Hepatitis and American Indians/Alaska Natives

Historically, the highest rates for Hepatitis A occurred among American Indian/Alaska Natives. However rates which were over 60 cases per 100,000 before 1995, have decreased dramatically, and now are lower as compared to all other ethnic groups¹.

In 2006, American Indian/Alaska Natives were 2.7 times more likely to develop a case of Hepatitis C, as compared to the White population.
In 2005, American Indian/Alaska Natives ages 40 years and over, were 70% more likely to have Hepatitis B, than non-Hispanic Whites.
Data on chronic Hepatitis B and chronic Hepatitis C virus infection (past or present) are not included by the CDC in the National Notifiable Diseases Surveillance System reports, because they are undergoing data quality review. Neither is this data reported in the CDC Healthy People 2010 database.

VIRAL HEPATITIS

**Acute Viral Hepatitis Incidence (Cases per 100,000 population), 2006**
	American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
Hepatitis A	0.44	0.78	0.6
Hepatitis B	1.09	0.99	1.1
Hepatitis C	0.54	0.20	2.7

Source: CDC, 2008. Summary of Notifiable Diseases - United States , 2006. MMWR 2007; v. 55, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5553.pdf [PDF, 1.42MB]

HEPATITIS A

**Hepatitis A, Acute (Cases per 100,000 population), 2005**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native/Non-Hispanic White Ratio
0.5	0.9	4.3	0.6

Source: CDC 2007. Healthy People 2010 Database. Table 14-06.
http://wonder.cdc.gov/scripts/data2010

**Hepatitis A, Acute (Cases per 100,000 population), 2006**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.44	0.78	0.6

Source: CDC, 2008. Summary of Notifiable Diseases - United States , 2006. MMWR 2007; v. 55, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5553.pdf [PDF, 1.42MB]

HEPATITIS B

At a glance – Adults (Hepatitis B):

**Acute Hepatitis B in adults, aged 19-24 years, and high risk groups (Cases per 100,000 population), 2005**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
1.8	2.8	1.8	0.6

Source: CDC 2007. Healthy People 2010 Database. Table 14-03a.
http://wonder.cdc.gov/scripts/data2010

**Acute Hepatitis B in adults, aged 25-39 years, and high risk groups (Cases per 100,000 population), 2005**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
7.0	6.6	5.2	1.1

Source: CDC 2007. Healthy People 2010 Database. Table 14-03b.
http://wonder.cdc.gov/scripts/data2010

**Acute Hepatitis B in adults, aged 40 years and older, and high risk groups (Cases per 100,000 population), 2005**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
5.0	2.9	3.7	1.7

Source: CDC 2007. Healthy People 2010 Database. Table 14-03c.
http://wonder.cdc.gov/scripts/data2010

**Hepatitis B, Acute (Cases per 100,000 population), 2006**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
1.09	0.99	1.1

Source: CDC, 2008. Summary of Notifiable Diseases - United States , 2006. MMWR 2007; v. 55, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5553.pdf [PDF, 1.42MB]

**Rate of Acute Hepatitis B in persons aged 19 years and under, 2002**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.43	0.16	2.7

Source: CDC, 2004. Acute Hepatitis B among Children and Adolescents -- United States, 1990 - 2002.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5343a4.htm

At a glance – Immunization of Children aged 19 to 35 months (Hepatitis B):

**Percentage of children aged 19 to 35 months who received the universally recommended vaccination – 3 doses hepatitis B (hep B) vaccine , 2006**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
97%	94%	90%	1.0

Source: CDC 2009. Healthy People 2010 Database. Table 14-22c.
http://wonder.cdc.gov/scripts/data2010

HEPATITIS C

**Hepatitis C, Acute (Cases per 100,000 population), 2006**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.54	0.20	2.7

Source: CDC, 2008. Summary of Notifiable Diseases - United States , 2006. MMWR 2007; v. 55, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5553.pdf [PDF, 1.42MB]

¹ CDC, 2008. Surveillance for Acute Viral Hepatitis - United States , 2006. http://www.cdc.gov/mmwr/PDF/ss/ss5702.pdf [PDF, 547KB]

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Content Last Modified: 4/1/2009 4:26:00 PM