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Published on: July 16, 2012
Molecular characterization and clinical epidemiology of HCV in District Dir (Lower), Pakistan
Sami Ullah1,2, Muhammad Akram Khan3, Shafiq Ur Rahman4
11Department of Biotechnology, Shaheed Benazir Bhutto University, Dir Upper, Pakistan.
Insights
Hepatitis C virus (HCV) infection is prevalent in Pakistan, with genotype 3 being common. Unsafe injections at local clinics significantly contribute to HCV transmission, particularly among males.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Hepatitis C virus (HCV) infection affects approximately 200 million people globally.
- Geographic variations exist in hepatitis C prevalence and HCV genotypes/subtypes.
Purpose of the Study:
- To determine the prevalence of Hepatitis C and its genotypes/subtypes in District Dir (Lower), Pakistan.
- To identify epidemiological factors and transmission routes of HCV in the study population.
Main Methods:
- Multiplex PCR was used for genotyping HCV from blood samples of positive patients.
- A structured questionnaire collected patient information.
- Statistical analysis was performed for epidemiological parameters.
Main Results:
- Hepatitis C genotype 3 was found to be prevalent.
- HCV infection was more frequent in males (P < 0.01).
- Injections at local clinics emerged as a significant transmission route (P < 0.002).
Conclusions:
- The study identified genotype 3 as the predominant HCV type in District Dir (Lower).
- Unsafe injection practices in local clinics are a major driver of HCV transmission.
- Findings underscore the need for targeted interventions and further research for effective HCV control strategies.
Abstract:
With about 200 million infections globally, Hepatitis C virus (HCV) infection is a major global health threat. The relative prevalence of hepatitis and HCV genotypes/subtypes varies among different geographic regions. Therefore, the present study was conducted to determine the prevalence of hepatitis C and HCV genotypes/subtypes in District Dir (Lower), Pakistan. Blood samples from HCV positive patients were genotyped through multiplex PCR using specific primers for HCV core region. A structured questionnaire was used to obtain information from the patients and data was statistically analyzed for different epidemiological parameters. The molecular evaluation results suggested the prevalence of genotype 3 in this study. The frequency of hepatitis C was found higher in males (P < 0.01). Present study suggests injections received at local clinics as a highly significant mode of HCV transmission to these patients (P < 0.002). These findings might be helpful for clinicians and related health care personnel to assess status of this important disease and highlight the need for more detailed evaluation of this devastating disease in order to frame better treatment strategies.
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