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 2010, American Indian/Alaska Natives were 2.8 times as likely to develop a case of Hepatitis C, as compared to the White population.
In 2008, American Indian/Alaska Natives ages 40 years and over, were 2.5 times more likely to have Hepatitis B, than non-Hispanic Whites.
American Indian/Alaska Native women are 2.6 times as likely to die from viral hepatitis, as compared to Non-Hispanic Whites.

VIRAL HEPATITIS

**Death rates for Viral Hepatitis, 2009 (all types)**
	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /Non- Hispanic White Ratio
Male	4.1	2.8	1.5
Female	3.1	1.2	2.6
Total	3.5	2.0	1.8

Source: CDC, 2012. Deaths: Fianl Data for 2009. National vital statistics reports; vol. 60, no. 3. Table 17 and Table 16.
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf [PDF | 2MB]

HEPATITIS A

**Hepatitis A, Acute (Cases per 100,000 population), 2008**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native/Non-Hispanic White Ratio
0.6	0.6	4.3	1.0

Source: CDC 2012. Healthy People 2010 Database. Table 14-06.
http://wonder.cdc.gov/scripts/data2010

**Hepatitis A, Acute (Cases per 100,000 population), 2010**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.20	0.36	0.6

Source: CDC, 2012. Summary of Notifiable Diseases - United States , 2010. MMWR 2012; v. 59, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5953.pdf [PDF | 5MB]

HEPATITIS B - ACUTE

At a glance – Adults (Hepatitis B):

**Acute Hepatitis B in adults, aged 19-24 years, and high risk groups (Cases per 100,000 population), 2008**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
5.1	1.9	1.8	2.7

Source: CDC 2012. 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), 2008**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
9.7	5.4	5.2	1.8

Source: CDC 2012. 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), 2008**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
10.3	4.2	3.7	2.5

Source: CDC 2012. Healthy People 2010 Database. Table 14-03c.
http://wonder.cdc.gov/scripts/data2010

**Hepatitis B, Acute (Cases per 100,000 population), 2010**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.83	0.73	1.1

Source: CDC, 2012. Summary of Notifiable Diseases - United States , 2010. MMWR 2012; v. 59, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5953.pdf [PDF | 5MB]

HEPATITIS B - CHRONIC

At a glance - Adults (Chronic Hepatitis B):

**Percent of reported cases of laboratory-confirmed, chronic hepatitis B virus (HBV) infection, 2010**
American Indian/Alaska Native	White	Missing/Unknown Cases	American Indian/Alaska Native / White Ratio
0.1%	4.3%	49.8%	0.02

Source: CDC 2012. Viral Hepatitis Surveillance - United States, 2010. Table 3.4.
http://www.cdc.gov/hepatitis/Statistics/2010Surveillance/index.htm

At a glance - Immunization of Adolescents (Hepatitis B):

**Percentage adolescents aged 13-17 years, who ever received 3 or more doses of the hepatitis B vaccination , 2011**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
89.1%	92.8%	90%	1.0

Source: CDC 2012. National Immunization Survey (NIS) - Teens 13 through 17 years old, 2011.
http://www.cdc.gov/vaccines/stats-surv/nisteen/data/tables_2011.htm#race

At a glance – Immunization of Children (Hepatitis B):

**Percentage of children aged 19 to 35 months who received the universally recommended vaccination – 3 doses hepatitis B (hep B) vaccine , 2011**
American Indian/Alaska Native	Non-Hispanic White	Healthy People 2010 Goal	American Indian/Alaska Native /Non-Hispanic White Ratio
92.6%	90.3%	90%	1.0

Source: CDC 2012.National Immunization Survey (NIS) - Children 19-35 months old
http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2011.htm#race

HEPATITIS C

**Hepatitis C, Acute (Cases per 100,000 population), 2010**
American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
0.76	0.27	2.8

Source: CDC, 2012. Summary of Notifiable Diseases - United States , 2010. MMWR 2012; v. 59, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm5953.pdf [PDF | 3.7MB]

HEPATITIS C - CHRONIC

At a glance – Adults (Chronic Hepatitis C):

**Percent of reported cases of laboratory-confirmed, chronic hepatitis C virus (HCV) infection, 2010**
American Indian/Alaska Native	White	Missing/Unknown Cases	American Indian/ Alaska Native / White Ratio
0.9%	24.5%	50.9%	0.04

Source: CDC 2012. Viral Hepatitis Surveillance - United States, 2010. Table 4.4.
http://www.cdc.gov/hepatitis/Statistics/2010Surveillance/index.htm

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: 12/4/2012 10:52:00 AM

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