International Flight Linked To COVID Outbreak

Image: Health Service Executive
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Key Takeaways:

  • An international flight into Ireland was linked to an outbreak of 59 COVID-19 cases, with 13 of 49 passengers testing positive and subsequently causing 46 onward transmissions.
  • Researchers concluded this incident highlights the potential for widespread SARS-CoV-2 transmission via air travel, leading to a national outbreak despite low flight occupancy (17%) and mask use by many infected passengers.
  • The outbreak involved high attack rates (9.8% to 17.8%) and genetic sequencing strongly suggested a single source of infection, though the initial source case was not identified.
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An outbreak of 59 coronavirus (COVID-19) cases has been linked to an international flight into Ireland, according to a report released in infectious disease journal Eurosurveilance last month. Following the flight, which took place over the summer, thirteen of the 49 passengers onboard tested positive for COVID-19. Another 46 laboratory-confirmed cases were linked to contact with those individuals. The aircraft was at just 17 percent passenger capacity and the study noted that nine of the 13 passengers who tested positive were wearing masks, one was not, and mask use was unknown for three. The affected airline and the origin of the flight were not disclosed in the report.

“This outbreak demonstrates the potential for spread of SARS-CoV-2 linked to air travel,” researchers stated in the report. “Onward transmission from 13 passenger cases resulted in a total of 59 cases in six of eight HSE [Health Service Executive] health regions in Ireland, necessitating national oversight of the outbreak. We calculated high attack rates, ranging plausibly from 9.8% to 17.8% despite low flight occupancy and lack of passenger proximity on-board.”

Researchers were unable to identify the source case for the outbreak but found that two people became symptomatic within 48  hours of the flight and three additional case were confirmed within five days. Genetic sequencing of five samples from individuals linked to the outbreak showed a greater than 99 percent similarity in the viral strain found in each, “strongly suggesting” a single source of infection. Researchers contributing to the study were affiliated with Ireland’s Department of Public Health and Health Protection Surveillance Centre (HPSC).

The full text of the report can be viewed here.

Kate O'Connor

Kate is a private pilot, certificated aircraft dispatcher, and graduate of Embry-Riddle Aeronautical University.
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