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Hepatitis B Surveillance in South Australia

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

During the second quarter of 2004, 62 hepatitis B medical notifications were received.  Of these, 2 were acute clinical cases of hepatitis B infection (Table 3.1, Table 3.2)A further 18 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 42 cases (Table 3.3). 

Exposure categories identified for the acute clinical cases were injecting drug use (1) and heterosexual contact (1) (Table 3.1).

Of the 42 reports of antigen positivity of uncertain duration, 30 tested surface antigen positive for the first time this quarter and the testing history was unknown for the remaining 12 cases.  Among the 30 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 13 (43 %) 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, 01/04/04 - 30/06/04 and year to date.
                Exposure category by sex.

 

2nd Quarter

01/04/04 - 30/06/04

Year to date

01/01/04 - 30/06/04

Exposure category

Male

Female

Male

Female

Total

IDU

1

-

2

-

2

Heterosexual

-

1

-

1

1

Total

1

1

2

1

3

 

Table 3.2  Acute hepatitis B infection, 01/04/04 - 30/06/04 and year to date.
                Age group by sex.

 

2nd Quarter

01/04/04 - 30/06/04

Year to date

01/01/04 - 30/06/04

Age group

Male

Female

Male

Female

Total

10 - 19

-

1

-

1

1

20 - 29 

-

-

-

-

-

30 - 39

1

-

2

-

2

40 - 49 

-

-

-

-

-

³ 50

-

-

-

-

-

Total

1

1

2

1

3

 

Table 3.3  Hepatitis B infection, 01/04/04 - 30/06/04 and year to date.
                Case category by sex.

 

2nd Quarter

01/04/04 - 30/06/04

Year to date

01/01/04 - 30/06/04

Case category

Male

Female

Male

Female

Total

Acute Infection

1

1

2

1

3

Antigen positive -
   uncertain duration

29

13

53

31

84

Chronic carriers -
   >12 months duration

12

6

19

11

30

Total

42

20

74

43

117

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive for 
                the first time, 01/04/04 - 30/06/04 and year to date. Race by sex.

 

2nd Quarter

01/04/04 - 30/06/04

Year to date

01/01/04 - 30/06/04

Racial origin

Male

Female

Male

Female

Total

Aboriginal

1

-

2

2

4

Asian

5

8

10

15

25

Caucasian

4

-

9

2

11

Other/Unknown

9

3

13

5

18

Total

19

11

34

24

58

 

Table 3.5  Summary of hepatitis B surface antigen tests, 01/04/04 - 30/06/04
                and year to date. Laboratory by sex.

 

2nd Quarter

01/04/04 - 30/06/04

Year to date

01/01/04 - 30/06/04

Laboratory

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5152

7265

-

10268

14877

-

25145

Private

2041

3458

-

4127

7122

-

11249

Total

7193

10723

 

14395

21999

 

36394

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