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December 21, 1984

Possible Hepatitis From Diaphragm Fitting

Author Affiliations

Dedham, Mass

JAMA. 1984;252(23):3251. doi:10.1001/jama.1984.03350230013012

To the Editor.—  There has been increasing concern about the iatrogenic causes of illness. One of those frequently cited is the spread of hepatitis B by medical practice. This concern has recently become more acute because of the worry that acquired immunodeficiency syndrome (AIDS) on occasion may be similarly disseminated. It has come to my attention that a common medical procedure that may pose a risk for the transmission of disease and specifically of hepatitis B is the use of reusable fitting diaphragms and rings used in the fitting of diaphragms for contraception. It is well recognized that hepatitis B virus may be present in menstrual blood, vaginal secretions, and seminal fluid, and sexual contact may well be a mode of spread of the disease.1Instructions by the manufacturer of a major brand of fitting rings and diaphragms call for washing the used rings in soap and water and