Malison M D, Gunn R A, Hatch M H, Bernard K W, White M C
Am J Epidemiol. 1984 Nov;120(5):717-26. doi: 10.1093/oxfordjournals.aje.a113939.
From August 22 to November 6, 1981, 989 cases of acute hemorrhagic conjunctivitis were identified in Key West, Florida. The outbreak probably began when an infected 12-year-old Key West resident returned from the Bahamas and transmitted the illness to several neighborhood playmates. The rate of illness was highest for school-aged children, and a high proportion of cases occurred among blacks living in two adjacent low-income housing tracts. A telephone survey of persons living in these two tracts showed that the risk for introduction of illness into a household was 3.8 times greater for families with school-aged children. A study of 100 case households showed that black race, living in the two low-income housing tracts, and having a high ratio of family members per bathroom were variables significantly associated with multiple case households. To limit intracommunity spread of illness, symptomatic children were excluded from school for a period of seven days. The number of reported cases steadily decreased after school exclusion was implemented.
1981年8月22日至11月6日期间，佛罗里达州基韦斯特市确诊了989例急性出血性结膜炎病例。此次疫情可能始于一名受感染的12岁基韦斯特居民从巴哈马返回后，将疾病传染给了几位邻里玩伴。学龄儿童的发病率最高，且很大一部分病例发生在居住在两个相邻低收入住宅区的黑人中。对居住在这两个住宅区的人员进行的电话调查显示，有学龄儿童的家庭将疾病引入家庭的风险要高3.8倍。对100个病例家庭的研究表明，黑人种族、居住在两个低收入住宅区以及每个浴室的家庭成员比例高是与多病例家庭显著相关的变量。为限制疾病在社区内传播，有症状的儿童被排除在学校之外七天。实施学校排除措施后，报告病例数稳步下降。
