TY - JOUR T1 - Notes from the field: Deaths from acute hepatitis b virus infection associated with assisted blood glucose monitoring in an assisted-living facility—north carolina, august—october 2010 Y1 - 2011/04/13 N1 - JO - JAMA SP - 1405 EP - 1406 VL - 305 IS - 14 N2 - Sharing of blood glucose monitoring equipment in assisted-living facilities has resulted in at least 16 outbreaks of hepatitis B virus (HBV) infection in the United States since 2004.1- 2 On October 12, 2010, the North Carolina Division of Public Health (NCDPH) and the Wayne County Health Department were notified by a local hospital of four residents of a single assisted-living facility with suspected acute HBV infection. NCDPH requested HBV testing of all persons who had resided in the facility during January 1–October 13, 2010, and defined an outbreak-associated case as either (1) positive hepatitis B surface antigen and core immunoglobulin M (IgM) results or (2) clinical evidence of acute hepatitis (jaundice or serum aminotransferase levels twice the upper limit of normal) with onset ≥6 weeks after admission to the facility. Records were reviewed for potential health-care—associated exposures and HBV-related risk factors. Infection control practices were assessed through observations and interviews with facility staff. SN - 0098-7484 M3 - doi: UR - http://dx.doi.org/ ER -