| Titre : | Hepatitis A incidence and hepatitis A vaccination among American Indians and Alaska Natives, 1990-2001. (2004) |
| Auteurs : | Stephanie-R Bialek ; Beth-P BELL ; Jody CHATTIN ; Jim CHEEK ; Diana HU ; Edgar-P SIMARD ; Douglas-A THOROUGHMAN ; Centers for Disease Control and Prevention. National Center for Infectious Diseases. Division of Viral Hepatitis. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 6, 2004) |
| Pagination : | 996-1001 |
| Langues: | Anglais |
| Mots-clés : | Hépatite virale A ; Virose ; Infection ; Incidence ; Epidémiologie ; Vaccination ; Prévention santé ; Ethnie ; Etats Unis ; Amérique ; Homme ; Appareil digestif [pathologie] ; Foie [pathologie] ; Amérique du Nord ; Couverture vaccinale |
| Résumé : | [BDSP. Notice produite par INIST-CNRS k1lQDR0x. Diffusion soumise à autorisation]. Objectives : We assessed the effect on trends in hepatitis A incidence of the 1996 recommendation for routine hepatitis A vaccination of American Indian/Alaska Native (AIAN) children. Methods : We examined trends in hepatitis A incidence among AIAN peoples during 1990-2001 and vaccination coverage levels among children on the largest American Indian reservation. Results : Hepatitis A rates among AIANs declined 20-fold during 1997-2001. Declines in hepatitis A incidence occurred among AIANs in reservation and metropolitan areas. Among 1956 children living on the Navajo Nation whose medical records were reviewed, 1508 (77.1%) had received at least one dose of hepatitis A vaccine, and 1020 (52.1%) had completed the vaccine series. Conclusions : Hepatitis A rates among AIAN peoples have declined dramatically coincident with implementation of routine hepatitis A vaccination of AIAN children. |
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