“…Less than 5.0% (n=17; 4.6%) of the donor populations were VNBD. That was a marked reduction of 94.0% from the previous 77.2% voluntary, nonremunerated donations reported in the same facility by Amilo et al [26] [29]. That translated to 0.01% voluntary donations for that year and it was 100-fold less than 1% of Nigeria population recommended as voluntary blood donors for Nigeria's blood need [30].…”
Background: Transfusion transmissible hepatitis (TTH) is a global health problem and the incriminating agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis E virus (HEV) continue to pose serious threats to blood safety. The aim of this study was to determine the seroprevalence of HBV, HCV and HEV and relate the outcomes with blood donation type, age and gender and confirm any significant associations.
Materials and Methods: In this cross-sectional study, Hepatitis B surface antigen (HBsAg) and antibody to HCV were determined with Diaspot and Lab Acon immunochromatographic ELISA-based test devices. Antibodies to HEV were first determined with Biopanda lateral flow device followed by ELISA assay for sero-reactive HEV immunoglobulins M and immunoglobulin G (IgM and IgG) antibodies.
Results: A total of 370 prospective blood donors between 18 and 55 years old (mean 31.2 ± 7.6 years) who presented for blood donation at FETHI Blood Bank were screened. Overall male: female ratio was 7:1. Cummulative hepatitis seroprevalence of 8.1% was found mainly among the replacement blood donors (RBD) and consist of 4.3%, 1.6%, 1.1%, 0.8% and 0.3% serologic evidence of HBsAg, anti-HCV, HEV IgM, both HEV IgM & HEV IgG, and HEV IgG antibodies. Blood donors aged 18 – 45 years were most affected with evident significant association between the age group of donors and TTH seroprevalence. Cummulative hepatitis seroprevalence was 0% among voluntary blood donors, and 9.1% and 0.3% among the male and female RBD respectively. There was significant association between the pathogens and RBD, though the association with male gender was clinically but not statistically significant.
Conclusion: The high transfusion transmissible hepatitis seroprevalence among RBD called for promoting voluntary donations. Comparable prevalence of HEV antibodies with that of HCV called for its inclusion in the TTIs screening algorithm to ascertain optimal blood safety in Nigeria.
“…Less than 5.0% (n=17; 4.6%) of the donor populations were VNBD. That was a marked reduction of 94.0% from the previous 77.2% voluntary, nonremunerated donations reported in the same facility by Amilo et al [26] [29]. That translated to 0.01% voluntary donations for that year and it was 100-fold less than 1% of Nigeria population recommended as voluntary blood donors for Nigeria's blood need [30].…”
Background: Transfusion transmissible hepatitis (TTH) is a global health problem and the incriminating agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis E virus (HEV) continue to pose serious threats to blood safety. The aim of this study was to determine the seroprevalence of HBV, HCV and HEV and relate the outcomes with blood donation type, age and gender and confirm any significant associations.
Materials and Methods: In this cross-sectional study, Hepatitis B surface antigen (HBsAg) and antibody to HCV were determined with Diaspot and Lab Acon immunochromatographic ELISA-based test devices. Antibodies to HEV were first determined with Biopanda lateral flow device followed by ELISA assay for sero-reactive HEV immunoglobulins M and immunoglobulin G (IgM and IgG) antibodies.
Results: A total of 370 prospective blood donors between 18 and 55 years old (mean 31.2 ± 7.6 years) who presented for blood donation at FETHI Blood Bank were screened. Overall male: female ratio was 7:1. Cummulative hepatitis seroprevalence of 8.1% was found mainly among the replacement blood donors (RBD) and consist of 4.3%, 1.6%, 1.1%, 0.8% and 0.3% serologic evidence of HBsAg, anti-HCV, HEV IgM, both HEV IgM & HEV IgG, and HEV IgG antibodies. Blood donors aged 18 – 45 years were most affected with evident significant association between the age group of donors and TTH seroprevalence. Cummulative hepatitis seroprevalence was 0% among voluntary blood donors, and 9.1% and 0.3% among the male and female RBD respectively. There was significant association between the pathogens and RBD, though the association with male gender was clinically but not statistically significant.
Conclusion: The high transfusion transmissible hepatitis seroprevalence among RBD called for promoting voluntary donations. Comparable prevalence of HEV antibodies with that of HCV called for its inclusion in the TTIs screening algorithm to ascertain optimal blood safety in Nigeria.
