title: An Infection Control Program for a 2009 influenza A H1N1 outbreak in a university-based summer camp.
abstract: OBJECTIVE
  Describe two 2009-H1N1 influenza outbreaks in university-based summer camps and the implementation of an infection control program.
  
  
  METHODS
  7,906 campers across 73 residential camps from May 21-August 2, 2009.
  
  
  METHODS
  Influenza-like-illness (ILI) was defined as fever with cough and/or sore throat. Influenza A was identified using PCR or rapid-antigen testing. We implemented an infection control program consisting of education, hand hygiene, disinfection, symptom screening, and ILI case management.
  
  
  RESULTS
  An initial ILI cluster involved 60 cases across 3 camps from June 17-July 2. Academic Camp-1 had the most cases (n = 45, 14.9% attack rate); influenza A was identified in 84% of those tested. Despite implementation of an infection control program, a second ILI cluster began on July 12 in Academic Camp-2 (n = 47, 15.0% attack rate).
  
  
  CONCLUSIONS
  ILI can spread rapidly in a university-based residential camp. Infection control is an important aspect of the medical response but is challenging to implement.
authors.affiliation: Department of Medicine, Duke University Medical Center, Durham, North Carolinam, USA.
authors.forename: Ephraim L
authors.initials: EL
authors.lastname: Tsalik
authors.forename: Coleen K
authors.initials: CK
authors.lastname: Cunningham
authors.forename: Hannah M
authors.initials: HM
authors.lastname: Cunningham
authors.forename: Maria G
authors.initials: MG
authors.lastname: Lopez-Marti
authors.forename: Devdutta G
authors.initials: DG
authors.lastname: Sangvai
authors.forename: William K
authors.initials: WK
authors.lastname: Purdy
authors.forename: Deverick J
authors.initials: DJ
authors.lastname: Anderson
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Thompson
authors.forename: Monte
authors.initials: M
authors.lastname: Brown
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Woods
authors.forename: L Brett
authors.initials: LB
authors.lastname: Jaggers
authors.forename: Edward F
authors.initials: EF
authors.lastname: Hendershot
mesh_terms: D000293:Adolescent; D000998:Antiviral Agents / Q000627:therapeutic use; D002165:Camping; D018890:Chemoprevention / Q000379:methods; D004196:Disease Outbreaks / Q000517:prevention & control*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D008403:Mass Screening / Q000379:methods; D009657:North Carolina; D053139:Oseltamivir / Q000627:therapeutic use; D013334:Students / Q000706:statistics & numerical data; D014495:Universities; D055815:Young Adult
chemical_list: D000998:Antiviral Agents; D053139:Oseltamivir