Surveillance for Viral Hepatitis – United States, 2012

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Hepatitis A virus

Index

PAGE	DESCRIPTION
Table 2.1	Reported cases of acute hepatitis A, by state ― United States, 2008–2012
Table 2.2	Clinical characteristics of reported cases of acute hepatitis A ― United States, 2012
Table 2.3	Number and rate of deaths with hepatitis A listed as a cause of death, by demographic characteristics and year — United States, 2007–2011
Figure 2.1	Reported number of acute hepatitis A cases — United States, 2000-2012
Figure 2.2	Incidence of acute, hepatitis A, by age group — United States, 2000-2012
Figure 2.3	Incidence of acute, hepatitis A, by sex — United States, 2000-2012
Figure 2.4	Incidence of acute, hepatitis A, by race/ethnicity — United States, 2000-2012
Figure 2.5	Availability of information on risk behaviors/exposures associated with acute hepatitis A — United States, 2012
Figure 2.6a	Acute hepatitis A reports, by risk behavior — United States, 2012
Figure 2.6b	Acute hepatitis A reports, by risk exposure — United States, 2012

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2008–2012

State	2008		2009		2010		2011		2012
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	0.3	(12)	0.3	(12)	0.2	(8)	0.2	(8)	0.4	(19)
Alaska	0.7	(5)	0.3	(2)	0.7	(5)	0.6	(4)	0.1	(1)
Arizona	1.8	(118)	1.0	(68)	1.0	(61)	1.2	(77)	1.4	(93)
Arkansas	0.3	(10)	0.4	(12)	0.1	(2)	0.1	(3)	0.3	(8)
California	1.2	(446)	0.7	(273)	0.6	(242)	0.5	(186)	0.5	(209)
Colorado	0.7	(36)	1.0	(52)	0.7	(36)	0.4	(21)	0.5	(28)
Connecticut	0.7	(26)	0.5	(18)	0.8	(29)	0.5	(18)	0.6	(23)
Delaware	0.8	(7)	0.5	(4)	0.8	(7)	0.2	(2)	1	(9)
District of Columbia	U	U	0.2	(1)	0.2	(1)	U	U	U	U
Florida	0.8	(146)	0.9	(171)	0.7	(139)	0.5	(87)	0.5	(87)
Georgia	0.6	(57)	0.5	(54)	0.4	(40)	0.3	(27)	0.5	(46)
Hawaii	1.6	(20)	0.8	(11)	0.6	(8)	0.6	(8)	0.4	(5)
Idaho	1.1	(17)	0.3	(5)	0.5	(8)	0.4	(6)	0.7	(11)
Illinois	0.9	(112)	1.0	(126)	0.4	(48)	0.6	(73)	0.5	(67)
Indiana	0.3	(20)	0.3	(17)	0.2	(12)	0.4	(24)	0.2	(11)
Iowa	3.6	(109)	1.3	(38)	0.4	(11)	0.3	(8)	0.2	(7)
Kansas	0.5	(15)	0.4	(12)	0.5	(14)	0.1	(4)	0.5	(15)
Kentucky	0.7	(30)	0.3	(12)	0.6	(26)	0.2	(10)	0.6	(25)
Louisiana	0.3	(12)	0.1	(6)	0.2	(11)	0.1	(5)	0.2	(7)
Maine	1.4	(18)	0.1	(1)	0.5	(7)	0.5	(6)	0.7	(9)
Maryland	0.8	(44)	0.8	(47)	0.4	(23)	0.4	(26)	0.5	(28)
Massachusetts	0.9	(58)	1.1	(71)	0.7	(48)	0.6	(39)	0.6	(40)
Michigan	1.2	(119)	0.7	(72)	0.7	(73)	0.7	(70)	1	(100)
Minnesota	0.9	(49)	0.6	(29)	0.7	(37)	0.5	(27)	0.5	(29)
Mississippi	0.2	(7)	0.3	(9)	0.1	(2)	0.2	(7)	0.4	(11)
Missouri	0.6	(35)	0.4	(21)	0.4	(21)	0.2	(13)	0.3	(20)
Montana	0.1	(1)	0.6	(6)	0.4	(4)	0.3	(3)	0.6	(6)
Nebraska	2.3	(41)	1.2	(21)	0.8	(14)	0.3	(5)	0.9	(16)
Nevada	0.5	(13)	0.6	(15)	0.5	(14)	0.2	(5)	0.4	(10)
New Hampshire	0.9	(12)	0.5	(7)	0.2	(2)	0	(0)	0.5	(6)
New Jersey	1.0	(86)	0.8	(71)	0.9	(76)	0.9	(79)	0.7	(60)
New Mexico	0.9	(18)	0.4	(8)	0.2	(5)	0.3	(7)	0.5	(10)
New York	0.9	(179)	0.7	(136)	0.8	(147)	0.6	(113)	0.6	(111)
North Carolina	0.7	(63)	0.4	(41)	0.5	(48)	0.3	(31)	0.3	(34)
North Dakota	0.3	(2)	0.3	(2)	0.6	(4)	0	(0)	0.3	(2)
Ohio	0.4	(51)	0.3	(36)	0.4	(47)	0.3	(39)	0.3	(36)
Oklahoma	0.4	(13)	0.2	(7)	0.2	(6)	0.3	(11)	0.3	(12)
Oregon	0.7	(25)	0.5	(19)	0.4	(17)	0.3	(11)	0.2	(9)
Pennsylvania	0.5	(68)	0.5	(68)	0.4	(53)	0.5	(60)	0.5	(62)
Rhode Island	1.1	(12)	0.9	(9)	0.9	(9)	0.8	(8)	0.3	(3)
South Carolina	0.4	(19)	1.4	(63)	0.6	(26)	0.2	(11)	0.1	(6)
South Dakota	0.5	(4)	0.4	(3)	0.1	(1)	0.2	(2)	0	0
Tennessee	0.5	(32)	0.2	(13)	0.2	(12)	0.4	(23)	0.4	(23)
Texas	1.1	(259)	0.7	(184)	0.6	(139)	0.5	(138)	0.5	(134)
Utah	0.5	(13)	0.3	(7)	0.4	(12)	0.3	(8)	0.1	(4)
Vermont	0.3	(2)	0.3	(2)	0	0	1.0	(6)	0.3	(2)
Virginia	0.7	(51)	0.5	(42)	0.6	(52)	0.4	(30)	0.6	(49)
Washington	0.8	(51)	0.6	(42)	0.3	(21)	0.5	(31)	0.4	(29)
West Virginia	0.3	(6)	0.3	(6)	0.8	(15)	0.4	(8)	0.4	(8)
Wisconsin	0.6	(33)	0.6	(33)	0.4	(23)	0.1	(8)	0.4	(21)
Wyoming	0.6	(3)	0.4	(2)	0.7	(4)	0.4	(2)	0.2	(1)
Total	0.9	(2,585)	0.6	(1,987)	0.5	(1,670)	0.4	(1,398)	0.5	(1,562)

