Vital Signs: Newly Reported Acute and Chronic Hepatitis C Cases - United States, 2009-2018

A Blythe Ryerson1, Sarah Schillie1, Laurie K Barker1

  • 1Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC.

Insights

Hepatitis C cases are rising, especially among young adults. Increased testing and early diagnosis are crucial for preventing chronic infection and liver disease, as many infected individuals remain unaware of their condition.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • Hepatitis C is a significant cause of liver disease mortality in the U.S.
  • Acute hepatitis C often presents asymptomatically, leading to over 50% progression to chronic, potentially fatal infections.
  • Despite being diagnosable and curable, new hepatitis C cases are on the rise.

Purpose of the Study:

  • To analyze trends in acute and chronic hepatitis C cases reported to the CDC from 2009-2018.
  • To identify demographic groups most affected by acute and newly reported chronic hepatitis C infections.
  • To assess awareness of hepatitis C infection among affected adults.

Main Methods:

  • Analysis of National Notifiable Diseases Surveillance System data (2009-2018) for acute and chronic hepatitis C case rates by age and sex.
  • Utilized National Health and Nutrition Examination Survey data (2015-2018) to estimate the proportion of adults aware of their hepatitis C status.

Main Results:

  • Reported acute hepatitis C cases increased threefold from 2009 to 2018, with the highest rates in young adults (20-39 years).
  • In 2018, an estimated 50,300 acute hepatitis C cases occurred, with a threefold increase in annual reported cases.
  • Newly reported chronic hepatitis C cases in 2018 showed a bimodal distribution among younger (20-39) and older (50-69) adults. Only 60.6% of infected adults were aware of their diagnosis.

Conclusions:

  • Rising acute hepatitis C rates in young, reproductive-aged adults pose a risk to multiple generations.
  • New CDC recommendations emphasize universal screening for all adults and pregnant women, moving beyond historical birth year cohorts.
  • Early detection and treatment are vital to curb the increasing incidence of hepatitis C and its severe liver-related outcomes.
Abstract

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