"Hippie" hepatitis: an epidemiologic investigation conducted within a population of "street-people"

Am J Epidemiol. 1975 Mar;101(3):211-9. doi: 10.1093/oxfordjournals.aje.a112088.

Abstract

An epidemiologic investigation of viral hepatitis among "street-people" was conducted in Pittsburgh, PA in 1971. Among 146 individuals, 100 admitted to parenteral drug use and 73 (50%) had evidence of acute viral hepatitis. Counterelectrophoresis (CEP) and complement-fixation (CF) were used to test for type B antigen (HBS AG). Seventeen individuals (22%) had detectable HBSAG; 13 of these were clinically ill and admitted to drug use, Type B antibody (anti-HBS) was tested for by CEP and radioimmunoprecipitation (RIP). Thirty-five persons (29%), 15 of whom admitted to drug use and were ill, had detectable antibody by RIP; none had detectable antibody by CEP. None of those tested had both HBSAB and anti-HBS Evidence to support the hypothesis of sexual transmission of type B virus was found. Use of prophylactic gamma globulin in street-people populations is recommended.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Viral / analysis
  • Complement Fixation Tests
  • Female
  • Hepatitis A / epidemiology
  • Hepatitis B / diagnosis
  • Hepatitis B / epidemiology*
  • Hepatitis B / etiology
  • Hepatitis B Antigens / analysis
  • Humans
  • Immunodiffusion
  • Immunoelectrophoresis
  • Immunoglobulin M / analysis
  • Iodine Radioisotopes
  • Male
  • Pennsylvania
  • Precipitin Tests
  • Sexual Behavior
  • Social Conditions*
  • Social Conformity*
  • Substance-Related Disorders / complications
  • Transaminases / analysis

Substances

  • Antibodies, Viral
  • Hepatitis B Antigens
  • Immunoglobulin M
  • Iodine Radioisotopes
  • Transaminases