title: Hepatitis A outbreak originating in a day care center: a community case report.
abstract: A community outbreak of hepatitis A is described, involving 23 persons in a small town in central Israel. Seventy-four percent of the cases were related to a contact with toddlers in one nursery class in a day care center. There were no overt cases in that class itself. The mode of transmission exemplified in this community underlines the difficulties in identifying a common source of hepatitis A infection, which is necessary for the elimination of a further spread of the disease.
authors.affiliation: Department of Clinical Epidemiology, Chaim Sheba Medical Center, Tel Hashomer, Israel. epid15@post.tau.ac.il
authors.forename: S
authors.initials: S
authors.lastname: Sadetzki
authors.forename: N
authors.initials: N
authors.lastname: Rostmi
authors.forename: B
authors.initials: B
authors.lastname: Modan
mesh_terms: D002656:Child Day Care Centers; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D006506:Hepatitis A / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D007223:Infant; D007557:Israel / Q000453:epidemiology; D008297:Male