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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/10/03 - 31/12/03  

During the fourth quarter of 2003, 59 hepatitis B medical notifications were received.  Of these, 2 were acute clinical cases of hepatitis B infection  (Table 3.3).  A further 8 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 49 cases (Table 3.3).

 The exposure categories identified for the acute clinical cases were heterosexual contact (1) and unknown risk factor (1).

 Of the 49 reports of antigen positivity of uncertain duration, 27 tested surface antigen positive for the first time this quarter and the testing history was unknown for the 22 remaining cases.  Among the 27 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 14 (52 %) 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
01/01/03 - 31/12/03

Exposure category

Male

Female

Total

IDU

3

-

3

Heterosexual contact

-

1

1

Overseas travel

1

-

1

None identified

3

2

5

Total

7

3

10

n.a. not applicable

 

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

 

Year

01/01/03 - 31/12/03

Age group (years)

Male

Female

Total

10 - 19

3

-

3

20 - 29

-

1

1

30 - 39

1

-

1

³ 50

3

2

5

Total

7

3

10

 

Table 3.3   Hepatitis B infection, 01/10/03 - 31/12/03 and year.
                  Case category by sex.

 

4th Quarter
01/10/03 - 31/12/03

Year
01/01/03 - 31/12/03

Case category

Male

Female

Male

Female

Total

Acute infection

-

2

7

3

10

Antigen positive - uncertain duration

28

21

117

73

190

Chronic carriers - >12 months

3

5

17

21

38

Total

31

28

141

97

238

 

Table 3.4    Individuals who tested hepatitis B surface antigen positive 

                   for the first time, 01/10/03 - 31/12/03 and year. Race by sex.

 

 

4th Quarter

Year

 

01/10/03 - 31/12/03

01/01/03 - 31/12/03

Racial origin

Male

Female

Male

Female

Total

Aboriginal

2

1

8

3

11

Asian

6

8

42

30

72

Caucasian

3

2

20

8

28

Other/unknown

5

-

12

9

21

Total

16

11

82

50

132

 

Table 3.5   Summary of hepatitis B surface antigen tests, 01/10/03 - 31/12/03
                  and year. Laboratory by sex.

 

4th Quarter

01/10/03 - 31/12/03

Year

01/01/03 - 31/12/03

Laboratory Male Female Unknown Male Female Unknown Total

Public

5026

7180

26

19985

28398

87

48470

Private

2471

4147

-

9872

16612

-

26484

Total

7497

11327

26

29857

45010

87

74954

 

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