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.
Abstract

Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess the...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...