Last data update: Sep 16, 2024. (Total: 47680 publications since 2009)
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Query Trace: Suryaprasad AG [original query] |
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Emerging epidemic of hepatitis C virus infections among young non-urban persons who inject drugs in the United States, 2006-2012
Suryaprasad AG , White JZ , Xu F , Eichler BA , Hamilton J , Patel A , Hamdounia SB , Church DR , Barton K , Fisher C , Macomber K , Stanley M , Guilfoyle SM , Sweet K , Liu S , Iqbal K , Tohme R , Sharapov U , Kupronis BA , Ward JW , Holmberg SD . Clin Infect Dis 2014 59 (10) 1411-9 BACKGROUND: Reports of acute hepatitis C in young persons in the United States have increased. We examined data from national surveillance and supplemental case follow-up at selected jurisdictions to describe the U.S. epidemiology of hepatitis C virus (HCV) infection among young persons (aged ≤30 years). METHODS: We examined trends in incidence of acute hepatitis C among young persons reported to CDC during 2006-2012 by state, county, and urbanicity. Socio-demographic and behavioral characteristics of HCV-infected young persons newly reported from 2011-2012 were analyzed from case interviews and provider follow-up at six jurisdictions. RESULTS: From 2006-2012, reported incidence of acute hepatitis C increased significantly in young persons-13% annually in non-urban counties (p=0.003) versus 5% annually in urban counties (p=0.028). Thirty (88%) of 34 reporting states observed higher incidence in 2012 than 2006, most noticeably in non-urban counties east of the Mississippi River. Of 1,202 newly reported HCV-infected young persons, 52% were female and 85% were white. In 635 interviews, 75% of respondents reported injection drug use. Of respondents reporting drug use, 75% had abused prescription opioids, with first use on average 2.0 years before heroin. CONCLUSION: These data indicate an emerging U.S. epidemic of HCV infection among young non-urban persons of predominantly white race. Reported incidence was higher in 2012 than 2006 in at least 30 states, with largest increases in non-urban counties east of the Mississippi River. Prescription opioid abuse at an early age was commonly reported and should be a focus for medical and public health intervention. |
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