Wooten Darcy A
University of California San Diego, San Diego, CA, USA.
Top Antivir Med. 2019 Jan;26(4):117-121.
The recent hepatitis A virus (HAV) outbreak in San Diego was driven by homelessness, associated sanitation conditions, and illicit drug use. As with an outbreak in Michigan, fueled by similar factors, morbidity and mortality were higher than what has been observed with post-vaccine era foodborne HAV outbreaks. Control of the outbreak in San Diego was accomplished with vaccine, sanitation, and education initiatives that targeted those at highest risk. Mass vaccination events and mobile foot teams and vans brought education and vaccine to high-risk individuals in affected areas. The homelessness crisis in San Diego and in many locales throughout the United States poses risk of increasing numbers of outbreaks of HAV and other infectious illnesses. This article summarizes an IAS-USA continuing education webinar given by Darcy A. Wooten, MD, on July 19, 2018.
近期圣地亚哥甲型肝炎病毒（HAV）的爆发是由无家可归、相关卫生条件以及非法药物使用导致的。与密歇根州由类似因素引发的疫情一样，此次疫情的发病率和死亡率高于疫苗接种后时代食源性甲型肝炎病毒爆发时的观察结果。圣地亚哥疫情的控制通过针对高危人群的疫苗接种、卫生改善和教育举措得以实现。大规模疫苗接种活动以及流动步行小组和车辆将教育和疫苗带给了受影响地区的高危个体。圣地亚哥以及美国许多地区的无家可归危机带来了甲型肝炎病毒和其他传染病爆发数量增加的风险。本文总结了2018年7月19日医学博士达西·A·伍滕举办的美国传染病学会（IAS-USA）继续教育网络研讨会的内容。