“…This was more than two times the 6-fold hepatitis surface antigenaemia among unvaccinated children compared to the vaccinated group reported by Odusanya et al (2005) [30] . Among the UVRP, other eleven patterns of HBV markers seroprevalence (totalling 11.05%) were detected through this study besides the specific patterns found in successfully vaccinated participants ( can be classified as a high endemic region for hepatitis B [13] .…”
Section: Hepatitis B Vaccination Outcomesmentioning
confidence: 98%
“…Several authors have described the various phases of hepatitis B infection [37,39,50] . Different authorities in hepatology have used different guidelines to interpret hepatitis B viral markers testing results and the differences in their interpretations could be traced to advances of testing procedure beyond qualitative serologic screening such as inclusion of quantification serologic assay, differentiation assayHBcAb total differentiation into hepatitis B core IgM (HBcIgM) and hepatitis B core IgG (HBcIgG), molecular diagnosis with advanced techniques including quantification of HBV-DNA level with real-time PCR,HBV genotyping and sequencing, performance of biochemical assessments and liver scan [13,37,50,[52][53][54][55] . This study interpretive algorithm is fundamental and compares with several others and can be adopted in clinical settings to accurately diagnose HBV infections and assess HBV vaccination outcomes.…”
Section: Hepatitis B Viral Markers Testing Interpretation Guidelinesmentioning
confidence: 99%
“…A global data showed that annually, a minimum of 27 million children do not have access to basic package of HBV vaccine and close to a quarter of children under five years ' mortality is due to vaccine preventable infectious diseases including hepatitis B [10] . Published findings have showed liver cirrhosis, hepatocellular carcinoma and other liver-related disorders to be the dire consequences of hepatitis B infection since the first report [11][12][13][14][15][16][17] . A highly effective and inexpensive hepatitis B recombinant DNA vaccine has been available since 1982 following first issued recommendations by the Centers for Disease Control and Prevention (CDC) which were not implemented in Nigeria until 1995.…”
Section: Introductionmentioning
confidence: 99%
“…In Nigeria, several authors have demonstrated the positive impacts of HBV vaccine initiatives on the prevention of chronic hepatitis B virus infection since implementation [7,[17][18][19][20][21] . The discovery and licensing of the HBV vaccine and subsequent establishments of vaccination programmes have led to great breakthroughs in the fight against the scourge of hepatitis B infections in high endemic regions including the prevention of vertical transmission of the virus through infected mother [17] and inadvertent transmission through blood donors [13] . Previous literatures reported that vaccinees who received complete (three) doses of HBV vaccine demonstrated evidence of optimal immune protection compared to those who had incomplete doses (single or two doses).…”
Background: Current evidence-based data on Hepatitis B vaccination coverage and outcomes in Nigeria are limited and these raise serious concern among stakeholders in clinical settings with respect to prevention of hepatitis B and safety of transfusion recipients. This study evaluated hepatitis B vaccination coverage and outcomes among apparently healthy blood donors in Ekiti State, Nigeria. Methods: Hepatitis B viral markers, including hepatitis B surface antibody (HBsAb), were serologically screened in four hundred and seventy prospective blood donors using NOVA 5-in-1 HBV rapid one-step multi-test kit and the results were interpreted using descriptive statistics of SPSS version 21. Results: Out of the four hundred and seventy (470) blood donors screened, 85 (18.1%) and 385 (81.9%) were vaccinated research participants and unvaccinated research participants (VRP and UVRP) respectively. Male: Female ratio and mean age (±SD) of VRP were 1:1 and 26.5 ± 6.8 while those of the UVRP were 1.6:1 and 26.9 ± 7.7. Evidence of successful vaccination was observed in 2.55% and 4.68% of VRP and UVRP respectively. Broad spectrum HBV infection totaling 11.05% based HBV markers seroprevalence was observed among the UVRP compared to the VRP with 0.85% seroprevalence. Conclusion: Low hepatitis B vaccine coverage among blood donors poses serious threats to public health including recipients of blood transfusion and hepatitis B vaccination programme should be re-strategized to cover the grass roots. Low HBV infection among the vaccinated research participants compared to the unvaccinated group showed long-term protection despite HBsAb loss. Post-vaccination testing is recommended for specific categories of individuals.
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