M. Gdalevich et al., HEPATITIS-A ANTIBODY PREVALENCE AMONG YOUNG-ADULTS IN ISRAEL - THE DECLINE CONTINUES, Epidemiology and infection, 121(2), 1998, pp. 477-479
This study sought to determine whether the decline in prevalence of he
patitis A virus (HAV) antibodies detected in Israel in 1977, 1984, and
1987 has continued. The anti-HAV antibody prevalence of a systematic
sample of 578 male and female recruits inducted into the Israel Defenc
e Force in 1996 was 38.4%. The reduction in antibody prevalence from 1
977 (64%) was highly significant (P < 0.001). There was a smaller decr
ease rate in recruits of European, North American, Australian and Sout
h African origin than from elsewhere. A 'strategy' that uses active im
munization against hepatitis A (inactivated vaccine, instead of gamma
globulin) should be considered, particularly in high risk groups such
as field units during military service.