Abstract:SummaryIn a cross-sectional study in Dar es Salaam, Tanzania, we determined the seroprevalence of markers for hepatitis A, B, C and E viruses and examined associated risk markers. Among 403 healthy adults, the seroprevalence of antibodies to hepatitis A virus was 99.0% (95% confidence interval: 97.5-99.7). Prior exposure to hepatitis C and E viruses was rare (hepatitis C: 0.7% (0.2-2.1); hepatitis E: 0.2% (Ͻ 0.1-1.4)).The prevalence of all markers of hepatitis B was 70.7% (66.0-75.1). Hepatitis B surface antig… Show more
“…This could partly be explained due to high prevalence of viral hepatitis B infection in the younger adults which is among the commonest causes of acute and chronic liver failure to both the general and health care worker populations in Tanzania [12,13]. The male predominant population in this study is likely due to the risk of chronic alcohol use as a cause of liver disease which was consistent with other studies [11].…”
Background and Aims: Hepatic encephalopathy, a neuropsychiatric syndrome caused by portosystemic venous shunting, clinical presentation ranges from minimal to overt H.E. It is a common complication of advanced liver disease with significant morbidity and mortality The aim of this study was to assess the prevalence, common precipitating factors, and outcomes of hepatic encephalopathy in patients with preexisting liver disease.
“…This could partly be explained due to high prevalence of viral hepatitis B infection in the younger adults which is among the commonest causes of acute and chronic liver failure to both the general and health care worker populations in Tanzania [12,13]. The male predominant population in this study is likely due to the risk of chronic alcohol use as a cause of liver disease which was consistent with other studies [11].…”
Background and Aims: Hepatic encephalopathy, a neuropsychiatric syndrome caused by portosystemic venous shunting, clinical presentation ranges from minimal to overt H.E. It is a common complication of advanced liver disease with significant morbidity and mortality The aim of this study was to assess the prevalence, common precipitating factors, and outcomes of hepatic encephalopathy in patients with preexisting liver disease.
“…The overall prevalence found (19.8%) was lower than that observed in Africa (56%-98%) [Kiire, 1996;Kew, 1996;Miller et al, 1998;André, 2000;Mulders et al, 2004], but higher than in blood donors from Mato Grosso do Sul State (9.4%) [Aguiar et al, 2001]. Large variations of HBV prevalence were observed from one community to another, with the lowest prevalence (5.5%) found in Furnas da Boa Sorte and the highest (42.4%) in Furnas dos Dionísios.…”
The prevalence and genotypes of hepatitis B virus (HBV) have distinct geographical distribution. In Brazil, some African-descendants have been maintained as small isolated communities since the slavery period. In this study, HBV infection among these communities of African origin was examined. Individuals (1,058) living in 12 communities were interviewed and serum samples screened for the presence of HBV markers. HBsAg-positive sera were tested for HBV DNA by PCR and positive samples were genotyped by restriction fragment length polymorphism (RFLP). The overall prevalence of HBV infection was 19.8% (95% CI: 17.5-22.3), ranging from 5.5% to 42.4%, depending on the communities studied. Multivariate analysis of risk factors showed that increasing age, family history of hepatitis, and sexual activity were associated significantly with this infection. HBsAg was detected in 23/1,058 (2.2%) individuals. HBV DNA was present in 2/2 of HBeAg-positive serum samples and in 18/21 (85.7%) anti-HBe-positive samples. All HBV isolates belonged to genotype A, subtype Aa. Three RFLP patterns were identified: AI (17 isolates), AIV (1 isolate), and AVI (2 isolates). These findings suggest a common introduction of HBV during the slave trade from Africa to Brazil.
“…Our findings demonstrate that HEV transmission occurs in the surveyed rural areas of south-eastern Bolivia. Considering the uncertainty about the long-term antibody status after HEV infection, with some studies (Goldsmith et al 1992;Coursaget et al 1994) suggesting a short duration, our data may underestimate the previous population exposure to HEV (Miller et al 1998). On the basis of these data, travellers coming to this area from countries with little HAV and HEV exposure should be considered at risk of enterically transmitted hepatitis (Piper Jenks 1998).…”
SummaryWe conducted a cross-sectional study to determine the seroprevalence of antibodies against hepatitis A and hepatitis E viruses (HAV and HEV) in the population of two rural areas, Camiri and Villa Montes, of the Chaco region, south-eastern Bolivia. HAV antibodies were detected in 461 (94.1%) of 490 serum samples tested, not differing significantly between sexes and study areas. The HAV seropositivity rate (64.7%) was high even in the youngest age group (1-5 years). The prevalence of HEV was 7.3%, with no significant differences between sexes. The prevalence of HEV antibodies in the population of the Camiri area (10.4%) was significantly higher than in the Villa Montes area (4.4.%), possibly due to the better quality of drinking water in the Villa Montes area. In the population Յ 30 years of age, the HEV seropositivity rate (4.4%) was significantly lower than in the Ն 31 year-old group. This is consistent with findings in other countries. This is the first report of the prevalence of HEV infection in Bolivia.keywords hepatitis E virus, hepatitis A virus, epidemiology, Bolivia correspondence
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