O'Mahony M C, Gooch C D, Smyth D A, Thrussell A J, Bartlett C L, Noah N D
Lancet. 1983 Mar 5;1(8323):518-20. doi: 10.1016/s0140-6736(83)92203-1.
Early in 1981, cases of hepatitis possibly associated with the consumption of cockles were reported mainly from south-east England. A case-control study was undertaken in 19 local authority districts. Between Nov. 1, 1980, and April 30, 1981, 424 cases of infective jaundice were formally notified and case-finding yielded 26 additional cases. 42.6% of those with hepatitis and 17.5% of the controls reported consumption of cockles. There was a statistically significant association between infective jaundice and the consumption of cockles but not other sea foods. The cockles had probably been insufficiently processed and stricter controls on treatment of such shellfish are needed.
1981年初，主要来自英格兰东南部地区报告了可能与食用鸟蛤有关的肝炎病例。在19个地方当局辖区开展了一项病例对照研究。1980年11月1日至1981年4月30日期间，共正式通报了424例感染性黄疸病例，通过病例搜索又发现了26例。患肝炎者中有42.6%报告食用过鸟蛤，而对照组这一比例为17.5%。感染性黄疸与食用鸟蛤之间存在统计学上的显著关联，但与其他海产品无关。这些鸟蛤可能加工不充分，因此需要对这类贝类的处理实施更严格的管控。
