On the 2-Row Rule for Infectious Disease Transmission on Aircraft

<p>Background</p><p>With over two billion airline passengers annually, in-flight transmission of infectious diseases is an important global health concern. Many instances of in-flight transmission have been documented, but the relative influence of the many factors (see below) affe...

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Autores principales:	Vicki Stover Hertzberg, Howard Weiss
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	Airplane cabin infectious disease transmission disease risk SARS influenza Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/88afa0abbbbf4c04a0792e2a042aac79
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spelling	oai:doaj.org-article:88afa0abbbbf4c04a0792e2a042aac792021-12-02T11:19:32ZOn the 2-Row Rule for Infectious Disease Transmission on Aircraft2214-999610.1016/j.aogh.2016.06.003https://doaj.org/article/88afa0abbbbf4c04a0792e2a042aac792017-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/709https://doaj.org/toc/2214-9996<p>Background</p><p>With over two billion airline passengers annually, in-flight transmission of infectious diseases is an important global health concern. Many instances of in-flight transmission have been documented, but the relative influence of the many factors (see below) affecting in-flight transmission has not been quantified. Long-standing guidance by public health agencies is that the primary transmission risk associated with air travel for most respiratory infectious diseases is associated with sitting within two rows of an infectious passenger. The effect of proximity may be one of these factors.</p><p>Objective</p><p>The aim of this study was to determine the risk of infection within and beyond the 2-row rule given by public health guidance.</p><p>Methods</p><p>We searched the literature for reports of in-flight transmission of infection which included seat maps indicating where the infectious and infected passengers were seated.</p><p>Findings</p><p>There is a ∼ 6% risk to passengers seated within the 2-rows of infected individual(s) and there is ∼ 2% risk to passengers seated beyond 2-rows from the infectious individual.</p><p>Discussion</p><p>Contact tracing limited to passengers within 2-rows of the infectious individual(s) could fail to detect other cases of infections. This has important consequences for assessing the spread of infectious diseases.</p><p>Conclusions</p><p>Infection at a distance from the index case indicates other factors, such as airflow, movement of passenger/crew members, fomites and contacts between passengers in the departure gate before boarding, or after deplaning, are involved.Vicki Stover HertzbergHoward WeissUbiquity PressarticleAirplane cabininfectious disease transmissiondisease riskSARSinfluenzaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 5, Pp 819-823 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Airplane cabin infectious disease transmission disease risk SARS influenza Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Airplane cabin infectious disease transmission disease risk SARS influenza Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Vicki Stover Hertzberg Howard Weiss On the 2-Row Rule for Infectious Disease Transmission on Aircraft
description	<p>Background</p><p>With over two billion airline passengers annually, in-flight transmission of infectious diseases is an important global health concern. Many instances of in-flight transmission have been documented, but the relative influence of the many factors (see below) affecting in-flight transmission has not been quantified. Long-standing guidance by public health agencies is that the primary transmission risk associated with air travel for most respiratory infectious diseases is associated with sitting within two rows of an infectious passenger. The effect of proximity may be one of these factors.</p><p>Objective</p><p>The aim of this study was to determine the risk of infection within and beyond the 2-row rule given by public health guidance.</p><p>Methods</p><p>We searched the literature for reports of in-flight transmission of infection which included seat maps indicating where the infectious and infected passengers were seated.</p><p>Findings</p><p>There is a ∼ 6% risk to passengers seated within the 2-rows of infected individual(s) and there is ∼ 2% risk to passengers seated beyond 2-rows from the infectious individual.</p><p>Discussion</p><p>Contact tracing limited to passengers within 2-rows of the infectious individual(s) could fail to detect other cases of infections. This has important consequences for assessing the spread of infectious diseases.</p><p>Conclusions</p><p>Infection at a distance from the index case indicates other factors, such as airflow, movement of passenger/crew members, fomites and contacts between passengers in the departure gate before boarding, or after deplaning, are involved.
format	article
author	Vicki Stover Hertzberg Howard Weiss
author_facet	Vicki Stover Hertzberg Howard Weiss
author_sort	Vicki Stover Hertzberg
title	On the 2-Row Rule for Infectious Disease Transmission on Aircraft
title_short	On the 2-Row Rule for Infectious Disease Transmission on Aircraft
title_full	On the 2-Row Rule for Infectious Disease Transmission on Aircraft
title_fullStr	On the 2-Row Rule for Infectious Disease Transmission on Aircraft
title_full_unstemmed	On the 2-Row Rule for Infectious Disease Transmission on Aircraft
title_sort	on the 2-row rule for infectious disease transmission on aircraft
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/88afa0abbbbf4c04a0792e2a042aac79
work_keys_str_mv	AT vickistoverhertzberg onthe2rowruleforinfectiousdiseasetransmissiononaircraft AT howardweiss onthe2rowruleforinfectiousdiseasetransmissiononaircraft
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On the 2-Row Rule for Infectious Disease Transmission on Aircraft

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