Abstract:
:Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial exposure included: 12 patients with zoster, 9 patients with varicella, two staff with varicella, three visitors with varicella, and one staff with zoster. One hundred and twenty patients received nosocomial exposures; 28 had no history of VZV infection (23 per cent), of whom 11 were serosusceptible (39 per cent). Sources of nosocomial patient exposure included: other patients (85 per cent), staff (14 per cent), and a single visitor (1 per cent). More than 300 employees received nosocomial exposure; 158 had no history of VZV infection, of whom 49 were serosusceptible (31 per cent). Only a single employee and no patients developed clinical varicella as a result of nosocomial exposure. Costs associated with VZV control during 1986 totaled $55,934: $39,658 for work furloughs, $9,800 for serologies, $4,293 for patient isolation, $155 for varicella-zoster immune globulin, and $2,028 for infection control personnel time. These costs should be considered as part of any benefit-cost analysis of varicella immunization of health care personnel.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Weber DJ,Rutala WA,Parham Cdoi
10.2105/ajph.78.1.19subject
Has Abstractpub_date
1988-01-01 00:00:00pages
19-23issue
1eissn
0090-0036issn
1541-0048journal_volume
78pub_type
杂志文章abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract::Objectives. To assess the association between exposure to the US criminal legal system and well-being.Methods. We used data from the 2018 Family History of Incarceration Survey, a nationally representative cross-sectional study of family incarceration experience (n = 2815), which includes measures of participants' own...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305414
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:I examined genetic influences on smoking among adolescents and differences in the heritability of smoking across states in the United States. METHODS:With data from the National Longitudinal Study of Adolescent Health (participants aged 12-21 years), I used a multilevel twin- and sibling-pair (N = 2060 pair...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134932
更新日期:2009-03-01 00:00:00
abstract::The Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) sought to engage the WIC staff and community in the implementation of relevant and effective client-centered nutrition education. The program was implemented in a 4-stage framework. The collaborative process of developing client-ce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302512
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:This study estimated the magnitude of health improvements resulting from a proposed living wage ordinance in San Francisco. METHODS:Published observational models of the relationship of income to health were applied to predict improvements in health outcomes associated with proposed wage increases in San Fr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.9.1398
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:The effect of a community-based physical activity program in Pawtucket, RI, was evaluated relative to one in a comparison community. METHODS:Cross-sectional surveys of 7529 residents of Pawtucket, RI, and 7732 residents of the comparison city were conducted at 2-year intervals during 7 years of intervention...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1741
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States. METHODS:Using data from the 1997-2000 National Health Interview Surveys (linked to mortality data through 2002) and the 1996-2002 Medical Expenditure Panel Surveys, we calculated age...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165019
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:We examined self-reported health status, health behaviors, access to care, and use of preventive services of the US Hispanic adult population to identify language-associated disparities. METHODS:We analyzed 2003 to 2005 Behavioral Risk Factor Surveillance System data from 45 076 Hispanic adults in 23 states...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.119008
更新日期:2008-11-01 00:00:00
abstract::An analysis of morbidity was made in 11 kibbutzim (cooperative agricultural settlements), with a total population of 3,040, that had switched from nonwastewater to wastewater sprinkler irrigation or vice versa. Generally, partially treated stabilization pond effluent of poor microbial quality was used for irrigation. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.977
更新日期:1986-08-01 00:00:00
abstract:BACKGROUND:Studies have indicated that cigarette smokers have more occupational accidents and injuries and use more sick time and health benefits than nonsmokers, thereby producing sizeable costs for employers. However, they usually have not controlled for other possible sources of these costs. We analyzed occupational...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.29
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between intimate partner violence victimization among women in the general population and emergency department use. We sought to discern whether race/ethnicity moderates this relationship and to explore these relationships in race/ethnic-specific models. METHODS:We used data on ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.091116
更新日期:2007-12-01 00:00:00
abstract::Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes.Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305793
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.105478
更新日期:2007-11-01 00:00:00
abstract::This paper describes the employment experience of 266 individuals one year after traumatic injury severe enough to require hospitalization. Of those working full-time prior to their injury, 56 per cent were employed full-time at one year; an additional 5 per cent were working part-time. Those sustaining a severe head ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.3.329
