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[Changes in Hepatitis A epidemiological pattern in Andalucía: 2007-2017]
Rocío Lorenzo Ortega1,2,3, Blanca O Donnell Cortés1,4, Rocío Ortiz González Serna2,5
1Servicio de Medicina Preventiva. Hospital Virgen de la Victoria. Málaga. España.
Hepatitis A virus (HAV) outbreaks in Andalusia disproportionately affected men who have sex with men (MSM), indicating a need for targeted vaccination strategies to control disease transmission.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Sexual transmission of Hepatitis A virus (HAV) is recognized, particularly among men who have sex with men (MSM).
- Recent HAV outbreaks have been observed in MSM populations within the European Union.
Purpose of the Study:
- To investigate the epidemiology of HAV in Andalusia from 2007 to 2017.
- To analyze HAV outbreaks specifically within the MSM population during this period.
Main Methods:
- Retrospective descriptive study utilizing the Andalusia Epidemiological Surveillance System (2007-2017).
- Calculation of annual incidence rates per 100,000 population, stratified by sex.
- Analysis of case distribution by gender and age, using the male-female ratio as an indirect indicator for MSM.
Main Results:
- The mean annual HAV incidence rate was 4.09 cases per 100,000, with higher rates in men (4.7) than women (2.53).
- Two significant HAV outbreaks occurred: 2008-2009 and 2016-2017.
- These outbreaks primarily affected young MSM engaging in sexual risk behaviors, diverging from the traditional disease pattern.
Conclusions:
- Men who have sex with men (MSM) are central to recent HAV outbreaks in Andalusia.
- Current disease control strategies require re-evaluation.
- Systematic vaccination for HAV should be considered for effective disease management.
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