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Michaelis, Kai ; Wenzel, Jürgen J. ; Stark, Klaus ; Faber, Mirko

Hepatitis A virus infections and outbreaks in asylum seekers arriving to Germany, September 2015 to March 2016

Michaelis, Kai, Wenzel, Jürgen J. , Stark, Klaus and Faber, Mirko (2017) Hepatitis A virus infections and outbreaks in asylum seekers arriving to Germany, September 2015 to March 2016. Emerging Microbes & Infections 6 (4), e26.

Date of publication of this fulltext: 02 Aug 2018 09:30
Article
DOI to cite this document: 10.5283/epub.37500


Abstract

From September 2015 to March 2016, hepatitis A notifications in Germany increased by 45% to 699 cases compared to 482 cases in the same period of the previous year. Children aged five to nine years were predominantly affected (22% of all cases in this period). We hypothesized that this increase could be explained by the marked influx of asylum seekers in this time period. We analysed national ...

From September 2015 to March 2016, hepatitis A notifications in Germany increased by 45% to 699 cases compared to 482 cases in the same period of the previous year. Children aged five to nine years were predominantly affected (22% of all cases in this period). We hypothesized that this increase could be explained by the marked influx of asylum seekers in this time period. We analysed national surveillance data and estimated the number of imported and autochthonous hepatitis A cases in asylum seekers. We also investigated molecular signatures of hepatitis A viruses sampled from asylum seekers to identify chains of transmission. We found that 40% (278 cases) of all 699 hepatitis A cases notified between September 2015 and March 2016 in Germany concerned asylum seekers. Most infections were acquired abroad, but at least 24% accounted for autochthonous infections. Among asylum seekers, children aged five to nine years were overrepresented with 97 of 278 (35%) notified cases. The analysed hepatitis A virus sequences were primarily subgenotype IB strains and clustered with previously isolated samples from the Middle East, Turkey, Pakistan and East Africa. Except one transmission from an asymptomatic child to a nursery nurse working in a mass accommodation, we are not aware of infection chains involving asylum seekers and German residents. We conclude that asylum-seeking children and adolescents are susceptible to hepatitis A virus infections, particularly children aged five to nine years. Measures to prevent secondary infections in asylum seekers such as extended hygiene measures and postexposure prophylaxis seem advisable.



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Details

Item typeArticle
Journal or Publication TitleEmerging Microbes & Infections
Publisher:Nature
Open Access Type:Due to SHERPA/RoMEO
Place of Publication:LONDON
Volume:6
Number of Issue or Book Chapter:4
Page Range:e26
Date2017
InstitutionsMedicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Identification Number
ValueType
10.1038/emi.2017.11DOI
28442750PubMed ID
KeywordsVIRAL-HEPATITIS; CHALLENGES; VACCINATION; REFUGEES; asylum seeker; epidemiology; hepatitis A; hepatitis A virus; migration; refugee
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-375002
Item ID37500

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