scholarly journals Cluster of hepatitis A cases among travellers returning from Egypt, Belgium, September through November 2008

2009 ◽  
Vol 14 (3) ◽  
Author(s):  
E Robesyn ◽  
M I Micalessi ◽  
S Quoilin ◽  
M Naranjo ◽  
I Thomas

Following a European alert by France, we detected a hepatitis A cluster in Belgian travellers returning from Egypt. Our investigation supports the hypothesis of a common source outbreak, linked to Nile river cruises. The outbreak also suggests the need to consider an intensification of the vaccination policy for travellers to hepatitis A endemic countries.

2009 ◽  
Vol 14 (3) ◽  
Author(s):  
E Couturier ◽  
A M Roque-Afonso ◽  
M J Letort ◽  
E Dussaix ◽  
V Vaillant ◽  
...  

Since September 2008, 26 cases of hepatitis A with a history of travel to Egypt have been reported in France. Investigations indicate that a common source of contamination linked to Nile river cruises is the most likely explanation of the increase in the number of cases reported in France as well as in several other European Union countries.


2009 ◽  
Vol 14 (3) ◽  
Author(s):  
H Bernard ◽  
C Frank

From September to November 2008, 34 cases of hepatitis A imported from Egypt were reported to the German public health authorities. Investigations point to a continuing common source of infection, most likely linked to Nile river cruises. The patients affected had not been vaccinated, which emphasises the need for more effective travel advice before trips to hepatitis A endemic countries.


2018 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Fitrah Bintan Harisma ◽  
Fariani Syahrul ◽  
Teguh Mubawadi ◽  
Yudied Agung Mirasa

Background: Hepatitis A outbreaks were reported by the Lamongan District Health Office to the Surabaya Center for Environmental Health and Disease Control Engineering on January 16, 2018, indicated by an increase in hepatitis A cases in of G and S areas, B village. One of initial sufferer was students in High School X.. Purpose: This study aims to identify the epidemiological characteristics of hepatitis A outbreaks that occur in High School X and the risk factors. Methods: The investigation was carried out in an observational manner with a cross sectional approach. Data were collected by structured interviews, hepatitis A antibodies in blood samples assay, environmental observation, and water samples assay. Data were collected with purposive determination of respondents. Results: Hepatitis A outbreaks at High School X in Lamongan District take place from November 2017 to january 2018, with a target group of 33 students. The epidemic cased tends to be extend common source. Risk factors are contact history with patients, eating habits together in same place, mutual exchange and sharing same eating utensils, the lack of hygiene habit (such as washing hands with soap for students and food handlers), lack of hand washing facilities, bad sanitation, bad food hygiene management, and inadequate clean and hygienis water source. Conclusion: The outbreaks of hepatitis A was extended with the most important risk factors, i.e. lack of personal hygiene and sanitation of water sources.


PLoS ONE ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. e0116939 ◽  
Author(s):  
Kassiani Mellou ◽  
Theologia Sideroglou ◽  
Vassiliki Papaevangelou ◽  
Anna Katsiaflaka ◽  
Nikolaos Bitsolas ◽  
...  

2012 ◽  
Vol 140 (12) ◽  
pp. 2172-2181 ◽  
Author(s):  
S. KURKELA ◽  
R. PEBODY ◽  
G. KAFATOS ◽  
N. ANDREWS ◽  
C. BARBARA ◽  
...  

SUMMARYThe WHO recommends hepatitis A virus (HAV) immunization according to level of transmission and disease burden. We aimed to identify susceptible age groups by standardized serosurveys to inform HAV vaccination policy in participating countries: Belgium, Czech Republic, England, Finland, Germany, Italy, Lithuania, Malta, Romania, and Slovakia. Each country tested national serum banks (n = 1854–6748), collected during 1996–2004, for anti-HAV antibodies. Local laboratory results were standardized to common units. Forty-one per cent of those aged <30 years and 6% of those aged ⩾30 years were susceptible to HAV in Romania; compared to 70–94% and 26–71%, respectively, elsewhere. Romania reported high HAV incidence in children and young adults. Other countries reported HAV disease primarily in older risk groups. The results suggest low level of HAV transmission in most of Europe. Romania, however, appeared as an area with intermediate transmission. Vaccination of risk groups in countries with high susceptibility of young and middle-aged adults needs to be continued.


