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 |
|