Risk of hepatitis B infection among medical and paramedical workers in a general hospital in Zimbabwe.
To evaluate the addition of hepatitis vaccine to health schemes for hospital workers in Zimbabwe we undertook a cross sectional study of viral markers in 226 hospital workers and compared the results with 97 volunteer blood donor controls. One hundred and thirty one (58%) hospital workers had hepatitis markers compared with 45 (46%) of the donor group. Racial group was the strongest risk factor. Blacks were 70% more likely to have markers than whites. This racial difference was not explained by job status or patient contact. Our data suggest that work in a district general hospital does not constitute a clinically important hazard for hepatitis B infection. Because of the high cost of the vaccine, additional studies to assess the risk of hospital work in other settings in Zimbabwe are required before health policy regarding routine hepatitis B vaccination is determined.
Emmanuel
J C
JC
Blood Transfusion Service, Harare, Zimbabwe.
Bassett
M T
MT
Smith
H J
HJ
D001741:Black or African American; D044383:Black People; D001782:Blood Donors; D006509:Hepatitis B / Q000453:epidemiology / Q000276:immunology / Q000635:transmission*; D006510:Hepatitis B Antibodies / Q000032:analysis; D006514:Hepatitis B Surface Antigens / Q000032:analysis; D006769:Hospitals, General; D006801:Humans; D009784:Occupational Diseases / Q000453:epidemiology / Q000276:immunology / Q000635:transmission*; D010564:Personnel, Hospital; D012307:Risk Factors; D015030:Zimbabwe
D006510:Hepatitis B Antibodies; D006514:Hepatitis B Surface Antigens