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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/07/04 - 30/09/04

During the third quarter of 2004, 71 hepatitis B medical notifications were received.  Of these, three were acute clinical cases of hepatitis B infection (Tables 3.1, 3.2).  A further 12 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 56 cases (Table 3.3).

Injecting drug use was identified as an exposure category for one of the three acute clinical cases with no exposure categories identified for the remaining two cases (Table 3.1). 

Of the 56 reports of antigen positivity of uncertain duration, 26 tested surface antigen positive for the first time this quarter, two had a previous positive test and the testing history was unknown for the remaining 28 cases.  Among the 26 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of nine (35%) 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, 01/07/04 - 30/09/04 and year to date. 
                Exposure category by sex.

 

Exposure category

3rd Quarter

01/07/04 - 30/09/04

Year to date

01/01/04 - 30/09/04

Male

Female

Male

Female

Total

IDU

-

1

2

1

3

Heterosexual contact

-

-

-

1

1

None identified

1

1

1

1

2

Total

1

2

3

3

6

 

Table 3.2   Acute hepatitis B infection, 01/07/04 - 30/09/04 and year to date. 
                 Age group by sex.

 

Age group (years)

3rd Quarter

01/07/04 - 30/09/04

Year to date

01/01/04 - 30/09/04

Male

Female

Male

Female

Total

10 - 19

-

-

-

1

1

20 - 29

-

2

-

2

2

30 - 39

-

-

2

-

2

40 - 49

1

-

1

-

1

Total

1

2

3

3

6

 

Table 3.3  Hepatitis B infection, 01/07/04 - 30/09/04 and year to date.
                 Case category by sex.

 

Case category

3rd Quarter

01/07/04 - 30/09/04

Year to date

01/01/04 - 30/09/04

Male

Female

Male

Female

Total

Acute infection

1

2

3

3

6

Antigen positive-

     uncertain duration

38

18

95

52

147

Chronic carriers-

   >12 months duration

6

6

26

17

43

Total

45

26

124

72

196

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive for the
                first time, 01/07/04 - 30/09/04 and year to date. Race by sex.

Racial origin

3rd Quarter

01/07/04 - 30/09/04

Year to date

01/01/04 - 30/09/04

Male

Female

Male

Female

Total

Aboriginal

1

-

3

4

7

Asian

4

5

14

20

34

Caucasian

6

1

15

3

18

Other/unknown

6

3

19

8

27

Total

17

9

51

35

86

 

Table 3.5  Summary of hepatitis B surface antigen tests, 01/07/04 - 30/09/04
                 and year to date. Laboratory by sex.

 

Laboratory

3rd Quarter

01/07/04 - 30/09/04

Year to date

01/01/04 - 30/09/04

Male

Female

Male

Female

Total

Public

4947

7276

15215

22153

37368

Private

2109

3610

6236

10732

16968

Total

7056

10886

21451

32885

54336

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