id author title date pages extension mime words sentences flesch summary cache txt cord-275002-axp2ggbf Brandl, M. Mass gathering events and undetected transmission of SARS-CoV-2 in vulnerable populations leading to an outbreak with high case fatality ratio in the district of Tirschenreuth, Germany 2020-10-13 .txt text/plain 3197 163 58 title: Mass gathering events and undetected transmission of SARS-CoV-2 in vulnerable populations leading to an outbreak with high case fatality ratio in the district of Tirschenreuth, Germany To investigate the outbreak, we analysed surveillance and other data available at the district health department, including data on cases living in care facilities and public health measures applied. In order to investigate reasons for the rapid increase of cases and the magnitude of the outbreak, we used national and local surveillance data on laboratory-confirmed, reported COVID-19 cases in TIR from 17 February to 11 May 2020. We contacted local laboratories to estimate the number of SARS-CoV-2 tests performed in the period of 7 March 2020 (first laboratory confirmation in TIR) and 13 May 2020 and compared the data with those reported for Germany [6] . ./cache/cord-275002-axp2ggbf.txt ./txt/cord-275002-axp2ggbf.txt