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Published on: June 26, 2020
Viral hepatitis
Geraldine M McQuillian1, Deanna Kruszon-Moran, Maxine M Denniston
1Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road, Hyattsville, Maryland 20782, USA.
Insights
Hepatitis A immunity increased in US-born children but decreased in older adults. Hepatitis B vaccination rates are high, and Hepatitis C infection prevalence has declined, though it remains higher in non-Hispanic Black populations.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Viral hepatitis poses a significant public health challenge.
- Understanding trends in hepatitis A, B, and C prevalence is crucial for targeted interventions.
Purpose of the Study:
- To analyze recent trends in the prevalence of hepatitis A, B, and C infections and immunity in the United States.
- To identify demographic shifts in infection rates and vaccination coverage.
Main Methods:
- Analysis of seroprevalence data for hepatitis A, B, and C.
- Examination of vaccination records for hepatitis B vaccine.
- Stratification of data by age, sex, and race/ethnicity.
Main Results:
- Hepatitis A antibody prevalence increased in US-born individuals aged 6-19, while decreasing in those 40 and older.
- Hepatitis B virus (HBV) infection decreased in children aged 6-19, with over 90% receiving the vaccine by 2003-2006.
- Hepatitis C virus (HCV) infection prevalence declined among high-risk groups, but remains higher in non-Hispanic Black populations, with a peak prevalence shift to those aged 40-49.
Conclusions:
- Vaccination programs have impacted HBV infection rates in younger populations.
- Shifting demographics of HCV infection highlight the need for continued surveillance and targeted prevention strategies.
- Age-related trends in hepatitis A immunity suggest waning immunity in older cohorts.
Key Findings:
The prevalence of hepatitis A antibody, which is indicative of immunity to hepatitis A virus, increased among U.S. born persons aged 6-19, but decreased among persons aged 40 years and over. Hepatitis B virus (HBV) infection among persons aged 6-19 has decreased in recent years. By 2003-2006, over 90% of children had received at least one dose of the recommended three-dose series of hepatitis B vaccine. Prevalence of infection with hepatitis C virus (HCV) decreased among those at highest risk of infection including males and Mexican- American and non-Hispanic black populations. Despite this decrease, the prevalence of infection remains higher in the non-Hispanic black population. The peak prevalence of HCV infection has shifted over time from persons aged 30-39 years (3.9%) to those aged 40-49 years (4.3%).
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