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Canadian Journal of Infectious Diseases - Volume 2 1991, Suppl A, Pages 23-26

Hepatitis B: Canada-s Overlooked STD Public Health Department, Hospital St-Luc, Clinical Associate Professor, Faculty of Medicine, Université de Montréal, Montréal, Quebéc, Canada



Copyright © 1991 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Given the objectives of the medical aspects ofpublic health, the -heterosexual transmission- approach may be restrictive and too conventionalas it considers transmission only through two individuals of different sexes and only bypeno-vaginal penetration, to the exclusion of all other sexual activities. Bloodborne diseasetransmission in intravenous drug users must be considered as well as anal transmission ofthis disease. Three sine qua non conditions must be met before public health interventionsare initiated: the disease agent must be known or presumed; a causal relationship must existbetween the agent and disease; and the proposed intervention must be both pertinent andeffective. The first two conditions have been established in the case of hepatitis B virus infection.The latter condition, however, has proven difficult to fulfill. It must be determined whether theapproach of immunizing all infants, drug addicts and prostitutes is cost effective and acceptedby a moral society. Consideration must be given to all possible modes of transmission in orderto develop an effective public health strategy to combat hepatitis B.





Autor: Jean Robert

Fuente: https://www.hindawi.com/



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