Nationwide Descriptive Epidemiological Study of Patients with COVID-19 Evacuated from Wuhan, China to Japan from January to February, 2020

  • Nomoto Hidetoshi
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan Emerging and Reemerging Infectious Diseases (National Center for Global Health and Medicine), Graduate School of Medicine, Tohoku University, Japan
  • Ishikane Masahiro
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan AMR Clinical Reference Center, National Center for Global Health and Medicine, Japan
  • Gu Yoshiaki
    AMR Clinical Reference Center, National Center for Global Health and Medicine, Japan Department of Infectious Diseases, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan
  • Yamamuro Ryosuke
    Department of Infectious Diseases, Kameda Medical Center, Japan
  • Osawa Ryosuke
    Department of Infectious Diseases, Kameda Medical Center, Japan
  • Hosokawa Naoto
    Department of Infectious Diseases, Kameda Medical Center, Japan
  • Sahara Toshinori
    Department of Infectious Diseases, Ebara Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Japan
  • Nakamura-Uchiyama Fukumi
    Department of Infectious Diseases, Ebara Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Japan Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, Japan
  • Fukushima Kazuaki
    Department of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Japan
  • Sekiya Noritaka
    Department of Infection Prevention and Control, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Japan
  • Imamura Akifumi
    Department of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Japan
  • Fujikura Yuji
    Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Japan
  • Kawana Akihiko
    Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Japan
  • Nagata Kaoru
    Japanese Red Cross Musashino Hospital, Japan
  • Tamura Kaku
    Self-Defense Forces Central Hospital, Japan
  • Kutsuna Satoshi
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan Department of Infection Control, Graduate School of Medicine, Osaka University, Japan
  • Ohmagari Norio
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan Emerging and Reemerging Infectious Diseases (National Center for Global Health and Medicine), Graduate School of Medicine, Tohoku University, Japan AMR Clinical Reference Center, National Center for Global Health and Medicine, Japan

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<p>We investigated the epidemiological findings regarding the route of coronavirus disease 2019 (COVID-19) and infection prevention and control (IPC) measures among returnees in the emergency evacuation from Wuhan, China to Japan during the COVID-19 outbreak in 2020. A total of 12 of the 14 returnees (median age [range]: 49.5 years [29–65 years]; 9 men [75%]) had confirmed COVID-19. The proportion of returnees with COVID-19 was 12/566 (2.1%) in Flights 1–3 and 2/263 (0.8%) in Flights 4 and 5. Six patients were asymptomatic on admission, while 3 patients developed symptoms thereafter. None of the participants reported a specific history of contact with animals, going to seafood markets, or visiting medical facilities. Two patients were in contact with an individual who was confirmed or suspected of having COVID-19. Most patients resided in hotels in the center of Wuhan City, taking taxis and trains for commute. Patients relatively adhered to IPC measures such as wearing a mask and hand hygiene. However, emphasis on IPC measures such as universal masking and more rigorous avoidance of exposure risk might have been necessary to prevent infection. In addition, forced social distancing due to lockdown might have contributed to the lower infection rates in Flights 4 and 5, compared to Flights 1–3.</p>

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