Intrahousehold transmission of pandemic (H1N1) 2009 virus, Victoria, Australia

Caroline van Gemert, Margaret Hellard, Emma S. Mcbryde, James E Fielding, Tim Spelman, Nasra Higgins, Rosemary Lester, Hassan Vally, Isabel Bergeri

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)


To examine intrahousehold secondary transmission of pandemic (H1N1) 2009 virus in households in Victoria, Australia, we conducted a retrospective cross-sectional study in late 2009. We randomly selected case-patients reported during May-June 2009 and their household contacts. Information collected included household characteristics, use of prevention and control measures, and signs and symptoms. Secondary cases were defi ned as influenza-like illness in household contacts within the specifi ed period. Secondary transmission was identifi ed for 18 of 122 susceptible household contacts. To identify independent predictors of secondary transmission, we developed a model. Risk factors were concurrent quarantine with the household index case-patient, and a protective factor was antiviral prophylaxis. These findings show that timely provision of antiviral prophylaxis to household contacts, particularly when household members are concurrently quarantined during implementation of pandemic management strategies, delays or contains community transmission of pandemic (H1N1) 2009 virus.

Original languageEnglish
Pages (from-to)1599-1607
Number of pages9
JournalEmerging Infectious Diseases
Issue number9
Publication statusPublished - Sept 2011

Cite this