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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/04/05 - 30/06/05

During the second quarter of 2005, 92 hepatitis B medical notifications were received.  Of these, only one was an acute clinical case of hepatitis B infection (Table 3.1, Table 3.2).   A further 14 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 77 cases (Table 3.3). 

The exposure category for the acute clinical case was not identified (Table 3.1).

Of the 77 reports of antigen positivity of uncertain duration, 40 tested surface antigen positive for the first time this quarter, four were previous positives and the testing history was unknown for the remaining 33 cases.  Among the 40 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 17 (43%) was reported as Asian.  Among those reported as Other, 13 (33%) were of African origin (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, 01/04/05 - 30/06/05 and year to date.
                Exposure category by sex.

Exposure category

2nd Quarter

01/04/05 - 30/06/05

Year to date

01/01/05 - 30/06/05

Male

Female

Male

Female

Total

Country of Birth

-

-

1

-

1

Skin piercing/acupuncture

-

-

1

1

2

None Identified

1

-

1

-

1

Total

1

-

3

1

4

 

Table 3.2  Acute hepatitis B infection, 01/04/05 - 30/06/05 and year to date.
                Age group by sex.

Age group

2nd Quarter

01/04/05 - 30/06/05

Year to date

01/01/05 - 30/06/05

Male

Female

Male

Female

Total

<10

-

-

1

-

1

20 - 29 

-

-

1

-

1

40 - 49 

1

-

1

-

1

³ 50

-

-

-

1

1

Total

1

-

3

1

4

 

Table 3.3  Hepatitis B infection, 01/04/05 - 30/06/05 and year to date.
                Case category by sex.

Case category

2nd Quarter

01/04/05 - 30/06/05

Year to date

01/01/05 - 30/06/05

Male

Female

Male

Female

Total

Acute Infection

1

-

3

1

4

Antigen positive -
   uncertain duration

47

30

88

53

141

Chronic carriers -
   >12 months duration

7

7

14

14

28

Total

55

37

105

68

173

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive for 
                the first time, 01/04/05 - 30/06/05 and year to date. Race by sex.

 

Racial origin

2nd Quarter

01/04/05 - 30/06/05

Year to date

01/01/05 - 30/06/05

Male

Female

Male

Female

Total

Aboriginal

2

-

5

2

7

Asian

10

7

16

13

29

Caucasian

4

-

6

-

6

Other/Unknown

9

8

22

14

34

Total

25

15

49

29

78

 

Table 3.5  Summary of hepatitis B surface antigen tests, 01/04/05 - 30/06/05
                and year to date. Laboratory by sex.

 

Laboratory

2nd Quarter

01/04/05 - 30/06/05

Year to date

01/01/05 - 30/06/05

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5778

8230

19

11362

16178

39

27540

Private

1880

3380

-

3729

6953

-

10721

Total

7658

11610

19

15091

23131

39

38261

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