HEPATITIS C: FREQUENCY AND RISK FACTORS ASSOCIATED WITH SERO-POSITIVITY AMONG ADULTS IN LARKANA CITY
Abstract
Background: Viral hepatitis is a major public health problem. Infection with Hepatitis C virus(HCV) leads to chronicity and there are about 170 million people infected with HCV. Up to 70%
of chronically infected individuals develop active liver disease. The Objective of the study was to
find out the frequency of Anti-HCV seropositivity and risk factors of Hepatitis C Virus (HCV)
transmission in people of Larkana city. Method: The study was conducted at Larkana from April
2006 to April 2007. Camps were established in the main general practitioners' clinics. A
questionnaire about knowledge of HCV and risk factors of its transmission was administered to
subjects. Descriptive statistics were done by SPSS-10. Result: Total 450 cases were enrolled into
this study. They were divided into 3 age groups. Eighty-nine (19.8%) cases were in age group <20
years, 262 (58.2%) were in age group 20-40 years and 99 (22.0%) were in age group >40 years.
There were 353 (78.4%) male and 97 (21.6%) female subjects, out of these 450 cases 30 (6.6%)
were positive for Anti-HCV. A number of risk factors of HCV transmission were present in these
cases. History of therapeutic injections was present in 72 cases and 35 cases used public barber
services. Conclusion: History of therapeutic injections and use of barber services for shave were
the most frequent risk factors in our study.
Keywords: Risk factors, HCV, Sero-positivity, Hepatitis, Cirrhosis, Hepatocellular Carcinoma
References
Perlman BL. Hepatitis C infection: a clinical review. South Med
J 2004;97(4):364-73.
WHO. Global Surveillance and Control of hepatitis C: Report of
a WHO Consultation organized in collaboration with the Viral
Hepatitis Prevention Board, Antwerp. Belgium. J Viral Hepat
;6:35-47.
Conry-Cantilena C, VanRaden M, Gibble J, Melpolder J, Shakil
AO, Viladomiu L, et al. Routes of infection, viremia and liver
disease in blood donors found to have hepatitis C virus infection.
N Engl J Med 1996;334:1691-6.
Zein NN. The epidemiology and natural history of hepatitis C
virus infection. Cleve Clin J Med 2003;70 (Suppl 4):S2-6.
Umar M, Bushra HT, Shuaib A, Anwar A, Shah NH. Spectrum
of chronic liver disease due to hepatitis C virus infection. J Coll
Physicians Surg Pak 2000;10:380-3.
Haider Z, Khan AA, Rehman K, Janjua MI, Iqbal J, Chishti A, et
al. Sero-diagnosis for viral hepatitis in 93 patients admitted with
acute hepatitis in three different teaching hospitals in Lahore. J
Pak Med Assoc 1994;44:182-4.
Hamid S, Tabbasum S, Jafri W. Hepatitis C has replaced
Hepatitis B as the major cause of chronic liver disease in
Pakistan. Hepatology 1999;30:212A.
Chohan AR, Umar M, Khaar B, Khurram M, Zahid M, Shah SF,
et al. Demographic features of hepatocellular carcinoma. A study
of 30 cases. J Rawl Med Coll 2001;5(2):81-3.
Lubey S, Khanani R, Zia M, Vellani Z, Ali M, Qureshi H, et al.
Evaluation of blood bank practices in Karachi, Pakistan and the
government's response. Health Policy Plan 2000;15:217-22.
Khan AJ, Luby SP, Fikree F, Karim A, Obaid S, Dellawala S, et
al. Unsafe injections and the transmission of hepatitis B and C in
a periurban community in Pakistan. Bull World Health Organ
;78:956-63.
Jafri W, Jafri N, Yakoob J, Islam M, Tirmizi SFA, Jafar T, et al.
Hepatitis B and C: prevalence and risk factors associated with
seropositivity among children in Karachi, Pakistan. BMC Infect
Dis 2006;6:101.
Bari A, Akhtar S, Rahbar MH, Luby SP. Risk factors for
hepatitis C virus infection in male adults in RawalpindiIslamabad, Pakistan. Trop Med Int Health 2001;6:732-8.
Sheikh SN, Tayyab N, Jaffery G, Tasneem T, Sattar A, Ali I. AntiHCV detection. A comparison between methodology: Elisa Vs
Dipstick Assay. J Ayub Med Coll Abbottabad 1999;11(1):30-3.
Qureshi M, Bengali K. The State of Education, In: Social
Development in Pakistan, Annual Review 2002-2003. Social
Policy and Development Centre Karachi, Times Press: iii-iv.
Hepatitis C: global prevalence. Wkly Epidemiol Rec
;72:341-4.
Roy KM, Goldberg D, Taylor A, Mills P. Investigating the
source of hepatitis C virus infection among individuals whose
route of infection is undefined: a study of ten cases. Scand J
Infect Dis 2003;35:326-8.
Luby SP, Qamruddin K, Shah AA, Omair A, Pasha O, Khan AJ,
et al. The relationship between therapeutic injections and high
prevalence of hepatitis C infection in Hafizabad, Pakistan.
Epidemiol Infect 1997;119:349-56.
Shaikh MA, Shaikh WM, Solangi GA, Abro H. Frequency and
transmission in mode of hepatitis C virus in northern Sindh. J
Coll Physicians Surg Pak 2003;13:691-3.
Ahmad K. Pakistan: a cirrhotic state? Lancet 2004;364:1843-4.
Khan AJ. Unsafe injections and the transmission of hepatitis B
and C in a Periurban community in Pakistan. Bull World Health
Organ 2000;78:956-63.
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.