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Contents and Lead Article

Contents
- An outbreak of hepatitis A among an Auckland immigrant community
- Incidence of Haemophilus influenzae type b (Hib)disease in 1999
- Hospitalisations and fatalities from notifiable communicable diseases in 1999
- Surveillance and control notes
Lead article:
An outbreak of hepatitis A among an Auckland immigrant community
There was an outbreak of hepatitis A among a small immigrant community
in Auckland during the winter of 1999. A total of 14 cases were
identified, and they were all children aged 1-8 years. The outbreak
ended one month after the commencement of a free vaccination programme.
The likely mode of transmission was person-to-person spread. Outbreak
investigation and control were complicated by a number of factors,
including theabsence of symptoms among young children, incorrectly
notified contact details, a general practitioner advising against
immunoprophylaxis, reluctance among general practitioners to administer
immune globulin, and language and cultural barriers. Control of similar
outbreaks of hepatitis A could be improved by enhanced use of immune
globulin, comprehensive administration of hepatitis A vaccine, and more
effective community engagement.
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