Public health role of academic medical center in community outbreak of Hepatitis A, San Diego County, California, USA, 2016-2018

Minji Kang, Sarah F. Horman, Randy A. Taplitz, Brian Clay, Marlene Millen, Amy Sitapati, Frank E. Myers, Eric C. McDonald, Shira R. Abeles, Danelle R. Wallace, Sarah Stous, Francesca J. Torriani

Research output: Contribution to journalReview articlepeer-review

Abstract

During 2016-2018, San Diego County, California, USA, experienced one of the largest hepatitis A outbreaks in the United States in 2 decades. In close partnership with local healthcare systems, San Diego County Public Health led a public health response to the outbreak that focused on a 3-pronged strategy to vaccinate, sanitize, and educate. Healthcare systems administered nearly half of the vaccinations delivered in San Diego County. At University of California San Diego Health, the use of informatics tools assisted with the identification of at-risk populations and with vaccine delivery across outpatient and inpatient settings. In addition, acute care facilities helped prevent further disease transmission by delaying the discharge of patients with hepatitis A who were experiencing homelessness. We assessed the public health roles that acute care hospitals can play during a large community outbreak and the critical nature of ongoing collaboration between hospitals and public health systems in controlling such outbreaks.

Original languageEnglish (US)
Pages (from-to)1374-1381
Number of pages8
JournalEmerging Infectious Diseases
Volume26
Issue number7
DOIs
StatePublished - Jul 2020
Externally publishedYes

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

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