First Pandemic A (H1N1) pdm09 Outbreak in a Private School, Bangkok, Thailand, June 2009
Kanlaya Jongcherdchootrakul MD, MPH*, Alden K. Henderson MPH, PhD**, Sopon Iamsirithaworn MD, MPH, PhD***, Charin Modchang PhD****, Potjaman Siriarayapon MD, MPH, DrPH*****
Affiliation : * Department of Military Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand ** Division of Global Health Protection (DGHP), Centers for Disease Control and Prevention, Center for Global Health, Illinoid, USA *** Office of Disease Prevention and Control 1, Bangkok, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand **** Biophysics Group, Department of Physics, Faculty of Science, Mahidol University, Bangkok, Thailand ***** Epidemiological Investigation and Public Health Emergency Response, Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand
Objective : On June 9, 2009, the Thailand Ministry of Public Health received their first report of an outbreak of the pandemic
A (H1N1) pdm09 that occurred in a school. The authors conducted a study to describe the epidemiological characteristics of
the outbreak and its resurgence, estimate the basic reproduction number (R0) and review recommendations for prevention
and control.
Material and Method: Active case finding in the school and reviewing reports to the national surveillance system identified
184 students infected by the new virus. A survey described the illness in the students and the prevention and control measures
taken by the school. The basic reproduction number was estimated from data in the early epidemic phase. The other survey
was done to assess factors contributing to the resurgence of the outbreak.
Results : Students with the pandemic A (H1N1) pdm09 had a mild illness resembling seasonal influenza. Overcrowding in the
classroom and activities that mixed students from different classes contributed to transmission in the school. The basic
reproduction number for this school-based setting is 3.58. The second outbreak occurred because of poor monitoring of
absenteeism and management of ill students.
Conclusion : This was the first outbreak of the pandemic A (H1N1) pdm09 in Thailand. The source could not be identified.
Effective control measures monitoring, screening, strict personal hygiene and proper management of ill students.
Keywords : Basic reproduction number, The pandemic A (H1N1) pdm09, School, Thailand
