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A review of outbreaks of infectious disease in schools in England and Wales 1979–88

Published online by Cambridge University Press:  15 May 2009

C. Joseph ,
N. Noah ,
J. White  and
T. Hoskins
C. Joseph
Affiliation:
Public Health Laboratory Service, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ
N. Noah
Affiliation:
Kings College School of Medicine and Dentistry, Bessemer Road, London SE5 9PJ
J. White
Affiliation:
Public Health Laboratory Service, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ
T. Hoskins
Affiliation:
Christs Hospital, Horsham, Sussex
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Summary

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In this review of 66 outbreaks of infectious disease in schools in England and Wales between 1979–88, 27 were reported from independent and 39 from maintained schools. Altogether, over 8000 children and nearly 500 adults were affected. Most of the outbreaks investigated were due to gastrointestinal infections which affected about 5000 children; respiratory infections affected a further 2000 children. Fifty-two children and seven adults were admitted to hospital and one child with measles died. Vaccination policies and use of immunoglobulin for control and prevention of outbreaks in schools have been discussed.

Type
Research Article
Information
Epidemiology & Infection , Volume 105 , Issue 2 , October 1990 , pp. 419 - 434
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Galbraith, NS, Young, S. Communicable disease control: the development of a laboratory associated national epidemiological service in England and Wales. Community Med 1980; 2: 135–43.Google ScholarPubMed
2.Gully, PRMedical Officers of Schools Association and Communicable Disease Surveillance Centre. Schools reporting systems. Paper read to the Royal Society of Medicine. Section of Epidemiologv and Community Medicine, Feb 12, 1981.Google Scholar
3.Handbook of School Health. Preface to the first edition; Sixteenth edition 1984; Lancaster: MTP Press Ltd: xiii–xiv.Google Scholar
4.Pether, JVS, Noah, ND, Lau, YK, Taylor, JA, Bowie, JC. An outbreak of psittacosis in a boys' boarding school. J Hyg 1984; 92: 337–43.CrossRefGoogle Scholar
5.Pether, JVS, Wang, SP, Grayston, JT. Chlamydia pneumoniae, strain TWAR, as the cause of an outbreak in a boy's school previously called psittacosis. Epidemiol Infect 1989; 103: 395–400.CrossRefGoogle Scholar
6.Pearson, AD, Bartlett, CLR, Page, G, Jones, JMW, Lander, KP, Lior, H, Jones, DM. A milk-borne outbreak in a school community-a joint medical veterinary investigation. In: Pearson, AD, Skirrow, MB, Rowe, B et al. , eds. Proceedings of the Second International Workshop on Campylobacter infections, Brussels 1983. London: Public Health Laboratory Service. 1983.Google Scholar
7.Hoskins, T, Davies, JR. Clinical features of a large outbreak of milk-borne campylobacter enteritis in a boys' boarding school. In: Pearson, AD, Skirrow, MB, Rowe, B et al. , eds. Proceedings of the Second International Workshop on Campylobacter infections, Brussels 1983. London: Public Health Laboratory Service, 1983.Google Scholar
8.Jones, PH, Willis, AT, Robinson, DA, Skirrow, MB, Josephs, DS. Campylobacter enteritis associated with the consumption of free school milk. J Hyg 1981; 87: 155–62.CrossRefGoogle ScholarPubMed
9.Palmer, SR, Gully, PR, White, JM et al. Water-borne outbreak of campylobacter gastroenteritis. Lancet 1983; i: 287–90.CrossRefGoogle Scholar
