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Hepatitis A Incidence and Hepatitis A Vaccination Among American Indians and Alaska Natives, 1990–2001

Stephanie R. Bialek, MD, MPH, Douglas A. Thoroughman, PhD, Diana Hu, MD, Edgar P. Simard, BS, Jody Chattin, MPH, Jim Cheek, MD, MPH and Beth P. Bell, MD, MPH

Stephanie R. Bialek is with the Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Ga. At the time of the study, Douglas A. Thoroughman was with the Division of Viral Hepatitis, National Centers for Infectious Diseases, Centers for Disease Control and Prevention and the Indian Health Service National Epidemiology Program. Diana Hu is with the Indian Health Service, Tuba City Indian Medical Center, Tuba City, Az. Edgar P. Simard and Beth Bell are with the Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention. At the time of the study, Jody Chattin was with the Epidemiology Program Office, Centers for Disease Control and Prevention. Jim Cheek is with the Indian Health Service National Epidemiology Program, Albuquerque, NM.



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  		FIGURE 1— Hepatitis A incidence: American Indians/Alaska Natives and the general United States population, 1990–2001.

 


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  		FIGURE 2— Hepatitis A incidence among American Indians/Alaska Natives, by age group: 1990–2001.

 



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  		FIGURE 3— Hepatitis A incidence in 9 urban counties, (a) among American Indians and non–American Indians and (b) among American Indians/Alaska Natives, by age group: 1990–2001.

 



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  		FIGURE 4— Hepatitis A incidence in 14 rural counties, (a) among American Indians and non–American Indians and (b) among American Indians/Alaska Natives, by age-group: 1990–2001.

 




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