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This paper adds to previous work [5] [8] by simultaneously including a wider range of epidemiological factors and possible interventions, such as elevated in-flight transmission, flight duration, the effect of wearing of mask during flight, early presentation of cases among travelers, and quarantining all passengers from a flight with a detected case at arrival.
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There was a small chance of contracting the disease preflight because of community transmission for flight 1; however, flight 2 originated from an area with no documented community transmission.
All 9 infected passengers during the incubation period passed through airport fever and symptom screening, indicating that transmission on flights can escape detection.
Our results indicate that the delay is relatively insensitive to the rate of in-flight transmission, making in-flight transmission less of an issue than commonly believed.
The reason, health officials said, is less because of possible transmission on flights than on the risk of being exposed in those areas.
The delay is quite insensitive to the rate of transmission in-flight.
A 10-fold increase in the rate of transmission in-flight only decreases the median delay from 57 to 53 days.
Literature study revealed on-board transmission in flights with a duration of less than 8 h.
2 However, little documented evidence exists of influenza transmission during flights.
Dead reindeer, no radio transmissions, and flights canceled for days.
The first in-flight transmission of SARS occurred in a female flight attendant who caught it from a family of three Singaporeans incubating the virus on a Singapore Airlines flight between New York and Frankfurt on 14 March 2003 [ 5].
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