Acute viral hepatitis B: laboratory reports 1980-4.

Polakoff, Sheila

doi:10.1136/bmj.293.6538.37

Cited by 52 publications

(18 citation statements)

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“…From the United Kingdom a similar decrease in acute hepatitis B incidence in drug users since 1985 has been reported. 17 In conclusion, we found a modest decrease in HIV incidence among IVDUs participating in our follow-up study which correlates with the earlier reported behavioral change in this group. 3 The decline in acute hepatitis B incidence is a convincing indicator of effective behavior change.…”

Section: Hiv-incidencesupporting

confidence: 89%

The course of the HIV epidemic among intravenous drug users in Amsterdam, The Netherlands.

Haastrecht

Hoek²,

Bardoux³

et al. 1991

Am J Public Health

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To determine if behavioral changes in intravenous drug users in Amsterdam have retarded the HIV (human immunodeficiency virus) epidemic in this group in recent years, we report that: HIV-antibody seroprevalence in annual samples of injectors has been constant over the years 1986-89; HIV-antibody incidence in a cohort of injectors appears to have decreased from 1986 to 1987 and stabilized after that until 1989; acute hepatitis B incidence in all drug users in Amsterdam declined rapidly between 1985-89. It is concluded that changes in drug use behavior so far appear to have resulted in a stabilization of the epidemic among injectors, at a level with a still disturbingly high incidence rate of 5-6 per 100 person-years.

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Section: Hiv-incidencesupporting

confidence: 89%

The course of the HIV epidemic among intravenous drug users in Amsterdam, The Netherlands.

Haastrecht

Hoek²,

Bardoux³

et al. 1991

Am J Public Health

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“…They reported that in Scotland the incidence of indigenously-acquired hepatitis B in police officers in 1981-5 was 4-6 per 100000. This rate was similar to that of 6 per 100000 for male adults aged 15-64 years in England, Wales and Ireland but less than that for specified categories of health care workers except nurses (Polakoff, 1986). They also examined 61 blood samples from police officers, collected prior to the administration of HBIG, for markers of HBV infection.…”

Section: Discussionmentioning

confidence: 65%

Hepatitis B markers in Lancashire police officers

Morgan‐Capner

Hudson

Armstrong³

1988

Epidemiol. Infect.

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SUMMARYA total of 284 Lancashire police officers each with a minimum of 5 years experience was tested for evidence of hepatitis B infection. None was hepatitis B surface antigen positive (HBsAg). Three were positive for both antibody to hepatitis B core antigen (anti-HBc) and HBsAg (anti-HBs). Five were positive for anti-HBc alone. Thus the overall prevalence was 2-8 % which is within the range reported for blood donors in the UK. There was no association with working in the drug squad or custody office but there was a higher prevalence in those who had worked in the scene-of-crime's squad. However, the numbers were small, and of this group of 28 officers, 2 of the 3 with detectable hepatitis B markers were positive for anti-HBc alone. Therefore for police officers in mixed rural/urban areas of the UK, routine administration of hepatitis B vaccine is not justified although special consideration should be given to those working in selected groups. Further studies are required to ascertain whether there may be an increased risk for police officers working in conurbations.

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“…The incidence of Hepatitis B in United Kingdom adults aged between 15 and 64 years is 2: 100 000 females and 6: 100 000 males (Polakoff, 1986). Intravenous drug abusers constitute the largest single group, with Health Service staff comprising 5-4% of the total (Table 5).…”

Section: Discussionmentioning

confidence: 99%