PMC:7068164 / 10257-16443 JSONTXT 9 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T108 0-10 Sentence denotes Discussion
T109 11-105 Sentence denotes As at 09:00 on 21 February, few COVID-19 cases had been detected in Europe compared with Asia.
T110 106-285 Sentence denotes However the situation is rapidly developing, with a large outbreak recently identified in northern Italy, with transmission in several municipalities and at least two deaths [18].
T111 286-409 Sentence denotes As at 5 March 2020, there are 4,250 cases including 113 deaths reported among 38 countries in the WHO European region [19].
T112 410-635 Sentence denotes In our analysis of early cases, we observed transmission in two broad contexts: sporadic cases among travellers from China (14 cases) and cases who acquired infection due to subsequent local transmission in Europe (21 cases).
T113 636-797 Sentence denotes Our analysis shows that the time from symptom onset to hospitalisation/case isolation was about 3 days longer for locally acquired cases than for imported cases.
T114 798-1077 Sentence denotes People returning from affected areas are likely to have a low threshold to seek care and be tested when symptomatic, however delays in identifying the index cases of the two clusters in France and Germany meant that locally acquired cases took longer to be detected and isolated.
T115 1078-1350 Sentence denotes Once the exposure is determined and contacts identified and quarantined (171 contacts in France and 200 in Germany for the clusters in Haute-Savoie and Bavaria, respectively), further cases are likely to be rapidly detected and isolated when they develop symptoms [15,20].
T116 1351-1534 Sentence denotes In the German cluster, for example, the first three cases detected locally were hospitalised in a mean of 5.7 days, whereas the following six were hospitalised after a mean of 2 days.
T117 1535-1785 Sentence denotes Locally acquired cases require significant resources for contact tracing and quarantine, and countries should be prepared to allocate considerable public health resources during the containment phase, should local clusters emerge in their population.
T118 1786-2086 Sentence denotes In addition, prompt sharing of information on cases and contacts through international notification systems such as the International Health Regulations (IHR) mechanism and the European Commission’s European Early Warning and Response System is essential to contain international spread of infection.
T119 2087-2146 Sentence denotes All of the imported cases had a history of travel to China.
T120 2147-2375 Sentence denotes This was consistent with the epidemiological situation in Asia, and supported the recommendation for testing of suspected cases with travel history to China and potentially other areas of presumed ongoing community transmission.
T121 2376-2606 Sentence denotes The situation has evolved rapidly since then, however, and the number of countries reporting COVID-19 transmission increased rapidly, notably with a large outbreak in northern Italy with 3,089 cases reported as at 5 March [18,19].
T122 2607-2974 Sentence denotes Testing of suspected cases based on geographical risk of importation needs to be complemented with additional approaches to ensure early detection of local circulation of COVID-19, including through testing of severe acute respiratory infections in hospitals irrespectively of travel history as recommended in the WHO case definition updated on 27 February 2020 [21].
T123 2975-3075 Sentence denotes The clinical presentation observed in the cases in Europe is that of an acute respiratory infection.
T124 3076-3224 Sentence denotes However, of the 31 cases with information on symptoms, 20 cases presented with fever and nine cases presented only with fever and no other symptoms.
T125 3225-3418 Sentence denotes These findings, which are consistent with other published case series, have prompted ECDC to include fever among several clinical signs or symptoms indicative for the suspected case definition.
T126 3419-3458 Sentence denotes Three cases were aged 65 years or over.
T127 3459-3535 Sentence denotes All required admission to intensive care and were tourists (imported cases).
T128 3536-3811 Sentence denotes These findings could reflect the average older age of the tourist population compared with the local contacts exposed to infection in Europe and do not allow us to draw any conclusion on the proportion of severe cases that we could expect in the general population of Europe.
T129 3812-4050 Sentence denotes Despite this, the finding of older individuals being at higher risk of a severe clinical course is consistent with the evidence from Chinese case series published so far although the majority of infections in China have been mild [22,23].
T130 4051-4159 Sentence denotes This preliminary analysis is based on the first reported cases of COVID-19 cases in the WHO European Region.
T131 4160-4295 Sentence denotes Given the small sample size, and limited completeness for some variables, all the results presented should be interpreted with caution.
T132 4296-4578 Sentence denotes With increasing numbers of cases in Europe, data from surveillance and investigations in the region can build on the evidence from countries in Asia experiencing more widespread transmission particularly on disease spectrum and the proportion of infections with severe outcome [22].
T133 4579-4706 Sentence denotes Understanding the infection-severity is critical to help plan for the impact on the healthcare system and the wider population.
T134 4707-4796 Sentence denotes Serological studies are vital to understand the proportion of cases who are asymptomatic.
T135 4797-4924 Sentence denotes Hospital-based surveillance could help estimate the incidence of severe cases and identify risk factors for severity and death.
T136 4925-5061 Sentence denotes Established hospital surveillance systems that are in place for influenza and other diseases in Europe may be expanded for this purpose.
T137 5062-5273 Sentence denotes In addition, a number of countries in Europe are adapting and, in some cases, already using existing sentinel primary care based surveillance systems for influenza to detect community transmission of SARS-CoV-2.
T138 5274-5529 Sentence denotes This approach will be used globally to help identify evidence of widespread community transmission and, should the virus spread and containment no longer be deemed feasible, to monitor intensity of disease transmission, trends and its geographical spread.
T139 5530-5796 Sentence denotes Additional research is needed to complement surveillance data to build knowledge on the infectious period, modes of transmission, basic and effective reproduction numbers, and effectiveness of prevention and case management options also in settings outside of China.
T140 5797-6033 Sentence denotes Such special studies are being conducted globally, including a cohort study on citizens repatriated from China to Europe, with the aim to extrapolate disease incidence and risk factors for infection in areas with community transmission.
T141 6034-6186 Sentence denotes Countries together with ECDC and WHO, should use all opportunities to address these questions in a coordinated fashion at the European and global level.