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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/07/01 - 30/09/01

During the third quarter of 2001, 79 hepatitis B medical notifications were received. Of these, 2 were acute clinical cases of hepatitis B infection (Tables 3.1, 3.2). A further 17 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 59 cases (Table 3.3). There was one report of antigen positivity of less than 12 months duration (defined by a negative surface antigen test in the 12 months prior to diagnosis) (Table 3.3).

Exposure categories identified for the acute clinical cases were heterosexual contact (1) and unknown risk factors (1) (Table 3.1).

Of the 59 reports of antigen positivity of uncertain duration, 33 tested surface antigen positive for the first time this quarter, two had a previous negative test and the testing history was unknown for the remaining 24 cases. Among the 33 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 21 (64%) was reported 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, 01/07/01 - 30/09/01 and year to date. Exposure category by sex.

Exposure category

3rd Quarter
01/07/01 - 30/09/01

Year to date
01/01/01 - 30/09/01

 

Male

Female

Male

Female

Total

IDU

-

-

2

-

2

Heterosexual contact

-

1

1

5

6

Overseas travel

-

-

1

-

1

Social/family

-

-

1

-

1

None identified

-

1

1

4

5

Total

-

2

6

9

15

Table 3.2 Acute hepatitis B infection, 01/07/01 - 30/09/01 and year to date. Age group by sex.

Age group (years)

3rd Quarter
01/07/01 - 30/09/01

Year to date
01/01/01 - 30/09/01

 

Male

Female

Male

Female

Total

10 – 19

-

1

2

4

6

20 – 29

-

-

-

3

3

30 – 39

-

-

2

-

2

40 – 49

-

-

1

-

1

³ 50

-

1

1

2

3

Total

-

2

6

9

15

Table 3.3 Hepatitis B infection, 01/07/01 - 30/09/01 and year to date.
Case category by sex.

Case category

3rd Quarter
01/07/01 - 30/09/01

Year to date
01/01/01 - 30/09/01

 

Male

Female

Male

Female

Total

Acute infection

-

2

6

9

15

Antigen positive -

         

<12months duration

-

1

2

1

3

Antigen positive -

         

uncertain duration

35

24

106

62

168

Chronic carriers -

         

>12 months duration

12

5

31

19

50

Total

47

32

145

91

230

Table 3.4 Individuals who tested hepatitis B surface antigen positive for the first time, 01/07/01 - 30/09/01 and year to date. Race by sex.

Racial origin

3rd Quarter

Year to date

 

01/07/01 - 30/09/01

01/01/01 - 30/09/01

 

Male

Female

Male

Female

Total

Aboriginal

3

-

11

-

11

Asian

11

10

38

27

65

Caucasian

5

1

16

6

22

Other/unknown

1

2

3

4

7

Total

20

13

68

37

105

Table 3.5 Summary of hepatitis B surface antigen tests, 01/07/01 - 30/09/01* and year to date. Laboratory by sex.

Laboratory

3rd Quarter
01/07/01 - 30/09/01

Year to date
01/01/01 - 30/09/01

 

Male

Female

Unknown

Male

Female

Unknown

Total

Public

4449

6301

44

13428

19945

123

33496

Private

2479

3962

-

8959

13530

-

22489

Total

6928

10263

44

22387

33475

123

55985

*incomplete data for this quarter

 

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