{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:45:16Z","timestamp":1786999516393,"version":"build-2736575974"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T00:00:00Z","timestamp":1604448000000},"content-version":"unspecified","delay-in-days":308,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A cluster of 18 scarlet fever cases and large illness absenteeism (32%, 58\/184) in a school prompted concern and further investigation. We conducted telephone interviews with parents to ascertain cases and better comprehend parents' views. We identified 19 cases, of which 13 reported scarlet fever diagnosis by a physician and only seven fulfilled the probable case definition. We concluded that the outbreak was far smaller than suspected and found that communication and reporting could be improved. Accurate information and communication is essential in an outbreak; the school's concern could have been alleviated sooner and response measures better targeted.<\/jats:p>","DOI":"10.1017\/s0950268820002642","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T04:47:28Z","timestamp":1604465248000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Scarlet fever outbreak in a primary and middle school in Germany: importance of case ascertainment and risk communication"],"prefix":"10.1017","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2106-9915","authenticated-orcid":false,"given":"N. J.","family":"Saad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Muller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Walter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Murajda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"S0950268820002642_ref7","first-page":"S45","article-title":"Tonsillopharyngitis: clinical highlights","volume":"34","author":"Tewfik","year":"2005","journal-title":"The Journal of Otolaryngology"},{"key":"S0950268820002642_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30231-7"},{"key":"S0950268820002642_ref8","first-page":"57","article-title":"Scarlet fever","volume":"154","author":"H\u00fcbner","year":"2012","journal-title":"MMW Fortschritte der Medizin"},{"key":"S0950268820002642_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-2018-000961"},{"key":"S0950268820002642_ref9","first-page":"S26","article-title":"Invasive streptococci","volume":"14","author":"Spencer","year":"1995","journal-title":"European Journal of Clinical Microbiology and Infectious Diseases"},{"key":"S0950268820002642_ref1","volume-title":"Streptococcus Pyogenes: Basic Biology to Clinical Manifestations","author":"Rodriguez-Iturbe","year":"2016"},{"key":"S0950268820002642_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30693-X"},{"key":"S0950268820002642_ref2","unstructured":"2. Streptococcus pyogenes-Infektionen (2020) Available at https:\/\/www.rki.de\/DE\/Content\/Infekt\/EpidBull\/Merkblaetter\/Ratgeber_Streptococcus_pyogenes.html;jsessionid=E8094BDA097E6E99AAE0CD19CBA60ED7.internet121#doc2374548bodyText9. Accessed 11 June 2020."},{"key":"S0950268820002642_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/14.1.298"},{"key":"S0950268820002642_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30210-X"},{"key":"S0950268820002642_ref10","first-page":"k3005","article-title":"Managing scarlet fever","volume":"362","year":"2018","journal-title":"BMJ (Clinical Research Edition)"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268820002642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T02:52:41Z","timestamp":1606791161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268820002642\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":11,"alternative-id":["S0950268820002642"],"URL":"https:\/\/doi.org\/10.1017\/s0950268820002642","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2020. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e278"}}