Comparative hepatitis A seroepidemiology in 10 European countries

被引:26
作者
Kurkela, S. [1 ,2 ]
Pebody, R. [1 ]
Kafatos, G. [1 ]
Andrews, N. [1 ]
Barbara, C. [3 ]
Bruzzone, B. [4 ]
Butur, D. [5 ]
Caplinskas, S. [6 ]
Davidkin, I. [7 ]
Hatzakis, A. [8 ]
Hellenbrand, W. [9 ]
Hesketh, L. M. [1 ]
Nardone, A. [1 ]
Nemecek, V. [10 ]
Pistol, A. [11 ]
Sobotova, Z. [12 ]
Vranckx, R. [13 ]
Anastassopoulou, C. G. [8 ]
机构
[1] Hlth Protect Agcy, Hlth Protect Serv, London NW9 5EQ, England
[2] European Publ Hlth Microbiol Fellowship Programme, Stockholm, Sweden
[3] St Lukes Hosp, Guardamangia, Malta
[4] Univ Genoa, Dept Hlth Sci, Genoa, Italy
[5] Natl Inst Res & Dev Microbiol & Immunol Cantacuzi, Natl Reference Ctr Viral Hepatitis, Natl Ctr Expertise Med Microbiol, Bucharest, Romania
[6] Ctr Communicable Dis & AIDS, Vilnius, Lithuania
[7] Natl Inst Hlth & Welf, Helsinki, Finland
[8] Univ Athens, Sch Med, Dept Hyg & Epidemiol, Natl Retrovirus Reference Ctr, GR-11527 Athens, Greece
[9] Robert Koch Inst, Berlin, Germany
[10] Natl Inst Publ Hlth, Prague, Czech Republic
[11] Inst Sanatate Publ Bucuresti, Bucharest, Romania
[12] Publ Hlth Author Slovak Republ, Natl Lab Poliomyelitis & Viral Hepatitis, Bratislava, Slovakia
[13] Inst Publ Hlth, Brussels, Belgium
关键词
Epidemiology; Europe; hepatitis A; hepatitis A antibodies; incidence; serology; vaccination; VIRUS-INFECTION; YOUNG-ADULTS; OUTBREAK; SEROPREVALENCE; PREVALENCE; CHILDREN; ANTIBODY; STANDARDIZATION; POPULATION; EPIDEMIC;
D O I
10.1017/S0950268812000015
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The WHO recommends hepatitis A virus (HAV) immunization according to level of transmission and disease burden. We aimed to identify susceptible age groups by standardized serosurveys to inform HAV vaccination policy in participating countries : Belgium, Czech Republic, England, Finland, Germany, Italy, Lithuania, Malta, Romania, and Slovakia. Each country tested national serum banks (n=1854-6748), collected during 1996-2004, for anti-HAV antibodies. Local laboratory results were standardized to common units. Forty-one per cent of those aged <30 years and 6% of those aged >= 30 years were susceptible to HAV in Romania; compared to 70-94% and 26-71%, respectively, elsewhere. Romania reported high HAV incidence in children and young adults. Other countries reported HAV disease primarily in older risk groups. The results suggest low level of HAV transmission in most of Europe. Romania, however, appeared as an area with intermediate transmission. Vaccination of risk groups in countries with high susceptibility of young and middle-aged adults needs to be continued.
引用
收藏
页码:2172 / 2181
页数:10
相关论文
共 40 条
[31]   Outbreak of hepatitis A in two federal states of Germany:: bakery products as vehicle of infection [J].
Schenkel, K. ;
Bremer, V. ;
Grabe, C. ;
Van Treeck, U. ;
Schreier, E. ;
Hoehne, M. ;
Ammon, A. ;
Alpers, K. .
EPIDEMIOLOGY AND INFECTION, 2006, 134 (06) :1292-1298
[32]   An outbreak of hepatitis A virus infection with a high case-fatality rate among injecting drug users [J].
Spada, E ;
Genovese, D ;
Tosti, ME ;
Mariano, A ;
Cuccuini, M ;
Proietti, L ;
Di Giuli, C ;
Lavagna, A ;
Crapa, GE ;
Morace, G ;
Taffon, S ;
Mele, A ;
Rezza, G ;
Rapicetta, M .
JOURNAL OF HEPATOLOGY, 2005, 43 (06) :958-964
[33]   An outbreak of hepatitis A among homosexuals linked to a family outbreak [J].
Stene-Johansen, K ;
Jenum, PA ;
Hoel, T ;
Blystad, H ;
Sunde, H ;
Skaug, K .
EPIDEMIOLOGY AND INFECTION, 2002, 129 (01) :113-117
[34]   AN OUTBREAK OF HEPATITIS-A IN YOUNG-ADULTS IN CENTRAL ITALY [J].
STROFFOLINI, T ;
BIAGINI, W ;
LORENZONI, L ;
PALAZZESI, GP ;
DIVIZIA, M ;
FRONGILLO, R .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 1990, 6 (02) :156-159
[35]   BASE-LINE SEROEPIDEMIOLOGY OF HEPATITIS-A VIRUS-INFECTION AMONG CHILDREN AND TEENAGERS IN ITALY [J].
STROFFOLINI, T ;
CHIARAMONTE, M ;
FRANCO, E ;
RAPICETTA, M ;
DEMATTIA, D ;
MURA, I ;
TRIVELLO, R ;
GIAMMANCO, A ;
RIGO, G ;
SCARPA, B .
INFECTION, 1991, 19 (02) :97-100
[36]   Prevalence of markers for hepatitis A, B and C in the german population. Results of the German National Health Interview and Examination Survey 1998 [J].
Thierfelder, W ;
Hellenbrand, W ;
Meisel, H ;
Schreier, E ;
Dortschy, R .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2001, 17 (05) :429-435
[37]   An outbreak of hepatitis A among homeless drug users in Rotterdam, The Netherlands [J].
Tjon, GMS ;
Götz, H ;
Koek, AG ;
de Zwart, O ;
Mertens, PLJM ;
Coutinho, RA ;
Bruisten, SM .
JOURNAL OF MEDICAL VIROLOGY, 2005, 77 (03) :360-366
[38]  
Tortajada C, 2009, EUROSURVEILLANCE, V14, P3
[39]   An outbreak of hepatitis A in Roma populations living in three prefectures in Greece [J].
Vantarakis, A. ;
Nearxou, A. ;
Pagonidis, D. ;
Melegos, F. ;
Seretidis, J. ;
Kokkinos, P. ;
Zarkadis, I. ;
Parasidis, T. ;
Alamanos, Y. .
EPIDEMIOLOGY AND INFECTION, 2010, 138 (07) :1025-1031
[40]   Prevalence of hepatitis A antibodies in a large sample of Belgian health care workers [J].
Vranckx, R ;
Jacques, P ;
Moens, G .
INFECTION, 1999, 27 (4-5) :256-258