Outbreak of hepatitis A among illicit drug users in southeast Sydney

Thackway, Sarah; Young, Lorraine; Pontivivo, Giulietta; Smedley, Elizabeth J; Morgan, Keira R.; Ferson, Mark J

doi:10.5694/j.1326-5377.2000.tb127949.x

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…• smaller outbreaks in 1994-1995 and 1998-1999 predominantly in SES have been associated with illicit drug use. 5,7,8 In the 1994-1995 outbreak, one quarter of all cases of hepatitis A notified in SES reported a recent history of injecting drug use. 7 A second outbreak was reported between December 1998 and May 1999.…”

Section: Notificationsmentioning

confidence: 99%

EpiReview: Hepatitis A in New South Wales, 1991?2000

Delpech

Habib²,

Lin³

et al. 2001

NSW Public Health Bull.

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Section: Notificationsmentioning

confidence: 99%

EpiReview: Hepatitis A in New South Wales, 1991?2000

Delpech

Habib²,

Lin³

et al. 2001

NSW Public Health Bull.

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Vaccination in the county jail as a strategy to reach high risk adults during a community-based hepatitis A outbreak among methamphetamine drug users

Vong

Fiore

Haight

et al. 2005

Vaccine

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Development of a nurse-led primary healthcare service for injecting drug users in inner-city Sydney

Day

Islam

White

et al. 2011

Aust. J. Prim. Health

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Injecting drug users (IDUs) experience numerous health problems, but report barriers to utilising general practitioners (GPs). A nurse-led Harm Minimisation-based Primary Healthcare (HMPH) service for IDUs was established within a needle and syringe program in inner-city Sydney with Area Health Service medical support and clinical governance. This paper aimed to describe the HMPH service, review service utilisation and assess nurses' perceptions of their work with IDUs. A review of the most recent 200 clinic files was undertaken. Service utilisation, GP and other health service use and access were extracted and analysed using SPSS. A semi-structured qualitative interview with clinic nurses regarding their experience working with IDUs and local GPs was conducted and analysed. Since its inception in mid-2006, the service has been utilised by 417 clients. Of the most recent 200 files, blood-borne virus and sexually transmitted infection screening were the primary reason for presentation (64.5%). At least one follow-up visit was attended by 90% of clients. A total of 62% of clients reported consulting a GP in the last 12 months. The service provided 102 referrals. Nurses believed that IDUs tend to utilise GPs ineffectively and that self-care is a low priority, but that they can support IDUs to overcome some barriers to GPs and facilitate access. Targeted primary health care services led by nurses with focussed medical support and co-located with needle and syringe programs can fill an important gap in delivering and facilitating health care to IDUs.

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Outbreak of hepatitis A among illicit drug users in southeast Sydney

Cited by 3 publications

References 3 publications

EpiReview: Hepatitis A in New South Wales, 1991?2000

EpiReview: Hepatitis A in New South Wales, 1991?2000

Vaccination in the county jail as a strategy to reach high risk adults during a community-based hepatitis A outbreak among methamphetamine drug users

Development of a nurse-led primary healthcare service for injecting drug users in inner-city Sydney

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