Transcript HCV Incidence and Prevalence Slides for Medi-Cal

Annual Age-Adjusted Hepatitis C
Mortality Rates, CA & U.S., 1995-2004
4.5
California
United States
4
3.5
Rate per 100,000
3
2.5
2
1.5
1
0.5
0
1995
1996
1997
1998
1999
2000
2001
2002
Source: Los Angeles County Department of Public Health. An Analysis of Hepatitis C Mortality in
California Counties Using Multiple Cause of Death and Census Data 2008.
2003
2004
1
Chronic Hepatitis C – Rates of Newly Reported Cases,
California, 1994-2011
CA Laboratory
Reporting
Implemented
(July 2007)
160
Rate per 100,000 population
140
120
100
80
60
CA Provider
Reporting
Implemented
(1994)
Received Data
Files from
Foundation
Laboratory
(2008–2009)
40
Received Data Files
from Quest Laboratory
(2007 – ongoing)
20
0
1994
1996
1998
2000
2002
2004
2006
2008
2010
Year
Source: Chronic Hepatitis B and Hepatitis C Infections in California: Cases Newly Reported through 2011. California Department of Public
Health (CDPH), Sexually Transmitted Diseases (STD) Control Branch, November 2013
Chronic Hepatitis C – Percent of Newly Reported Cases for Which
Race/Ethnicity is Known, by Race/Ethnicity compared with the
General Population, California, 2011
African
American/
Black
Asian/ 12.6%
Pacific
Islander
3.9%
American
Indian/
Alaska
Native
1.3%
African
American/
Black
5.9%
Asian/
Pacific
Islander
12.7%
American
Indian/
Alaska
Native
0.6%
White
42.4%
Hispanic/
Latino
28.0%
White
54.3%
Newly Reported Cases of
Chronic Hepatitis C
Hispanic/
Latino
38.3%
General Population of
California
Note: The percentages shown are among the cases with known race/ethnicity. Race/ethnicity information was
missing for more than two-thirds (67.9 to 81.8 percent) of cases from 2007-2011.
Source: Chronic Hepatitis B and Hepatitis C Infections in California: Cases Newly Reported through 2011. California Department of Public
Health (CDPH), Sexually Transmitted Diseases (STD) Control Branch, November 2013
Chronic Hepatitis C – Cases and Rates of Newly Reported
Cases (per 100,000) by Age and Gender, California, 2011
Rate per 100,000 population
300.0
250.0
200.0
Female
150.0
Male
100.0
50.0
0.0
<18
18–24
25–34
35–44
45–54
55–64
≥65
Age Group
Source: Chronic Hepatitis B and Hepatitis C Infections in California: Cases Newly Reported through 2011. California Department of Public Health (CDPH),
Sexually Transmitted Diseases (STD) Control Branch, November 2013
Chronic Hepatitis C – Rates of Newly Reported Cases
in State Prisons by Age*, California, 2007-2011
9,000
8,000
Rate per 100,000 population
7,000
6,000
18-24
5,000
25-34
4,000
35-44
3,000
45-59
+ 46%
2,000
60+
1,000
0
2007
2008
2009
2010
2011
Year
* State prison census data use different age group categories than the California Department of Finance
categories used in this slide set.
Source: Chronic Hepatitis B and Hepatitis C Infections in California: Cases Newly Reported through 2011. California Department of Public
5
Health, Sexually Transmitted Diseases (STD) Control Branch, November 2013.
Chronic Hepatitis C, Rates of Newly Reported Cases (per 100,000) by County, Excluding Cases in
State Prisons, California, 2011
Notes:• Rates were not calculated for the following local health jurisdictions, which reported 5 or fewer cases in 2011: Alpine (0),
Colusa (2), Inyo (2), Mono (1), and Sierra (1) counties.
• State prison cases were removed from local health jurisdiction totals and attributed to the state prison system as a whole.
Source: Chronic Hepatitis B and Hepatitis C Infections in California: Cases Newly Reported through 2011. California Department of Public
Health, Sexually Transmitted Diseases (STD) Control Branch, November 2013.
Hepatitis-Related Hospitalizations by Infection Status,
California, 2002–2011
700000
HCV
600000
Hospitalizations
HBV
500000
Coinfected
400000
No HBV or HCV
300000
200000
100000
0
Cirrhosis
Hepatic
Decompensation
Hepatic Coma
Liver Cancer
Liver Transplant
Source: Office of Statewide Health Planning and Development (OSPHD); Prepared by the CDPH Immunization Branch