MMWR. Morbidity and mortality weekly report · 2018
Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness - California, Kentucky, Michigan, and Utah, 2017.
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Foster Monique, Ramachandran Sumathi, Myatt Katie, Donovan Danielle, Bohm Susan, Fiedler Jay, Barbeau Bree, Collins Jim, Thoroughman Douglas, McDonald Eric, Ballard Jonathan, Eason Jeffrey, Jorgensen Cynthia
Аннотация
During 2017, CDC received 1,521 reports of acute hepatitis A virus (HAV) infections from California, Kentucky, Michigan, and Utah; the majority of infections were among persons reporting injection or noninjection drug use or homelessness. Investigations conducted by local and state health departments indicated that direct person-to-person transmission of HAV infections was occurring, differing from other recent, large HAV outbreaks attributed to consumption of contaminated commercial food products. Outbreaks with direct HAV transmission among persons reporting drug use or homelessness signals a shift in HAV infection epidemiology in the United States, and vaccination of these populations at high risk can prevent future outbreaks.