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New South Wales Public Health Bulletin New South Wales Public Health Bulletin Society
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RESEARCH ARTICLE

Hepatitis A: who in NSW is most at risk of infection?

Kate Ward A C and Jeremy McAnulty B
+ Author Affiliations
- Author Affiliations

A NSW Public Health Officer Training Program, NSW Department of Health

B Communicable Diseases Branch, NSW Department of Health

C Corresponding author. Email: kward@doh.health.nsw.gov.au

NSW Public Health Bulletin 19(2) 32-35 https://doi.org/10.1071/NB07100
Published: 28 February 2008

Abstract

The incidence of hepatitis A in NSW has declined in recent years, but the relative importance of risk factors remains unclear. Methods: We analysed case data from the NSW Notifiable Diseases Database from 1991 to 2006. Results: Hepatitis A notification rates fell from 18.9 to 1.4 cases per 100 000 between 1991 and 2006. International travel to endemic areas was the likely exposure for 50 per cent of cases between 2002 and 2006. Rates were five times higher in travellers born in countries where hepatitis A is endemic compared with those born in Australia. Conclusion: Travellers born in endemic countries should be carefully assessed for vaccination before departure.


References


[1] World Health Organization. Hepatitis A vaccine. Geneva: World Health Organization http://www.who.int/vaccines/en/hepatitisa.shtml accessed July 2007.

[2] Koff RS. Hepatitis A Lancet 1998; 351(9116): 1643–9.
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[16] Ooi WW,  Gallagher A,  Chen LH. Immunity to hepatitis A and hepatitis B in Indian and Chinese immigrants seen in a travel clinic in Massachusetts, United States. J Travel Med 2006; 13(4): 212–8.
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