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J Public Health (Oxf). 2011 Jun;33(2):193-6. doi: 10.1093/pubmed/fdq083. Epub 2010 Oct 21.

Hepatitis B transmission event in an English prison and the importance of immunization.

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  • 1Public Health, NHS, Walsall WS2 7JL, UK.


Immunization against hepatitis B virus (HBV) is recommended for all sentenced prisoners and all new entrants to prison in the UK. In November 2008, acute hepatitis B was confirmed serologically in a 27-year-old man (Case 1) who had been incarcerated since February 2007. The cell mate of Case 1, a 26-year-old man was an established HBV carrier. A home-made tattoo gun was confiscated from their prison cell. In the absence of other clearly identifiable risk behaviours, tattooing was deemed to be a possible route of HBV transmission. Transmission of hepatitis B in a prison setting is a real concern and this report highlights the importance of immunizing prisoners against hepatitis B and should encourage health professionals to communicate the benefits of immunization to inmates to increase vaccine uptake.

[PubMed - indexed for MEDLINE]
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