Viral Hepatitis in the U.S. Air Force, 1980-89: An Epidemiological and Serological Study

This paper reports the epidemiology of hospital-diagnosed acute viral hepatitis in US Air Force personnel from 1980-1989. First hospitalizations for viral hepatitis generally declined, ranging from 24.6 to 47.2 per 100,000 personnel. Hepatitis rates were higher among men, (RR = 1.3; 95% C.I., 1.1 -...

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Bibliographic Details
Main Authors: Stout, Ronald W, Mitchell, Susan B, Parkinson, Michael D, Warner, Ronald D, Miles, Ralph E
Format: Report
Language:English
Subjects:
AGREEMENTS
AIR
AIR FORCE
AIR FORCE PERSONNEL
DENTISTS
DIAGNOSIS(MEDICINE)
DISEASES
DRUG ABUSE
DRUGS
EPIDEMIOLOGY
HEPATITIS
HOSPITALIZATIONS
HOSPITALS
IMMUNIZATION
MEDICAL PERSONNEL
Medicine and Medical Research
Microbiology
NAVIGATORS
NURSES
PE61101F
PERSONNEL
PHYSICIANS
PILOTS
RATES
REPRINTS
RISK
SEROLOGY
SEXUALLY TRANSMITTED DISEASES
WUALILIREK1B
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Summary:This paper reports the epidemiology of hospital-diagnosed acute viral hepatitis in US Air Force personnel from 1980-1989. First hospitalizations for viral hepatitis generally declined, ranging from 24.6 to 47.2 per 100,000 personnel. Hepatitis rates were higher among men, (RR = 1.3; 95% C.I., 1.1 - 1. 5) and higher among blacks, compared to whites (RR = 1.4; 95% C.I., 1.3 - 1.6). Analysis of risk associated with various occupations demonstrated an increased risk of viral hepatitis for procedurally oriented medical personnel (physicians, clinical nurses, dentists) when compared to all other occupations (RR = 1.5; 95% C.I., 1.1-1.9). Pilots and navigators demonstrated a decreased risk of acute viral hepatitis. Members hospitalized for hepatitis B had a prior or concurrent diagnosis for sexually transmitted disease in 37% of cases; for drug abuse, 32% of cases. Serum samples from 332 individuals demonstrated that hepatitis A had the highest rate of agreement (84%) between serology and hospital discharge diagnosis. Only 3% of individuals with the diagnosis of NANB hepatitis were positive for hepatitis C. Immunization, Sexually transmitted disease, Drug abuse, Hepatitis