Epidemiological study of hepatitis A, B and C in the largest Afro-Brazilian isolated community

This study was conducted to estimate the prevalence and molecular epidemiological features of viral hepatitis A, B and C in the Kalunga population, which represents the largest Afro-Brazilian isolated community. Among 878 individuals studied, the overall prevalence of anti-hepatitis A virus antibodi...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 2009-09, Vol.103 (9), p.899-905
Hauptverfasser: Matos, Márcia A.D., Reis, Nádia Rúbia S., Kozlowski, Aline G., Teles, Sheila A., Motta-Castro, Ana Rita C., Mello, Francisco C.A., Gomes, Selma A., Martins, Regina M.B.
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container_issue 9
container_start_page 899
container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 103
creator Matos, Márcia A.D.
Reis, Nádia Rúbia S.
Kozlowski, Aline G.
Teles, Sheila A.
Motta-Castro, Ana Rita C.
Mello, Francisco C.A.
Gomes, Selma A.
Martins, Regina M.B.
description This study was conducted to estimate the prevalence and molecular epidemiological features of viral hepatitis A, B and C in the Kalunga population, which represents the largest Afro-Brazilian isolated community. Among 878 individuals studied, the overall prevalence of anti-hepatitis A virus antibodies was 80.9%, with a significant rise from 44.8% to near 100% between the first and fourth decade of life. Rates for hepatitis B surface antigen (HBsAg) and antibody to hepatitis B core antigen (anti-HBc) of 1.8% and 35.4%, respectively, were found. Increasing age, male gender, illiteracy and history of multiple sexual partners were associated with hepatitis B virus (HBV) infection. An occult HBV infection rate of 1.7% (5/295) was found among anti-HBc-positive individuals. HBV genotype A (subtype Aa) was dominant in this community. Only 5/878 individuals (0.6%) were positive for anti-hepatitis C virus (HCV). HCV RNA was detected in three of them, who were infected with genotype 1 (subtype 1a). These findings point out high, intermediate and low endemicity for hepatitis A, B and C, respectively, in the Kalunga community in Brazil. Circulation of HBV genotype A (subtype Aa) in this Afro-Brazilian isolated community indicates the introduction of this virus during the slave trade from Africa to Brazil.
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Among 878 individuals studied, the overall prevalence of anti-hepatitis A virus antibodies was 80.9%, with a significant rise from 44.8% to near 100% between the first and fourth decade of life. Rates for hepatitis B surface antigen (HBsAg) and antibody to hepatitis B core antigen (anti-HBc) of 1.8% and 35.4%, respectively, were found. Increasing age, male gender, illiteracy and history of multiple sexual partners were associated with hepatitis B virus (HBV) infection. An occult HBV infection rate of 1.7% (5/295) was found among anti-HBc-positive individuals. HBV genotype A (subtype Aa) was dominant in this community. Only 5/878 individuals (0.6%) were positive for anti-hepatitis C virus (HCV). HCV RNA was detected in three of them, who were infected with genotype 1 (subtype 1a). These findings point out high, intermediate and low endemicity for hepatitis A, B and C, respectively, in the Kalunga community in Brazil. Circulation of HBV genotype A (subtype Aa) in this Afro-Brazilian isolated community indicates the introduction of this virus during the slave trade from Africa to Brazil.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>19217131</pmid><doi>10.1016/j.trstmh.2009.01.013</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Africa - ethnology
Aged
Aged, 80 and over
Biological and medical sciences
Brazil
Brazil - epidemiology
Child
Child, Preschool
Enzyme-Linked Immunosorbent Assay
Female
General aspects
Genotype
Hepatitis A - epidemiology
Hepatitis A - ethnology
Hepatitis A - immunology
Hepatitis A virus
Hepatitis Antibodies - blood
Hepatitis B - epidemiology
Hepatitis B - ethnology
Hepatitis B - immunology
Hepatitis B Core Antigens - immunology
Hepatitis B Surface Antigens - blood
Hepatitis B virus
Hepatitis C - epidemiology
Hepatitis C - ethnology
Hepatitis C - immunology
Hepatitis C virus
Human viral diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
Middle Aged
Prevalence
Viral diseases
Viral hepatitis
Young Adult
title Epidemiological study of hepatitis A, B and C in the largest Afro-Brazilian isolated community
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