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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
Assessing Hepatitis B virus infection, risk factors and immunization among particularly vulnerable tribal groups in
Haimanti Bhattacharya1, Matrujyoti Pattnaik1, Aparajita Swain1,2
1Department of Microbiology & One Health, ICMR-Regional Medical Research Centre (Dept. of Health Research, Ministry of Health & Family Welfare, Govt. of India), Chandrasekharpur, Bhubaneswar, 751023, India.
Insights
Hepatitis B virus (HBV) infection is prevalent in Odisha
Area of Science:
- Public Health
- Infectious Diseases
- Tribal Health
Background:
- Hepatitis B virus (HBV) poses a significant global health challenge.
- Particularly Vulnerable Tribal Groups (PVTG) often face unique health disparities.
- Assessing HBV prevalence and risk factors in indigenous populations is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of Hepatitis B surface antigen (HBsAg) in PVTG communities in Odisha.
- To identify risk factors associated with HBV infection within this population.
- To evaluate Hepatitis B vaccination coverage and immune response.
Main Methods:
- A population-based survey (Odisha Tribal Family Health Survey - OTFHS) involving 4006 PVTG participants.
- Analysis of viral markers including HBsAg, Hepatitis B e-antigen (HBeAg), viral load, and liver function tests.
- Assessment of vaccination status and anti-HBs antibody titers in children.
Main Results:
- Overall HBsAg prevalence was 5.73%, with Kutia Khond tribes showing the highest rate (17.85%).
- Hepatitis B vaccination coverage was 91% in children aged 0-36 months, with a mean Anti-HBs titre of 142.56 mIU/ml.
- Tattooing and piercing were associated with higher HBsAg positivity; abnormal liver function correlated with HBeAg positivity and high viral loads.
Conclusions:
- Significant HBV prevalence necessitates urgent public health strategies in Odisha's PVTG population.
- Risk factor management, health education, and regular monitoring/treatment are essential.
- High vaccination coverage indicates potential for disease control, but ongoing surveillance is vital.
Abstract:
In a population-based survey, Hepatitis B virus (HBV) infection status, associated risk factors and vaccine coverage among the 4006 Particularly Vulnerable Tribal Groups (PVTG) participants of Odisha Tribal Family Health Survey (OTFHS) were assessed using various viral markers. All the HBsAg-positive sera were screened for viral load estimation, envelopment antigen (HBeAg) identification and liver profile parameters. The overall prevalence of HBsAg was 5.73% and the Kutia Khond tribes showed highest prevalence (17.85%; 95% CI:17.41-18.29) of HBsAg. Only 2.7% of children born following the implementation of hepatitis B vaccination were HBsAg positive. Among the children between 0 and 36 months, the vaccination coverage was 91% and mean Anti-HBs titre was 142.56 mIU/ml. Tattooing and piercing were found to be positively associated with high HBsAg positivity. Abnormal liver function (high SGOT and SGPT) occurred more often in HBeAg positive with high viral loads (> 2000 IU/ml). Given the high prevalence of HBV DNA with active viral replication, a strategy for regular monitoring and treatment of these individuals combined with risk factor management and health education in this indigenous population is urgently needed.
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