An Investigation of a Coronavirus Disease (COVID-19) Cluster from Saudi Arabia, in a State Quarantine, Chonburi, Thailand, 2020

Authors

  • Thananan Jivaramonaikul Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Thailand
  • Natthaprang Nittayasoot Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Thailand
  • Rapeepong Suphanchaimat Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Thailand; International Health Policy Program, Ministry of Public Health, Thailand

DOI:

https://doi.org/10.59096/osir.v14i4.262512

Keywords:

COVID-19, state quarantine, Thailand, Saudi Arabia

Abstract

On 7 Aug 2020, the Department of Disease Control, the Thai Ministry of Public Health, was notified of 14 COVID-19 cases from Saudi Arabia. The objectives of this study were to verify diagnosis, describe characteristics of the cases and identify possible causes of infection. A cross-sectional descriptive study was conducted by reviewing the cases’ medical records, interviewing the cases and state quarantine staff, and surveying the environment. A confirmed COVID-19 case was defined as a passenger in a flight from Saudi Arabia on 25 Jul 2020 with positive RT-PCR. Out of 219, 14 were infected with SARS-CoV-2. Most of them were Thai students in Saudi Arabia. The median age of cases was 26 years and male to female ratio was 13:1. The median RT-PCR cycle thresholds for ORF1ab and N genes were 36 and 35. The state quarantine process mainly followed the national guidelines. These cases were likely to have contracted COVID-19 from Saudi Arabia. The risks of infection in Saudi Arabia included living together in the same dormitory and visiting crowded areas. The introduction of state quarantine and COVID-19 testing worked well in preventing new cases. The government should communicate with people planning to travel about the importance of physical distancing and avoiding any risk behaviors while being abroad.

References

World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard [Internet]. Geneva: World Health Organization; 2020 [cited 2020 Sep 15]. <https://covid19.who.int>

World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard: Saudi Arabia [Internet]. Geneva: World Health Organization; 2020 [cited 2020 Aug 23]. <https://covid19.who.int/region/emro/country/sa>

Algaissi AA, Alharbi NK, Hassanain M, Hashem AM. Preparedness and response to COVID-19 in Saudi Arabia: Building on MERS experience. J Infect Public Health. 2020;13(6):834–8.

Civil Aviation Authority of Thailand. Extension of temporary ban on all international flight to Thailand until 30 June 2020. Bangkok: Civil Aviation Authority of Thailand: 2020 May 16. 1 p.

Regulation Issued under Section 9 of the Emergency Decree on Public Administration in Emergency Situation B.E. 2548 (2005) (No.12). Royal Thai Government Gazette Volume 137, Special part 153 Ngor (Dated 2020 Jun 30):35.

Ministry of Public Health Thailand. Guidance for Integrated Management of State Quarantine Facilities. Nonthaburi: Ministry of Public Health Thailand: 2020 Jun 20. 36 p.

Department of Disease Control Thailand. Measures to control COVID-19 Version 5 updated on 2 April 2020. Nonthaburi: Department of Disease Control Thailand; 2020 Apr 2. 2 p.

MacIntyre CR, Hasanain SJ. Community universal face mask use during the COVID 19 pandemic—from households to travelers and public spaces. J Travel Med. 2020 Apr 18;27(3):taaa056.

Ahmed QA, Memish ZA. The cancellation of mass gatherings (MGs)? Decision making in the time of COVID-19. Travel Med Infect Dis [Internet]. 2020 Mar 1 [cited 2020 Oct 7];34:101631. doi:10.1016/j.tmaid.2020.101631.

Quadri SA. COVID-19 and religious congregations: Implications for spread of novel pathogens. Int J Infect Dis [Internet]. 2020 Jul;96:219–21. doi: 10.1016/j.ijid.2020.05.007

Singanayagam A, Patel M, Charlett A, Lopez Bernal J, Saliba V, Ellis J, et al. Duration of infectiousness and correlation with RT-PCR cycle threshold values in cases of COVID-19, England, January to May 2020. Euro Surveill. 2020 Aug;25(32):2001483.

Bullard J, Dust K, Funk D, Strong JE, Alexander D, Garnett L, et al. Predicting Infectious Severe Acute Respiratory Syndrome Coronavirus 2 From Diagnostic Samples. Clin Infect Dis [Internet]. 2020 Dec 17 [cited 2020 Nov 16]:71(10):2663–6. <https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa638/5842165>

Furukawa NW, Furukawa NW, Brooks JT, Sobel J. Evidence Supporting Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 while Presymptomatic or Asymptomatic. Emerg Infect Dis. 2020 Jul;26(7):e201595. doi:10.3201/eid2607.201595.

Choi EM, Chu DKW, Cheng PKC, Tsang DNC, Peiris M, Bausch DG, et al. In-Flight Transmission of SARS-CoV-2. Emerg Infect Dis [Internet]. 2020 Nov [cited 2020 Oct 5]; 26(11):2713–6. <https://wwwnc.cdc.gov/eid article/26/11/20-3254_article>

Olsen SJ, Chang HL, Cheung TYY, Tang AFY, Fisk TL, Ooi SPL, et al. Transmission of the Severe Acute Respiratory Syndrome on Aircraft. N Engl J Med. 2003 Dec 18;349(25):2416–22.

Department of Disease Control Thailand. Thailand Situation Coronavirus Disease (COVID-19) [Internet]. Nonthaburi: Department of Disease Control Thailand; 2020 [cited 2020 Sep 15]. <https://ddc.moph.go.th/viralpneumonia/eng/index.php>

Department of Disease Control. COVID-19 patients database, Thailand [unpublish document]. Nonthaburi: Department of Disease Control Thailand;2020 Sep 25 [cited 2020 Sep 30]. 3 p.

Yamagishi T, Ohnishi M, Matsunaga N, Kakimoto K, Kamiya H, Okamoto K, et al. Environmental sampling for severe acute respiratory syndrome coronavirus 2 during a COVID-19 outbreak on the diamond princess cruise ship. J Infect Dis. 2020 Oct 1;222(7):1098–102. doi:10.1093/infdis/jiaa437.

Mouchtouri VA,Koureas M, Kyritsi M, Vontas A, Kourentis L, Sapounas S, et al. Environmental contamination of SARS-CoV-2 on surfaces, air-conditioner and ventilation systems. Int J Hygiene and environmental health 230 (2020):113599.

Published

2021-12-30

How to Cite

Jivaramonaikul, T., Nittayasoot, N., & Suphanchaimat, R. (2021). An Investigation of a Coronavirus Disease (COVID-19) Cluster from Saudi Arabia, in a State Quarantine, Chonburi, Thailand, 2020. Outbreak, Surveillance, Investigation & Response (OSIR) Journal, 14(4), 121–126. https://doi.org/10.59096/osir.v14i4.262512

Issue

Section

Original article