Impact and costs of varicella prevention in a university hospital.

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 Health

authors

Weber DJ,Rutala WA,Parham C

doi

10.2105/ajph.78.1.19

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

19-23

issue

1

eissn

0090-0036

issn

1541-0048

journal_volume

78

pub_type

杂志文章
  • Blood pressure in a population of diabetic persons diagnosed after 30 years of age.

    abstract::Blood pressure levels were investigated in a population of diabetic persons who were diagnosed at 30 years of age or older and who received their primary medical care in an 11-county area in Southern Wisconsin. Prevalence of hypertension in these 5,104 persons was compared with prevalence figures from the Health and N...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.74.4.336

    authors: Klein BE,Klein R,Moss SE

    更新日期:1984-04-01 00:00:00

  • Rollover Protective Structures, Worker Safety, and Cost-Effectiveness: New York, 2011-2017.

    abstract:OBJECTIVES:To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. METHODS:Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervent...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2018.304644

    authors: Myers M,Kelsey T,Tinc P,Sorensen J,Jenkins P

    更新日期:2018-11-01 00:00:00

  • The illegal sale of cigarettes to US minors: estimates by state.

    abstract::Data available from recent national surveys on the cigarette consumption and purchasing practices of teenage smokers were used to generate state-specific estimates of the number of teenage smokers and cigarette sales to minors. In 1991, approximately 2.7 million teenage cigarette smokers consumed an average of 28.3 mi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.84.2.300

    authors: Cummings KM,Pechacek T,Shopland D

    更新日期:1994-02-01 00:00:00

  • Traditional Christian values and women's reproductive rights in modern Russia--is a consensus ever possible?

    abstract::Recently in Russia, abortion rights have been attacked. For decades, Russian women could have an elective abortion up to week 12 of pregnancy; between 12 and 22 weeks, medical or social grounds were required for an abortion. In mid 2011, a group of Parliamentarians teamed up with Russian Orthodox Church activists and ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301329

    authors: Erofeeva LV

    更新日期:2013-11-01 00:00:00

  • Fall-induced deaths among elderly people.

    abstract::Falls and fall-induced injuries in older people are a major public health problem in modern societies with aging populations. Injury is the fifth leading cause of death in older adults, and most of these fatal injuries are related to falls. We have assessed the nationwide trends in fall-induced deaths of older people ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.047779

    authors: Kannus P,Parkkari J,Niemi S,Palvanen M

    更新日期:2005-03-01 00:00:00

  • Self-management: a comprehensive approach to management of chronic conditions.

    abstract::For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic con...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2014.302041

    authors: Grady PA,Gough LL

    更新日期:2014-08-01 00:00:00

  • Developing the new Columbia core curriculum: a case study in managing radical curriculum change.

    abstract::Curricular change is essential for maintaining vibrant, timely, and relevant educational programming. However, major renewal of a long-standing curriculum at an established university presents many challenges for leaders, faculty, staff, and students. We present a case study of a dramatic curriculum renewal of one of ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302470

    authors: Galea S,Fried LP,Walker JR,Rudenstine S,Glover JW,Begg MD

    更新日期:2015-03-01 00:00:00

  • Primary prevention of lead poisoning: protecting children from unsafe housing.

    abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301908

    authors: Rogers ML,Lucht JA,Sylvaria AJ,Cigna J,Vanderslice R,Vivier PM

    更新日期:2014-08-01 00:00:00

  • Oral health care for children in countries using dental therapists in public, school-based programs, contrasted with that of the United States, using dentists in a private practice model.

    abstract::The United States faces a significant problem with access to oral health care, particularly for children. More than 50 countries have developed an alternative dental provider, a dental therapist, practicing in public, school-based programs, to address children's access to care. This delivery model has been demonstrate...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301251

    authors: Mathu-Muju KR,Friedman JW,Nash DA

    更新日期:2013-09-01 00:00:00

  • Lead poisoning: more than a medical problem.

    abstract::Medical records of 236 Newark, New Jersey children hospitalized and chelated for lead poisoning in 1977 through 1980 were reviewed to determine whether or not any discernible progress had been made in eradicating the disease since 1972. Results show that the number of treated asymptomatic children, ages 1-6, began to ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.76.3.242

    authors: Schneider DJ,Lavenhar MA

    更新日期:1986-03-01 00:00:00

  • Research and development of new vaccines against infectious diseases.

