MMWR Morb Mortal Wkly Rep. 2020 May 22;69(20):632-635. doi: 10.15585/mmwr.mm6920e2.
On March 16, 2020, the day that national social distancing guidelines were released (1), the Arkansas Department of Health (ADH) was notified of two cases of coronavirus disease 2019 (COVID-19) from a rural county of approximately 25,000 persons; these cases were the first identified in this county. The two cases occurred in a husband and wife; the husband is the pastor at a local church (church A). The couple (the index cases) attended church-related events during March 6-8, and developed nonspecific respiratory symptoms and fever on March 10 (wife) and 11 (husband). Before his symptoms had developed, the husband attended a Bible study group on March 11. Including the index cases, 35 confirmed COVID-19 cases occurred among 92 (38%) persons who attended events held at church A during March 6-11; three patients died. The age-specific attack rates among persons aged ≤18 years, 19-64 years, and ≥65 years were 6.3%, 59.4%, and 50.0%, respectively. During contact tracing, at least 26 additional persons with confirmed COVID-19 cases were identified among community members who reported contact with church A attendees and likely were infected by them; one of the additional persons was hospitalized and subsequently died. This outbreak highlights the potential for widespread transmission of SARS-CoV-2, the virus that causes COVID-19, both at group gatherings during church events and within the broader community. These findings underscore the opportunity for faith-based organizations to prevent COVID-19 by following local authorities' guidance and the U.S. Government's Guidelines: Opening Up America Again (2) regarding modification of activities to prevent virus transmission during the COVID-19 pandemic.
2020 年 3 月 16 日，也就是发布全国社会疏离准则的那一天（1），阿肯色州卫生部（ADH）接到报告，称在一个约有 25000 人的农村县发现了两例 2019 年冠状病毒病（COVID-19）病例；这是该县首次发现的病例。这两例病例发生在一对夫妇身上；丈夫是当地一家教堂（教堂 A）的牧师。这对夫妇（索引病例）于 3 月 6 日至 8 日参加了与教会有关的活动，并于 3 月 10 日（妻子）和 11 日（丈夫）出现非特异性呼吸道症状和发热。在他出现症状之前，丈夫于 3 月 11 日参加了一个圣经学习小组。包括索引病例在内，在 3 月 6 日至 11 日期间在教堂 A 参加活动的 92 人（38%）中，有 35 人确诊患有 COVID-19；有 3 名患者死亡。年龄在 18 岁以下、19-64 岁和 65 岁以上的人群的发病率分别为 6.3%、59.4%和 50.0%。在接触者追踪过程中，在报告与教堂 A 与会者有接触并可能被他们感染的社区成员中，至少有 26 人被确定患有确诊的 COVID-19 病例；其中一名额外患者住院后死亡。此次暴发突出表明，在教堂活动期间的群体聚会以及更广泛的社区中，2019 年冠状病毒病（COVID-19）的病毒 SARS-CoV-2 存在广泛传播的潜力。这些发现强调了宗教组织通过遵循地方当局的指导和美国政府的《指导：重新开放美国》（2）关于修改活动以防止 COVID-19 大流行期间病毒传播的机会。
