Seroepidemiology of hepatitis A and hepatitis B virus in Luxembourg

Epidemiol Infect. 2006 Aug;134(4):808-13. doi: 10.1017/S0950268805005789. Epub 2006 Jan 25.

Abstract

A prospective seroepidemiological survey was carried out in Luxembourg in 2000-2001 to determine the antibody status of the Luxembourg population against hepatitis A virus (HAV) and hepatitis B virus (HBV). One of the objectives of this survey was to assess the impact of the hepatitis B vaccination programme, which started in May 1996 and included a catch-up campaign for all adolescents aged 12-15 years. Venous blood from 2679 individuals was screened for the presence of antibodies to HAV antigen and antibodies to hepatitis B surface antigen (anti-HBs) using an enzyme immunoassay. Samples positive for anti-HBs were tested for antibody to hepatitis B core antigen (anti-HBc) using a chemiluminiscent microparticle immunoassay to distinguish between individuals with past exposure to vaccine or natural infection. The estimated age-standardized anti-HAV seroprevalence was 42.0% [95% confidence interval (CI) 39.8-44.1] in the population >4 years of age. Seroprevalence was age-dependent and highest in adult immigrants from Portugal and the former Yugoslavia. The age-standardized prevalence of anti-HBs and anti-HBc was estimated at 19.7% (95% CI 18.1-21.3) and 3.16% (95% CI 2.2-4.1) respectively. Anti-HBs seroprevalence exceeding 50% was found in the cohorts targeted by the routine hepatitis B vaccination programme, which started in 1996. Our study illustrates that most young people in Luxembourg are susceptible to HAV infection and that the hepatitis B vaccination programme is having a substantial impact on population immunity in children and teenagers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Female
  • Hepatitis A / epidemiology*
  • Hepatitis A / prevention & control
  • Hepatitis A Vaccines / administration & dosage
  • Hepatitis A virus / isolation & purification*
  • Hepatitis B / epidemiology*
  • Hepatitis B / prevention & control
  • Hepatitis B Vaccines / administration & dosage
  • Hepatitis B virus / isolation & purification*
  • Humans
  • Infant
  • Infant, Newborn
  • Luminescence
  • Luxembourg / epidemiology
  • Male
  • Middle Aged
  • Prevalence
  • Prospective Studies
  • Seroepidemiologic Studies

Substances

  • Hepatitis A Vaccines
  • Hepatitis B Vaccines