    abstract::Infectious diseases are responsible for approximately 25% of global mortality, especially in children aged younger than 5 years. Much of the burden of infectious diseases could be alleviated if appropriate mechanisms could be put in place to ensure access for all children to basic vaccines, regardless of geographical ...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/ajph.94.11.1931

    authors: Kieny MP,Excler JL,Girard M

    更新日期:2004-11-01 00:00:00

  • Environmental and biological monitoring for lead exposure in California workplaces.

    abstract::Patterns of environmental and biological monitoring for lead exposure were surveyed in lead-using industries in California. Employer self-reporting indicates a large proportion of potentially lead-exposed workers have never participated in a monitoring program. Only 2.6 percent of facilities have done environmental mo...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.8.921

    authors: Rudolph L,Sharp DS,Samuels S,Perkins C,Rosenberg J

    更新日期:1990-08-01 00:00:00

  • The maladies of water and war: addressing poor water quality in Iraq.

    abstract::Water is essential in providing nutrients, but contaminated water contributes to poor population health. Water quality and availability can change in unstructured situations, such as war. To develop a practical strategy to address poor water quality resulting from intermittent wars in Iraq, I reviewed information from...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2012.301118

    authors: Zolnikov TR

    更新日期:2013-06-01 00:00:00

  • Risk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: changes from 1990 to 1992.

    abstract:OBJECTIVES:The National AIDS Behavioral Survey (1990-1992) of heterosexual adults (18-49 years) measured human immunodeficiency virus (HIV) risk factors, condom use, and HIV antibody testing, with a focus on major "high-risk" cities. METHODS:A longitudinal survey was conducted. RESULTS:There was little reduction in t...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.11.1492

    authors: Catania JA,Binson D,Dolcini MM,Stall R,Choi KH,Pollack LM,Hudes ES,Canchola J,Phillips K,Moskowitz JT

    更新日期:1995-11-01 00:00:00

  • Tobacco use among high school students in Buenos Aires, Argentina.

    abstract:OBJECTIVES:This study assessed the prevalence and correlates of tobacco use among high school students in Buenos Aires, Argentina. METHODS:Anonymous, self-administered questionnaires were given to 3909 8th and 11th graders in a stratified random sample of 49 public and private schools. The instrument included items fr...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.91.2.219

    authors: Morello P,Duggan A,Adger H Jr,Anthony JC,Joffe A

    更新日期:2001-02-01 00:00:00

  • Outcomes of drug and alcohol treatment programs among American Indians in California.

    abstract:OBJECTIVES:We examined differences in substance abuse treatment outcomes between American Indians and their non-American Indian counterparts in California, during 2000 to 2002. METHODS:A total of 368 American Indians and a matched sample of 368 non-American Indians from 39 substance abuse treatment programs in 13 Cali...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.055871

    authors: Evans E,Spear SE,Huang YC,Hser YI

    更新日期:2006-05-01 00:00:00

  • Maternal mortality in Michigan: an epidemiologic analysis, 1950-1971.

    abstract::An analysis was performed of direct maternal mortality over 22 years (1950 through 1971) in the state of Michigan. The overall direct maternal mortality rate fell from 5.0/10,000 live births in 1950 to 1.5 in 1971. The rate among nonwhites was more than four times greater than among whites and the difference in relati...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.9.821

    authors: Schaffner W,Federspiel CF,Fulton ML,Gilbert DG,Stevenson LB

    更新日期:1977-09-01 00:00:00

  • A Smoke-Free Paso del Norte: impact over 10 years on smoking prevalence using the Behavioral Risk Factor Surveillance System.

    abstract:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300346

    authors: Taylor T,Cooper TV,Hernandez N,Kelly M,Law J,Colwell B

    更新日期:2012-05-01 00:00:00

  • Teaching public health through a pedagogy of collegiality.

    abstract::Curriculum development in masters of public health programs that effectively meets the complex challenges of the 21st century is an important part of public health education and requires purposeful thinking. Current approaches to training the public health work-force do not adequately prepare professionals to be cultu...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.062950

    authors: Chávez V,Turalba RA,Malik S

    更新日期:2006-07-01 00:00:00

  • Side effects of diphtheria-tetanus toxoid in adults.

