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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/07/03 - 30/09/03

During the third quarter of 2003, 60 hepatitis B medical notifications were received.  Of these, four were acute clinical cases of hepatitis B infection  (Tables 3.1, 3.2).  A further nine 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 47 cases (Table 3.3).

Exposure categories identified for the acute clinical cases were injecting drug use/tattoos (3) and overseas travel (1) (Table 3.1).

Of the 47 reports of antigen positivity of uncertain duration, 34 tested surface antigen positive for the first time this quarter, three had a previous negative test and the testing history was unknown for the remaining 10 cases.  Among the 34 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 17 (50%) 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, 01/07/03 - 30/09/03 and year to date. 
                Exposure category by sex.

 

Exposure category

3rd Quarter

01/07/03 - 30/09/03

Year to date

01/01/03 - 30/09/03

Male

Female

Male

Female

Total

IDU/tattoos

3

-

3

-

3

Overseas travel

1

-

1

-

1

None identified

-

-

3

1

4

Total

4

-

7

1

8

 

Table 3.2   Acute hepatitis B infection, 01/07/03 - 30/09/03 and year to date. 
                 Age group by sex.

 

Age group (years)

3rd Quarter

01/07/03 - 30/09/03

Year to date

01/01/03 - 30/09/03

Male

Female

Male

Female

Total

10 - 19

1

-

1

-

1

20 - 29

-

-

-

-

-

30 - 39

2

-

3

-

3

40 - 49

1

-

2

-

2

> 50

-

-

1

1

2

Total

4

-

7

1

8

 

 

Table 3.3  Hepatitis B infection, 01/07/03 - 30/09/03 and year to date.
                 Case category by sex.

 

Case category

3rd Quarter

01/07/03 - 30/09/03

Year to date

01/01/03 - 30/09/03

Male

Female

Male

Female

Total

Acute infection

4

-

7

1

8

Antigen positive-

     uncertain duration

29

18

84

51

135

Chronic carriers-

   >12 months duration

4

5

13

15

28

Total

37

23

104

67

171

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive for the
                first time, 01/07/03 - 30/09/03 and year to date. Race by sex.

Racial origin

3rd Quarter

01/07/03 - 30/09/03

Year to date

01/01/03 - 30/09/03

Male

Female

Male

Female

Total

Aboriginal

5

2

7

3

10

Asian

10

7

34

24

58

Caucasian

3

2

17

6

23

Other/unknown

1

4

6

6

12

Total

19

15

64

39

103

 

Table 3.5  Summary of hepatitis B surface antigen tests, 01/07/03 - 30/09/03
                 and year to date. Laboratory by sex.

 

Laboratory

3rd Quarter

01/07/03 - 30/09/03

Year to date

01/01/03 - 30/09/03

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5026

7180

26

14915

21530

87

36532

Private

2471

4147

-

7619

12856

-

20475

Total

7497

11327

26

22534

34386

87

57007

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