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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/04/03 - 30/06/03

During the second quarter of 2003, 58 hepatitis B medical notifications were received.  Of these, three were acute clinical cases of hepatitis B infection (Table 3.1). A further ten were reports of chronic carriers of greater than twelve months duration, who had been previously diagnosed, but not notified.  Reports of antigen positivity of uncertain duration accounted for 45 cases (Table 3.1).

Exposure categories were unable to be identified for the three acute clinical cases who were all aged over 30 years. 

Of the 45 reports of antigen positivity of uncertain duration, 33 tested surface antigen positive for the first time this quarter, one had a previous negative test and the testing history was unknown for the remaining 11 cases.  Among the 33 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 20 (60%) was reported as Asian (Table 3.2). 

 The number of hepatitis B surface antigen tests performed by laboratories for this quarter is shown in Table 3.3.

 

Table 3.1  Hepatitis B infection, 01/04/03 - 30/06/03 and year to date.
                Case category by sex.

 

2nd Quarter

01/04/03 - 30/06/03

Year to date

01/01/03 - 30/06/03

Case category

Male

Female

Male

Female

Total

Acute Infection

2

1

3

1

4

Antigen positive -
   uncertain duration

27

18

54

32

86

Chronic carriers -
   >12 months duration

6

4

9

9

18

Total

35

23

66

42

108

 

Table 3.2  Individuals who tested hepatitis B surface antigen positive for 
                the first time, 01/04/03 - 30/06/03 and year to date. Race by sex.

 

2nd Quarter

01/04/03 - 30/06/03

Year to date

01/01/03 - 30/06/03

Racial origin

Male

Female

Male

Female

Total

Aboriginal

1

-

2

1

3

Asian

10

10

24

17

41

Caucasian

7

2

13

4

17

Other/Unknown

3

-

5

2

7

Total

21

12

44

24

68

 

Table 3.3  Summary of hepatitis B surface antigen tests, 01/04/03 - 30/06/03
                and year to date. Laboratory by sex.

 

2nd Quarter

01/04/03 - 30/06/03

Year to date

01/01/03 - 30/06/03

Laboratory

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5094

7115

30

9889

14350

61

24300

Private

2508

4227

-

5148

8709

-

13857

Total

7602

11342

30

15037

23059

61

38157

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