    abstract::During a mass diphtheria-tetanus immunization campaign in November 1975, more than 220,000 doses of diphtheria-tetanus toxoid, adult type were administered to adults throughout Alaska. In Anchorage, where more than 87,000 doses were given, a survey was conducted to determine the frequency of side effects. Postcard que...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.69.3.246

    authors: Middaugh JP

    更新日期:1979-03-01 00:00:00

  • Frequency of hospitalization among hospital employees and their families.

    abstract::Using claims data from 443 employee groups in North Carolina, this study examines the acute care hospital utilization rates of hospital employees and their dependents and compares them to employee groups in non-hospital settings. Results show that hospital employee groups account for 28 per cent more hospital days tha...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.71.9.1021

    authors: Greene SB

    更新日期:1981-09-01 00:00:00

  • Impact of The Community Eligibility Provision of the Healthy, Hunger-Free Kids Act on Student Nutrition, Behavior, and Academic Outcomes: 2011-2019.

    abstract::The Community Eligibility Provision (CEP) allows high-poverty schools participating in US Department of Agriculture meal programs to offer universal free breakfast and lunch. Authorized as part of the Healthy, Hunger-Free Kids Act of 2010, CEP became available to eligible schools nationwide in 2014.Emerging evidence s...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2020.305743

    authors: Hecht AA,Pollack Porter KM,Turner L

    更新日期:2020-09-01 00:00:00

  • Planning a health component for an economic development program.

    abstract::Noneconomic factors can be critical to the outcome of an economic development program. Anyone with development experience will have no difficulty recalling instances where, despite good economic planning, failure to account for social, cultural, and/or health factors has resulted in program accomplishments which fell...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.61.9.1751

    authors: Zukin P

    更新日期:1971-09-01 00:00:00

  • An epidemiologic study of gypsy moth rash.

    abstract::In 1981, outbreaks of itchy skin rashes were reported accompanying the heavy infestation of gypsy moths (GM) in the Northeastern United States. The rash problem was widespread and a considerable public annoyance. In the spring of 1982, during the period of greatest contact with the caterpillars, a telephone survey was...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.74.8.799

    authors: Tuthill RW,Canada AT,Wilcock K,Etkind PH,O'Dell TM,Shama SK

    更新日期:1984-08-01 00:00:00

  • Monitoring disease burden and preventive behavior with data linkage: cervical cancer among aboriginal people in Manitoba, Canada.

    abstract:OBJECTIVES:This study sought to estimate rates of cervical cancer and Papanicolaou testing among Aboriginal and non-Aboriginal women in Manitoba, Canada. METHODS:Data were derived through linking of administrative databases. RESULTS:In comparison with non-Aboriginal women, Aboriginal women had 1.8 and 3.6 times the a...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.90.9.1466

    authors: Young TK,Kliewer E,Blanchard J,Mayer T

    更新日期:2000-09-01 00:00:00

  • Public bicycle share programs and head injuries.

    abstract:OBJECTIVES:We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. METHODS:We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We use...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302012

    authors: Graves JM,Pless B,Moore L,Nathens AB,Hunte G,Rivara FP

    更新日期:2014-08-01 00:00:00

  • Combining clinical and population-level data to understand the health of neighborhoods.

    abstract::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302326

    authors: Chambers EC,Wong BC,Riley RW,Hollingsworth N,Blank AE,Myers C,Bedell J,Selwyn PA

    更新日期:2015-03-01 00:00:00

  • Changes in emergency department access between 2001 and 2005 among general and vulnerable populations.

    abstract:OBJECTIVES:We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities. METHODS:We classified communities on the basis of American Hospital Associa...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.175828

    authors: Shen YC,Hsia RY

    更新日期:2010-08-01 00:00:00

  • HIV Testing, Access to HIV-Related Services, and Late-Stage HIV Diagnoses Across US States, 2013-2016.

    abstract::Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagn...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2019.305273

    authors: Krueger A,Van Handel M,Dietz PM,Williams WO,Patel D,Johnson AS

    更新日期:2019-11-01 00:00:00

  • Prevalences of anemia and iron deficiency anemia in Black and White women in the United States estimated by two methods.

    abstract::Prevalences of anemia were estimated by two methods for 742 Black and 3,074 White nonpregnant women of childbearing age drawn from a large probability sample of the United States civilian noninstitutionalized population (NHANES I). One method defines the prevalence of anemia as the proportion of women with hemoglobin ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.73.9.1042

    authors: Meyers LD,Habicht JP,Johnson CL,Brownie C

    更新日期:1983-09-01 00:00:00