Investigation into the
epidemiology of hepatitis D in Cameroon revealed intrahousehold infection and
large differences in prevalence between regions, with cases concentrated in
forested areas close to the equator, which has been seen in other tropical
areas.
“Central Africa has the
unfortunate peculiarity of being highly endemic for infection with HIV,
hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis delta virus
(HDV) so that concomitant infections with more than one of these pathogens
occur frequently,” Arnaud Fontanet, MD, DrPH, from the Institut Pasteur in
Paris, France, and colleagues wrote. “While much attention has been paid to the
first three, relatively little is known about the epidemiology of HDV and its
interactions with the other blood-borne viruses. Here, we extend [previous work
in HCV] to HBV and HDV, and investigate the distribution and risk factors of
HDV infection in Cameroon.”
Of the 14,510 participants in the
study, 1,621 (11.9%) were positive for HBV surface antigen and 224 of those
with HBV were seropositive for HDV. These data led to an estimate of 1,160,799
HBsAG-positive individuals and 122,910 HDV-seropositive individuals in the 15
years to 49 years age group in 2011.
While HDV antibody prevalence did
not vary by sex or age, the researchers found variations between regions and
ethnic groups. The HDV prevalence was 50% in Sud and 54% in Est, whereas the
prevalence ranged between 1% and 19% in the remaining 10 regions (P <
.0001). By similar variance, HDV prevalence was 49% among Eastern Bantus and
25% in Southern Bantus, whereas the prevalence ranged between 3% and 8% in the
remaining ethnic groups. (P < .0001).
Additionally, the researchers
observed a “pronounced South to North gradient” in HDV prevalence, from 28.3%
under 4°N down to 4.2% above 9.6° N.
Among the 239 households with at
least two individuals with HBV, if HDV seropositivity was randomly distributed
across individuals of these households, the expected number of households with
at least one case of HDV seropositivity would be 48 (95% CI, 44-50).
However, the observed number was
31, which Fontanet and colleagues noted was significantly lower than expected
and suggested an intra-household clustering of cases. Similarly, the observed
number of houses with two or more cases of HCV seropositivity was significantly
higher than expected by chance, indicating clustering of infected individuals
within a household.
“It is noteworthy that in the
family with four chronically infected with HBV, all four were co-infected with
HDV,” they wrote. “Likewise, of the three families with all three chronically
infected with HBV, all three were coinfected with HDV in two families, and two
out of three were co-infected with HDV in the remaining.”
18, January 2020
Hepatitis D coinfection found in ‘household clusters’ in Cameroon 0
Investigation into the epidemiology of hepatitis D in Cameroon revealed intrahousehold infection and large differences in prevalence between regions, with cases concentrated in forested areas close to the equator, which has been seen in other tropical areas.
“Central Africa has the unfortunate peculiarity of being highly endemic for infection with HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis delta virus (HDV) so that concomitant infections with more than one of these pathogens occur frequently,” Arnaud Fontanet, MD, DrPH, from the Institut Pasteur in Paris, France, and colleagues wrote. “While much attention has been paid to the first three, relatively little is known about the epidemiology of HDV and its interactions with the other blood-borne viruses. Here, we extend [previous work in HCV] to HBV and HDV, and investigate the distribution and risk factors of HDV infection in Cameroon.”
Of the 14,510 participants in the study, 1,621 (11.9%) were positive for HBV surface antigen and 224 of those with HBV were seropositive for HDV. These data led to an estimate of 1,160,799 HBsAG-positive individuals and 122,910 HDV-seropositive individuals in the 15 years to 49 years age group in 2011.
While HDV antibody prevalence did not vary by sex or age, the researchers found variations between regions and ethnic groups. The HDV prevalence was 50% in Sud and 54% in Est, whereas the prevalence ranged between 1% and 19% in the remaining 10 regions (P < .0001). By similar variance, HDV prevalence was 49% among Eastern Bantus and 25% in Southern Bantus, whereas the prevalence ranged between 3% and 8% in the remaining ethnic groups. (P < .0001).
Additionally, the researchers observed a “pronounced South to North gradient” in HDV prevalence, from 28.3% under 4°N down to 4.2% above 9.6° N.
Among the 239 households with at least two individuals with HBV, if HDV seropositivity was randomly distributed across individuals of these households, the expected number of households with at least one case of HDV seropositivity would be 48 (95% CI, 44-50).
However, the observed number was 31, which Fontanet and colleagues noted was significantly lower than expected and suggested an intra-household clustering of cases. Similarly, the observed number of houses with two or more cases of HCV seropositivity was significantly higher than expected by chance, indicating clustering of infected individuals within a household.
“It is noteworthy that in the family with four chronically infected with HBV, all four were co-infected with HDV,” they wrote. “Likewise, of the three families with all three chronically infected with HBV, all three were coinfected with HDV in two families, and two out of three were co-infected with HDV in the remaining.”
Source: Healo.com