2021 ◽  
Vol 10 (1) ◽  
pp. 193-204
Author(s):  
Rahmat

Hepatits A masih menjadi Kejadian Luar Biasa (KLB) secara nasional di Indonesia. Berdasarkan hasil Riskesdsa 2018, angka kejadian hepatitis A mencapai 0,39. Kota Depok Jawa Barat juga menjadi daerah dengan KLB hepatitis A. tujuan penelitian ini untuk mengetahui gambaran epidemiologi suspek penyakit Hepatitis A dan faktor risiko yang berpengaruh pada kejadian luar biasa (KLB) hepatitis A di Kota Depok Tahun 2019. Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan menggunakan rancangan case control. Populasi penelitian sebanyak 705 responden. Terdiri dari 318 kasus dan 387 kontrol. Data faktor risiko diperoleh dari kuesioner yang diberikan kepada responden di SMPN 20 Depok, warga RT 01 dan RT 02/RW 01, RT 3/RW 02 Kelurahan Rangkapan Jaya dan Pesantren Petik. Kuisioner berasal dari sumber pedoman penanggulangan KLB Kementerian Kesehatan dengan modifikasi pertanyaan. Faktor risiko yang mempengaruhi KLB Hepatitis A di Kota Depok adalah sumber air minum isi ulang, kebiasaan tidak CTPS sebelum makan, kebiasaan tidak CTPS setelah BAB dan prilaku makan/minum menggunakan peralatan bersama. Untuk sumber KLB Hepatitis A di Kota Depok belum dapat diketahui dengan pasti akan tetapi penyebabnya diduga akibat paparan yang terjadi dalam waktu yang bersamaan (common source). Hal ini didukung dengan kurva epidemik yang berbentuk point source.


Vaccine X ◽  
2019 ◽  
Vol 1 ◽  
pp. 100014 ◽  
Author(s):  
James Plunkett ◽  
Sema Mandal ◽  
Koye Balogun ◽  
Kazim Beebeejaun ◽  
Siew Lin Ngui ◽  
...  

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S762-S763
Author(s):  
Monique Foster ◽  
Megan Hofmeister ◽  
Shaoman Yin ◽  
Paul Weidle

Abstract Background Hepatitis A virus (HAV) is primarily spread fecal-orally and causes acute illness including fever, jaundice, and diarrhea. After introduction and widespread use of the hepatitis A vaccine in the United States, infection with HAV decreased and outbreaks typically associated with a common-source were uncommon. Method CDC receives reports of hepatitis A infections from states through the National Notifiable Disease Surveillance System (NNDSS) and/or directly to the viral hepatitis outbreak response team. We analyzed NNDSS hepatitis A data for 2007–2016, and a combination of NNDSS data and cases directly reported to the CDC hepatitis A outbreak response team during 2017; excluding 2017 NNDSS data from the four states that directly reported outbreaks to the outbreak response team to eliminate the potential for double-counting cases. Result During 2007–2011, a total of 10,619 hepatitis A cases were reported; 521 (5%) were associated with outbreaks. Of the 274 outbreak-associated cases for whom clinical data were reported, 102 (37%) were hospitalized and one (0.3%) died. Of the 407 outbreak-associated cases for whom risk exposure data were reported, 210 (52%) were associated with a common source. Comparatively, during 2012–2017, a total of 11,483 hepatitis A cases were reported; 2,323 (20%) were associated with outbreaks. Of the outbreak-associated cases for whom clinical data were reported, 1,306/2,162 (60%) were hospitalized and 43/2,178 (2%) died. Of the outbreak-associated cases for whom risk exposure data were reported, 379/2,188 (17%) were associated with a common source. Conclusion In the United States, outbreaks of hepatitis A infections in the decade prior to 2017 were infrequent and typically associated with a common source. Reported cases associated with hepatitis A outbreaks are increasing, along with concurrent increases in hospitalizations and deaths among persons with outbreak-associated infections. Recent outbreaks indicate a decrease in cases associated with a common-source exposure. Decreasing the susceptible population through adherence to childhood vaccination recommendations and targeted vaccination of recommended at-risk groups can prevent future hepatitis A outbreaks of any transmission pattern. Disclosures All authors: No reported disclosures.


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