Seropositivity of Antibodies Against Hepatitis A Virus in Mashhad, Northeast of Iran, 2009: A Cross-Sectional Community-Based Study

Document Type : Original Article

Authors

Research Center for HIV/AIDS, HTLV and Viral Hepatitis, Iranian Academic Center for Education, Culture and Research (ACECR), Mashhad, IR Iran

Abstract

Background: Hepatitis A Virus (HAV) is the most common cause of acute viral hepatitis worldwide, mostly in developing countries.
 
Objectives: This population-based survey was performed to investigate HAV seroprevalence in Mashhad, northeast of Iran.
 
Patients and Methods: A cross-sectional study was performed on 1563 randomly selected individuals from general population of Mashhad, Iran, between May and September 2009. Serum samples were tested for total anti-HAV antibodies using the Enzyme-Linked Immunosorbent Assay (ELISA) kit. Data was analyzed using SPSS ver. 18.0 by Chi-square and Student’s t-Tests.
 
Results: Seroprevalence of HAV infection was 69.6% (95% CI: 67.3-71.9%) with no difference between males and females. Anti-HAV seropositivity increased with rising age from 9.4% in subjects younger than 5 years to 100.0% in individuals older than 65 years old (P < 0.001).
 
Conclusions: As it was previously reported by the World Health Organization (WHO) on HAV infection in the country, this study revealed a high prevalence of HAV infection in Mashhad.

Keywords


Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Struchiner CJ, de Almeida LM, de Azevedo RS, Massad E. Hepatitis A incidence rate estimates from a pilot seroprevalence survey in Rio de Janeiro, Brazil. Int J Epidemiol. 1999;28(4):776-81.
https://doi.org/10.1093/ije/28.4.776
PMid:10480710
 
2. Tosun S, Ertan P, Kasirga E, Atman U. Changes in seroprevalence of hepatitis A in children and adolescents in Manisa, Turkey. Pediatr Int. 2004;46(6):669-72.
https://doi.org/10.1111/j.1442-200x.2004.01969.x
PMid:15660865
 
3. Sagnelli E, Stroffolini T, Almasio P, Mele A, Coppola N, Ferrigno L, et al. Exposure to HAV infection in patients with chronic liver disease in Italy, a multicentre study. J Viral Hepat. 2006;13(1):67-71.
https://doi.org/10.1111/j.1365-2893.2005.00659.x
PMid:16364085
 
4. Krugman S. The Gordon Wilson Lecture. The ABC's of viral hepatitis. Trans Am Clin Climatol Assoc. 1992;103:145-56.
 
5. Koff RS. Clinical manifestations and diagnosis of hepatitis A virus infection. Vaccine. 1992;10 Suppl 1:S15-7.
https://doi.org/10.1016/0264-410X(92)90533-P
PMid:1335649
 
6. Acharya SK, Batra Y, Bhatkal B, Ojha B, Kaur K, Hazari S, et al. Seroepidemiology of hepatitis A virus infection among school children in Delhi and north Indian patients with chronic liver disease: implications for HAV vaccination. J Gastroenterol Hepatol. 2003;18(7):822-7.
https://doi.org/10.1046/j.1440-1746.2003.03051.x
PMid:12795755
 
7. Saab S, Lee C, Shpaner A, Ibrahim AB. Seroepidemiology of hepatitis A in patients with chronic liver disease. J Viral Hepat. 2005;12(1):101-5.
https://doi.org/10.1111/j.1365-2893.2005.00551.x
PMid:15655056
 
8. Jacobsen KH, Koopman JS. Declining hepatitis A seroprevalence: a global review and analysis. Epidemiol Infect. 2004;132(6):1005-22.
https://doi.org/10.1017/S0950268804002857
PMid:15635957 PMCid:PMC2870191
 
9. Hendrickx G, Van Herck K, Vorsters A, Wiersma S, Shapiro C, Andrus JK, et al. Has the time come to control hepatitis A globally? Matching prevention to the changing epidemiology. J Viral Hepat. 2008;15 Suppl 2:1-15.
https://doi.org/10.1111/j.1365-2893.2008.01022.x
PMid:18837827
 
10. Melnick JL. History and epidemiology of hepatitis A virus. J Infect Dis. 1995;171 Suppl 1:S2-8.
https://doi.org/10.1093/infdis/171.Supplement_1.S2
PMid:7876643
 
11. Saffar MJ, Abedian O, Ajami A, Abedian F, Mirabi AM, Khalilian AR, et al. Age-specific seroprevalence of anti-hepatitis a antibody among 1-30 years old population of savadkuh, mazandaran, iran with literature review. Hepat Mon. 2012;12(5):326-32.
https://doi.org/10.5812/hepatmon.6035
PMid:22783344 PMCid:PMC3389358
 
12. Farajzadegan Z, Hoseini SG, Kelishadi R, Jamshidi F, Nokhodian Z, Noori R, et al. Systematic review and meta-analysis on the age-specific seroprevalence of hepatitis A in Iran. J Res Med Sci. 2014;19(Suppl 1):S56-63.
 
