Thursday, May 21, 2020

Cv-19 Outbreak at Church Kills 3

A Covid-19 outbreak at a rural Arkansas church killed 3 people.  The CDC reported:

Among 92 attendees at a rural Arkansas church during March 6–11, 35 (38%) developed laboratory-confirmed COVID-19, and three persons died. Highest attack rates were in persons aged 19–64 years (59%) and ≥65 years (50%). An additional 26 cases linked to the church occurred in the community, including one death.

The actual report provides more unsettling information:

On March 16, 2020, the day that national social distancing guidelines were released (1), the Arkansas Department of Health (ADH) was notified of two cases of coronavirus disease 2019 (COVID-19) from a rural county of approximately 25,000 persons; these cases were the first identified in this county. The two cases occurred in a husband and wife; the husband is the pastor at a local church (church A). The couple (the index cases) attended church-related events during March 6–8, and developed nonspecific respiratory symptoms and fever on March 10 (wife) and 11 (husband). Before his symptoms had developed, the husband attended a Bible study group on March 11. Including the index cases, 35 confirmed COVID-19 cases occurred among 92 (38%) persons who attended events held at church A during March 6–11; three patients died. The age-specific attack rates among persons aged ≤18 years, 19–64 years, and ≥65 years were 6.3%, 59.4%, and 50.0%, respectively. During contact tracing, at least 26 additional persons with confirmed COVID-19 cases were identified among community members who reported contact with church A attendees and likely were infected by them; one of the additional persons was hospitalized and subsequently died....

On March 10 and 11, the wife of the church pastor, aged 56 years, and the pastor, aged 57 years, developed fever and cough. On March 12, the pastor, after becoming aware of similar nonspecific respiratory symptoms among members of their congregation, closed church A indefinitely. Because of fever, cough, and increasing shortness of breath, the couple sought testing for SARS-CoV-2 on March 13; both were notified of positive results by reverse transcription–polymerase chain reaction testing on March 16. The same day, ADH staff members began an investigation to identify how the couple had been exposed and to trace persons with whom they had been in contact. Based on their activities and onset dates, they likely were infected at church A events during March 6–8 and the husband might have then exposed others while presymptomatic during a Bible study event held on March 11....

The public health investigation focused on the transmission of SARS-CoV-2 among persons who attended church A events during March 6–11. To facilitate the investigation, the pastor and his wife generated a list of 94 church members and guests who had registered for, or who, based on the couple’s recollection, might have attended these events.

During March 6–8, church A hosted a 3-day children’s event which consisted of two separate 1.5-hour indoor sessions (one on March 6 and one on March 7) and two, 1-hour indoor sessions during normal church services on March 8. This event was led by two guests from another state. During each session, children participated in competitions to collect offerings by hand from adults, resulting in brief close contact among nearly all children and attending adults. On March 7, food prepared by church members was served buffet-style. A separate Bible study event was held March 11; the pastor reported most attendees sat apart from one another in a large room at this event. Most children and some adults participated in singing during the children’s event; no singing occurred during the March 11 Bible study. Among all 94 persons who might have attended any of the events, 19 (20%) attended both the children’s event and Bible study.

The husband and wife were the first to be recognized by ADH among the 35 patients with laboratory-confirmed COVID-19 associated with church A attendance identified through April 22; their illnesses represent the index cases. During the investigation, two persons who were symptomatic (not the husband and wife) during March 6–8 were identified; these are considered the primary cases because they likely initiated the chain of transmission among church attendees. Additional cases included those in persons who attended any church A events during March 6–11, but whose symptom onset occurred on or after March 8, which was 2 days after the earliest possible church A exposure. One asymptomatic attendee who sought testing after household members became ill was included among these additional cases...
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During the investigation, two church A participants who attended the March 6–8 children’s event were found to have had onset of symptoms on March 6 and 7; these represent the primary cases and likely were the source of infection of other church A attendees .... The two out-of-state guests developed respiratory symptoms during March 9–10 and later received diagnoses of laboratory-confirmed COVID-19, suggesting that exposure to the primary cases resulted in their infections. The two primary cases were not linked except through the church; the persons lived locally and reported no travel and had no known contact with a traveler or anyone with confirmed COVID-19. Patient interviews revealed no additional common exposures among church attendees.

The estimated attack rate ranged from 38% (35 cases among all 92 church A event attendees) to 78% (35 cases among 45 church A event attendees who were tested for SARS-CoV-2). When stratified by age, attack rates were significantly lower among persons aged ≤18 years (6.3%–25.0%) than among adults aged 19–64 years (59.4%–82.6%) ...

Rest of report.

27 comments:

Anonymous said...

They should have listened to the Gov of New York, the leading voice in this situation:

"Older people, vulnerable people, are going to die from this virus. That is going to happen. Despite whatever you do. Because with all of our progress as a society, we can’t keep everyone alive. Despite everything you do. And older people are more vulnerable. And that is a fact and that is not going to change…"

Anonymous said...

“Highest attack rates were in persons aged 19–64 years (59%) and ≥65 years (50%).”

That doesn’t add up to 100%.

Green Acres said...

How sad for all. Sure puts a damper on Vacation Bible School and Church Camp this year.

Unless, of course, you are one of those people who hate "sheeples" like me because you cannot control my activities and you ignore medical experts' advice and recommendations about how to best contain bat flu transmission.

Anonymous said...

Yeah, that leading voice in New York did a bang up job in his nursing homes.

Anonymous said...

