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Am. J. Trop. Med. Hyg., 49(4), 1993, pp. 430-434
Copyright © 1993 by The American Society of Tropical Medicine and Hygiene

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The Prevalence of Hepatitis A, B and C Infection among Different Ethnic Groups in Belize

Peter G. Craig, Joe P. Bryan, Robert E. Miller, Linda Reyes, Shilpa Hakre, Ruth Jaramillo AND Richard E. Krieg
Division of Tropical Public Health, Uniformed Services University of the Health Sciences, Bethesda, Maryland, and Epidemiologic Research Center, Belize City, Belize

Little is known about the prevalence of infection with hepatitis viruses in Belize, Central America. We conducted a serologic survey among members of the Belize Defence Force (BDF), which is composed of the five major ethnic groups in Belize, to estimate prevalence rates of hepatitis A, B, and C among military-aged men and women in Belize. Of approximately 600 men and women in the BDF, 492 (82%) completed a questionnaire and blood collection. Antibody to hepatitis A was found in 94%, with similar rates by age, sex, rank, and ethnicity. Antibody to hepatitis B core antigen (anti-HBc) was found in 31%. Rates of anti-HBc varied significantly among the ethnic groups with the lowest rates in Mestizo (5%) and Mayan Indians (9%), and significantly higher rates among Creoles (30%) and Garifuna (56%). Rates increased with increasing age from 28% in those 18–24 years old to 35% in those ≥ 35 years old (P = 0.07, by chi-square test for trend). Hepatitis B surface antigen was found in 21 (4%) overall. Antibody to hepatitis C was found in two (0.4%). In this young healthy population, exposure to hepatitis A before the age of 18 is almost universal, while exposure to hepatitis B is related to age and ethnic origin.




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K. Jacobsen and J. Koopman
The effects of socioeconomic development on worldwide hepatitis A virus seroprevalence patterns
Int. J. Epidemiol., June 1, 2005; 34(3): 600 - 609.
[Abstract] [Full Text] [PDF]




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Copyright © 1993 by the American Society of Tropical Medicine and Hygiene.