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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Haley and Fischer¹ in their study suggest that whereas injection-drug use commonly causes both occult anti–hepatitis C virus (HCV) seropositivity and the acute hepatitis syndrome, tattooing may commonly cause occult anti-HCV seropositivity, while rarely causing the acute hepatitis syndrome. They recommended that public policy on regulation and inspection of parlors should be determined by seroepidemiological studies rather than by the Sentinel Countries Study of acute hepatitis cases.

On the basis of recent prevalence data, we think that the spread of HCV infection in the past was generally underestimated.² Viral identification and the increasing availability of serological assays occurred only at the beginning of the 1990s. Although a large amount of knowledge has been produced in few years, the transmission routes and the epidemic dynamics of this emerging infection are not yet completely understood.³ Several epidemiological investigations have shown that the prevalence of HCV infection is typically low in the general . . . [Full Text of this Article]

Maurizio Montella, MD; Anna Crispo, ScD; Vincenzo Montesarchio, MD
Naples, Italy

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The Tattooing Paradox: Are Studies of Acute Hepatitis Adequate to Identify Routes of Transmission of Subclinical Hepatitis C Infection?
Robert W. Haley and R. Paul Fischer
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