Infection

, Volume 24, Issue 2, pp 147–150 | Cite as

Prevalence of hepatitis a antibodies in food handlers in Italy

  • I. F. Angelillo
  • C. G. A. Nobile
  • F. Talarico
  • Maria Pavia
Originalia

Summary

The aim of the study was to investigate the anti-HAV prevalence in food handlers in the area of Catanzaro, Italy. A cross-sectional survey was performed by selecting all food handlers attending local health units for routine medical examination during the period from May 1994 through December 1994. A prevalence of 68.7% was recorded in the 294 participating subjects, and it increased significantly with increasing age (Chi-square test for trend =126.95; p<0.0001). Multiple logistic regression analysis showed a significant association in the prevalence of anti-HAV with years of activity: food handlers with ten or more years' experience have an adjusted odd ratio of 2.4 (95% CI=1.01–5.6) compared to those with a shorter period of activity. The results indicate that finding and implementing ways to motivate food handlers to use correct infection control measures routinely should be made a priority.

Keywords

Hepatitis Logistic Regression Infection Control Local Health Medical Examination 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Hepatitis A-Antikörperprävalenz bei Lebensmittel-Händlern in Italien

Zusammenfassung

Bei Lebensmittel-Händlern in der italienischen Region Catanzaro wurde die Anti-Hepatitis A-Antikörperprävalenz bestimmt. Um zu einem repräsentativen Durchschnitt zu kommen, wurden alle Lebensmittelhändler getestet, die zwischen Mai und Dezember 1994 den lokalen Gesundheitsdienst aufsuchten, um Routineuntersuchungen durchführen zu lassen. Bei den 294 Teilnehmern der Studie fand sich eine anti-HAV-Antikörperprävalenz von insgesamt 68,7%. Mit zunehmendem Alter war eine signifikante Zunahme zu verzeichnen (Chi2-Test für den Trend =126,95; p<0,0001). Die multiple logistische Regressionsanalyse zeigte eine signifikante Assoziation zwischen anti-HAV-Prävalenz und Berufs-Jahren. Die angenäherte Odds-Ratio zwischen mehr als 10 und den weniger lang als Lebensmittel-Händler tätigen Personen betrug 2,4 (95% Vertrauensintervall = 1,01–5,6). Wege und Motivation für die Einhaltung geeigneter Infektionskontrollmaßnahmen durch Lebensmittelhändler im Alltag zu finden, ist daher eine vordringliche Aufgabe.

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References

  1. 1.
    Stroffolini, T., De Crescenzo, L., Giammanco, A., Intonazzo, V., La Rosa, G., Cascio, A., Sarzana, A., Chiarini, A., Dardanoni, L. Changing patterns of hepatitis A virus infection in children in Palermo, Italy. Eur. J. Epidemiol. 6 (1990) 84–87.Google Scholar
  2. 2.
    Papaevangelou, G. Epidemiology of hepatitis A in Mediterranean countries. Vaccine 10, Suppl. 1 (1992) 63–66.Google Scholar
  3. 3.
    Perez-Trallero, E., Cilla, G., Urbieta, M., Dorronsoro, M., Otero, F., Marimon, J. M. Falling incidence and prevalence of hepatitis A in Northern Spain. Scand. J. Infect. Dis. 26 (1994) 133–136.Google Scholar
  4. 4.
    Zanetti, A. R., Romanò, L., Tanzi, E., Andreassi, A., Pozzi, A., Panuccio, A., Stroffolini, T. Decline in anti-HAV prevalence in the Milan area between 1958 and 1992. Eur. J. Epidemiol. 10 (1994) 633–635.Google Scholar
  5. 5.
    Gust, I. D. Epidemiological patterns of hepatitis A in different parts of the world. Vaccine 10, Suppl. 1 (1992) 56–58.Google Scholar
  6. 6.
    Jilg, W. Adult use of hepatitis A vaccine in developed countries. Vaccine 11, Suppl. 1 (1993) 6–8.Google Scholar
  7. 7.
    Ohara, H., Naruto, H., Watanabe, W., Ebisawa, I. An outbreak of hepatitis A caused by consumption of raw oysters. J. Hyg. 91 (1983) 163–165.Google Scholar
  8. 8.
    Ramsay, C. N., Upton, P. A. Hepatitis A and frozen raspberries. Lancet i (1989) 43–44.Google Scholar
  9. 9.
    Lowry, P. W., Levine, R., Stroup, D. F., Gunn, R. A., Wilder, M. H., Konigsberg, C. Jr. Hepatitis A outbreak on a floating restaurant in Florida, 1986. Am. J. Epidemiol. 129 (1989) 155–164.Google Scholar
  10. 10.
    Warburton, A. R. E., Wreghitt, T. G., Rampling, A., Buttery, R., Ward, K. R., Perry, K. R., Parry, J. V. Hepatitis A outbreak involving bread. Epidemiol. Infect. 106 (1991) 199–202.Google Scholar
  11. 11.
    Niu, M. T., Polish, L. B., Robertson, B. H., Khanna, B. K., Woodruff, B. A., Shapiro, C. N., Miller, M. A., Smith, J. D., Gedrose, J. K., Alter, M. J., Margolis, H. S. Multistate outbreak of hepatitis A associated with frozen strawberries. J. Infect. Dis. 166 (1992) 518–524.Google Scholar
  12. 12.
    Foodborne hepatitis A — Missouri, Wisconsin and Alaska, 1990–1992. MMWR 42 (1993) 526–529.Google Scholar
  13. 13.
    Prevention of foodborne hepatitis A. Wkly. Epidemiol. Rec. 68 (1993) 25–26.Google Scholar
  14. 14.
    Stata Corporation: Stata Reference Manual; release 3.1. 16th ed. College Station 1993.Google Scholar
  15. 15.
    Stroffolini, T., D'Amelio, R., Matricardi, P. M., Chionne, P., Napoli, A., Rapicetta, M., Crateri, S., Pasquini, P. The changing epidemiology of hepatitis A in Italy. Ital. J. Gastroenterol. 25 (1993) 372–374.Google Scholar
  16. 16.
    Pasquini, P., Kahn, H. A., Pileggi, D., Panà, A., Terzi, J., D'Arca, T. Prevalence of hepatitis A antibodies in Italy. Int. J. Epidemiol. 13 (1984) 83–86.Google Scholar
  17. 17.
    Public health control of hepatitis A: a memorandum from a WHO meeting. Bull. World Health Organ. 73 (1995) 15–20.Google Scholar

Copyright information

© MMV Medizin Verlag GmbH München 1996

Authors and Affiliations

  • I. F. Angelillo
    • 1
  • C. G. A. Nobile
    • 1
  • F. Talarico
    • 1
  • Maria Pavia
    • 1
  1. 1.Medical SchoolUniversity of Reggio CalabriaCatanzaroItaly

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