Literature DB >> 8387627

An outbreak of hepatitis A among homosexual men in Melbourne.

T Stewart1, N Crofts.   

Abstract

OBJECTIVE: To describe an outbreak of hepatitis A virus (HAV) infection that occurred in Melbourne in 1991.
DESIGN: (i) We reviewed Health Department Victoria surveillance data from 1989 to 1991 (primary surveillance) and identified all notified cases of HAV infection with an onset of illness between 1 January and 31 December 1991 (secondary surveillance data). (ii) We studied HAV seroprevalence in Melbourne among homosexual men attending gay venues.
RESULTS: (i) In the two years 1989-1990 there were only 55 notifications of HAV infection to Health Department Victoria, with a male:female ratio of 1.2:1. Of the 495 notifications for 1991, 407 (82%) were male, of whom 210 (52%) were known to be homosexual. Many reported sexual and social contact at Melbourne's gay venues and with the Sydney gay community. (ii) Of men attending gay venues, 27% had serological evidence of past infection with HAV, compared with 45.8% in a 1981 Melbourne study.
CONCLUSION: The outbreak of HAV infection in Victoria largely affected homosexual males in their sexually active years. Contact with the Sydney gay community was commonly reported.

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Year:  1993        PMID: 8387627     DOI: 10.5694/j.1326-5377.1993.tb121865.x

Source DB:  PubMed          Journal:  Med J Aust        ISSN: 0025-729X            Impact factor:   7.738


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