PDF file - Department of Health and Ageing
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National Notifiable Diseases Surveillance System, 2004<br />
Annual report<br />
In 2004, Indigenous Australians had the highest<br />
burden <strong>of</strong> hepatitis A. In 2004, Indigenous status <strong>of</strong><br />
90 per cent <strong>of</strong> cases was complete <strong>and</strong> 11 per cent<br />
<strong>of</strong> cases were Indigenous (Table 7).<br />
Hepatitis A is commonly spread from person to<br />
person or from contaminated food or water. Where<br />
information on risk factors was known (in 22% <strong>of</strong><br />
all notifi cations), overseas travel <strong>and</strong> household<br />
contact with a case were the main risk factors for<br />
hepatitis A infection (Table 8).<br />
Hepatitis E<br />
Case defi nition – Hepatitis E<br />
Only confirmed cases are reported.<br />
Confirmed case: Requires detection <strong>of</strong><br />
hepatitis E virus by nucleic acid testing OR,<br />
detection <strong>of</strong> hepatitis E virus in faeces by<br />
electron microscopy OR, detection <strong>of</strong> IgM or<br />
IgG to hepatitis E virus. If the person has not<br />
travelled outside Australia in the preceding 3<br />
months, the antibody result must be confi rmed<br />
by specifi c immunoblot.<br />
Table 7.<br />
Hepatitis A notifications, Australia, 2004, by Indigenous status<br />
State or territory Indigenous Non-Indigenous Unknown Total % Indigenous<br />
(<strong>of</strong> total)<br />
ACT 0 0 1 1 –<br />
NSW 1 113 25 139 0.7<br />
NT 5 8 0 13 38.5<br />
Qld 0 20 2 22 –<br />
SA 1 10 0 11 9.1<br />
Tas 0 0 1 1 –<br />
Vic 0 67 4 71 –<br />
WA 28 28 1 57 49.1<br />
Total 35 246 34 315 11.1<br />
Table 8.<br />
territory<br />
Risk exposures associated with hepatitis A virus infection, Australia, 2004, by state or<br />
State or territory<br />
ACT NSW NT Qld SA Tas Vic WA Aust<br />
Total 1 139 13 22 11 1 71 57 315<br />
Number <strong>of</strong> case with known risk factors* 0 57 6 11 6 0 41 21 142<br />
Injecting drug use – 0 0 0 1 0 4 – 7<br />
Household/close contact <strong>of</strong> case – 14 2 2 1 0 11 9 39<br />
Overseas travel – 41 1 12 3 0 28 9 94<br />
Childcare – 2 3 0 0 0 0 1 6<br />
Homosexual contact – – 0 0 0 0 1 0 1<br />
Sex worker – – 0 0 0 0 0 0 0<br />
Other † – – 0 0 2 0 0 0 2<br />
* Number <strong>of</strong> risk factors may not add up to the totals as exposures are not mutually exclusive hence more than one<br />
exposure per person is possible.<br />
† Includes association with persons from country where hepatitis A is endemic <strong>and</strong>, living in areas where hepatitis A<br />
is endemic.<br />
– Not assessed.<br />
CDI Vol 30 No 1 2006 29