No	No	No	75 touched blanket that wrapped B1's body to view face; same blanket was used during final days of illness.	No

*Bloody sputum developed in patient A1 on December 16, 2004, and she spent that night at her home in the same bed as her husband and child. She rode seated on the back of bike to the traditional healer's home in the morning. She worsened over the course of the day and was coughing frank blood by the afternoon. She died that night at the healer's home while being cared for by her mother (A2).
†Only touched patient after death, not included in close contacts.
‡Bloody sputum developed in patient B1 in the early morning of December 18, 2004. B1's daughter was moved out of his bed to sleep with his wife and their other children in the same hut with their heads ≈1.2 m from his. His sister (B2) came in and began caring for him. At dawn, B1 was placed on a chair on the back of a bicycle and transported to 3 clinics in succession (1 was closed). B1 died that night at a relative's home shortly after he arrived there.

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Page created: January 27, 2012

Page updated: January 27, 2012

Page reviewed: January 27, 2012

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