Outbreak of hepatitis A among homosexual men in Sydney.

Stokes, M L; Ferson, M J; Young, L C · Am J Public Health · 1997

case_series · Level IV

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Abstract

This study examined an outbreak of hepatitis A in eastern Sydney during 1991-1992. Data were based on cases of hepatitis A in eastern Sydney residents reported from January 1991 to October 1992. Five hundred seventy cases of hepatitis A were reported. Of these, 515 (90%) occurred in male patients, of whom 330 were reported to be homosexual or bisexual. The highest attack rate (71/10,000) occurred in men aged 20 to 29 years of age. This outbreak affected large numbers of young homosexual men living in the inner eastern suburbs of Sydney. Hepatitis A vaccination should be considered for all susceptible homosexual men. Further research into the use of hepatitis A vaccine as an outbreak control measure is also recommended.

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