10.Parry, JV, Perry, KR, Mortimer, PP. Sensitive assays for viral antibodies in saliva: an alternative to tests on serum. Lancet 1987; i: 72–5.CrossRefGoogle Scholar
11.Mortimer, PP, Parry, JV. The use of saliva for viral diagnosis and screening. Epidemiol Infect 1988; 101: 197–201.CrossRefGoogle ScholarPubMed
12.White, JM, Porter, J, Biffin, A, Thomas, A, Jennings, S, Begg, NT, Palmer, SR. Measles in a susceptible population: notification efficiency, vaccine efficacy and control measures. In press.Google Scholar
13.Anderson, MJ, Lewis, E, Kidd, IM, Hall, SM, Cohen, BJ. An outbreak of erythema infectiosum associated with human parvovirus infection. J Hyg 1984; 93: 85–93.CrossRefGoogle ScholarPubMed
14.McEvoy, MB, Noah, ND, Pilsworth, R. Outbreak of fever caused by streptobacillus moniliformis. Lancet 1987; ii: 1361–3.CrossRefGoogle Scholar
15.Wales, JM, Buchan, AR, Cookson, JB, Jones, DA, Marshall, BSM. Tuberculosis in a primary school: The Uppingham outbreak. Br Med J 1985; ii: 1039–40.CrossRefGoogle Scholar
16.Frew, AJ, Mayon-White, RT, Benson, MK. An outbreak of tuberculosis in an Oxfordshire school. Br J Dis Chest 1987; 81: 293–5.CrossRefGoogle Scholar
17.Medical Research Council. Epidemics in schools. Special report series, Medical Research Council 1938: London, No 227.Google Scholar
18.Turtle, P de Bee. Vaccines in the management of influenza epidemics in schools. Practitioner 1968; 200: 254–9.Google ScholarPubMed
19.Sparks, JP. Recent experience of influenza. J Roy Coll Phycns 1978; 12: 437–49.Google ScholarPubMed
20.Handbook of Communicable Disease and School Health. A guide for Medical Officers of Schools, 14th edn. 1969; London: J and A Churchill Ltd. 87.Google Scholar
21.Handbook of School Health. 16th edn 1984; Lancaster: MTP Press Ltd, 43.Google Scholar
22.Hoskins, TW, Davies, JR, Smith, AJ, Miller, CL, Allchin, A. Assessment of inactivated influenza A vaccine after three outbreaks of influenza A at Christ's Hospital. Lancet 1979; i: 33–5.CrossRefGoogle Scholar
23.Medical Officers of Schools Association. 1979; Memorandum on influenza vaccination.Google Scholar
24.Grilli, EA. Study of influenza in residential schools. Proceedings and report of Medical Officers of Schools Association 1987; No. 34: 21–36.Google Scholar
25.Department of Health and Social Security, England. Influenza. Annual letter from the Chief Medical Officer, 1977, 1983 and 1987; Department of Health, London.Google Scholar
26.Handbook of School Health. 16th edn, 1984; Lancaster: MTP Press Ltd; 17.Google Scholar
27.Parker, F, Hudson, PN. The aetiology of Haverhill fever (erythema arthriticum epidemicum). Am J Pathol 1926; ii: 375–9.Google Scholar
28.Communicable Disease Statistics. Series MB2, 1979–1986 and The Registrar General's Weekly Return for England and Wales 1987–1988. Office of population. Censuses and Surveys. London: HMSO.Google Scholar
29.Reid, J, Carter, JM, Hepatitis, A-Investigation and control of outbreaks in two primary schools. Public Health 1986; 100: 69–75.CrossRefGoogle ScholarPubMed
30.Veitch, A. Hepatitis danger in schools. The Guardian 1982; 12 January.Google Scholar
31.Tettmar, RE, Masterton, RG, Strike, PW. Hepatitis A immunity in British adults - an assessment of the need for pre-immunisation screening. J Inf 1987; 15: 39–43.CrossRefGoogle ScholarPubMed
32.Benenson, AS. ed. Control of communicable diseases in man. 14th edn 1985; 167–171. The American Public Health Association, Washington, USA.Google Scholar
33.Noah, ND. Immunisation before school entry: should there be a law ? Br Med J 1987; 204: 1270–1.CrossRefGoogle Scholar