{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T10:12:35Z","timestamp":1770977555675,"version":"3.50.1"},"reference-count":19,"publisher":"American Medical Association (AMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Intern Med"],"published-print":{"date-parts":[[2020,8,1]]},"DOI":"10.1001\/jamainternmed.2020.2233","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T15:02:14Z","timestamp":1590073334000},"page":"1101","source":"Crossref","is-referenced-by-count":94,"title":["Outbreak Investigation of COVID-19 Among Residents and Staff of an Independent and Assisted Living Community for Older Adults in Seattle, Washington"],"prefix":"10.1001","volume":"180","author":[{"given":"Alison C.","family":"Roxby","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"},{"name":"Department of Global Health, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander L.","family":"Greninger","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly M.","family":"Hatfield","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy H.","family":"Dellit","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"James","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Taylor","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Libby C.","family":"Page","sequence":"additional","affiliation":[{"name":"Public Health Seattle, King County, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Kimball","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Arons","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Munanga","sequence":"additional","affiliation":[{"name":"School of Nursing, Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle"},{"name":"Era Living Retirement Communities, Seattle, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nimalie","family":"Stone","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Jernigan","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujan C.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Lewis","sequence":"additional","affiliation":[{"name":"Public Health Seattle, King County, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth A.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith R.","family":"Jerome","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, University of Washington, Seattle"},{"name":"Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S.","family":"Duchin","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"},{"name":"Public Health Seattle, King County, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Neme","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10","reference":[{"issue":"16","key":"ioi200035r1","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1001\/jama.2020.4326","article-title":"Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State [March 19, 2020].","volume":"323","author":"Arentz","year":"2020","journal-title":"JAMA"},{"issue":"1","key":"ioi200035r2","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s13054-020-2833-7","article-title":"Host susceptibility to severe COVID-19 and establishment of a host risk score: findings of 487 cases outside Wuhan.","volume":"24","author":"Shi","year":"2020","journal-title":"Crit Care"},{"issue":"10","key":"ioi200035r3","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1056\/NEJMoa2001191","article-title":"First case of 2019 novel coronavirus in the United States.","volume":"382","author":"Holshue","year":"2020","journal-title":"N Engl J Med"},{"key":"ioi200035r4","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMoa2005412","article-title":"Epidemiology of Covid-19 in a long-term care facility in King County, Washington [published online March 27, 2020].","author":"McMichael","year":"2020","journal-title":"N Engl J Med"},{"issue":"12","key":"ioi200035r5","doi-asserted-by":"publisher","first-page":"339","DOI":"10.15585\/mmwr.mm6912e1","article-title":"COVID-19 in a long-term care facility - King County, Washington, February 27-March 9, 2020.","volume":"69","author":"McMichael","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"14","key":"ioi200035r7","doi-asserted-by":"publisher","first-page":"416","DOI":"10.15585\/mmwr.mm6914e2","article-title":"Detection of SARS-CoV-2 among residents and staff members of an independent and assisted living community for older adults - Seattle, Washington, 2020.","volume":"69","author":"Roxby","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"ioi200035r9","article-title":"Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures.","author":"Wang","year":"2020","journal-title":"J Med Virol"},{"issue":"10","key":"ioi200035r10","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1056\/NEJMc2001468","article-title":"Transmission of 2019-nCoV infection from an asymptomatic contact in Germany.","volume":"382","author":"Rothe","year":"2020","journal-title":"N Engl J Med"},{"key":"ioi200035r11","article-title":"Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care skilled nursing facility \u2014 King County, Washington, March 2020","author":"Kimball","journal-title":"MMWR Morb Mortal"},{"issue":"4","key":"ioi200035r12","doi-asserted-by":"publisher","first-page":"e488","DOI":"10.1016\/S2214-109X(20)30074-7","article-title":"Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts.","volume":"8","author":"Hellewell","year":"2020","journal-title":"Lancet Glob Health"},{"issue":"7","key":"ioi200035r13","doi-asserted-by":"crossref","DOI":"10.3346\/jkms.2020.35.e86","article-title":"Viral load kinetics of SARS-CoV-2 Infection in first two patients in Korea.","volume":"35","author":"Kim","year":"2020","journal-title":"J Korean Med Sci"},{"issue":"12","key":"ioi200035r14","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1056\/NEJMc2001737","article-title":"SARS-CoV-2 viral load in upper respiratory specimens of infected patients.","volume":"382","author":"Zou","year":"2020","journal-title":"N Engl J Med"},{"key":"ioi200035r18","doi-asserted-by":"crossref","DOI":"10.7554\/eLife.55570","article-title":"Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19.","volume":"9","author":"Gostic","year":"2020","journal-title":"Elife"},{"key":"ioi200035r19","article-title":"Smell and taste dysfunction in patients with COVID-19 [published online April 15, 2020].","author":"Xydaki","journal-title":"Lancet Infect Dis"},{"key":"ioi200035r6","unstructured":"Public Health Seattle - King County. Update: Increasing King County COVID-19 case numbers for March 10, 2020 point to importance of social distancing. https:\/\/www.kingcounty.gov\/depts\/health\/news\/2020\/March\/10-covid-case-updates.aspx. Accessed March 11, 2020."},{"key":"ioi200035r8","unstructured":"Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/downloads\/rt-pcr-panel-for-detection-instructions.pdf. Published 2020. Accessed March 11, 2020."},{"key":"ioi200035r15","unstructured":"Centers for Disease Control and Prevention. Interim Additional Guidance for Infection Prevention and Control for Patients with Suspected or Confirmed COVID-19 in Nursing Homes. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/healthcare-facilities\/prevent-spread-in-long-term-care-facilities.html. Published 2020. Accessed March 15, 2020."},{"key":"ioi200035r16","unstructured":"National Center for Assisted Living - Communities. https:\/\/www.ahcancal.org\/ncal\/facts\/Pages\/Communities.aspx. Accessed April 17, 2020."},{"key":"ioi200035r17","unstructured":"Centers for Disease Control and Prevention. Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance). https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/community\/retirement\/index.html. Published 2020. Accessed March 21, 2020."}],"container-title":["JAMA Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/articlepdf\/2766448\/jamainternal_roxby_2020_oi_200035.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T15:20:22Z","timestamp":1596468022000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2766448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,1]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamainternmed.2020.2233","relation":{},"ISSN":["2168-6106"],"issn-type":[{"value":"2168-6106","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8,1]]}}}