Titre :
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Hepatitis A incidence and hepatitis A vaccination among American Indians and Alaska Natives, 1990-2001. (2004)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 6, 2004)
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Pagination :
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996-1001
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Langues:
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Anglais
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Mots-clés :
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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
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Résumé :
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[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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