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Identifying target groups for a potential vaccination program during a hepatitis A communitywide outbreak.

Y J Hutin, B P Bell, K L Marshall, C P Schaben, M Dart, M P Quinlisk and C N Shapiro

Hepatitis Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

OBJECTIVES: This study sought to identify groups for targeted vaccination during a communitywide hepatitis A outbreak in 1996. METHODS: Residents of the Sioux City, Iowa, metropolitan area reported with hepatitis A between September 1995 and August 1996 were sampled and compared with population-based controls. RESULTS: In comparison with 51 controls, the 40 case patients were more likely to inject methamphetamine, to attend emergency rooms more often than other health care facilities, and to have a family member who used the Special Supplemental Nutrition Program for Women, Infants, and Children. CONCLUSIONS: Groups at increased risk of hepatitis A can be identified that might be [corrected] accessed for vaccination during communitywide outbreaks.

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