MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):446-450. doi: 10.15585/mmwr.mm6915e1.
SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), has spread rapidly around the world since it was first recognized in late 2019. Most early reports of person-to-person SARS-CoV-2 transmission have been among household contacts, where the secondary attack rate has been estimated to exceed 10% (1), in health care facilities (2), and in congregate settings (3). However, widespread community transmission, as is currently being observed in the United States, requires more expansive transmission events between nonhousehold contacts. In February and March 2020, the Chicago Department of Public Health (CDPH) investigated a large, multifamily cluster of COVID-19. Patients with confirmed COVID-19 and their close contacts were interviewed to better understand nonhousehold, community transmission of SARS-CoV-2. This report describes the cluster of 16 cases of confirmed or probable COVID-19, including three deaths, likely resulting from transmission of SARS-CoV-2 at two family gatherings (a funeral and a birthday party). These data support current CDC social distancing recommendations intended to reduce SARS-CoV-2 transmission. U.S residents should follow stay-at-home orders when required by state or local authorities.
导致 2019 年冠状病毒病(COVID-19)的 SARS-CoV-2 病毒自 2019 年底首次被确认以来,已在全球迅速传播。大多数有关人与人之间 SARS-CoV-2 传播的早期报告都发生在家庭接触者中,继发性攻击率估计超过 10%(1),在医疗保健设施中(2)和集体场所(3)中。但是,目前在美国观察到的广泛社区传播需要在非家庭接触者之间进行更广泛的传播事件。2020 年 2 月和 3 月,芝加哥公共卫生部(CDPH)调查了一起大型多户家庭的 COVID-19 集群。对确诊患有 COVID-19 的患者及其密切接触者进行了访谈,以更好地了解 SARS-CoV-2 的非家庭,社区传播。本报告描述了 16 例确诊或可能的 COVID-19 病例的集群,其中包括 3 例死亡,这可能是由于在两次家庭聚会(葬礼和生日聚会)中传播 SARS-CoV-2 所致。这些数据支持当前旨在减少 SARS-CoV-2 传播的 CDC 社交疏远建议。美国居民应按照州或地方当局的要求遵守就地避难命令。