Related Experiment Video
Updated: Jul 20, 2026

Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
Published on: November 7, 2018
Overt and occult hepatitis B virus infection among community children in Northwest China
1Department of Epidemiology, School of Public Health, The Fourth Military Medical University, Xi'an, China.
Insights
Hepatitis B virus (HBV) infection, including overt and occult HBV infection (OBI), remains a concern in Chinese children despite universal vaccination. OBI may represent a distinct phase of HBV infection, necessitating strengthened immunization programs.
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Universal newborn hepatitis B (HB) immunization has been implemented in China.
- Hepatitis B virus (HBV) breakthrough infections, including overt and occult HBV infection (OBI), occur in children.
- Understanding HBV prevalence in children is crucial for control and prevention strategies.
Purpose of the Study:
- To investigate the prevalence of overt HBV infection and OBI in community children.
- To compare serological and virological characteristics of OBI and HBsAg carrier children.
- To clarify potential mechanisms related to OBI.
Main Methods:
- A population-based HBV seroepidemiological investigation was conducted in Northwest China.
- Included 6,706 children under 12 years of age.
- Assessed HBsAg carrier rate, anti-HBs positivity, and OBI prevalence using nested PCR in HBsAg-negative children.
Main Results:
- The HBsAg carrier rate was 1.60%, and the anti-HBs positive rate was 57.35%.
- The prevalence of OBI was 1.26%, with predominant genotypes C and D.
- OBI children and HBsAg carriers showed no significant differences in demographic, serological, or virological markers, except for viral load (higher in overt infection).
Conclusions:
- HBV overt and occult infections are significant issues in underdeveloped regions of Northwest China.
- Strengthened HBV neonatal immunization and catch-up programs are recommended.
- No specific viral mutations or genotypes were identified as related to OBI, suggesting OBI might be a distinct stage of HBV infection.
Abstract:
Although a universal newborn hepatitis B (HB) immunization programme has been implemented in China, hepatitis B virus (HBV) breakthrough infection, including HB surface antigen (HBsAg)-positive infection and occult HBV infection (OBI), still occurs during infancy or childhood. Obtaining the actual prevalence of HBV infection in general children is important for preventing and controlling the spread of HB. Accordingly, we investigated the prevalence of overt infection and OBI in community children and compared the serological and virological characteristics of OBI and HBsAg carrier children to clarify the mechanisms related to OBI. In total, 6 706 community children <12 years of age were included from a population-based HBV seroepidemiological investigation in Northwest China. The HBsAg carrier rate in community children was 1.60% (107/6706), and the anti-HBs positive rate was 57.35% (3846/6706). Additionally, 1192 HBsAg-negative children were examined for OBI using nested PCR. The prevalence of OBI in local children was 1.26% (15/1192), and the predominant OBI genotypes were C and D. The 15 OBI children and 29 HBsAg-positive children from the same population did not have a statistical significant difference in age, gender, alanine aminotransferase (ALT), proportion of anti-HBs or anti-HBc, viral genotypes or mutations. Children with chronic overt infection had higher viral loads than OBI children (P=.004). These results suggested that HBV overt and occult infection of children was more serious in underdeveloped north-west regions. HBV neonatal immunization and catch-up programmes should be strengthened and supplemented. None of specific viral mutations or genotypes related to OBI were found. OBI may be a specific stage of HBV infection.
Related Concept Videos
Chickenpox
Poliomyelitis
Yellow Fever
Cytomegalovirus Disease
Hepatitis
Viral Hepatitis I: Introduction

