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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/10/02 - 31/12/02

 During the fourth quarter of 2002, 52 hepatitis B medical notifications were received.  Of these, only one was an acute clinical case of hepatitis B infection (Table 3.3).  A further eight 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 43 cases (Table 3.3).

 The exposure category identified for the acute clinical case was Social/family contact.

 Of the 43 reports of antigen positivity of uncertain duration, 24 tested surface antigen positive for the first time this quarter, two had a previous negative test and the testing history was unknown for the 17 remaining cases.  Among the 24 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 14 (58%) 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,  year.
                 Exposure category by sex.

 

Year
01/01/02 - 31/12/02

Exposure category

Male

Female

Total

IDU

1

-

1

Heterosexual contact

-

1

1

Homosexual contact

2

na

2

Overseas travel

-

1

1

Social/Family

-

1

1

Country of birth

1

-

1

None identified

2

1

3

Total

6

4

10

n.a. not applicable

 

Table 3.2   Acute hepatitis B infection, year.
                 Age group by sex.

 

Year

01/01/02 - 31/12/02

Age group (years)

Male

Female

Total

10 - 19

1

2

3

20 - 29

2

1

3

30 - 39

1

1

2

³ 50

2

-

2

Total

6

4

10

 

Table 3.3   Hepatitis B infection, 01/10/02 - 31/12/02 and year.
                  Case category by sex.

 

4th Quarter
01/10/02 - 31/12/02

Year
01/01/02 - 31/12/02

Case category

Male

Female

Male

Female

Total

Acute infection

-

1

6

4

10

Antigen positive

 

 

 

 

 

<12months duration

-

-

-

1

1

Antigen positive -

 

 

 

 

 

     uncertain duration

24

19

126

87

213

Chronic carriers -

 

 

 

 

 

 >12 months duration

4

4

19

24

43

Total

28

24

151

116

267

 

Table 3.4    Individuals who tested hepatitis B surface antigen positive for the first time,
                   01/10/02 - 31/12/02 and year. Race by sex.

 

4th Quarter

Year

 

01/10/02 - 31/12/02

01/01/02 - 31/12/02

Racial origin

Male

Female

Male

Female

Total

Aboriginal

1

-

5

3

8

Asian

7

7

46

40

86

Caucasian

4

1

31

9

40

Other/unknown

2

2

6

7

13

Total

14

10

88

59

147

 

Table 3.5   Summary of hepatitis B surface antigen tests, 01/10/02 - 31/12/02
                  and year. Laboratory by sex.

 

4th Quarter
01/10/02 - 31/12/02

Year
01/01/02 - 31/12/02

 

Laboratory

Male

Female

Unknown

Male

Female

Unknown

Total

 

Public

4809

6567

13

19601

27417

89

47107

Private

2560

4092

-

10203

15664

-

25867

Total

7369

10659

13

29804

43081

89

72974

 

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