Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021.

On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation...
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Autor*in:	Shilpa Hakre [verfasserIn] Evelyn Y Lam [verfasserIn] Irina Maljkovic-Berry [verfasserIn] Jun Hang [verfasserIn] Luis A Pow Sang [verfasserIn] Elizabeth J Bianchi [verfasserIn] Christian Fung [verfasserIn] Jay Gandhi [verfasserIn] Marcus Chibucos [verfasserIn] Matthew A Conte [verfasserIn] Adam R Pollio [verfasserIn] Christine A Mariskanish [verfasserIn] Luke A Mansfield [verfasserIn] Kayvon Modjarrad [verfasserIn] Heather L Friberg-Robertson [verfasserIn] Grace M Lidl [verfasserIn] Paul T Scott [verfasserIn] Douglas A Lougee [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Übergeordnetes Werk:	In: PLOS Global Public Health - Public Library of Science (PLoS), 2022, 2(2022), 5, p e0000236
Übergeordnetes Werk:	volume:2 ; year:2022 ; number:5, p e0000236

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1371/journal.pgph.0000236

Katalog-ID:	DOAJ087521504

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allfields	10.1371/journal.pgph.0000236 doi (DE-627)DOAJ087521504 (DE-599)DOAJ151c3dde5b1c43fa97e6e7a2334c7b62 DE-627 ger DE-627 rakwb eng RA1-1270 Shilpa Hakre verfasserin aut Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021. 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern. Public aspects of medicine Evelyn Y Lam verfasserin aut Irina Maljkovic-Berry verfasserin aut Jun Hang verfasserin aut Luis A Pow Sang verfasserin aut Elizabeth J Bianchi verfasserin aut Christian Fung verfasserin aut Jay Gandhi verfasserin aut Marcus Chibucos verfasserin aut Matthew A Conte verfasserin aut Adam R Pollio verfasserin aut Christine A Mariskanish verfasserin aut Luke A Mansfield verfasserin aut Kayvon Modjarrad verfasserin aut Heather L Friberg-Robertson verfasserin aut Grace M Lidl verfasserin aut Paul T Scott verfasserin aut Douglas A Lougee verfasserin aut In PLOS Global Public Health Public Library of Science (PLoS), 2022 2(2022), 5, p e0000236 (DE-627)177799649X (DE-600)3101394-6 27673375 nnns volume:2 year:2022 number:5, p e0000236 https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/article/151c3dde5b1c43fa97e6e7a2334c7b62 kostenfrei https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/toc/2767-3375 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2022 5, p e0000236
spelling	10.1371/journal.pgph.0000236 doi (DE-627)DOAJ087521504 (DE-599)DOAJ151c3dde5b1c43fa97e6e7a2334c7b62 DE-627 ger DE-627 rakwb eng RA1-1270 Shilpa Hakre verfasserin aut Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021. 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern. Public aspects of medicine Evelyn Y Lam verfasserin aut Irina Maljkovic-Berry verfasserin aut Jun Hang verfasserin aut Luis A Pow Sang verfasserin aut Elizabeth J Bianchi verfasserin aut Christian Fung verfasserin aut Jay Gandhi verfasserin aut Marcus Chibucos verfasserin aut Matthew A Conte verfasserin aut Adam R Pollio verfasserin aut Christine A Mariskanish verfasserin aut Luke A Mansfield verfasserin aut Kayvon Modjarrad verfasserin aut Heather L Friberg-Robertson verfasserin aut Grace M Lidl verfasserin aut Paul T Scott verfasserin aut Douglas A Lougee verfasserin aut In PLOS Global Public Health Public Library of Science (PLoS), 2022 2(2022), 5, p e0000236 (DE-627)177799649X (DE-600)3101394-6 27673375 nnns volume:2 year:2022 number:5, p e0000236 https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/article/151c3dde5b1c43fa97e6e7a2334c7b62 kostenfrei https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/toc/2767-3375 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2022 5, p e0000236
allfields_unstemmed	10.1371/journal.pgph.0000236 doi (DE-627)DOAJ087521504 (DE-599)DOAJ151c3dde5b1c43fa97e6e7a2334c7b62 DE-627 ger DE-627 rakwb eng RA1-1270 Shilpa Hakre verfasserin aut Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021. 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern. Public aspects of medicine Evelyn Y Lam verfasserin aut Irina Maljkovic-Berry verfasserin aut Jun Hang verfasserin aut Luis A Pow Sang verfasserin aut Elizabeth J Bianchi verfasserin aut Christian Fung verfasserin aut Jay Gandhi verfasserin aut Marcus Chibucos verfasserin aut Matthew A Conte verfasserin aut Adam R Pollio verfasserin aut Christine A Mariskanish verfasserin aut Luke A Mansfield verfasserin aut Kayvon Modjarrad verfasserin aut Heather L Friberg-Robertson verfasserin aut Grace M Lidl verfasserin aut Paul T Scott verfasserin aut Douglas A Lougee verfasserin aut In PLOS Global Public Health Public Library of Science (PLoS), 2022 2(2022), 5, p e0000236 (DE-627)177799649X (DE-600)3101394-6 27673375 nnns volume:2 year:2022 number:5, p e0000236 https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/article/151c3dde5b1c43fa97e6e7a2334c7b62 kostenfrei https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/toc/2767-3375 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2022 5, p e0000236
allfieldsGer	10.1371/journal.pgph.0000236 doi (DE-627)DOAJ087521504 (DE-599)DOAJ151c3dde5b1c43fa97e6e7a2334c7b62 DE-627 ger DE-627 rakwb eng RA1-1270 Shilpa Hakre verfasserin aut Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021. 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern. Public aspects of medicine Evelyn Y Lam verfasserin aut Irina Maljkovic-Berry verfasserin aut Jun Hang verfasserin aut Luis A Pow Sang verfasserin aut Elizabeth J Bianchi verfasserin aut Christian Fung verfasserin aut Jay Gandhi verfasserin aut Marcus Chibucos verfasserin aut Matthew A Conte verfasserin aut Adam R Pollio verfasserin aut Christine A Mariskanish verfasserin aut Luke A Mansfield verfasserin aut Kayvon Modjarrad verfasserin aut Heather L Friberg-Robertson verfasserin aut Grace M Lidl verfasserin aut Paul T Scott verfasserin aut Douglas A Lougee verfasserin aut In PLOS Global Public Health Public Library of Science (PLoS), 2022 2(2022), 5, p e0000236 (DE-627)177799649X (DE-600)3101394-6 27673375 nnns volume:2 year:2022 number:5, p e0000236 https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/article/151c3dde5b1c43fa97e6e7a2334c7b62 kostenfrei https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/toc/2767-3375 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2022 5, p e0000236
