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Hepatitis B and C Infections in Hamadan Province during 2004-2009
Jalal Poorolajal1, Mohammad Mirzaei, Seyyed Jalal Bathaei
1a Department of Epidemiology & Biostatistics and Research Center for Health Sciences, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Insights
Hepatitis B virus (HBV) infection incidence declined significantly in Iran from 2004-2009, likely due to vaccination. Hepatitis C virus (HCV) infection rates fluctuated, warranting attention from health policymakers.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health Epidemiology
Background:
- Hepatitis B virus (HBV) and hepatitis C virus (HCV) represent significant global health challenges.
- This study addresses the incidence rates of HBV and HCV infections in Hamadan Province, Iran, over a six-year period.
Purpose of the Study:
- To investigate the incidence trends of HBV and HCV infections in Hamadan Province, Iran, from 2004 to 2009.
- To analyze age-specific incidence rates and temporal changes in HBV and HCV infections.
Main Methods:
- A retrospective cohort study utilizing hepatitis registry data.
- Inclusion of 1257 HBV-infected and 705 HCV-infected individuals.
- Detection of HBV via HBsAg presence and HCV via Anti-HCV antibodies.
Main Results:
- HBV incidence per 100,000 population decreased from 19.60 in 2004 to 7.70 in 2009 (P<0.001).
- HCV incidence per 100,000 population showed fluctuations, decreasing from 6.73 in 2004 to 5.17 in 2009 (P<0.001).
- The rate ratio for HBV trend was 0.85 (95% CI: 0.82, 0.88), indicating a significant decrease, while HCV's was 0.94 (95% CI: 0.90, 0.99).
Conclusions:
- The decline in HBV incidence is potentially attributed to widespread national immunization programs for newborns and adolescents.
- The fluctuating and temporarily increasing incidence of HCV infection highlights a critical public health concern requiring focused attention from policymakers.
- Continued monitoring and targeted interventions are crucial for managing hepatitis infections in the region.
Background:
Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are major global public health problems. This study was conducted to investigate the incidence rate of these infections over six successive years in Hamadan Province, the west of Iran.
Methods:
This retrospective cohort study was conducted on the database of hepatitis registry. In this study, 1257 subjects infected by HBV and 705 subjects infected by HCV were detected and enrolled. HBV infection was detected by presence of HBsAg and HCV infection by presence of Anti-HCV. In order to estimate province-based age-specific incidence rates of HBV and HCV infections, we used the same age-specific population as the denominator.
Results:
The incidence rate pre 100,000 population from 2004 to 2009 for HBV infection was 19.60, 12.29, 12.31, 11.13, 9.46, 7.70 (P<0.001) and for HCV infection was 6.73, 7.42, 7.57, 8.45, 5.30, 5.17 respectively (P<0.001). The incidence rate of HBV infection decreased continuously over time, while the incidence rate of HCV infection fluctuated and even increased from 2004 to 2007 then decreased. The rate ratio of trend for HBV infection across successive years was 0.85 [95% CI: 0.82, 0.88] and that of HCV infection was 0.94 [95% CI: 0.90, 0.99].
Conclusions:
The decreasing trend in the incidence rate of HBV infection in current years may be the result of vast national immunization of newborn and adolescents against hepatitis B infection. On the other hand, fluctuating inci-dence rate of HCV infection with a temporarily increasing growth is critical and should be the focus of the health policymakers' special attention.
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