Seroprevalence Survey of Egyptian Tourism Workers for Hepatitis B Virus, Hepatitis C Virus, Human Immunodeficiency Virus, and Treponema pallidum Infections: Association of Hepatitis C Virus Infections with Specific Regions of Egypt

Nasr M. El-Sayed Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Peter J. Gomatos Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Guenael R. Rodier Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Thomas F. Wierzba Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Ahmed Darwish Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Salwa Khashaba Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Ray R. Arthur Ministry of Health, U.S. Naval Medical Research Unit No. 3, Center for Special Immunology, International Health Program, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Cairo, Egypt

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Blood samples from 740 Egyptian Nationals working in the tourism industry at two sites in the South Sinai governorate were screened for markers of infection with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), and Treponema pallidum. Study subjects included 467 individuals from a rural seashore tourist village and 273 persons at two hotels in a well-established resort town. Subjects' ages ranged from 15 to 70 years; 99.3% were male. The prevalence of serologic markers for currently asymptomatic or past HBV infection alone was 20.7% (n = 153), of markers for past or chronic HCV infection alone was 7.4% (n = 55), and of markers for both HBV and HCV was 6.9% (n = 51). Of the 204 individuals positive for anti-HBV core antibody, 12 (5.9%) were also positive for hepatitis B surface antigen. Two individuals (0.3%) had a serologic marker suggestive of an active syphilitic infection. No subject was found to be HIV-seropositive. History of prior injections and number of injections were associated with infection with HCV. Primary residence in the Nile delta and valley areas where schistosomiasis is highly endemic, was also a statistically significant risk factor for HCV, but not HBV infection.

Author Notes

Deceased.

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