Hepatitis B: changes in epidemiological features of Afro-descendant communities in Central Brazil

Hepatitis B virus (HBV) infection is still a concern in vulnerable populations. In a study performed by our team in 1999–2003 in two Afro-Brazilian communities, Furnas dos Dionísios (FD) and São Benedito (SB), high prevalence rates of HBV exposure (42.7% and 16.0%, respectively), high susceptibility...

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Veröffentlicht in:Scientific reports 2020-04, Vol.10 (1), p.6708-6708, Article 6708
Hauptverfasser: Lima, Livia Alves, Lago, Bárbara Vieira do, Weis-Torres, Sabrina Moreira dos Santos, Martins, Regina Maria Bringel, Cesar, Gabriela Alves, Bandeira, Larissa Melo, Rezende, Grazielli Rocha, Lindenberg, Andrea de Siqueira Campos, Gomes, Selma Andrade, Motta-Castro, Ana Rita Coimbra
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container_title Scientific reports
container_volume 10
creator Lima, Livia Alves
Lago, Bárbara Vieira do
Weis-Torres, Sabrina Moreira dos Santos
Martins, Regina Maria Bringel
Cesar, Gabriela Alves
Bandeira, Larissa Melo
Rezende, Grazielli Rocha
Lindenberg, Andrea de Siqueira Campos
Gomes, Selma Andrade
Motta-Castro, Ana Rita Coimbra
description Hepatitis B virus (HBV) infection is still a concern in vulnerable populations. In a study performed by our team in 1999–2003 in two Afro-Brazilian communities, Furnas dos Dionísios (FD) and São Benedito (SB), high prevalence rates of HBV exposure (42.7% and 16.0%, respectively), high susceptibility to HBV (55.3% and 63.0%) and low HBV vaccination like profile rates (2.0% and 21.0%) were observed. In 2015–2016, we reassessed HBV epidemiological and molecular features in these two communities to verify the impact of health actions adopted in the last years. The prevalence rate of HBV exposure among the enrolled 331 subjects was 35.3% in FD and 21.8% in SB. HBV chronic infection (5.8% in FD, 4.9% in SB) remained high. The rate of HBV vaccination like profile increased from 10.7% to 43.5% (2.0% to 45.9% in FD, 21.0% to 39.5% in SB) while susceptible subjects declined from 58.9% to 26.3% (55.3% to 18.8% in FD, 63.0% to 38.7% in SB). Among 18 HBsAg positive samples, 13 were successfully sequenced (pre-S/S region). Phylogenetic analyses showed that all isolates belong to HBV subgenotype A1, clustering within the Asian-American clade. Despite the maintenance of high prevalence rate of HBV exposure over these 13 years of surveillance, significant improvements were observed, reinforcing the importance of facilitated HBV vaccination to difficult-to-access population to close gaps in prevention.
doi_str_mv 10.1038/s41598-020-63094-5
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In a study performed by our team in 1999–2003 in two Afro-Brazilian communities, Furnas dos Dionísios (FD) and São Benedito (SB), high prevalence rates of HBV exposure (42.7% and 16.0%, respectively), high susceptibility to HBV (55.3% and 63.0%) and low HBV vaccination like profile rates (2.0% and 21.0%) were observed. In 2015–2016, we reassessed HBV epidemiological and molecular features in these two communities to verify the impact of health actions adopted in the last years. The prevalence rate of HBV exposure among the enrolled 331 subjects was 35.3% in FD and 21.8% in SB. HBV chronic infection (5.8% in FD, 4.9% in SB) remained high. The rate of HBV vaccination like profile increased from 10.7% to 43.5% (2.0% to 45.9% in FD, 21.0% to 39.5% in SB) while susceptible subjects declined from 58.9% to 26.3% (55.3% to 18.8% in FD, 63.0% to 38.7% in SB). Among 18 HBsAg positive samples, 13 were successfully sequenced (pre-S/S region). Phylogenetic analyses showed that all isolates belong to HBV subgenotype A1, clustering within the Asian-American clade. 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subjects 13
13/51
45
45/22
45/23
45/29
631/326/2521
692/4020/4021
692/499
Adolescent
Adult
African Continental Ancestry Group
Asian Americans
Behavior
Biomarkers - blood
Brazil - epidemiology
Child
Child, Preschool
Chronic infection
Demography
Epidemiology
Female
Hepatitis
Hepatitis B
Hepatitis B - blood
Hepatitis B - epidemiology
Hepatitis B - immunology
Hepatitis B surface antigen
Hepatitis B virus - genetics
Hepatitis B virus - physiology
Humanities and Social Sciences
Humans
Immunization
Infant
Male
Middle Aged
multidisciplinary
Phylogeny
Population studies
Prevalence
Science
Science (multidisciplinary)
Vaccination
Young Adult
title Hepatitis B: changes in epidemiological features of Afro-descendant communities in Central Brazil
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