2009 Viral Hepatitis 2009 Viral Hepatitis DataData

Data LimitationsData Limitations

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

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

Numbers do not distinguish between resolved vs. active Numbers do not distinguish between resolved vs. active infectionsinfections

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

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

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

Cases Reported to Cases Reported to ND Department of HealthND Department of Health

2008 Morbidity2008 Morbidity

.

Outcome HAV HBV HCV

Acute infections 2 2 0

Chronic infections --- 68 444

Cases Reported to Cases Reported to ND Department of HealthND Department of Health

2009 Morbidity2009 Morbidity

Outcome HAV HBV HCV

Acute infections 2 0 2

Chronic infections --- 59 465

2009 Hepatitis C 2009 Hepatitis C DataData

Reported Hepatitis C Cases* by YearReported Hepatitis C Cases* by YearNorth Dakota, 2005-2009North Dakota, 2005-2009

* Includes acute and “past or present” infections* Includes acute and “past or present” infections

North Dakota Hepatitis C Cases* by North Dakota Hepatitis C Cases* by GenderGender20092009

*Based on reported positive lab result*Based on reported positive lab result

N=467

North Dakota Hepatitis C Cases* by Age North Dakota Hepatitis C Cases* by Age GroupGroup20092009

*Based on reported positive lab result*Based on reported positive lab result

N=467

North Dakota Hepatitis C Cases* by RaceNorth Dakota Hepatitis C Cases* by Race20092009

*Based on reported positive lab result*Based on reported positive lab result^Race reported for 34% of cases^Race reported for 34% of cases

N=467^

2009 Hepatitis B 2009 Hepatitis B DataData

Reported Hepatitis B Cases* by YearReported Hepatitis B Cases* by YearNorth Dakota, 2005-2009North Dakota, 2005-2009

*Based on reported positive lab result*Based on reported positive lab result

North Dakota Hepatitis B Cases* by North Dakota Hepatitis B Cases* by GenderGender20092009

*Based on reported positive lab result*Based on reported positive lab result

N=58

North Dakota Hepatitis B Cases* by Age North Dakota Hepatitis B Cases* by Age GroupGroup20092009

*Based on reported positive lab result*Based on reported positive lab result

N=58

North Dakota Hepatitis B Cases* by RaceNorth Dakota Hepatitis B Cases* by Race20092009

*Based on reported positive lab result*Based on reported positive lab result^Race reported for 32% of reported cases^Race reported for 32% of reported cases

N=58^