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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/10/01 - 31/12/01

During the fourth quarter of 2001, 73 hepatitis B medical notifications were received. Of these, five were acute clinical cases of hepatitis B infection (Tables 3.1, 3.2). A further 12 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 55 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), homosexual contact (2), injecting drug use (1) and unknown risk factors (1) (Table 3.1).

Of the 55 reports of antigen positivity of uncertain duration, 33 tested surface antigen positive for the first time this quarter and the testing history was unknown for the remaining 22 cases. Among the individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 23 (70%) 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, 01/10/01 - 31/12/01 and year.
Exposure category by sex.

Exposure category

4th Quarter

01/10/01 - 31/12/01

Year

01/01/01 - 31/12/01

 

Male

Female

Male

Female

Total

IDU

1

-

3

-

3

Heterosexual contact

-

1

1

6

7

Overseas travel

-

-

1

-

1

Homosexual contact

2

n.a.

2

n.a.

2

None identified

-

1

1

5

6

Total

3

2

8

11

19

n.a. not applicable

Table 3.2 Acute hepatitis B infection, 01/10/01 - 31/12/01 and year.
Age group by sex.

Age group (years)

4th Quarter

01/10/01 - 31/12/01

Year

01/01/01 - 31/12/01

 

Male

Female

Male

Female

Total

10 – 19

-

-

1

4

5

20 – 29

1

2

1

5

6

30 – 39

1

-

3

-

3

40 – 49

-

-

1

-

1

> 50

1

-

2

2

4

Total

3

2

8

11

19

Table 3.3 Hepatitis B infection, 01/10/01 - 31/12/01 and year.
Case category by sex.

Case category

4th Quarter

01/10/01 - 31/12/01

Year

01/01/01 - 31/12/01

 

Male

Female

Male

Female

Total

Acute infection

3

2

8

11

19

Antigen positive -

         

<12months duration

-

1

2

2

4

Antigen positive -

         

uncertain duration

35

20

146

81

227

Chronic carriers -

         

>12 months duration

9

3

41

25

66

Total

47

26

197

119

316

Table 3.4 Individuals who tested hepatitis B surface antigen 
positive for the first time, 01/10/01 - 31/12/01 and year. Race by sex.

Racial origin

4th Quarter

Year

 

01/10/01 - 31/12/01

01/01/01 - 31/12/01

 

Male

Female

Male

Female

Total

Aboriginal

-

-

12

-

12

Asian

15

8

52

35

87

Caucasian

5

1

21

8

29

Other/unknown

3

1

6

5

11

Total

23

10

91

48

139

Table 3.5 Summary of hepatitis B surface antigen tests, 01/10/01 - 31/12/01 
and year. Laboratory by sex.

Laboratory

4th Quarter

01/10/01 - 31/12/01

Year

01/01/01 - 31/12/01

 

Male

Female

Unknown

Male

Female

Unknown

Total

Public

4827

6645

28

18487

27087

151

45725

Private

2405

3973

-

11757

18054

-

29811

Total

7232

10618

28

30244

45141

151

75536

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