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Hepatitis B Surveillance in South Australia

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

During the second quarter of 2006, 64 hepatitis B medical notifications were received.  There was only one acute clinical case of hepatitis B infection reported this quarter (Table 3.1).  The exposure category for the acute clinical case was injecting drug use.  Eleven notifications were reports of chronic carriers of greater than twelve months duration who had been previously diagnosed but not notified (Table 3.1)..  Reports of antigen positivity of uncertain duration accounted for 52 cases (Table 3.1).  

Of the 52 reports of antigen positivity of uncertain duration, 33 tested surface antigen positive for the first time this quarter, two were previous positive but had not been notified, one was a negative of greater than 12 months duration and the testing history was unknown for the remaining 16 cases.

Among the 33 individuals who tested surface antigen positive for the first time, but were not acute cases, the racial origin of 13 (39%) was reported as Asian.  Among those reported as Other, 13 (39%) were of African origin (Table 3.3). 

The number of hepatitis B surface antigen tests performed by laboratories for this quarter is shown in Table 3.4.  

 

 

Table 3.1  Hepatitis B infection, 01/04/06 - 30/06/06 and year to date.
                Case category by sex.

Exposure category

2nd Quarter

01/04/06 - 30/06/06

Year to date

01/01/06 - 30/06/06

Male

Female

Male

Female

Total

Acute  infection

1

-

1

-

1

Infection<12months
      duration  

-

-

-

1

1

Antigen positive -
      uncertain duration

31

21

69

52

121

Chronic carriers -
      >12 months duration

7

4

13

7

20

Total

39

25

83

60

143

 

 

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

Age group

2nd Quarter

01/04/06 - 30/06/06

Year to date

01/01/06 - 30/06/06

Male

Female

Male

Female

Total

<10

-

1

-

3

3

10 - 19

5

2

9

6

15

20 - 29 

9

6

23

19

42

30 - 39 

17

8

30

20

50

40 - 49 

5

5

9

6

15

³ 50

3

3

12

6

18

Total

39

25

83

60

143

 

 

Table 3.3  Individuals who tested hepatitis B surface antigen positive for 
                the first time, 01/04/06 - 30/06/06 and year to date. Race by sex.

 

Racial origin

2nd Quarter

01/04/06 - 30/06/06

Year to date

01/01/06 - 30/06/06

Male

Female

Male

Female

Total

Aboriginal

-

2

2

3

5

Asian

10

3

14

11

25

Caucasian

1

1

7

4

11

Other/Unknown

9

7

20

16

36

Total

20

13

43

34

77

 

 

Table 3.4  Summary of hepatitis B surface antigen tests, 01/04/06 - 30/06/06
                and year to date. Laboratory by sex.

 

Laboratory

2nd Quarter

01/04/06 - 30/06/06

Year to date

01/01/06 - 30/06/06

Male

Female

Unknown

Male

Female

Unknown

Total

Public

5335

8036

27

11023

16599

54

27676

Private

1948

3452

-

3851

6917

-

10768

Total

7283

11488

27

14874

23516

54

38444

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