title: Vaccination in the county jail as a strategy to reach high risk adults during a community-based hepatitis A outbreak among methamphetamine drug users.
abstract: Illicit drug use (IDU) is an important risk factor for hepatitis A, but implementing vaccination programs among drug users is difficult. During January 2001-July 2002, 403 hepatitis A cases were reported in Polk County, Florida; 48% were drug users and of these, 80% were recently in jail. To assess the county jail as a potential vaccination venue, we interviewed 280 inmates and conducted a serologic survey during July--August 2002. Of these, 227 (81%) reported a past IDU history. Previous HAV infection was found in 33%. In communities with illicit drug users at risk for hepatitis A and who are frequently jailed, vaccination programs in jails could be an important component of a community-based strategy to control hepatitis A outbreaks among illicit drug users.
authors.affiliation: Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Mailstop D-66, Atlanta, GA 30333, USA. svong@pasteur-kh.org
authors.forename: Sirenda
authors.initials: S
authors.lastname: Vong
authors.forename: Anthony E
authors.initials: AE
authors.lastname: Fiore
authors.forename: Daniel O
authors.initials: DO
authors.lastname: Haight
authors.forename: Jinfeng
authors.initials: J
authors.lastname: Li
authors.forename: Nancy
authors.initials: N
authors.lastname: Borgsmiller
authors.forename: Wendi
authors.initials: W
authors.lastname: Kuhnert
authors.forename: Frances
authors.initials: F
authors.lastname: Pinero
authors.forename: Kathy
authors.initials: K
authors.lastname: Boaz
authors.forename: Tracy
authors.initials: T
authors.lastname: Badsgard
authors.forename: Carmela
authors.initials: C
authors.lastname: Mancini
authors.forename: Omana V
authors.initials: OV
authors.lastname: Nainan
authors.forename: Steven
authors.initials: S
authors.lastname: Wiersma
authors.forename: Beth P
authors.initials: BP
authors.lastname: Bell
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D016001:Confidence Intervals; D005260:Female; D006506:Hepatitis A / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D007223:Infant; D008297:Male; D008694:Methamphetamine; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data; D011330:Prisons / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*
chemical_list: D008694:Methamphetamine