Hepatitis-A Epidemics From Utility Sewage In Ocoee, Florida

    Authors

    W. T. Vonstille; W. T. Stille;R. C. Sharer

    Comments

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    Abbreviated Journal Title

    Arch. Environ. Health

    Keywords

    Outbreak; Environmental Sciences; Public, Environmental & Occupational Health

    Abstract

    The 1988-1989 hepatitis A epidemic in the Palms section of Ocoee, Florida, followed sewage overflows and involved 39 cases and a fetal death. Of the 18 index cases (i.e., the first hepatitis illness in a household), each had a history of contact with sewage-contaminated stormwater and no other known contact with the infection. Illnesses varied from mild to severe; 20 people reported that diarrhea, abdominal pain, varying degrees of ascites, and other symptoms continued for 2 y after the initial illness. Health injuries up to 20 y of lost life, measured by CEA-Clinical Epidemiological Analysis(SM), were found. Public records of rainfall and sewage flows provide evidence of massive stormwater entry into the utility system, which periodically appears to have flushed sewage from the utility lift station into residential areas.

    Journal Title

    Archives of Environmental Health

    Volume

    48

    Issue/Number

    2

    Publication Date

    1-1-1993

    Document Type

    Article

    Language

    English

    First Page

    120

    Last Page

    124

    WOS Identifier

    WOS:A1993LA30000010

    ISSN

    0003-9896

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