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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/01/05 - 31/03/05

 During the first quarter of 2005, 77 hepatitis B medical notifications were received.  Of these, only three were acute clinical cases of hepatitis B infection (Table 3.1).  A further 14 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 60 cases (Table 3.1).

The exposure category for the acute infection in the under 10 year old male was his country of birth.  The exposure categories for the other two acute clinical cases are still under investigation (Table 3.2).

Of the 60 reports of antigen positivity of uncertain duration, 37 tested surface antigen positive for the first time this quarter and the testing history was unknown for the remaining 23 cases (Table 3.3). Among the 37 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 11 (30%) 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  Hepatitis B infection, 01/01/05 - 31/03/05.
                Case category by sex.

Case category

Male

Female

Total

Acute Infection

2

1

3

Antigen positivity - 
uncertain duration

39

21

60

Chronic carriers - 
>12 months duration

7

7

14

Total

48

29

77

 

Table 3.2  Acute Hepatitis B infection 01/01/05 - 31/03/05.  
                Age group by sex.

Age group (years) Male Female Total

<10

1

-

1

20-29

1

-

1

>50

-

1

1

Total

2

1

3

 

Table 3.3 Hepatitis B cases of uncertain duration, 01/01/05 - 31/03/05. 
                Previous test by sex.

Racial origin

Male

Female

Total

Not done

23

14

37

Unknown

16

7

23

Total

21

39

60

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive
               for the first time, 01/01/05 - 31/03/05.  Race by sex.

Racial origin

Male

Female

Total

Aboriginal

3

2

5

Asian

5

6

11

Caucasian

2

-

2

Other

11

4

15

Unknown

2

2

4

Total

23

14

37

 

Table 3.5 Summary of hepatitis B surface antigen tests, 
                 01/01/05 - 31/03/05.  Laboratory by sex.

Laboratory

Male

Female

Unknown

Total

Private

1849

3573

-

5422

Public

5584

7948

20

13552

Total

7433

11521

20

18974

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