allfieldsSound	10.1371/journal.pgph.0000236 doi (DE-627)DOAJ087521504 (DE-599)DOAJ151c3dde5b1c43fa97e6e7a2334c7b62 DE-627 ger DE-627 rakwb eng RA1-1270 Shilpa Hakre verfasserin aut Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021. 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern. Public aspects of medicine Evelyn Y Lam verfasserin aut Irina Maljkovic-Berry verfasserin aut Jun Hang verfasserin aut Luis A Pow Sang verfasserin aut Elizabeth J Bianchi verfasserin aut Christian Fung verfasserin aut Jay Gandhi verfasserin aut Marcus Chibucos verfasserin aut Matthew A Conte verfasserin aut Adam R Pollio verfasserin aut Christine A Mariskanish verfasserin aut Luke A Mansfield verfasserin aut Kayvon Modjarrad verfasserin aut Heather L Friberg-Robertson verfasserin aut Grace M Lidl verfasserin aut Paul T Scott verfasserin aut Douglas A Lougee verfasserin aut In PLOS Global Public Health Public Library of Science (PLoS), 2022 2(2022), 5, p e0000236 (DE-627)177799649X (DE-600)3101394-6 27673375 nnns volume:2 year:2022 number:5, p e0000236 https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/article/151c3dde5b1c43fa97e6e7a2334c7b62 kostenfrei https://doi.org/10.1371/journal.pgph.0000236 kostenfrei https://doaj.org/toc/2767-3375 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2022 5, p e0000236
language	English
source	In PLOS Global Public Health 2(2022), 5, p e0000236 volume:2 year:2022 number:5, p e0000236
sourceStr	In PLOS Global Public Health 2(2022), 5, p e0000236 volume:2 year:2022 number:5, p e0000236
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Public aspects of medicine
isfreeaccess_bool	true
container_title	PLOS Global Public Health
authorswithroles_txt_mv	Shilpa Hakre @@aut@@ Evelyn Y Lam @@aut@@ Irina Maljkovic-Berry @@aut@@ Jun Hang @@aut@@ Luis A Pow Sang @@aut@@ Elizabeth J Bianchi @@aut@@ Christian Fung @@aut@@ Jay Gandhi @@aut@@ Marcus Chibucos @@aut@@ Matthew A Conte @@aut@@ Adam R Pollio @@aut@@ Christine A Mariskanish @@aut@@ Luke A Mansfield @@aut@@ Kayvon Modjarrad @@aut@@ Heather L Friberg-Robertson @@aut@@ Grace M Lidl @@aut@@ Paul T Scott @@aut@@ Douglas A Lougee @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	177799649X
id	DOAJ087521504
language_de	englisch
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topic_title	RA1-1270 Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021
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title	Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021.
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title_sort	investigation of an outbreak of covid-19 among u.s. military personnel and beneficiaries stationed in the republic of korea, june-july 2021
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title_auth	Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021.
abstract	On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern.
abstractGer	On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern.
abstract_unstemmed	On 28 May 2021, leisure travel restrictions in place to control coronavirus disease 2019 (COVID-19) were eased among vaccinated U.S. military personnel and beneficiaries stationed in South Korea (USFK) allowing access to bars and clubs which were off limits. We describe results from an investigation of the largest severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak as of November 2021 among USFK personnel following this change in policy. Data such as SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test results, demographic characteristics, symptom and vaccination histories, and genome sequences were analyzed. Of a total 207 new cases of COVID-19 diagnosed among USFK members from 15 June to 27 July 2021, 113 (57%) eligible cases were fully vaccinated, of whom 86 (76%) were symptomatic. RT-PCR cycling threshold values were similar among vaccinated and unvaccinated members. Whole genomic sequencing of 54 outbreak samples indicated all infections were due to the Delta variant. Phylogenetic analysis revealed two sources of SARS-CoV-2 accounted for 41% of infections among vaccinated and unvaccinated members. Vaccinated personnel were not at risk of severe illness; however, 86% experienced symptoms following infection. There were no hospitalizations among COVID-19 cases, most of whom were young military service members. Rescinded restrictions were reinstated to control the outbreak. Masking was mandated among all personnel predating U.S. national recommendations for indoor masking in high COVID-19 transmission areas. Increased vaccination with continued vigilance and extension of COVID-19 mitigation measures are warranted to contain the spread of SARS-CoV-2 variants of concern.
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title_short	Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021.
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Investigation of an outbreak of COVID-19 among U.S. military personnel and beneficiaries stationed in the Republic of Korea, June-July 2021.

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