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An outbreak of hepatitis B in men who have sex with men but identify as heterosexual
  1. Ananda Giri Shankar1,
  2. Sema Mandal2,
  3. Samreen Ijaz2
  1. 1Health Protection Team, Public Health England, East of England, Thetford, UK
  2. 2National Infection Service, Public Health England, London, UK
  1. Correspondence to Dr Ananda Giri Shankar, Health Protection Team, Public Health England, East of England, Thetford IP24 1JD, UK; giri.shankar{at}phe.gov.uk

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We investigated an unusual cluster of acute hepatitis B (HBV) infection among middle-aged men in East of England. Between January and August 2015, five cases of acute, symptomatic HBV cases were seen in men (median age 55 years: range 39–72), four of whom were white. All described themselves as married heterosexual men. Sequencing data showed four cases were genotype A2. Additional phylogenetic analysis showed that three were A2 …

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