Gerlich W H, Thomssen R
Dtsch Med Wochenschr. 1982 Oct 29;107(43):1627-30. doi: 10.1055/s-2008-1070177.
Within one year four butchers fell ill with acute hepatitis B in a butcher's shop with ten employees. A symptom-free hepatitis B virus carrier was detected among the non-diseased employees. Lack of IgM-anti-HBc antibodies showed that the carrier state had probably existed for more than one year. The time course of infections and the kind of cooperation made it very likely that the carrier had infected his symptomatic mates. The outbreak shows that hepatitis B can be an occupational disease also in non-medical occupations. Should hepatitis B occur in a workman exposed to trauma frequently due to his occupation, serological investigation of the workmates is required in order to identify potential sources of infection and to enable future protective measures.
在一家有十名员工的肉铺里，一年内有四名屠夫患上了急性乙型肝炎。在未患病的员工中检测出一名无症状的乙肝病毒携带者。缺乏IgM抗-HBc抗体表明携带者状态可能已存在一年以上。感染的时间进程和合作方式很可能是携带者感染了有症状的同事。此次疫情表明，乙型肝炎在非医疗职业中也可能是一种职业病。如果因职业原因经常接触外伤的工人感染了乙肝，就需要对其同事进行血清学调查，以确定潜在的感染源，并采取未来的防护措施。
