Contributors: Okinawa Chubu Hospital; Nagasaki University; Okinawa Prefecture Nahashi, Okinawa, Japan; Kyōto daigaku = Kyoto University; Epidémiologie des Maladies Emergentes - Emerging Diseases Epidemiology; Institut Pasteur Paris (IP)-Université Paris Cité (UPCité); Kumamoto University; Georgia State University; University System of Georgia (USG); Hokkaido University Sapporo, Japan; Rakuno Gakuen University Japan (RGU); KM acknowledges support from the Japan Society for the Promotion of Science (JSPS) KAKENHI Grant 20H03940 and 20KK0367 , Japan Science and Technology Agency (JST) SICORP JPMJSC21U4 and FOREST JPMJFR215G , and from the Leading Initiative for Excellent Young Researchers from the Ministry of Education, Culture, Sport, Science & Technology of Japan. YS acknowledges support from JSPS KAKENHI 21K10416 . RM acknowledges support from JSPS KAKENHI 21K17250 . RO acknowledges support from the JST, CREST Grant JPMJCR20H1 .
نبذة مختصرة : L'article est suivi d'une correction datant du 23/06/2024 en annexe. ; International audience ; Abstract Background While airport screening measures for COVID-19 infected passengers at international airports worldwide have been greatly relaxed, observational studies evaluating fever screening alone at airports remain scarce. The purpose of this study is to retrospectively assess the effectiveness of fever screening at airports in preventing the influx of COVID-19 infected persons. Methods We conducted a retrospective epidemiological analysis of fever screening implemented at 9 airports in Okinawa Prefecture from May 2020 to March 2022. The number of passengers covered during the same period was 9,003,616 arriving at 9 airports in Okinawa Prefecture and 5,712,983 departing passengers at Naha Airport. The capture rate was defined as the proportion of reported COVID-19 cases who would have passed through airport screening to the number of suspected cases through fever screening at the airport, and this calculation used passengers arriving at Naha Airport and surveillance data collected by Okinawa Prefecture between May 2020 and March 2021. Results From May 2020 to March 2021, 4.09 million people were reported to pass through airports in Okinawa. During the same period, at least 122 people with COVID-19 infection arrived at the airports in Okinawa, but only a 10 suspected cases were detected; therefore, the capture rate is estimated to be up to 8.2% (95% CI: 4.00-14.56%). Our result of a fever screening rate is 0.0002% (95%CI: 0.0003–0.0006%) (10 suspected cases /2,971,198 arriving passengers). The refusal rate of passengers detected by thermography who did not respond to temperature measurements was 0.70% (95% CI: 0.19–1.78%) (4 passengers/572 passengers). Conclusions This study revealed that airport screening based on thermography alone missed over 90% of COVID-19 infected cases, indicating that thermography screening may be ineffective as a border control measure. The fact that only 10 febrile cases were detected ...
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