更新日期:1987-03-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the effect of good smoking hygiene on infant risk of respiratory tract infection in the first 12 months of life. METHODS:A cohort of 4486 infants in Tasmania, Australia, was followed from birth to 12 months of age for hospitalization with respiratory infection. Case ascertainment was 9...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.3.482
更新日期:2003-03-01 00:00:00
abstract::This population-based case-control study of North Carolina workplaces evaluated the hypothesis that employers' policies allowing firearms in the workplace may increase workers' risk of homicide. Workplaces where guns were permitted were about 5 times as likely to experience a homicide as those where all weapons were p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.033535
更新日期:2005-05-01 00:00:00
abstract::This paper compares cases of paralytic poliomyelitis reported to the systems operated by the National Vaccine Injury Compensation Program and the Centers for Disease Control and Prevention (CDC) for reporting of adverse events associated with vaccination. Of the 118 cases of vaccine-associated paralytic poliomyelitis ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.5.734
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES:We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. METHODS:Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were elig...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2004.038695
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:We examined the marketing strategies for local vapor stores in a large metropolitan area in Oklahoma. METHODS:Vapor store owners or managers (n = 33) participated in individual interviews regarding marketing practices in 2014. We asked owners about their marketing strategies and the groups they targeted. We...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302610
更新日期:2015-06-01 00:00:00
abstract::Despite the potential for public health strategies to decrease the substantial burden of injuries, injury prevention infrastructure in state health departments is underdeveloped. We sought to describe the legal support for injury prevention activities at state health departments. We searched the Lexis database for st...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300454
更新日期:2012-06-01 00:00:00
abstract::Women of lower socioeconomic status and women of color in the United States have higher rates of abortion than women of higher socioeconomic status and White women. Opponents of abortion use these statistics to argue that abortion providers are exploiting women of color and low socioeconomic status, and thus, regulati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301339
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:We investigated the frequency with which alcohol advertisements appeared on Massachusetts Bay Transportation Authority (MBTA) transit lines in Boston, MA, and we calculated adult and youths' exposure to the ads. METHODS:We measured the nature and extent of alcohol advertisements on 4 Boston transit lines on...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.149906
更新日期:2009-11-01 00:00:00
abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00
abstract::To determine the relationship between admission status and subsequent outcomes, 563 patients discharged during 1980 from 24 nursing homes were followed through 1982. Only 28 per cent of patients were discharged to their homes. Reconstructed life histories of 529 discharges for the two-year follow-up revealed only 38 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.7.758
更新日期:1985-07-01 00:00:00
abstract::The clinical consequences of HCV infection are increasing because the population with the highest prevalence of the infection, persons born between 1945 and 1965, is aging. As a result, health care expenditures are expected to increase. Now that a cure for HCV infection is the norm, a public health approach is necessa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303718
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:To describe salient epidemiological characteristics of Zika virus outbreaks across the world and to examine the clinical presentations, complications, and atypical manifestations related to their occurrence in recent history. METHODS:We conducted a systematic review of the literature by searching through ME...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章,评审
doi:10.2105/AJPH.2016.303112
更新日期:2016-04-01 00:00:00
abstract::The Enhancing Care Initiative of Puerto Rico assessed services available to people living with HIV/AIDS in the western region of Puerto Rico. Participants were 212 people living with HIV/AIDS and 116 employees from 6 agencies providing HIV/AIDS services in the region. Two main findings were that depression symptoms we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071696
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Smoking among young women is associated with a variety of negative health outcomes. Gender specific influences on smoking, quitting and attempting to quit are hypothesized to occur and may have implications for cessation programs. METHODS:Telephone surveys were conducted in a large (n = 6,711) cohort of you...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.324
更新日期:1991-03-01 00:00:00
abstract::A cohort study was done to determine the direct impact of hip fracture on mortality in older people. Survival was compared between 211 hip fracture patients from a defined area and 201 non-hip fracture control subjects randomly selected from the same area. The mortality rate 1 year after hip fracture was 21.7%; 1-year...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.4.557
更新日期:1996-04-01 00:00:00