Epidemiological study of hepatitis A, B and C in the largest Afro-Brazilian isolated community

Trans R Soc Trop Med Hyg. 2009 Sep;103(9):899-905. doi: 10.1016/j.trstmh.2009.01.013. Epub 2009 Feb 12.

Abstract

This study was conducted to estimate the prevalence and molecular epidemiological features of viral hepatitis A, B and C in the Kalunga population, which represents the largest Afro-Brazilian isolated community. Among 878 individuals studied, the overall prevalence of anti-hepatitis A virus antibodies was 80.9%, with a significant rise from 44.8% to near 100% between the first and fourth decade of life. Rates for hepatitis B surface antigen (HBsAg) and antibody to hepatitis B core antigen (anti-HBc) of 1.8% and 35.4%, respectively, were found. Increasing age, male gender, illiteracy and history of multiple sexual partners were associated with hepatitis B virus (HBV) infection. An occult HBV infection rate of 1.7% (5/295) was found among anti-HBc-positive individuals. HBV genotype A (subtype Aa) was dominant in this community. Only 5/878 individuals (0.6%) were positive for anti-hepatitis C virus (HCV). HCV RNA was detected in three of them, who were infected with genotype 1 (subtype 1a). These findings point out high, intermediate and low endemicity for hepatitis A, B and C, respectively, in the Kalunga community in Brazil. Circulation of HBV genotype A (subtype Aa) in this Afro-Brazilian isolated community indicates the introduction of this virus during the slave trade from Africa to Brazil.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Africa / ethnology
  • Aged
  • Aged, 80 and over
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Hepatitis A / epidemiology*
  • Hepatitis A / ethnology
  • Hepatitis A / immunology
  • Hepatitis Antibodies / blood
  • Hepatitis B / epidemiology*
  • Hepatitis B / ethnology
  • Hepatitis B / immunology
  • Hepatitis B Core Antigens / immunology
  • Hepatitis B Surface Antigens / blood
  • Hepatitis C / epidemiology*
  • Hepatitis C / ethnology
  • Hepatitis C / immunology
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Prevalence
  • Young Adult

Substances

  • Hepatitis Antibodies
  • Hepatitis B Core Antigens
  • Hepatitis B Surface Antigens