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英国监狱发生的乙型肝炎传播事件与免疫接种的重要性

Hepatitis B transmission event in an English prison and the importance of immunization.

机构信息

Public Health, NHS, Walsall WS2 7JL, UK.

出版信息

J Public Health (Oxf). 2011 Jun;33(2):193-6. doi: 10.1093/pubmed/fdq083. Epub 2010 Oct 21.

DOI:10.1093/pubmed/fdq083
PMID:20965882
Abstract

Immunization against hepatitis B virus (HBV) is recommended for all sentenced prisoners and all new entrants to prison in the UK. In November 2008, acute hepatitis B was confirmed serologically in a 27-year-old man (Case 1) who had been incarcerated since February 2007. The cell mate of Case 1, a 26-year-old man was an established HBV carrier. A home-made tattoo gun was confiscated from their prison cell. In the absence of other clearly identifiable risk behaviours, tattooing was deemed to be a possible route of HBV transmission. Transmission of hepatitis B in a prison setting is a real concern and this report highlights the importance of immunizing prisoners against hepatitis B and should encourage health professionals to communicate the benefits of immunization to inmates to increase vaccine uptake.

摘要

英国建议所有服刑囚犯和新入狱人员接种乙肝病毒(HBV)疫苗。2008 年 11 月,一名 27 岁的服刑人员(病例 1)经血清学检测确诊为急性乙型肝炎,他于 2007 年 2 月入狱。病例 1 的狱友为一名 26 岁的乙型肝炎病毒携带者,他们的牢房里搜出一把自制纹身枪。在没有其他明确可识别的危险行为的情况下,纹身被认为是 HBV 传播的一种可能途径。乙型肝炎在监狱环境中的传播令人担忧,本报告强调了对囚犯进行乙型肝炎免疫接种的重要性,并应鼓励卫生专业人员向囚犯宣传免疫接种的益处,以提高疫苗接种率。

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