Evidence map›Paper›PMID 32962667›Full record

ArticleBMC public health2020

A description of a hepatitis A outbreak in men who have sex with men and public health measures implemented in Seine-Maritime department, Normandy, France, 2017.

Nathalie Nicolay, Maggie Le Bourhis-Zaimi, Anais Lesourd, Mélanie Martel, Anne-Marie Roque-Afonso, Stéphane Erouart, Manuel Etienne, Ndeindo Ndeikoundam Ngangro

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Hepatitis A outbreak associated with food consumption and sexual practices: a case-control study, Curitiba, Paraná, 2024.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  2. Severe cases of hepatitis A: case series in Curitiba, Paraná, 2023-2024.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  3. Impact of the COVID-19 pandemic on the infectious disease epidemiology.Journal of preventive medicine and hygiene · 2023
    Article
  4. Review
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Nathalie NicolaySanté publique France, French national public health agency, Normandy regional office, 76100, Rouen, France. nathalie.nicolay@ecdc.europa.eu.ORCID http://orcid.org/0000-0002-5916-7855
Maggie Le Bourhis-ZaimiSanté publique France, French national public health agency, Normandy regional office, 76100, Rouen, France.
Anais LesourdInfectious and Tropical Diseases Department, Rouen University Hospital, 76000, Rouen, France.
Mélanie MartelSanté publique France, French national public health agency, Normandy regional office, 76100, Rouen, France.
Anne-Marie Roque-AfonsoNational reference laboratory for hepatitis A virus, 94804, Villejuif, France.
Stéphane ErouartRegional Health directorate, 14000, Caen, France.
Manuel EtienneInfectious and Tropical Diseases Department, Rouen University Hospital, 76000, Rouen, France.
Ndeindo Ndeikoundam NgangroSanté publique France, French national public health agency, 94415, Saint-Maurice, France.
Santé Publique France · FRAgence Régionale de Santé Ile-de-France · FRNormandie Université · FRUniversité de Rouen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2016-2017, a European-wide circulation of genotype IA hepatitis A virus was responsible for hepatitis A outbreaks in men who have sex with men (MSM). This study aimed to describe the outbreak investigation in Seine-Maritime department (France) and the control measures implemented accordingly.

methodsOutbreak description used data from mandatory reporting and enhanced surveillance of male cases. Confirmed case was genotype IA isolated, possible cases had no reported genotype information. Targeted control measures included communication on sexual practices at risk of hepatitis A transmission and two vaccination campaigns in April 2017 and January 2018. Characteristics of cases and vaccinees were described. We reported the best communication channel for relaying outbreak information and control measures based on the monitoring of social network activities and feedback from vaccinees.

resultsDuring the outbreak period (December 2016 to December 2017), a total of 48 confirmed outbreak cases and 30 possible outbreak cases were notified. Among them, 69 were male (88%). Two epidemic waves were observed. Cases encountered their partners through gay-dating apps (54%) and in one specific sauna (62%). In response to the outbreak, two vaccination campaigns were deployed. A total of 156 MSM were vaccinated, of whom 56 in a truck parked beside the sauna. Most of the vaccinees had been informed about the campaign through dating apps (44%). Community-based organizations involved in sexual health promotion and other gay social media were very proactive in sharing information about the outbreak and promoting the vaccination campaign through their social media account and also on site (gay venues). Vaccinees reported the same sexual practices at risk of hepatitis A transmission as cases.

conclusionsIn response to this massive hepatitis A outbreak that affected mostly MSM in Seine-Maritime department, vaccination campaign remained the cornerstone of prevention. Prevention officers from the community-based organization played a key role in vaccination promotion. Gay-dating apps and outdoor sessions of vaccination allowed to effectively reach MSM. Cost-effectiveness studies might analyze the interest of a continuous sexual health promotion including vaccination against hepatitis A in MSM through dating apps and social networks.

Indexed as

Hepatitis ASexual and Gender MinoritiesDisease OutbreaksFemaleFranceHomosexuality, MaleHumansMalePublic HealthHepatitis aMSMOutbreakPreventionSexually transmitted infectionVaccination

Identifiers

PMID32962667
PMCPMC7510153
OpenAlexW3088034943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.