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An outbreak of hepatitis A in Southern Italy: the case for vaccinating food handlers

Published online by Cambridge University Press:  01 December 2005

R. PRATO
Affiliation:
University of Foggia, Italy; Facoltà di Medicina e Chirurgia, Ospedali Riuniti Viale L. Pinto 11, Foggia, Italy
P. L. LOPALCO
Affiliation:
DIMIMP, Section of Hygiene, University of Bari, Italy; Policlinico, Piazza Giulio Cesare, Bari, Italy
M. CHIRONNA
Affiliation:
DIMIMP, Section of Hygiene, University of Bari, Italy; Policlinico, Piazza Giulio Cesare, Bari, Italy
C. GERMINARIO
Affiliation:
DIMIMP, Section of Hygiene, University of Bari, Italy; Policlinico, Piazza Giulio Cesare, Bari, Italy
M. QUARTO
Affiliation:
DIMIMP, Section of Hygiene, University of Bari, Italy; Policlinico, Piazza Giulio Cesare, Bari, Italy
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Abstract

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We report an outbreak of hepatitis A that occurred in the city of Bari (Apulian region) in June 2002. Overall, 26 cases were observed over a 4-week period. These were traced back to the index case, a food handler who prepared various food products for sale over the counter at a store in the district (OR 5·36, CI 95% 1·58–19·25). Laboratory investigations confirmed that the outbreak was due to a point source and identified a new genotype IB variant. There is a possible indication for administration of hepatitis A vaccine to food handlers, although further evidence of an acceptable cost–benefit ratio needs to be ascertained.

Type
Research Article
Copyright
2005 Cambridge University Press