Hepatitis B Virus and Hepatitis C Virus Infections in United States-Bound Refugees from Asia and Africa

Tonya Mixson-Hayden Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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Deborah Lee Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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Lilia Ganova-Raeva Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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Jan Drobeniuc Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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William M. Stauffer Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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Eyasu Teshale Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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Saleem Kamili Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia; University of Minnesota, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota

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The aim of this study was to determine the prevalence of active hepatitis B and C virus infections among refugees from various countries in Africa and Asia. Pre-admission serum samples collected during 2002–2007 from refugees originating from Bhutan (N = 755), Myanmar (N = 1076), Iraq (N = 1137), Laos (N = 593), Thailand (N = 622), and Somalia (N = 707) were tested for hepatitis B virus (HBV) DNA and hepatitis C virus (HCV) RNA. The HBV DNA (genotypes A, B, C, and G) was detected in 12.1% of samples negative for anti-HBs. Highest HBV prevalence was found among Hmong; lowest among Bhutanese. The HCV RNA (genotypes 1a, 1b, 1c, 3b, 6n, and 6m) was detected in 1.3% of the samples. Highest HCV prevalence was found among Hmong from Thailand; lowest among Iraqis. Screening specific refugee groups at high risk for viral hepatitis infections will identify infected individuals who could benefit from referral to care and treatment and prevent further transmissions.

Author Notes

* Address correspondence to Tonya Mixson-Hayden, Centers for Disease Control and Prevention, Division of Viral Hepatitis, 1600 Clifton Road, MS A33, Atlanta, GA 30333. E-mail: zdy0@cdc.gov

Authors' addresses: Tonya Mixson-Hayden, Deborah Less, Lilia Ganova-Raeva, Jan Drobeniuc, Eyasu Teshale, and Saleem Kamili, Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, GA, E-mails: zdy0@cdc.gov, dpl2@cdc.gov, lkg7@cdc.gov, jqd6@cdc.gov, eht4@cdc.gov, and sek6@cdc.gov. William M. Stauffer, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, MN, E-mail: stauf005@umn.edu.

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