@12:41 All that means is that 59% of the people age 19-64 in attendance got infected and 50% of those 65 and up got it. It isn't a percentage of the total attendance, it is a percentage of each age group subset.

Anonymous said...

@12:28p- You obviously meant to state "They should have listened to the Gov of New York's "HINDSIGHT OPINION", the leading (LOL) voice in this situation.

Also, I mean, seriously, have you even LOOKED at NYC's #'s!!! I don't care if it's the city, it's part of the state. He was not EVEN CLOSE to successful and is NOT viewed as a leading voice by anyone who can see through politics.

Anonymous said...

@12:45 I dont think you understand who sheeple are.

Heres an example:

sheeple are the ones who didn't put on PPE because the government and media told them not to.

Anyone who started publicly wearing PPE in late February or early March and were the few being mocked, aren't sheeple.

Alternatively someone who never put a mask on this entire time wouldn't be a sheeple either. They are just stupid.

Basically sheeple wait until they are told by TV to take any actions for self preservation. They are literally mindless sheeple.

Anonymous said...

It is worth noting this was before the pandemic mitigation was really pushed. Without mitigation situations like this would have been normal across the country. Large gatherings are without a doubt the riskiest places for COVID spread. Many outbreaks can be traced to a wedding, funeral, business seminar, church service, or other place where many people are in extended close contact.

This is why we need to be careful in relaxing restrictions, particularly on enclosed gatherings. Even if you can keep the vulnerable population isolated from the gatherings a large-scale infection would still bring it into the areas where they live through secondary contact. I'm not saying shut everything down, but for certain things like 50,000 people in a stadium for a concert or sporting event would be a very risky proposition.

Green Acres said...

No, 1:16. Your definition grows and evolves by the hour and day, to suit your agenda. We "sheeples" are people who, for whatever reason and at whatever point in time, realized that it is better to listen to medical experts than media, politicos, or internet trolls.

We're just here, a huge, solid, thoughtful group of people. Get over it. Get a job. Get a life. Quit trying to tell us what to do. Go do whatever you want to do. The governments are accommodating you. Try to understand that we have reached the point where we no longer care about you or your BS. We care about our loved ones and ourselves. Go away.

Anonymous said...

and some churches just CANT open without a CHOIR! look for a choral clearing in the jackson metro in the near future.

Anonymous said...

Where are the state and local government cuts and furloughs?

Anonymous said...

This was more than 2-months ago (~10 weeks). That was then; this is now.

Anonymous said...

2:27 Some people want to take us back to then ASAP.

Anonymous said...

Any updates on the Holly Springs, Mississippi church that was set on fire ?

Complete with a note that said something to the effect . . .
"This should convince hypocrites to stay at home".

Anonymous said...

Hey 12:28
The governor or New York is a great example of what to do. He sent the Covid-19 hospital overflow to recover in the nursing homes. He just went ahead and killed the old folks off, the dumb bastard.

Anonymous said...

Sounds like they came down with symptoms about a week after Mardi Gras.

Anonymous said...

Actual Definition of Sheeple: "Sheeple, a combination of the words sheep and people, is defined as people who follow a person or an idea blindly. An example of sheeple are the people who follow a cult leader". Yup, we got thousands of em.

Anonymous said...

So...yeah...let’s get those churches back open ASAP. They are essential. We'll die without them open.

Anonymous said...

Intentional misspellings and diversionary-tactical graffiti are common-place when accompanying 'church burnings'.

Anonymous said...

I’m DYING to go to church! Literally.

Anonymous said...

"So...yeah...let’s get those churches back open ASAP. They are essential. We'll die without them open. "

You do have a right to your sarcasm, pathetic though it may be.

The First Amendment to the US Constitution guarantees the government can say or do nothing to regulate churches. You don't like, pass a constitutional amendment to eliminate freedom of religion. Good luck with that.

You should think said...

Oh, you're going to die at 5:55, if you go to church, or not. The only question is when. Well, maybe one more question. Are you ready?

Anonymous said...

Matthew 18:20. When two or more are gathered in my name. No physical church needed. Maybe what some want to say is we need to follow Karl Marx who stated that Religion is the opiate of the masses.

Anonymous said...

I may have missed it, but what's the importance of going back and looking at 2 month old data from one rural church? I'm not intending to be a jackass, that's a serious question. Again, it may be right in front of me, and I may have missed it.

Confused us said...

You are familiar with comrade Marx at 11:15? I noticed you capitalized the word religion but not the word church. It can be said, and probably correctly, that religion is an invention of man or mankind. This also begs the rest of the quote to be given which is but spirituality is granted by God. The two are mutually exclusive. If you search for understanding, Grasshopper, do so with a humble spirit and an open mind. For religion, or the repetition of a thing can not bring understanding in the spiritual sense. Perhaps pride is a stumbling block for you, Grasshopper. Maybe a little knowledge has made you feel to be more than you truly are. Maybe, Grasshopper.

Anonymous said...

5:54 It is important to show how a single event can lead to a massive amount of infections. This was pre-lockdown when nobody was practicing social distancing. The point is the same thing will happen again once the restrictions are lifted if people don't continue to voluntarily practice social distancing.

Anonymous said...

Religion was created by man. Before there was religion God reigned the heaven and the earth. He reigned before Jesus was born before Mohammad or Moses were born. He used them to get through to the world but they were men and not perfect. Maybe a little knowledge makes all us feel to be more than we really are. OK, Bumble Bee

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