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Nursery-associated hepatitis A traced to a male nurse

  • I. Ebisawa (a1), Y. Kurosu (a1) and T. Hatashita (a1)

Summary

A small epidemic of nursery-associated hepatitis A (HA), in which silently infected children played a cryptic role in transmitting the illness to adult contacts, was investigated. It was found that a male nurse had transmitted HA to four children before he fell ill. He was not heard from for about two months as he was a part-time worker and was admitted to a local hospital in another prefecture. Two of the four silently infected children transmitted HA to their parents who then revealed the presence of nursery-associated HA. The epidemic was terminated by injection of human gamma globulin to nursery children and to antibody-negative parents, nursery staff and other contacts except for two breakthrough cases.

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Copyright

References

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Deinhaudt, F. & Gust, I. D. (1982). Viral hepatitis. Bulletin of the World Health Organization 60, 661691.
Kashiwagi, S., Hayashi, J., Ikematsu, H., Kusaba, T., Shingu, T., Hayashida, K. & Kaji, M. (1983). Prevalence of antibody to hepatitis A virus in Okinawa and Kyushu, Japan. American Journal of Epidemiology 117, 5559.
Ohara, H., Naruto, H., Watanabe, T. & Ebisawa, I. (1983). An outbreak of hepatitis A caused by consumption of raw oysters. Journal of Hygiene 91, 163165.
Suzuki, S., Sato, A., Kojima, H. & Ichida, F. (1982). Epidemiology of hepatitis A. In Proceedings of the 12th Inuyama Symposium (Hepatitis A and Fulminant Hepatitis), (ed. Takahashi, T. et al. ), pp. 1721. Tokyo: Chugai Medical Publishing Co. (in Japanese.)
Yano, M. (1982). Epidemiology of hepatitis A. in the same Proceedings as above, pp. 2931.

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