Between July and January37 confirmed cases of hepatitis A with two unique IA genotype strains primarily among men who have sex with men, were reported across eight areas in England and Northern Ireland. Epidemiological and laboratory investigations indicate that these strains may have been imported several times from Spain, with secondary sexual transmission in the United Kingdom. Local and national public health services are collaborating to control this ongoing outbreak.
Infection with the hepatitis A virus HAV is squnas commonly acquired through ingestion of contaminated food and water, and through faeco-oral contact. In the United Kingdom UK hepatitis A is a rare and mainly travel-associated disease, preventable by vaccination [ 12 ]. Sexually transmitted hepatitis A outbreaks among men who have sex with men MSM are well documented [ 3 - 6 ].
We Mandal gay saunas an ongoing outbreak in the UK, primarily affecting MSM, caused by two concurrently circulating HAV strains previously not seen in the UK, as well as the intervention strategies that have been instigated to control the outbreak.
Cases with the identical sahnas have been reported in other European countries, prompting the European Centre for Disease Prevention and Control ECDC to hay a rapid risk Mandal gay saunas in December [ 7 sauunas. Between July and January Mancal, 37 confirmed cases with either strain 1 or 2 were detected across England as well as Northern Ireland Figure 1of which 28 identified as Escorts incall Porsgrunn. Of the 37 cases, 24 were Strain 1 and 13 were Strain 2.
In addition, 15 probable cases all MSMprimarily in London, were identified, and typing results are awaited. The sequence had not been seen previously in the UK and phylogenetic analysis Figure 2 showed a saunaa relation to sequences derived from travellers returning from Central and South America.
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