• Aviat Space Envir Md · May 1994

    Viral hepatitis in the U.S. Air Force, 1980-89: an epidemiological and serological study.

    • R W Stout, S B Mitchell, M D Parkinson, R D Warner, R E Miles, B D Franz, and W H Wolfe.
    • Armstrong Laboratory (AFMC), Epidemiologic Research Division, Brooks AFB, TX 78235-5241.
    • Aviat Space Envir Md. 1994 May 1; 65 (5 Suppl): A66A70A66-70.

    AbstractThis paper reports the epidemiology of hospital-diagnosed acute viral hepatitis in U.S. Air Force personnel from 1980-89. First hospitalizations for viral hepatitis generally declined, ranging from 24.6 to 47.2 per 100,000 personnel. Hepatitis rates were higher among men, (RR = 1.3; 95% C.I., 1.1-1.5) and higher among blacks, compared to whites (RR = 1.4; 95% C.I., 1.3-1.6). Analysis of risk associated with various occupations demonstrated an increased risk of viral hepatitis for procedurally oriented medical personnel (physicians, clinical nurses, dentists) when compared to all other occupations (RR = 1.5; 95% C.I., 1.1-1.9). Pilots and navigators demonstrated a decreased risk of acute viral hepatitis. Members hospitalized for hepatitis B had a prior or concurrent diagnosis for sexually transmitted disease in 37% of cases; for drug abuse, 32% of cases. Serum samples from 332 individuals demonstrated that hepatitis A had the highest rate of agreement (84%) between serology and hospital discharge diagnosis. Only 3% of individuals with the diagnosis of NANB hepatitis were positive for hepatitis C.

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