NZPHR Vol 7 No 5/6 May-Jun 2000

Friday 10th September 2010


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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NZPHR Vol 7 No 5/6 May- Jun 2000

 

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NZPHR Vol 7 No 5/6 May- Jun 2000

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