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Hepatitis B Surveillance in South Australia

Hepatitis B Medical Notification 01/10/05 - 31/12/05

During the fourth quarter of 2005, 73 hepatitis B medical notifications were received.  Of these, two were acute clinical cases of hepatitis B infection  (Table 3.3). 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 57 cases (Table 3.3).  The exposure categories identified for the two acute clinical cases were injecting drug use (1) and none identified (1 ) (Table 3.1).   

Of the 57 reports of antigen positivity of uncertain duration, 36 tested surface antigen positive for the first time this quarter, four were previous positives of less than 12 months duration and not previously notified and the testing history was unknown for the 17 remaining cases.

Among the 36 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 14 (39%) was reported as Asian; all cases 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,  year.
                  Exposure category by sex.

 

Exposure category

Year
01/01/05 - 31/12/05 

Male

Female

Total

IDU

1

1

2

Country of birth

1

-

1

Acupuncture

-

1

1

None identified

4

-

4

Total

6

2

8

 

Table 3.2   Acute hepatitis B infection, year.
                 Age group by sex.

 

Age group (years)

Year
01/01/05 - 31/12/05

Male

Female

Total

<10

1

-

1

20 - 29

2

1

3

30 - 39

1

-

1

40 - 49

2

-

2

>50

-

1

1

Total

6

2

8

 

Table 3.3   Hepatitis B infection, 01/10/05 - 31/12/05 and year.
                  Case category by sex.

 

Case category

4th Quarter
01/10/05 - 31/12/05

Year
01/01/05 - 31/12/05

Male

Female

Male

Female

Total

Acute infection

2

-

6

2

8

Antigen positive - 
uncertain duration

35

22

166

102

268

Chronic carriers - 
>12 months

7

7

28

32

60

Total

44

29

200

136

336

 

Table 3.4   Individuals who tested hepatitis B surface antigen positive 
                  for the first time, 01/10/05 - 31/12/05 and year. Race by sex.

 

Racial origin

4th Quarter  
01/10/05 - 31/12/05

Year  
01/01/05 - 31/12/05

Male

Female

Male

Female

Total

Aboriginal

3

-

9

4

13

Asian

8

6

30

32

62

Caucasian

5

1

15

1

16

Other

9

4

48

21

69

Unknown

-

-

1

1

2

Total

25

11

103

59

162

 

Table 3.5   Summary of hepatitis B surface antigen tests, 01/10/05 - 31/12/05
                  and year. Laboratory by sex.

 

Laboratory

4th Quarter

01/10/05 - 31/12/05

Year

01/01/05 - 31/12/05

Male Female Unknown Male Female Unknown Total

Public

5404

7722

-

22137

31636

81

53854

Private

2104

3569

-

8144

14344

-

22488

Total

7508

11291

 

30281

45980

81

76342

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