Hepatitis C virus infection in Japan

K Nishioka1

  • 1Japanese Red Cross Central Blood Center, Tokyo.

Insights

Hepatitis C virus (HCV) antibody screening began in 1989 due to its link to liver cancer. Millions in Japan are infected, primarily through past blood transfusions and horizontal transmission.

Area of Science:

  • Hepatology and Virology
  • Infectious Disease Epidemiology
  • Public Health

Background:

  • High incidence of non-A, non-B post-transfusion hepatitis.
  • Established association between hepatitis C virus (HCV) infection and hepatocellular carcinoma (liver cancer).

Purpose of the Study:

  • To report on the implementation of HCV antibody screening for blood transfusions.
  • To assess the seroepidemiological landscape of HCV infection in Japan.

Main Methods:

  • Initiation of HCV antibody screening for all blood donations starting November 1989.
  • Conducting seroepidemiological studies to determine the prevalence of HCV infection.

Main Results:

  • Significant prevalence of HCV infection identified across various liver conditions: acute hepatitis, chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma.
  • Approximately 1.6 million individuals in Japan are currently HCV antibody-positive.
  • Identified major transmission routes including past horizontal blood-borne infections and blood transfusions.

Conclusions:

  • HCV poses a substantial public health challenge in Japan, with millions infected.
  • Blood transfusion and historical blood-borne transmission are key routes for HCV infection.
  • Ongoing surveillance and screening are crucial for managing HCV prevalence and preventing liver disease.

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