Kosatsky T, Middaugh J P, Hall D
West J Med. 1988 Feb;148(2):163-6.
An outbreak of 8 cases of hepatitis A among the 36-member crew of an offshore Alaska petroleum production platform was linked to a previous outbreak in an urban day-care center. Transmission of hepatitis A on the platform related most plausibly to refrigerated food items contaminated by a cook with mild disease. Control efforts included identifying and treating contacts of case patients who had traveled far from the platform before becoming ill. Early serologic confirmation of diagnosed cases and rapid reporting to public health authorities are essential to prevent disease transmission. Timely investigation can limit the administration of immune globulin to persons at high risk of contracting the disease.
阿拉斯加近海一个石油生产平台上36名船员中有8人爆发甲型肝炎,这与此前一个城市日托中心的疫情有关。该平台上甲型肝炎的传播最有可能与一名轻症厨师污染的冷藏食品有关。防控措施包括识别并治疗那些在发病前已远离该平台的病例接触者。对确诊病例进行早期血清学确认并迅速向公共卫生当局报告对于预防疾病传播至关重要。及时开展调查可减少对感染该疾病高风险人群注射免疫球蛋白的情况。