title: Pneumonia cluster in a boarding school--implications for influenza control.
abstract: Streptococcus pneumoniae is a common cause of community acquired pneumonia (CAP). Influenza infection increases susceptibility to S. pneumoniae infection in adults but this link is less well described in children. We report on an outbreak of CAP affecting 25 previously well adolescents in a New South Wales boarding school. S. pneumoniae 1 was confirmed in two cases. During this period, the school also experienced an influenza outbreak with an influenza-like illness attack rate peaking at 27% in Year 8 students. A planned school closure may have contributed to controlling the outbreak. Boarding schools are vulnerable to outbreaks of respiratory illness and strategies for limiting this risk are required.
authors.affiliation: Health Protection, Hunter New England Population Health, Hunter New England Area Health Service, Taree, New South Wales. Patrick.Cashman@hnehealth.nsw.gov.au
authors.forename: Patrick
authors.initials: P
authors.lastname: Cashman
authors.forename: Peter
authors.initials: P
authors.lastname: Massey
authors.forename: David
authors.initials: D
authors.lastname: Durrheim
authors.forename: Fakhrul
authors.initials: F
authors.lastname: Islam
authors.forename: Tony
authors.initials: T
authors.lastname: Merritt
authors.forename: Keith
authors.initials: K
authors.lastname: Eastwood
mesh_terms: D000293:Adolescent; D004196:Disease Outbreaks; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D011018:Pneumonia, Pneumococcal / Q000453:epidemiology*; D012574:Schools