Volume 20, Number 4—April 2014
Underdiagnosis of Foodborne Hepatitis A, the Netherlands, 2008–20101
|Category||Description||Public health action*|
|Travel-associated||History of travel to a country with high, intermediate, or low HAV endemicity (18)||Advise on future travel precautions|
|Person-to-person||Local contact with HAV-infected person||Widen contact tracing to identify risk groups and vaccination (e.g., school, health care setting, homeless, travel group)|
|MSM||Male-with-male sex||Widen contact tracing|
|Foodborne||Suspected food product or food handler||Trace sources (notify the food safety authority)|
|Unknown||No other applicable category||No further action|
*In addition to hygiene measures, vaccination of household contacts, and restriction from school or work according to national guidelines; HAV, hepatitis A virus; MSM, men who have sex with men.
1Preliminary results of this study were presented at the 15th Annual Meeting of the European Society for Clinical Virology; 2012 September 4–7; Madrid, Spain.
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