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October 1, 1993The Journal of Infectious Diseases

Secular Trends in Hepatitis A Virus Infection among Alaska Natives

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Key result

Past HAV infection was strongly age-related among Alaska Natives, with anti-HAV prevalence increasing from 7% in persons born since 1975 to 85% among those born before 1945.

Population

4030 Alaska Natives statewide, selected by random sample stratified by year of birth and community of…

Design

Cross-sectional

Authors

LBL. R. BulkowCenters for Disease Control and PreventionRWRobert B. WainwrightCenters for Disease Control and PreventionBMBrian J. McMahonAlaska Native Tribal Health Consortium

Discussion

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Implication

Supports targeted HAV vaccination in young Alaska Natives; leaves open whether age-stratified seroprevalence predicts outbreaks in other populations.

Study Design

Type

Cross-Sectional (n=4,030)

Multicenter

Yes

Structured PICO

P
Population
4,030 Alaska Natives selected statewide to assess the prevalence and epidemiologic characteristics of past Hepatitis A virus infection.
O
Outcome
Prevalence of antibody to hepatitis A virus (anti-HAV)

Main Result

Absolute Event Rate: 85% vs 7%

Hepatitis A infection among Alaska Natives has historically occurred in village-wide outbreaks, suggesting widespread vaccination of young susceptible populations could prevent future epidemics.

Cite This Study

Bulkow et al. (1993) conducted a cross-sectional in Hepatitis A Virus (HAV) infection (n=4,030). Birth before 1945 vs. Birth since 1975 was evaluated on Antibody to HAV (anti-HAV) positivity. Past HAV infection was strongly age-related among Alaska Natives, with anti-HAV prevalence increasing from 7% in persons born since 1975 to 85% among those born before 1945.

synapsesocial.com/papers/6a9feea683b4417cc5efd83ehttps://doi.org/10.1093/infdis/168.4.1017
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