Int J Health Geogr - Challenges to mapping the health risk of hepatitis A virus infection.

Tópicos

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Resumo

CKGROUND: World maps are among the most effective ways to convey public health messages such as recommended vaccinations, but creating a useful and valid map requires careful deliberation. The changing epidemiology of hepatitis A virus (HAV) in many world regions heightens the need for up-to-date risk maps. HAV infection is usually asymptomatic in children, so low-income areas with high incidence rates usually have a low burden of disease. In higher-income areas, many adults remain susceptible to the virus and, if infected, often experience severe disease.RESULTS: Several challenges associated with presenting hepatitis A risk using maps were identified, including the need to decide whether prior infection or continued susceptibility more aptly indicates risk, whether to display incidence or prevalence, how to distinguish between different levels of risk, how to display changes in risk over time, how to present complex information to target audiences, and how to handle missing or obsolete data.CONCLUSION: For future maps to be comparable across place and time, we propose the use of the age at midpoint of population susceptibility as a standard indicator for the level of hepatitis A endemicity within a world region. We also call for the creation of an accessible active database for population-based age-specific HAV seroprevalence and incidence studies. Health risk maps for other conditions with rapidly changing epidemiology would benefit from similar strategies.

Resumo Limpo

ckground world map among effect way convey public health messag recommend vaccin creat use valid map requir care deliber chang epidemiolog hepat virus hav mani world region heighten need uptod risk map hav infect usual asymptomat children lowincom area high incid rate usual low burden diseas higherincom area mani adult remain suscept virus infect often experi sever diseaseresult sever challeng associ present hepat risk use map identifi includ need decid whether prior infect continu suscept apt indic risk whether display incid preval distinguish differ level risk display chang risk time present complex inform target audienc handl miss obsolet dataconclus futur map compar across place time propos use age midpoint popul suscept standard indic level hepat endem within world region also call creation access activ databas populationbas agespecif hav seropreval incid studi health risk map condit rapid chang epidemiolog benefit similar strategi

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