Before the licensure of the first inactivated hepatitis A vaccinein 1995, hepatitis A caused a substantial disease burden inthe United States. Annual cases reported to the Centers forDisease Control and Prevention (CDC) numbered 25,000 to 30,000,but a more accurate estimate approached 300,000, since infectionin young children often was subclinical and mild and self-limiteddisease in adults was underreported.1 Infection rates were highestamong children younger than 5 years of age, but only 30% ofthese children were symptomatic. Older children and adults hadlower infection rates, but in approximately 70% of cases theywere symptomatic. . . . [Full Text of this Article]
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From the Section of Infectious Diseases, the Department of Pediatrics, and the Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston.
This article (10.1056/NEJMe078189) was published at www.nejm.org on October 18, 2007.
This article has been cited by other articles:
(2007). Postexposure Vaccination Will Prevent Hepatitis A. JWatch General
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