Age-specific prevalence of antibodies to hepatitis A in children and adolescents from Rio de Janeiro, Brazil, 1978 and 1995. Relationship of prevalence to environmental factors

Mem Inst Oswaldo Cruz. 1998 Jan-Feb;93(1):1-5. doi: 10.1590/s0074-02761998000100001.

Abstract

The age-specific prevalence of antibodies to hepatitis A virus (anti-HAV) was determined in two different population groups with low socio-economic status from Rio de Janeiro city, Brazil, whose serum samples were collected 17 years apart (Population 1, 1978; Population 2, 1995). In Population 2, analysis of the anti-HAV prevalence was also carried out with respect to environmental factors. Population 1 was composed of 520 stored sera collected from the umbilical cord of term neonates and children aged 1 month to 6 years. In population 2, 720 serum samples were collected from children and adolescents with ages ranging from 1 to 23 years. The overall prevalence rate of anti-HAV in Population 1 and Population 2 was 65.6% and 32.1%, respectively. In Population 1, the anti-HAV prevalence reached 88% at the age of 3, while in Population 2, it increased from 4.5% in children under the age of 3 to 66% in the group of adolescents over the age of 14. The low exposure to HAV infection in younger children from Population 2 could be a result of improved environmental hygiene and sanitation, as demonstrated by the presence of piped water, waste and sewage disposal systems in most houses from this population group. These findings indicate a possible change in the prevalence of hepatitis A in Rio de Janeiro.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Age Factors
  • Brazil / epidemiology
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Hepatitis A / epidemiology*
  • Hepatitis A / immunology*
  • Hepatitis A Virus, Human / immunology
  • Humans
  • Infant
  • Infant, Newborn
  • Prevalence
  • Retrospective Studies
  • Sanitation*
  • Seroepidemiologic Studies
  • Social Class