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Outbreak of hepatitis A among homosexual men in Sydney.

M L Stokes, M J Ferson and L C Young

Public Health Unit, South Eastern Sydney Area Health Service, Randwick, New South Wales, Australia.

OBJECTIVES: This study examined an outbreak of hepatitis A in eastern Sydney during 1991-1992. METHODS: Data were based on cases of hepatitis A in eastern Sydney residents reported from January 1991 to October 1992. RESULTS: Five hundred seventy cases of hepatitis A were reported. Of these, 515 (90%) occurred in male patients, of whom 330 were reported to be homosexual or bisexual. The highest attack rate (71/10,000) occurred in men aged 20 to 29 years of age. CONCLUSIONS: This outbreak affected large numbers of young homosexual men living in the inner eastern suburbs of Sydney. Hepatitis A vaccination should be considered for all susceptible homosexual men. Further research into the use of hepatitis A vaccine as an outbreak control measure is also recommended.

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				R Allard, J Beauchemin, L Bedard, R Dion, M Tremblay, and J Carsley Hepatitis A vaccination during an outbreak among gay men in Montreal, Canada, 1995-1997 J Epidemiol Community Health, April 1, 2001; 55(4): 251 - 256. [Abstract] [Full Text] [PDF]