Hepatitis C Medical Notification 01/04/01 - 30/06/01
In the second quarter of 2001, medical
notifications of hepatitis C infection were received for 234 individuals,
161 (63%) males and 95 (37%) females.
Among the notifications, 26 cases were
reported as having an earlier positive test (pre-1995), whilst 76
individuals had never been tested before for hepatitis C infection. In a
further 94 cases the testing history was unknown. Of 38 individuals with a
previous negative test, 23 were tested more than 12 months earlier and 15
were tested within the last year. In 146 (70%) instances, past or present
injecting drug use was reported as a likely transmission route for
hepatitis C virus (Table 2.1).
At the time of diagnosis, the majority
of males (62%) were aged between 20 and 39 years, while most females (77%)
were in the 20 - 49 year age range (Table 2.2). Of two
males and 11 females aged less than twenty years (13 cases), 11 had a
history of injecting drug use.
Newly acquired infections - Incident
Cases
Incident cases are infections acquired
in the last 12 months, and are identified by recent seroconversion for
hepatitis C antibodies or a positive test accompanied by acute clinical
illness not ascribed to other causes.
Seventeen incident cases were identified
during the quarter, 15 had negative serology in the preceding 12 months
and two were clinical diagnoses. The incident cases comprised 12 males and
five females. In 16 cases the likely mode of transmission for hepatitis C
virus was injecting drug use, and the transmission route is not yet known
in one case (Table 2.3). At the time of diagnosis most
(76%) were less than 30 years of age (Table 2.4).
Collated laboratory data for hepatitis C antibody tests
performed during the quarter are shown in Table 2.5.
Table 2.1 Hepatitis C infection,
new diagnoses 01/04/01 - 30/06/01 and year to date.
Exposure category by
sex.
|
Exposure category
|
2nd Quarter
01/04/01 - 30/06/01 |
Year to date
01/01/01 - 30/06/01 |
| |
Male |
Female |
Male |
Female |
Total |
|
IDU1 |
92 |
54 |
227 |
109 |
336 |
|
Blood transfusion/ products |
4 |
5 |
9 |
15 |
24 |
|
Tattoos |
9 |
5 |
18 |
5 |
23 |
|
Other2 |
3 |
2 |
7 |
9 |
16 |
|
High prevalence country3 |
8 |
6 |
19 |
8 |
27 |
|
Unknown |
12 |
8 |
26 |
14 |
40 |
|
Total |
128 |
80 |
306 |
160 |
466 |
1 Includes
IDU in combination with other categories.
2
Residence/medical treatment in a high prevalence country.
3 Includes
occupational exposure; household, perinatal & sexual
transmission;
body piercing/ acupunture.
Table 2.2 Hepatitis C infection,
new diagnoses 01/04/01 - 30/06/01 and year to date.
Age group by sex.
|
Age group (years)
|
2nd Quarter
01/04/01 - 30/06/01 |
Year to date
01/01/01 - 30/06/01 |
| |
Male |
Female |
Male |
Female |
Total |
|
10 - 19 |
2 |
11 |
6 |
19 |
25 |
|
20 - 29 |
38 |
29 |
100 |
55 |
155 |
|
30 - 39 |
41 |
15 |
87 |
40 |
127 |
|
40 - 49 |
35 |
18 |
85 |
30 |
115 |
|
³ 50 |
12 |
7 |
28 |
16 |
44 |
|
Total |
128 |
80 |
306 |
106 |
466 |
Table 2.3 Newly acquired hepatitis C infections
(Incident cases*),
01/04/01 - 30/06/01 and year to date. Exposure category by sex.
|
Exposure category
|
2nd Quarter
01/04/01 - 30/06/01 |
Year to date
01/01/01 - 30/06/01 |
| |
Male |
Female |
Male |
Female |
Total |
|
IDU |
11 |
5 |
29 |
11 |
40 |
|
Not identified |
- |
- |
- |
2 |
2 |
|
Unknown |
1 |
- |
1 |
- |
1 |
|
Total |
12 |
5 |
30 |
13 |
43 |
* Incident cases are newly
acquired infections, see text.
Table 2.4 Newly acquired hepatitis C
infections
(Incident cases*),
01/04/01 - 30/06/01 and year
to date. Age group by sex.
|
Age group (years) |
2nd Quarter
01/04/01 - 30/06/01 |
Year to date
01/01/01 - 30/06/01 |
| |
Male |
Female |
Male |
Female |
Total |
|
15 - 19 |
1 |
1 |
4 |
3 |
7 |
|
20 - 29 |
7 |
4 |
16 |
8 |
24 |
|
30 - 39 |
4 |
- |
9 |
2 |
11 |
|
³ 40 |
- |
- |
1 |
- |
1 |
|
Total |
12 |
5 |
30 |
13 |
43 |
* Incident cases are newly
acquired infections, see text.
Table 2.5 Summary of laboratory
tests for hepatitis C antibodies,
01/04/01 - 30/06/01 and year to date. Laboratory by sex.
|
Laboratory
|
2nd Quarter
01/04/01 - 30/06/01
|
Year to date
01/01/01 - 30/06/01
|
| |
Male |
Female |
Unknown |
Male |
Female |
Unknown |
Total |
|
Public |
5228 |
6005 |
- |
10879 |
11976 |
- |
22855 |
|
Private |
3715 |
3593 |
41 |
7478 |
7642 |
81 |
15201 |
|
Total |
8943 |
9598 |
41 |
18357 |
19618 |
81 |
38056 |
|