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Biomedical subjects

M I Tobias

Publications and source records attributed to M I Tobias.

14 recordsLinked to original sources
PubMed1991

Occupational risk of hepatitis B for police and customs personnel.

A cross-sectional study was undertaken in 1987 to establish whether New Zealand police and customs officers are at excess risk of hepatitis B virus infection as a consequence of occupational exposure to human blood and penetrating injury. The study population comprised all full-time police (n = 5,193) and customs officers (n = 1,026) excluding only a small number on special duty who had already been immunized. The control group comprised the civilians employed by both organizations (n = 964). The prevalence of hepatitis B markers in the control group, when standardized for age, sex, and ethnic distribution, was 13.4%, which agrees well with New Zealand blood donor figures. The prevalence ratios for police officers and customs officers compared with the civilians (adjusted for age, sex, and ethnic distributions) were 0.82 (95% confidence interval (CI) 0.63-1.06) and 0.49 (95% CI 0.34-0.70), respectively. Multivariate analysis was used to further explore the differences in marker prevalence among the three groups, but failed to demonstrate any significant association between occupational variables and marker prevalence. There was an association between time spent living in high-risk areas of the country and marker prevalence. The authors conclude that the question as to whether police personnel should be immunized begs the wider issue of whether or not the whole New Zealand population should be so protected.

Adult↗
PubMed1991

Hepatitis C.

Explore the source record for details and available documents.

Hepatitis C↗
PubMed1991

HIV testing.

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AIDS Serodiagnosis↗
PubMed1988

The 1985 national immunisation survey: hepatitis A.

In April 1985 a national immunisation survey was carried out, during which sera were collected from approximately 3000 randomly selected children throughout New Zealand. The sample comprised approximately equal numbers of new school entrants (mean age 5 years), standard 3 pupils (mean age 10 years) and form 4 students (mean age 15 years). This collection of sera was tested for antibody to hepatitis A virus, a marker of past infection with this virus, by means of a sensitive ELISA test. Prevalence of infection was found to be less than 1% in the 5 year olds, about 3% in the 10 year olds, and about 9% in the 15 year olds. Amongst the 10 and 15 year olds, but not the 5 year olds, Maori children were approximately three times more likely to have been infected than European children. Children resident in the eastern part of the North Island had a higher risk of infection than other children, even after controlling for ethnic distribution.

Adolescent↗
PubMed1988

A survey of virus infections in New Zealand, 1982-6.

Between 1982 and 1986 virus infections were identified in 16,372 cases. These identifications were based on virus isolation and/or serological evidence of infection by the main virus diagnostic laboratories at Auckland, Waikato, Christchurch and Dunedin hospitals, and at the National Health Institute. The most frequent virus identifications reported were herpes simplex (46.7%), rotavirus (11.8%), respiratory syncytial virus (5.7%), and adenovirus (5.6%). During this period of surveillance, the most prominent feature has been the high incidence of herpes simplex which reached a peak in 1983 but which has abated only slightly since. Significant trends and virus outbreaks or epidemics were detected with the regular reporting of monthly virus identifications in the New Zealand Virus Report (NZVR); these included a measles epidemic in Auckland in 1984/85, major influenza A outbreaks in 1983, 1985 and 1986, the respiratory syncytial virus epidemic in the winter of 1986, the increased incidence of rotavirus predominantly in young infants and children during the winter months, outbreaks of enterovirus type 71 and parainfluenza type 3 infections in 1986, and rubella in 1984.

Disease Outbreaks↗
PubMed1987

Hepatitis B in New Zealand children: the 1985 national immunisation survey.

In April 1985 a national immunisation survey was conducted, in the course of which blood samples were collected from 3000 randomly selected children throughout the country. There were 1000 new school entrants (mean age 5 years), 1000 standard 3 pupils (mean age 10 years), and 1000 form 4 students (mean age 15 years). The sera were tested for hepatitis B surface antigen, antibody to hepatitis B surface antigen, and antibody to hepatitis B core antigen, by ELISA. The prevalence of infection rose with age until by 15 years of age 13.1% of the study population (8.2% of the European and 42.0% of the Maori children) were marker positive. At all ages, Maori children were five times more likely to be positive for any marker, and approximately thirteen times more likely to be positive for antigen (actively infected), than the European children. Even when the data had been standardised for age and race, children resident in the eastern North Island were still almost three times more at risk than children in the South Island. Children in the remaining areas of the North Island were at approximately equal degrees of risk, intermediate between the high and low endemic areas mentioned. We conclude that universal childhood immunisation is necessary to control horizontal transmission of heptatis B virus in New Zealand.

Adolescent↗
PubMed1986

Hepatitis A infection in New Zealand children.

Antibody to hepatitis A virus (anti HAV), a marker of past infection, was assayed in 2000 sera collected as part of a national survey in 1978-79. The sera were obtained from children and young people aged 0-21 years, resident in all health districts of New Zealand. Anti HAV was detected in 307 sera, giving an overall prevalence of 15.4%. Prevalence increased steadily throughout childhood but more slowly during adolescence. There was no sex differential, the age-standardised rate/100 being 15.5 (95% confidence interval 13.2, 17.8) for males and 16.6 (14.4, 18.9) for females. However, the age-standardised rate for Maoris was 39.5 (33.2, 45.8) compared to 16.1 (12.8, 19.4) for Europeans, giving a risk ratio of 2.1. In addition, a marked north-south gradient in prevalence was demonstrated: the rate for children in the northern half of the North Island, when standardised for age and ethnicity, was 19.8 (16.8, 22.7) compared to 5.2 (3.2, 7.1) for South Island children, giving a risk ratio of 3.8. The higher prevalence of hepatitis A infection in Maori and northern North Island children mirrors our previously reported findings regarding markers of hepatitis B infection in this serum collection.

Adolescent↗
PubMed1986

Mononucleosis-like-syndrome associated with acute AIDS retrovirus infection.

A 47-year-old man developed an acute infectious mononucleosis-like illness with a moderate lymphocytosis and numerous atypical lymphocytes in the peripheral blood. Seroconversion to the AIDS-associated virus occurred between 14 and 20 days following the onset of the acute illness. He was found to have reduction of the T4:T8 ratio, low mitogenic response to PHA and cutaneous anergy when tested at 25 and 136 days. These tests had returned to normal by 262 days.

Acquired Immunodeficiency Syndrome↗