Table 1.
Demographics, Epidemiology Investigations and Number of Potentially Exposed Patients and Healthcare Workers (HCWs), Among Confirmed COVID-19 Cases in HCWs at an Acute- and Tertiary-Care Hospital During an Outbreak of SARS-CoV-2 (N=14)
Case No. |
Demographics and Occupation | Febrile Prior to Detection of Illness | Imported Case vs. Locally Transmitted Case | Epidemiology Linkage | Attended Staff Clinic or ED | Returned to Work After Symptom Onset/Prior to Symptom Resolution | No. of HCWs Who Came Into Contact With Cases | No. of HCW With Significant Unprotected Contact Requiring Quarantine | No. of Patients Who Came Into Contact With Cases | No. of Patients With Significant Unprotected Contact Requiring Quarantine |
---|---|---|---|---|---|---|---|---|---|---|
1a | 26 yo woman, medical social worker | Afebrile | Local transmission |
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Yes | Yes (prior to resolution) | 86 | 48 | 8 | 0 |
2a | 31 yo woman, medical social worker | Afebrile | Local transmission | Yes | No | 11 | 11 | 2 | 0 | |
3 | 32 yo woman, psychologist | Febrile | Imported case | Contact with community COVID-19 case | Yes | Yes (after symptom onset) | 4 | 1 | 1 | 1 |
4b | 58 yo man, doctor | Afebrile | Imported case |
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Yes | No | 1 | 0 | 4 | 0 |
5b | 55 yo woman, researcher | Afebrile | Imported case | No, directly admitted in view of contact | No | 0 | 0 | 0 | 0 | |
6 | 29 yo woman, researcher | Afebrile | Local transmission | Unlinked | Yes | No | 7 | 2 | 0 | 0 |
7 | 37 yo woman, nurse | Afebrile | Imported case | Unlinked | Yes | Yes (after symptom onset) | 5 | 2 | 0 | 0 |
8 | 22 yo woman, nurse | Afebrile | Local transmission | Family cluster; transmission outside of hospital | No, admitted to another institution (with family) | No | 0 | 0 | 0 | 0 |
9 | 27 yo woman, administrative staff | Afebrile | Local transmission | Unlinked | Yes | Yes(after symptom onset) | 7 | 3 | 0 | 0 |
10 | 22 yo woman, nurse | Afebrile | Local transmission | Family cluster; transmission outside of hospital | No, admitted to another institution (with family) | No | 5 | 5 | 3 | 0 |
11c | 28 yo man, cleaner | Febrile | Local transmission |
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No, tested at another institution | Yes (after symptom onset) | 1 | 1 | 0 | 0 |
12c | 27 yo man, cleaner | Febrile | Local transmission | Yes | Yes (after symptom onset) | 1 | 1 | 0 | 0 | |
13d | 27 yo man, cleaner | Afebrile | Local transmission |
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Yes | Yes (prior to resolution) | 1 | 1 | 0 | 0 |
14d | 36 yo man, cleaner | Febrile | Local transmission | No, directly admitted in view of contact | Yes (after symptom onset) | 1 | 1 | 0 | 0 |
Note. ED, emergency department.
=Linked case, with intra-hospital transmission.
=Linked case, with intra-hospital transmission in a non-clinical area.
Staff cluster with likely intrahospital transmission in a nonclinical area: shared an office, did not have contact outside of work.
Staff cluster with transmission outside the hospital. Cases 4 and 5 were part of a family cluster of imported cases (N=3), who tested positive after returning from overseas.
Staff cluster with transmission outside the hospital. Cases 11 and 12 originally stayed in different rooms of a dormitory that was a known COVID-19 cluster. They were initially asymptomatic, so they were moved into shared temporary accomodation (a room with an attached toilet). Cases 11 and 12 went to work separately and worked in different blocks of the hospital; they had no contact while at work.
Staff cluster with transmission outside the hospital. Cases 13 and 14 originally stayed in different rooms of a dormitory that was a known COVID-19 cluster. They were initially asymptomatic, so they were moved into shared temporary accomodation (a room with an attached toilet). Cases 13 and 14 went to work separately and worked in different blocks of the hospital; they had no contact while at work.