MacLachlan, JH and Romero, N and Higgins, N and Coutts, R and Chan, R and Stephens, N and Cowie, BC, Epidemiology of chronic hepatitis B and C in Victoria, Australia: insights and impacts from enhanced surveillance, Australian and New Zealand Journal of Public Health pp. 1-6. ISSN 1326-0200 (2019) [Refereed Article]
|PDF (Epidemiology of chronic hepatitis B and C)|
Copyright 2019 the authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
Objective: To assess the impact of an enhanced viral hepatitis surveillance program on data completeness and on epidemiological assessment of affected populations.
Methods: Notified cases of non-acute hepatitis B and C were analysed to determine demographic characteristics and risk factors during the period prior to July 2015–June 2016, and during enhanced surveillance of the period July 2016–June 2017, during which time doctors were contacted for information about new diagnoses.
Results: During the enhanced period, completeness for country of birth and Indigenous status doubled for both hepatitis B and hepatitis C, from 18–37% to 48–65%. The incidence ratio of hepatitis C among Aboriginal and Torres Strait Islander people increased from eight-fold to 11.4- fold, and the proportion of hepatitis B cases reported as born in China and Vietnam relative to other countries increased. New data fields identified that 12% of hepatitis C diagnoses occurred in a correctional facility, and 2% of hepatitis B cases were healthcare workers.
Conclusions: Improved data completeness highlighted the underlying epidemiology of chronic viral hepatitis, demonstrating the increased burden of infection among specific priority populations.
Implications for public health: Enhanced surveillance provides greater insight into the epidemiology of chronic viral hepatitis, identifying groups at risk and opportunities for public health action.
|Item Type:||Refereed Article|
|Keywords:||surveillance, epidemiology, viral hepatitis, migrant health|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Disease Distribution and Transmission (incl. Surveillance and Response)|
|UTAS Author:||Stephens, N (Dr Nicola Stephens)|
|Downloads:||6 View Download Statistics|
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