TY - JOUR AU - Mukherjee, Pratik AU - Lim, Poh Lian AU - Chow, Angela AU - Barkham, Timothy AU - Seow, Eillyne AU - Win, Mar Kyaw AU - Chua, Arlene AU - Leo, Yee Sin AU - Chen, Mark I-Cheng T1 - Epidemiology of Travel-associated Pandemic (H1N1) 2009 Infection in 116 Patients, Singapore T2 - Emerging Infectious Disease journal PY - 2010 VL - 16 IS - 1 SP - 21 SN - 1080-6059 AB - In June 2009, during Singapore’s pandemic influenza plan containment phase, pandemic (H1N1) 2009 was introduced into the country through imported cases. To understand how travel patterns affected the initial outbreak, we examined epidemiologic and travel data for the first 116 case-patients admitted to Tan Tock Seng Hospital, Singapore, with travel-associated infection. Sixty-one percent and 54% of patients, respectively, met US Centers for Disease Control and Prevention and World Health Organization temperature criteria for influenza-like illness. One fourth of the case-patients traveled after illness onset, and 15% became ill while traveling. Regions of exposure for imported infections changed rapidly; case-patients initially arrived from North America, followed by Australasia and Southeast Asia. Case-patients on longer flights were more likely to become ill before arrival; those with shorter flights tended to become ill after arrival. Thermal scanners detected fevers in 12% of the arriving case-patients, resulting in a shorter time to isolation. KW - Influenza A virus KW - pandemic (H1N1) 2009 KW - travel KW - influenza KW - pandemic KW - disease transmission KW - viruses KW - Singapore KW - expedited KW - research DO - 10.3201/eid1601.091376 UR - https://wwwnc.cdc.gov/eid/article/16/1/09-1376_article ER - End of Reference