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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

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