An Outbreak of Enterically Transmitted non-A, non-B Hepatitis in Pakistan

Muhammad IqbalPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Aftab AhmedPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Ashraf QamarPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Kenneth DixonPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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J. Fred DuncanPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Nasir Ul IslamPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Abdul RaufPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Joe P. BryanPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Iftikhar A. MalikPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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Llewellyn J. LegtersPakistan-U.S. Laboratory for Sero-Epidemiology, Army Medical College, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Rawalpindi, Pakistan

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An epidemic of enterically transmitted non-A, non-B hepatitis occurred at a college in Sargodha, Pakistan in early 1987. There were 133 clinical cases, an attack rate of approximately 20%. Though the disease was relatively mild, all clinical cases required hospitalization and prolonged convalescence. Nearly all cases were associated with a single water source. The epidemic ended when the water supply was improved. This is the 4th described epidemic of non-A, non-B hepatitis in Pakistan.

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