Hepatitis B Surveillance in South Australia: QSR 1999 No. 14
Hepatitis B Medical Notification 01/10/99 - 31/12/99
During the fourth quarter of 1999, 62
hepatitis B medical notifications were received. Of these, five were acute
clinical cases of hepatitis B infection (Tables 3.1,
3.2). A further 11
were reports of chronic carriers of greater than twelve months duration,
who had been previously diagnosed but not notified (Table
3.3). Reports of
antigen positivity of uncertain duration accounted for 46 cases (Table
3.3).
Of the 46 reports of antigen positivity
of uncertain duration, 34 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 11 cases. Among the individuals who
tested surface antigen positive for the first time, but were not acute
cases, the racial origin of 16 (47%) was reported as Asian and 14 (41%) as
Caucasian (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, 01/10/99 - 31/12/99 and year to date. Exposure category by sex.
|
Exposure category
|
4th Quarter
01/10/99 - 31/12/99
|
Year to date
01/01/99 - 31/12/99
|
| |
Male |
Female |
Male |
Female |
Total |
|
IDU |
2 |
- |
5 |
2 |
7 |
|
Heterosexual contact |
1 |
2 |
1 |
3 |
4 |
|
Social family |
- |
- |
1 |
1 |
2 |
|
Unknown |
- |
- |
1 |
1 |
2 |
|
Total |
3 |
2 |
8 |
7 |
15 |
Table 3.2 Acute hepatitis B
infection, 01/10/99 - 31/12/99 and year to date. Age group by sex.
|
Age group (years)
|
4th Quarter
01/10/99 - 31/12/99
|
Year to date
01/01/99 - 31/12/99
|
| |
Male |
Female |
Male |
Female |
Total |
|
<10 |
- |
- |
- |
1 |
1 |
|
10 - 19 |
1 |
- |
1 |
1 |
2 |
|
20 - 29 |
1 |
- |
3 |
- |
3 |
|
30 - 39 |
1 |
1 |
2 |
3 |
5 |
|
40 - 49 |
- |
1 |
2 |
1 |
3 |
|
³
50 |
- |
- |
- |
1 |
1 |
|
Total |
3 |
2 |
8 |
7 |
15 |
Table 3.3 Hepatitis B
infection, 01/10/99 - 31/12/99 and year to date. Case category by sex.
|
Case category
|
4th Quarter
01/10/99 - 31/12/99
|
Year to date
01/01/99 - 31/12/99
|
| |
Male |
Female |
Male |
Female |
Total |
|
Acute Infection |
3 |
2 |
8 |
7 |
15 |
|
Antigen positive -
<12 months duration |
- |
- |
3 |
1 |
4 |
|
Antigen positive -
uncertain duration |
30 |
16 |
111 |
85 |
196 |
|
Chronic carriers -
>12 months duration |
6 |
5 |
26 |
32 |
58 |
|
Total |
39 |
23 |
148 |
125 |
273 |
Table 3.4 Individuals who
tested hepatitis B surface antigen positive for the first time, 01/10/99 -
31/12/99 and year to date. Race by sex.
| Racial origin |
4th Quarter
01/10/99 - 31/12/99 |
Year to date
01/01/99 - 31/12/99 |
| |
Male |
Female |
Male |
Female |
Total |
|
Aboriginal |
3 |
- |
7 |
2 |
9 |
|
Asian |
10 |
6 |
44 |
33 |
77 |
|
Caucasian |
9 |
5 |
27 |
22 |
49 |
|
Other/Unknown |
1 |
- |
7 |
3 |
10 |
|
Total |
23 |
11 |
85 |
60 |
145 |
Table 3.5 Summary of hepatitis B surface antigen tests,
01/10/99 - 31/12/99 and year to date. Laboratory by sex.
|
Laboratory
|
4th Quarter
01/10/99 - 31/12/99
|
Cumulative
01/01/99 - 31/12/99
|
| |
Male |
Female |
Unknown |
Male |
Female |
Unknown |
Total |
|
Public |
4972 |
5691 |
48 |
18542 |
26736 |
246 |
45524 |
|
Private |
4446 |
6624 |
- |
16954 |
22241 |
- |
39195 |
|
Total |
9818 |
12315 |
48 |
35496 |
48977 |
246 |
84719 |
|