Prevalence of hepatitis C infection in Hong Kong

G C Chan1, W Lim, E K Yeoh

  • 1Medical A Unit, Queen Elizabeth Hospital, Hong Kong.

Insights

Hepatitis C antibody (anti-HCV) seroprevalence in Hong Kong Chinese was 0.5% in the general population. High prevalence (up to 70%) was found in parenteral drug abusers and hemophiliacs, indicating key risk factors.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Epidemiology

Background:

  • Hepatitis C virus (HCV) infection is a significant global health concern.
  • Understanding the seroprevalence of hepatitis C is crucial for public health interventions.
  • Previous data on HCV prevalence in the Hong Kong Chinese population was limited.

Purpose of the Study:

  • To investigate the seroprevalence of antibody to hepatitis C (anti-HCV) in a cross-section of the Hong Kong Chinese population.
  • To identify potential risk factors associated with hepatitis C infection.

Main Methods:

  • A total of 910 subjects were tested for anti-HCV.
  • Subjects were recruited from the general population (health exhibition visitors) and clinical settings (liver disease clinics, STD clinics, dialysis centers, drug rehabilitation centers).
  • Assay kits from Abbott and Ortho laboratories were utilized.

Main Results:

  • The overall seroprevalence of anti-HCV in the general Hong Kong Chinese population was 0.5%.
  • High anti-HCV prevalence (up to 70%) was observed in specific high-risk groups including suspected chronic non-A non-B patients, parenteral drug abusers, and hemophiliacs.
  • Zero prevalence was found among sexual partners of index patients, homosexuals, female prostitutes, and hepatitis B carriers.

Conclusions:

  • Parenteral exposure and blood product exposure are identified as the primary risk factors for hepatitis C infection.
  • Targeted screening and prevention strategies should focus on high-risk populations.
  • Further research into transmission routes within specific demographics may be warranted.

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