Publications

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natural and induced immunity to hepatitis b virus among the staff of a pediatric oncology center.all employees of st. jude children's research hospital who were at risk for occupational exposure to hepatitis b virus were considered appropriate candidates for immunization when the vaccine was licensed in november 1981. because a high prevalence of hepatitis b immunity was expected among the staff, preimmunization screening was undertaken in the belief that it would be cost effective. of 315 candidates screened for antibody to the hepatitis b surface antigen (anti-hbs), 79 (25%) had detectabl ...19846238555
universal precautions compliance and exposure frequency to patient body fluids in nurses employed by urban and rural health care agencies.previous studies have suggested that health care workers may differ with respect to universal precautions knowledge, compliance, practice setting barriers, or exposure to patient body fluids in rural and urban areas. the purpose of this study was to determine whether or not there are rural/urban differences in the degree of precaution taken by health care workers to prevent the spread of blood borne pathogens, specifically human immunodeficiency virus (hiv) and hepatitis b virus (hbv). a random ...199510151307
an outbreak of foodborne hepatitis a: the value of serologic testing and matched case-control analysis.in april 1981, an outbreak of hepatitis a occurred among state legislators in tennessee. although the number of cases was small, we traced the source to a food handler who served cold meats and cheese. this investigation demonstrates the value of rapid serologic testing using a radioimmunoassay technique and matched case-control analysis to identify small foodborne outbreaks of hepatitis a.19836311035
hepatitis c virus infection among women giving birth - tennessee and united states, 2009-2014.hepatitis c virus (hcv) affects an estimated 3.5 million persons in the united states (1), making it the most common bloodborne infection in the country. recent surveillance data showed increased rates of hcv infection among adolescents and adults who are predominantly white, live in nonurban areas, and have a history of injection drug use.* u.s. birth certificate data were used to analyze trends and geographic variations in rates of hcv infection among women giving birth during 2009-2014. birth ...201728493860
antibodies to delta antigen in asymptomatic hepatitis b surface antigen-reactive blood donors in the united states and their association with other markers of hepatitis b virus.a total of 1,915 sera collected in 1979 from asymptomatic hepatitis b surface antigen (hbsag) carriers were tested for delta antigen, antibody to delta antigen (anti-delta), hepatitis b e antigen (hbeag) and antibody to hepatitis b e antigen (anti-hbe) in addition to hbsag and its subtypes. these sera represented blood donated by volunteers to 49 of 57 regions of the american red cross located in nine geographic regions of the united states and puerto rico. a total of 72 (3.8%) sera had anti-del ...19854014206
seroepidemiology of hepatitis b in tennessee prisoners.a prevalence serosurvey was performed on an 11.7% sample of the 6,503 adult male inmates in tennessee prisons. on the basis of the sample, 0.9% of the prisoners possessed hepatitis b surface antigen, and 29.5% had one or more serum markers for hepatitis b virus (hbv). thirty-two possible risk factors were analyzed for association with possession of hbv serum markers. the significant risk factors for possession of hbv markers in this population were found to be age, intravenous drug use while not ...19846481188
increases in acute hepatitis b virus infections - kentucky, tennessee, and west virginia, 2006-2013.as many as 2.2 million persons in the united states are chronically infected with hepatitis b virus (hbv) (1), and approximately 15%-25% of persons with chronic hbv infection will die prematurely from cirrhosis or liver cancer (2). since 2006, the overall u.s. incidence of acute hbv infection has remained stable; the rate in 2013 was 1.0 case per 100,000 persons (3). hepatitis b vaccination is highly effective in preventing hbv infection and is recommended for all infants (beginning at birth), a ...201626821369
selective screening of hospitalized patients for the presence of asymptomatic hepatitis b virus carriage: predictability based on census tract data.review of all hepatitis b surface antigen-positive patients reported to the county health department over the past 3 years showed that 60% of patients had been diagnosed at our hospital, which serves an inner city, predominantly black, indigent population. sera from 524 adult patients admitted to the hospital were prospectively collected and tested for hepatitis b surface antigen, eight (1.5%) of which were antigen-positive. census tract data allowed us to perform selective screening of sera fro ...19863640744
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