title: Outbreak of waterborne hepatitis E in Hyderabad, India, 2005.
abstract: A large outbreak of hepatitis E occurred in 2005 in Hyderabad, Andhra Pradesh, India. A total of 1611 cases were reported between 1 March and 31 December 2005 (attack rate 40/100,000). The epidemic curve suggested a continuing common source outbreak. Cases were centred around open sewage drains that crossed the old city. The attack rate was significantly higher in neighbourhood blocks supplied by water supply lines that crossed open drains (203/100,000) than in blocks supplied by non-crossing water pipes with a linear trend (38/100 000, P<0.00001). Crossing water pipelines were repaired and the attack rates declined.
authors.affiliation: Field Epidemiology Training Programme, National Institute of Epidemiology (ICMR), Chennai, India.
authors.forename: B
authors.initials: B
authors.lastname: Sailaja
authors.forename: M V
authors.initials: MV
authors.lastname: Murhekar
authors.forename: Y J
authors.initials: YJ
authors.lastname: Hutin
authors.forename: S
authors.initials: S
authors.lastname: Kuruva
authors.forename: S P
authors.initials: SP
authors.lastname: Murthy
authors.forename: K S Jowaher
authors.initials: KS
authors.lastname: Reddy
authors.forename: G Mastan
authors.initials: GM
authors.lastname: Rao
authors.forename: M D
authors.initials: MD
authors.lastname: Gupte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D016751:Hepatitis E / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D014871:Water Microbiology; D055815:Young Adult