Publications

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the prevalence of hepatitis c in a regional level i trauma center population.several studies have examined the prevalence of hepatitis b (hbv) and human immunodeficiency virus (hiv) in a trauma population. to our knowledge, no one has reported on the prevalence of hepatitis c (hcv). we prospectively studied the prevalence of hcv, as well as hbv, hiv, and syphilis in our adult regional level i trauma center population. two hundred eighty-six consecutive trauma patients were tested for previous exposure to hcv using an anti-hcv mab elisa. patients were also tested for expo ...19921321915
human immunodeficiency virus testing experience and hepatitis b vaccination and testing status of healthcare workers in south carolina: implications for compliance with us public health service guidelines.to assess the previous human immunodeficiency virus (hiv) testing experience and the hepatitis b (hb) vaccination and testing status of healthcare workers potentially involved in invasive surgical procedures.19921535641
hepatitis b virus transmission between children in day care.we investigated two situations involving hepatitis b virus exposure among children in day care. in the first a 4-year-old boy who attended a day care center developed acute hepatitis b; another child at the center, who had a history of aggressive behavior (biting/scratching), was subsequently found to be a hepatitis b carrier. no other source of infection among family and other contacts was identified and no other persons at the center became infected. in the second situation a 4-year-old boy wi ...19892626287
clinical evaluation of low-dose intradermally administered hepatitis b virus vaccine. a cost reduction strategy.high cost and limited availability of the current hepatitis b virus vaccine lead to underutilization. to address this problem, we performed a vaccine trial comparing the currently recommended regimen of 20 micrograms of hepatitis b surface antigen (hbsag) intramuscularly on days 0, 30, and 180, with a more economical regimen of 2 micrograms of hbsag intradermally on days 0, 30, and 180. this trial was performed in 50 seronegative health care workers to assess the immunogenicity and local reactog ...19852933535
improper infection-control practices during employee vaccination programs--district of columbia and pennsylvania, 1993.the improper use of needles and syringes and contamination of multidose medication vials can result in transmission of bloodborne pathogens (e.g., hepatitis b virus [hbv] and human immunodeficiency virus [hiv]) and other infectious agents from patient to patient. since september 1993, cdc has received reports from health-care providers and public health departments in two u.s. cities regarding improper infection-control practices during vaccination of employees at worksite vaccination programs. ...19938259108
prevention of perinatal hepatitis b through enhanced case management--connecticut, 1994-95, and the united states, 1994.each year, an estimated 20,000 infants are born to women in the united states who are positive for hepatitis b surface antigen (hbsag). these infants are at high risk for perinatal hepatitis b virus (hbv) infection and for chronic liver disease as adults. to identify newborns who require immunoprophylaxis to prevent perinatal hbv infection, all vaccine advisory groups have recommended routine hbsag screening of all pregnant women during an early prenatal visit in each pregnancy. federal funding ...19969132578
hepatitis b immunization coverage among vietnamese-american children 3 to 18 years old.persons with chronic hepatitis b virus (hbv) infection are at increased risk of chronic hepatitis, cirrhosis, and liver cancer. although hbv infection is relatively uncommon in the united states, the disease is endemic in persons born in southeast asia, including vietnamese-americans. current us infant immunization recommendations and state-mandated school-entry programs have left many nontargeted age-cohorts unvaccinated and at risk of infection. to assess the need for catch-up hepatitis b immu ...200011099621
childhood cancer among alaska natives.the primary purpose of this study was to examine the occurrence of cancer in alaska native (an) children (under age 20). although several studies have compared differences in cancer incidence between white and black children, few have examined cancer among alaska natives/american indians. we know of no published article describing cancer incidence in an children. we compared our findings with those of american indian children of new mexico and of alaska white children. data on mortality, surviva ...200314595083
syringe exchange programs --- united states, 2008.persons who inject drugs should use a new, sterile needle and syringe for each injection. syringe exchange programs (seps) provide free sterile syringes and collect used syringes from injection-drug users (idus) to reduce transmission of bloodborne pathogens, including human immunodeficiency virus (hiv), hepatitis b virus, and hepatitis c virus (hcv). as of march 2009, a total of 184 seps were known to be operating in 36 states, the district of columbia (dc), and puerto rico (north american syri ...201021085091
progress in newborn hepatitis b vaccination by birth year cohorts-1998-2007, usa.in 1999, the american academy of pediatrics (aap) and the u.s. public health service (usphs) issued a joint statement on thimerosal in vaccines, which advised clinicians to temporarily postpone the first dose of hepatitis b vaccine for infants born to hepatitis b surface antigen (hbsag)-negative women. in 2005, the advisory committee on immunization practices (acip) updated the strategy to improve prevention of perinatal and early childhood hepatitis b virus (hbv) transmission.201122063390
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