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巴西拾荒者中乙型肝炎的流行情况：系统评价与荟萃分析。

Hepatitis B prevalence in Brazilian waste pickers: a systematic review with meta-analysis.

机构信息

Fundação Ezequiel Dias. Diretoria de Pesquisa e Desenvolvimento. Belo Horizonte, MG, Brasil.

出版信息

Rev Saude Publica. 2021 Nov 26;55:86. doi: 10.11606/s1518-8787.2021055003115. eCollection 2021.

DOI:10.11606/s1518-8787.2021055003115
PMID:34852166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8621438/
Abstract

OBJECTIVE

To describe the hepatitis B prevalence in Brazilian waste pickers.

METHODS

We performed a literature search in the SciELO, Biblioteca Virtual em Saúde (BVS), PubMed and Web of Science databases using the descriptors: "hepatitis B" AND ("informal recycling" OR "waste picker" OR "recyclable waste collectors" OR "solid waste segregator") AND ("recyclable waste" OR "solid waste") AND Brazil. Epidemiological studies on HBV in Brazilian waste pickers published prior to February 2020 were included and evaluated for quality and bias using a funnel plot.

RESULTS

This meta-analysis consisted of five articles. Prevalence of HBV surface antigen seropositivity was 14% (95%CI: 6%-22%) in Brazilian waste pickers.

CONCLUSION

HBV prevalence in Brazilian waste pickers remains high. There should be more campaigns showing the importance of vaccination and personal protective equipment use.

摘要

目的

描述巴西拾荒者中乙型肝炎的流行情况。

方法

我们在 SciELO、巴西虚拟健康图书馆（BVS）、PubMed 和 Web of Science 数据库中使用以下术语进行文献检索：“乙型肝炎”和（“非正式回收”或“拾荒者”或“可回收废物收集者”或“固体废物分类者”）和（“可回收废物”或“固体废物”）和巴西。纳入了 2020 年 2 月之前发表的关于巴西拾荒者中 HBV 的流行病学研究，并使用漏斗图评估其质量和偏倚。

结果

这项荟萃分析包括五篇文章。巴西拾荒者中 HBV 表面抗原血清阳性率为 14%（95%CI：6%-22%）。

结论

巴西拾荒者中 HBV 的流行率仍然很高。应该开展更多宣传活动，强调接种疫苗和使用个人防护设备的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/255c7400a824/1518-8787-rsp-55-086-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/f89a23bc35ba/1518-8787-rsp-55-086-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/550e676cb68b/1518-8787-rsp-55-086-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/255c7400a824/1518-8787-rsp-55-086-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/f89a23bc35ba/1518-8787-rsp-55-086-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/550e676cb68b/1518-8787-rsp-55-086-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/8621438/255c7400a824/1518-8787-rsp-55-086-gf03.jpg

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High level of exposure to hepatitis B virus infection in a vulnerable population of a low endemic area: A challenge for vaccination coverage.高暴露水平乙型肝炎病毒感染在低流行地区的脆弱人群中：对疫苗接种覆盖率的挑战。
Int J Infect Dis. 2020 Jan;90:46-52. doi: 10.1016/j.ijid.2019.09.029. Epub 2019 Oct 4.
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Health conditions and occupational risks in a novel group: waste pickers in the largest open garbage dump in Latin America.
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BMC Public Health. 2019 May 16;19(1):581. doi: 10.1186/s12889-019-6879-x.
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Seroprevalence of Hepatitis B Virus and Compliance to Standard Safety Precautions among Scavengers in Ilorin Metropolis, Kwara State, Nigeria.尼日利亚夸拉州伊洛林市拾荒者中乙肝病毒血清流行率及对标准安全预防措施的依从性
J Health Pollut. 2018 Sep 10;8(19):180914. doi: 10.5696/2156-9614-8.19.180914. eCollection 2018 Sep.
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Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices.美国乙型肝炎病毒感染预防：免疫实践咨询委员会的建议。
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