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Vaccinations for waste-handling workers. A review of the literature

机译：废物处理工人的疫苗接种。文献综述

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摘要

A review of the literature relating to the need for vaccination against infectious disease in the solid waste industry was conducted, focusing on hepatitis A, hepatitis B and tetanus. Databases (Medline, PreMedlme, EMBASE, CINAHL, Current Contents, Cochrane Database, HTA Database, DARE, OSHROM) were searched up to and including August 2003. Articles were included in the review if they reported the prevalence of immunity to hepatitis A, hepatitis B or tetanus in solid waste workers or the incidence of clinical infection with any of these diseases. Papers about hazardous or medical waste, incineration or other infectious diseases were excluded. Forty-four papers constituted the evidence database. Only one paper studied the prevalence of antibodies to hepatitis A and hepatitis B in solid waste workers compared with sewage plant workers and office workers, and no difference was found between these groups of workers. There was some evidence to support a theoretical risk of infection with hepatitis A, B and tetanus; however, no studies could be founcf of the risk of these diseases in solid waste workers. No single cases of these diseases being acquired occupationally in solid waste management were identified in the literature. Workers in the solid waste industry may theoretically be at increased risk of acquiring infectious diseases occupationally. However, at present no studies could be found which have documented this risk.
机译：对有关固体废物行业中需要针对传染病进行疫苗接种的文献进行了综述，重点是甲型肝炎，乙型肝炎和破伤风。搜索数据库（Medline，PreMedlme，EMBASE，CINAHL，当前内容，Cochrane数据库，HTA数据库，DARE，OSHROM），直到2003年8月，包括该年。如果文章报道了对甲型肝炎，肝炎的免疫性普遍存在固体废物工人中的B或破伤风或上述任何一种疾病的临床感染发生率。有关危险或医疗废物，焚化或其他传染性疾病的论文不包括在内。四十四篇论文构成了证据数据库。与污水处理厂工人和办公室工人相比，只有一篇论文研究了固体废物工人中甲型肝炎和乙型肝炎抗体的患病率，在这两组工人之间没有发现差异。有一些证据支持理论上感染甲型，乙型和破伤风的风险；但是，没有任何研究可以证明固体废物工人罹患这些疾病的风险。文献中没有发现在固体废物管理中职业性获得这些疾病的个案。理论上，固体废物行业的工人在职业上感染传染病的风险可能会增加。但是，目前还没有找到证明这种风险的研究。

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