Serosurvey of hepatitis A virus and E virus infection among municipal sweepers working in the largest city in the south of Iran

S. Hosseini, N. Joharinia, S. Hosseini, Saeed Firoozi Ghahestani, Rozita Ghojoghi, Kourosh Dorost, M. Moghadami, Abolfazl Gheshlaghi, O. Jaberi, Rohollah Khoshbakht, J. Sarvari
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Abstract

ABSTRACT This study was conducted to determine the exposure rate of Hepatitis A and Hepatitis E viruses in urban solid waste collectors/sweepers in the south of Iran. The 385 samples (serums) were collected from Shiraz Municipality waste sweepers.. A questionnaire was used to gather data on their demographic and occupational characteristics, as well as their awareness of viral hepatitis disease. The viral seroprevalence was determined by commercial IgG ELISA kit. All participants were male, mean age of 41 ± 8 years. ELISA assay showed that all of them were positive for anti-HAV IgG. Also, 62 out of 385 individuals were positive for anti-HEV IgG. The statistical analysis showed that the frequency of HEV IgG antibody among age groups 20–30, 31–40, 41–50 and >50 years old had an increasing trend, 4.5%, 10.1%, 17.4%, and 36.7%, respectively, indicating age factor significance (p = .001). Based on some investigated factors including the duration of work experience, current and previous jobs, habitation, personal hygiene status, and knowledge on viral hepatitis diseasees/their transmission, there was no statistically significant difference between anti-HEV IgG positive versus negative sweepers. The results indicated a slighty higher frequency of anti-HAV and anti-HEV IgG among sweepers compared to other pre-investigated population. It doesn’t seem that garbage collecting/sweeping could be a significant risk factor for HAV and HEV infection.
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伊朗南部最大城市市政清洁工甲型肝炎病毒和戊型肝炎病毒感染的血清调查
本研究旨在确定伊朗南部城市固体废物收集者/清洁工中甲型肝炎和戊型肝炎病毒的暴露率。385份样本(血清)采集自设拉子市垃圾清扫工。使用一份调查问卷收集有关他们的人口统计和职业特征以及他们对病毒性肝炎疾病的认识的数据。采用市售IgG ELISA试剂盒检测病毒血清阳性率。所有参与者均为男性,平均年龄41±8岁。ELISA检测结果均为抗hav IgG阳性。此外,385人中有62人抗hev IgG阳性。统计分析显示,20 ~ 30岁、31 ~ 40岁、41 ~ 50岁、50 ~ 50岁人群HEV IgG抗体阳性率呈上升趋势,分别为4.5%、10.1%、17.4%、36.7%,年龄因素显著(p = 0.001)。根据工作年限、目前和以前的工作、居住地、个人卫生状况、病毒性肝炎疾病/传播知识等调查因素,抗hev IgG阳性与阴性清扫者之间无统计学差异。结果表明,与其他预先调查的人群相比,清洁工中抗hav和抗hev IgG的频率略高。垃圾收集/清扫似乎不可能是甲型肝炎和戊型肝炎感染的重要危险因素。
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