Open AccessThe Impact of Vaccination Efforts on the Spatiotemporal Patterns of the Hepatitis A Outbreak in Michigan, 2016–2018
Author(s) -
Andrew F. Brouwer,
Jon Zelner,
Marisa C. Eisenberg,
Lynsey M. Kimmins,
Macey Ladisky,
Jim Collins,
Joseph N. S. Eisenberg
Publication year - 2020
Publication title -
epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.901
H-Index - 173
eISSN - 1531-5487
pISSN - 1044-3983
DOI - 10.1097/ede.0000000000001218
Subject(s) - outbreak , transmission (telecommunications) , hepatitis a , vaccination , environmental health , demography , medicine , geography , virology , hepatitis , electrical engineering , sociology , engineering
The United States is currently experiencing the largest hepatitis A virus (HAV) outbreak since the introduction of a vaccine in 1996. More than 31,000 cases have been reported since 2016. Although HAV had largely been considered a foodborne pathogen in recent years, this outbreak has been spread primarily through person-to-person transmission in urban settings and has been associated with homelessness and substance use. Michigan was one of the first states to report an outbreak, with 910 reported cases between August 2016 and December 2018.