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Nursery-associated hepatitis A traced to a male nurse

Published online by Cambridge University Press:  19 October 2009

I. Ebisawa
Affiliation:
Departments of Public Health and Anaesthesiology and Clinical Laboratory, Toho University School of Medicine 5-21-16 Omori-nishi Otaku, Tokyo, Japan143
Y. Kurosu
Affiliation:
Departments of Public Health and Anaesthesiology and Clinical Laboratory, Toho University School of Medicine 5-21-16 Omori-nishi Otaku, Tokyo, Japan143
T. Hatashita
Affiliation:
Departments of Public Health and Anaesthesiology and Clinical Laboratory, Toho University School of Medicine 5-21-16 Omori-nishi Otaku, Tokyo, Japan143
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Summary

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A small epidemic of nursery-associated hepatitis A (HA), in which silently infected children played a cryptic role in transmitting the illness to adult contacts, was investigated. It was found that a male nurse had transmitted HA to four children before he fell ill. He was not heard from for about two months as he was a part-time worker and was admitted to a local hospital in another prefecture. Two of the four silently infected children transmitted HA to their parents who then revealed the presence of nursery-associated HA. The epidemic was terminated by injection of human gamma globulin to nursery children and to antibody-negative parents, nursery staff and other contacts except for two breakthrough cases.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1984

References

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