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2011 Viral Hepatitis Data

2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

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Page 1: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

2011 Viral Hepatitis Data

Page 2: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

Data Limitations

Morbidity based on reported positive lab result– Under-reporting of both acute and chronic infections

Morbidity based on CDC case definitions– “Hepatitis C virus infection past or present”

Numbers do not distinguish between resolved vs. active infections

– “Hepatitis B virus infection, chronic” Includes “confirmed” and “probable” cases

Follow-up includes collection of basic demographics and county of residence, at a minimum– Case interview and partner notification not included

Year 2005 is baseline year for data (due to implementation of new electronic reporting system, DREAMS, and more stringent follow-up)– Current data not de-duplicated with years prior to 2005

Page 3: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

Cases Reported to ND Department of Health

2010 Morbidity

Outcome HAV HBV HCV

Acute infections 4 0 0

Chronic infections --- 54 486

Page 4: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

Cases Reported to ND Department of Health

2011 Morbidity

Outcome HAV HBV HCV

Acute infections 0 0 0

Chronic infections - 48 543

Page 5: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

2011 Hepatitis C Data

Page 6: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

Reported Hepatitis C Cases* by YearNorth Dakota, 2007-2011

2007 2008 2009 2010 20110

100

200

300

400

500

600

700

488 444 467 486543

* Includes acute and “past or present” infections

Page 7: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis C Cases* by Gender, 2011

Male 56%

Female44%

*Based on reported positive lab result

N=543

Page 8: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis C Cases* by Age Group, 2011

Under 18

18-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65 and over

0

20

40

60

80

100

120

10

112

61 63

44 50 5468

53

16 12

*Based on reported positive lab result

N=543

Page 9: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis C Cases* by Race, 2011

American Indian or Alaska Native10%

White17.5%

Black1%Unknown

71%

Asian0% Other

0%

*Based on reported positive lab result^Race reported for 29% of cases

N=543^

Page 10: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

2011 Hepatitis B Data

Page 11: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

Reported Hepatitis B Cases* by YearNorth Dakota, 2007-2011

2007 2008 2009 2010 20110

10

20

30

40

50

60

70

80

2 2 0 0 0

58

6859

5448

Acute HBVChronic HBV

*Based on reported positive lab result

Page 12: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis B Cases* by Gender, 2011

*Based on reported positive lab result

Male 56%

Female44%

N=48

Page 13: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis B Cases* by Age Group, 2011

*Based on reported positive lab result

Under 18

18-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65 and over

0

2

4

6

8

10

12

14

2

67 7

6

32 2

7

3 3

N=48

Page 14: 2011 Viral Hepatitis Data. Data Limitations Morbidity based on reported positive lab result Morbidity based on reported positive lab result –Under-reporting

North Dakota Hepatitis B Cases* by Race, 2011

*Based on reported positive lab result^Race reported for 29% of reported cases

Asian2%

Black or African American12.5%

White13%

Unknown71%

American Indian2%

N=48^