Quarterly Surveillance Report 1999 No. 3:
July-September
Hepatitis B Surveillance in South Australia
Hepatitis B Medical Notification 01/07/99 - 30/09/99
During the third quarter of 1999, 69
hepatitis B medical notifications were received. Of these, four were acute
clinical cases of hepatitis B infection (Tables 3.1, 3.2). A further 14
were reports of chronic carriers of greater than twelve months duration,
who had been previously diagnosed but not notified. There was one report
of antigen positivity of less than 12 months duration (defined by a
negative hepatitis B surface antigen test in the 12 months prior to
diagnosis) (Table 3.3). Reports of antigen positivity of uncertain
duration accounted for 50 cases (Table 3.3).
Of the 50 reports of antigen positivity
of uncertain duration, 30 tested surface antigen positive for the first
time this quarter, one case had a previous negative test and the testing
history was unknown for the remaining 19 cases. Among the 30 individuals
who tested surface antigen positive for the first time, but were not acute
cases, the racial origin of 15 (50%) was reported as Caucasian and 13
(43%) as Asian (Table 3.4).
The number of hepatitis B surface
antigen tests performed by laboratories for this quarter is shown in Table
3.5.
Table 3.1 Acute hepatitis B
infection, 01/07/99 - 30/09/99 and year to date. Exposure category by sex.
|
Exposure category
|
3rd Quarter
01/07/99 - 30/09/99
|
Year to date
01/01/99 - 30/09/99
|
|
Male |
Female |
Male |
Female |
Total |
|
IDU |
1 |
1 |
3 |
2 |
5 |
|
Heterosexual Contact |
- |
1 |
- |
1 |
1 |
|
Social Family |
- |
- |
1 |
1 |
2 |
|
Unknown |
1 |
- |
1 |
1 |
2 |
|
Total |
2 |
2 |
5 |
5 |
10 |
Table 3.2 Acute hepatitis B
infection, 01/07/99 - 30/09/99 and year to date. Age group by sex.
|
Age group (years)
|
3rd Quarter
01/07/99 - 30/09/99
|
Year to date
01/01/99 - 30/09/99
|
|
Male |
Female |
Male |
Female |
Total |
|
<10 |
- |
- |
- |
1 |
1 |
|
10 - 19 |
- |
1 |
- |
1 |
1 |
|
20 - 29 |
- |
- |
2 |
- |
2 |
|
30 - 39 |
1 |
1 |
1 |
2 |
3 |
|
40 - 49 |
1 |
- |
2 |
- |
2 |
|
> 50 |
- |
- |
- |
1 |
1 |
|
Total |
2 |
2 |
5 |
5 |
10 |
Table 3.3 Hepatitis B infection,
01/07/99 - 30/09/99 and year to date. Case
category by sex.
|
Case category
|
3rd Quarter
01/07/99 - 30/09/99
|
Year to date
01/01/99 - 30/09/99
|
|
Male |
Female |
Male |
Female |
Total |
|
Acute Infection |
2 |
2 |
5 |
5 |
10 |
|
Antigen positive -
<12 months duration |
- |
1 |
3 |
1 |
4 |
|
Antigen positive -
uncertain duration |
26 |
24 |
80 |
68 |
148 |
|
Chronic carriers -
>12 months duration |
6 |
8 |
20 |
27 |
47 |
|
Total |
34 |
35 |
108 |
101 |
209 |
Table 3.4 Individuals who tested
hepatitis B surface antigen positive for the first time, 01/07/99 -
30/09/99 and year to date. Race by sex.
|
Racial origin
|
3rd Quarter
01/07/99 - 30/09/99
|
Year to date
01/01/99 - 30/09/99
|
|
Male |
Female |
Male |
Female |
Total |
|
Aboriginal |
- |
- |
3 |
1 |
4 |
|
Asian |
6 |
7 |
24 |
21 |
45 |
|
Caucasian |
7 |
8 |
15 |
15 |
30 |
|
Other/Unknown |
1 |
1 |
4 |
2 |
6 |
|
Total |
14 |
16 |
46 |
39 |
85 |
Table 3.5 Summary of hepatitis B
surface antigen tests, 01/07/99 - 30/09/99 and year to date. Laboratory by
sex.
|
Laboratory
|
3rd Quarter
01/07/99 - 30/09/99
|
Cumulative
01/01/99 - 30/09/99
|
|
Male |
Female |
Unknown |
Male |
Female |
Unknown |
Total |
|
Public |
4740 |
6955 |
75 |
13570 |
20112 |
198 |
33880 |
|
Private |
4541 |
5558 |
- |
12508 |
16550 |
- |
29058 |
|
Total |
9281 |
12513 |
75 |
26078 |
36662 |
198 |
62938 |
|