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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/07/05 - 30/09/05

During the third quarter of 2005, 73 hepatitis B medical notifications were received.  Of these, two were acute clinical cases of hepatitis B infection (Table 3.1, Table 3.2).

A further 13 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 58 cases (Table 3.3). 

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

Of the 58 reports of antigen positivity of uncertain duration, 36 tested surface antigen positive for the first time this quarter, three had a previous negative test and the testing history was unknown for the remaining 19 cases.  Among the 36 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 13 (36 %) was reported as Asian and of those reported as other 13 (36%) 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, 01/07/05 - 30/09/05 and year to date. 
                Exposure category by sex.

 

Exposure category

3rd Quarter

01/07/05 - 30/09/05

Year to date

01/01/05 - 30/09/05

Male

Female

Male

Female

Total

IDU

-

1

-

1

1

Country of birth

-

-

1

-

1

Acupuncture

1

-

1

-

1

None identified

1

-

3

-

3

Total

1

1

4

2

6

 

Table 3.2   Acute hepatitis B infection, 01/07/05 - 30/09/05 and year to date. 
                 Age group by sex.

Age group (years)

3rd Quarter

01/07/05 - 30/09/05

Year to date

01/01/05 - 30/09/05

Male

Female

Male

Female

Total

<10

-

-

1

-

1

20 - 29

-

1

1

1

2

30 - 39

-

-

-

-

-

40 - 49

1

-

2

-

2

³ 50

-

-

-

1

1

Total

1

1

4

2

6

 

Table 3.3  Hepatitis B infection, 01/07/05 - 30/09/05 and year to date.
                 Case category by sex.

 

Case category

3rd Quarter

01/07/05 - 30/09/05

Year to date

01/01/05 - 30/09/05

Male

Female

Male

Female

Total

Acute infection

1

1

4

2

6

Antigen positive-

     uncertain duration

34

24

126

81

207

Chronic carriers-

   >12 months duration

6

7

22

21

43

Total

41

32

151

105

256

 

Table 3.4  Individuals who tested hepatitis B surface antigen positive for the
                first time, 01/07/05 - 30/09/05 and year to date. Race by sex.

Racial origin

3rd Quarter

01/07/05 - 30/09/05

Year to date

01/01/05 - 30/09/05

Male

Female

Male

Female

Total

Aboriginal

-

2

6

4

10

Asian

3

10

20

25

45

Caucasian

4

1

10

1

11

Other/unknown

13

3

38

18

56

Total

20

16

74

48

122

 

Table 3.5  Summary of hepatitis B surface antigen tests, 01/07/05 - 30/09/05
                 and year to date. Laboratory by sex.

 

Laboratory

3rd Quarter

01/07/05 - 30/09/05

Year to date

01/01/05 - 30/09/05

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5371

7736

23

16733

23914

62

40709

Private

2311

3822

-

6040

10775

-

16815

Total

7682

11558

23

22773

34689

62

57524

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