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A waterborne outbreak of hepatitis A in Meade County, Kentucky.
Author(s) -
G H Bergeisen,
M W Hinds,
J W Skaggs
Publication year - 1985
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.75.2.161
Subject(s) - outbreak , hepatitis a , incidence (geometry) , environmental health , medicine , waterborne diseases , epidemiology , feces , demography , hepatitis , virology , biology , ecology , physics , sociology , optics
In November 1982, Meade County, Kentucky health officials noted a sudden increase in the incidence of hepatitis A. Using a standardized interview of 73 cases (68 serologically confirmed), and 85 controls (all negative for antibody to hepatitis A virus), the most important risk factor identified was household use of untreated water from a single spring. A dose-response relationship was found for consumption of unboiled spring water. Water samples taken from the spring during the outbreak were contaminated with fecal coliforms.

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