13. Ataei B, Nokhodian Z, Javadi AA, Kasaeyan N, Farajzadegan Z, Shoaei P, et al. Seroepidemiology of hepatitis A virus infections in Over 6-years population in Isfahan-Iran: A community-based study. J Isfahan Med Sci. 2007;25(86):46-53.
 
14. Hu MD, Schenzle D, Deinhardt F, Scheid R. Epidemiology of hepatitis A and B in the Shanghai area: prevalence of serum markers. Am J Epidemiol. 1984;120(3):404-13.
https://doi.org/10.1093/oxfordjournals.aje.a113905
PMid:6089547
 
15. Merat S, Rezvan H, Nouraie M, Abolghasemi H, Jamali R, AminiKafiabad S, et al. Seroprevalence and risk factors of hepatitis A virus infection in Iran: a population based study. Arch Iran Med. 2010;13(2):99-104.
 
16. Taghavi SA, Hosseini Asl MK, Talebzadeh M, Eshraghian A. Seroprevalence study of hepatitis A virus in Fars province, southern Iran. Hepat Mon. 2011;11(4):285-8.
 
17. Noroozi M, Moradi F, Hasanzadeh A. Seroprevalence of hepatitis A and hepatitis E in Qom province, 2011. Iran J Infect Dis Trop Med. 2012;17(4):19-23.
 
18. Ramezani H, Bozorgi SH, Nooranipour M, Mostajeri A, KargarFard H, Molaverdikhani S, et al. Prevalence and risk factors of hepatitis A among blood donors in Qazvin, central Iran. Singapore Med J. 2011;52(2):107-12.
 
19. Lu J, Zhou Y, Lin X, Jiang Y, Tian R, Zhang Y, et al. General epidemiological parameters of viral hepatitis A, B, C, and E in six regions of China: a cross-sectional study in 2007. PLoS One. 2009;4(12). 20. Veldhuijzen IK, van Driel HF, Vos D, de Zwart O, van Doornum GJ, de Man RA, et al. Viral hepatitis in a multi-ethnic neighborhood in the Netherlands: results of a community-based study in a low prevalence country. Int J Infect Dis. 2009;13(1):e9-e13.
https://doi.org/10.1016/j.ijid.2008.05.1224
PMid:18678518
 
20. Quaglio G, Ramadani N, Pattaro C, Cami A, Dentico P, Volpe A, et al. Prevalence and risk factors for viral hepatitis in the Kosovarian population: implications for health policy. J Med Virol. 2008;80(5):833-40.
https://doi.org/10.1002/jmv.21141
PMid:18360897
 
21. Ataei B, Javadi AA, Nokhodian Z, Kassaeian N, Shoaei P, Farajzadegan Z, et al. HAV in Isfahan province: a population-based study. Trop Gastroenterol. 2008;29(3):160-2.
 
22. Vilibic-Cavlek T, Kucinar J, Ljubin-Sternak S, Kolaric B. Seroepidemiology of hepatitis a in the croatian population. Hepat Mon. 2011;11(12):997-9.
https://doi.org/10.5812/kowsar.1735143X.4150
https://doi.org/10.5812/kowsar.1735143X.756
PMid:22368685 PMCid:PMC3282034
 
23. Elikaei A, Sharifi Z, Shooshtari M, Hosseini M, Maroufi Y. Prevalence of HAV among healthy blood donors referring to Tehran transfusion center. Iran J Pub Health. 2008;37(4):126-30.
 
24. Alian S, Ajami A, Ghasemian R, Yadegarinia D. Age-specific seroprevalence of hepatitis A in Sari, northern Islamic Republic of Iran. East Mediterr Health J. 2011;17(10):754-8.
https://doi.org/10.26719/2011.17.10.754
PMid:22256409
 
25. Campagna M, Siddu A, Meloni A, Basciu C, Ferrai L, Pettinau A, et al. Changing pattern of hepatitis a virus epidemiology in an area of high endemicity. Hepat Mon. 2012;12(6):382-5.
https://doi.org/10.5812/hepatmon.5940
PMid:22879827 PMCid:PMC3412554
 
26. Jacobsen KH. The Global Prevalence of Hepatitis A Virus Infection and Susceptibility: A Systematic Review. Geneva, Switzerland.: World Miri R et al. 4 Razavi Int J Med. 2015;3(2):e27082 Health Organization
 
2009. Available from: http://whqlibdoc. who.int/hq/2010/WHO_IVB_10.01_eng.pdf. 28. Wasley A, Fiore A, Bell BP. Hepatitis A in the era of vaccination. Epidemiol Rev. 2006;28:101-11. 29. Jacobsen KH, Wiersma ST. Hepatitis A virus seroprevalence by age and world region, 1990 and 2005. Vaccine. 2010;28(41):6653-7.
https://doi.org/10.1016/j.vaccine.2010.08.037
PMid:20723630
 
27. Cech TV. Principles of water resources: history, development, management, and policy.USA: John Wiley & Sons; 2010.