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Hepatitis a outbreak disproportionately affecting men who have sex with men (MSM) in the european union and european economic area, june 2016 to may 2017

dc.creatorNdumbi P., Freidl G.S., Williams C.J., Mårdh O., Varela C., Avellón A., Friesema I., Vennema H., Beebeejaun K., Ngui S.L., Edelstein M., Smith-Palmer A., Murphy N., Dean J., Faber M., Wenzel J., Kontio M., Müller L., Midgley S.E., Sundqvist L., Ederth J.L., Roque-Afonso A.-M., Couturier E., Klamer S., Rebolledo J., Suin V., Aberle S.W., Schmid D., De Sousa R., Augusto G.F., Alfonsi V., Del Manso M., Ciccaglione A.R., Mellou K., Hadjichristodoulou C., Donachie A., Borg M.-L., Sočan M., Poljak M., Severi E., Parmentier S., Laisnez V., Reynaerts A., Mahieu R., Schirvel C., Vestergaard H.T., Nisavanh A., Jessen H., Michaelis K., Sissolak D., Thoulass J., Zimmermann R., Thornton L., Martinelli D., Cappelli M.G., Del Matto G., Chironna M., Bruni R., Borg M.-L., Aldir I., Nascimento M., Martins A., Aguiar B., Medina D., Fafangel M., Skaza A.T., Marinko J.S., Stojanovič D., Kurinčič T.S., Montaño-Remacha C., Fernandez M.G., Gomez-Barroso D., Vazquez S., Reyes N., Mandal S., Balogun K., Spiteri G., Takkinen J., Amato A., European Hepatitis A Outbreak Investigation Teamen
dc.date.accessioned2023-01-31T09:40:05Z
dc.date.available2023-01-31T09:40:05Z
dc.date.issued2018
dc.identifier10.2807/1560-7917.ES.2018.23.33.1700641
dc.identifier.issn1025496X
dc.identifier.urihttp://hdl.handle.net/11615/77129
dc.description.abstractBetween 1 June 2016 and 31 May 2017, 17 European Union (EU) and European Economic Area countries reported 4,096 cases associated with a multi-country hepatitis A (HA) outbreak. Molecular analysis identified three co-circulating hepatitis A virus (HAV) strains of genotype IA: VRD_521_2016, V16–25801 and RIVM-HAV16–090. We categorised cases as confirmed, probable or possible, according to the EU outbreak case definitions. Confirmed cases were infected with one of the three outbreak strains. We investigated case characteristics and strain-specific risk factors for transmission. A total of 1,400 (34%) cases were confirmed; VRD_521_2016 and RIVM-HAV16–090 accounted for 92% of these. Among confirmed cases with available epidemiological data, 92% (361/393) were unvaccinated, 43% (83/195) travelled to Spain during the incubation period and 84% (565/676) identified as men who have sex with men (MSM). Results depict an HA outbreak of multiple HAV strains, within a cross-European population, that was particularly driven by transmission between non-immune MSM engaging in high-risk sexual behaviour. The most effective preventive measure to curb this outbreak is HAV vaccination of MSM, supplemented by primary prevention campaigns that target the MSM population and promote protective sexual behaviour. © 2018, (publisher Name). All rights reserved.en
dc.language.isoenen
dc.sourceEurosurveillanceen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85053348186&doi=10.2807%2f1560-7917.ES.2018.23.33.1700641&partnerID=40&md5=572a387492845f6405e5a0cc2c2ab2d7
dc.subjectadulten
dc.subjectarticleen
dc.subjectcontrolled studyen
dc.subjectEuropean Unionen
dc.subjectgenotypeen
dc.subjectHepatitis A virusen
dc.subjecthumanen
dc.subjectincubation timeen
dc.subjectmajor clinical studyen
dc.subjectmaleen
dc.subjectmen who have sex with menen
dc.subjectnonhumanen
dc.subjectprimary preventionen
dc.subjectrisk assessmenten
dc.subjectrisk factoren
dc.subjectSpainen
dc.subjectunsafe sexen
dc.subjectvaccinationen
dc.subjectvirus strainen
dc.subjectadolescenten
dc.subjectageden
dc.subjectchilden
dc.subjectepidemicen
dc.subjectEuropeen
dc.subjectEuropean Unionen
dc.subjectgeneticsen
dc.subjecthepatitis Aen
dc.subjectHepatitis A virusen
dc.subjecthospitalizationen
dc.subjectinfanten
dc.subjectisolation and purificationen
dc.subjectmale homosexualityen
dc.subjectmiddle ageden
dc.subjectnewbornen
dc.subjectpreschool childen
dc.subjectsexual behavioren
dc.subjectvery elderlyen
dc.subjectyoung adulten
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectDisease Outbreaksen
dc.subjectEuropeen
dc.subjectEuropean Unionen
dc.subjectGenotypeen
dc.subjectHepatitis Aen
dc.subjectHepatitis A virusen
dc.subjectHomosexuality, Maleen
dc.subjectHospitalizationen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectInfant, Newbornen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectRisk Factorsen
dc.subjectSexual Behavioren
dc.subjectSpainen
dc.subjectYoung Adulten
dc.subjectEuropean Centre for Disease Prevention and Control (ECDC)en
dc.titleHepatitis a outbreak disproportionately affecting men who have sex with men (MSM) in the european union and european economic area, june 2016 to may 2017en
dc.typejournalArticleen


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