*Rate per 100,000 population. †U=No data available for reporting.

Table 2.2 Clinical characteristics of reported cases of acute hepatitis A* ― United States, 2012

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	1,018	65.2	652	64
Hospitalized for hepatitis A	1,022	65.4	468	45.8
Died from hepatitis A	938	60.1	6	0.6

*A total of 1,562 hepatitis A cases were reported during 2012.
†Case reports for which questions regarding clinical characteristics were answered with “yes” or “no.” Reports with any other response were excluded.
§Numbers and percentages represent only those case reports for which data regarding clinical characteristics were available; numbers likely are underestimates.

Table 2.3 Number and rate* of deaths with hepatitis A listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

Demographic characterisic		2007		2008		2009		2010		2011
Demographic characterisic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	6	0.00	0	0.00	1	0.00	3	0.00	0	0.00
	35–44	3	0.01	1	0.00	1	0.00	7	0.02	1	0.00
	45–54	21	0.05	23	0.05	14	0.03	25	0.06	11	0.02
	55–64	20	0.06	24	0.07	22	0.06	34	0.09	16	0.04
	65–74	14	0.07	12	0.06	12	0.06	10	0.05	12	0.05
	≥75	21	0.11	23	0.12	32	0.17	16	0.09	29	0.15

Race	White^§	70	0.03	63	0.02	68	0.02
	Black^¶	14	0.04	13	0.04	13	0.04
	Non-White, non-Black**	1	0.01	7	0.04	1	0.00

Race/ Ethnicity	White, non- Hispanic							65	0.03	44	0.02
	Black, non- Hispanic							15	0.04	10	0.03
	Hispanic							12	0.03	6	0.02
	Asian/Pacific Islander							2	0.02	8	0.06
	American Indian/Alaskan Native							1	0.05	1	0.04

Sex	Male	61	0.04	51	0.03	50	0.03	73	0.05	37	0.02
Sex	Female	24	0.01	32	0.02	32	0.02	22	0.01	32	0.02

Overall		85	0.03	83	0.02	82	0.02	95	0.03	69	0.02

* Rates for race, sex, and overall total are age-adjusted per 100,000 U.S. standard population.
†Cause of death is defined as the underlying cause of death or one of the multiple causes of death and is based on the International Classification of Diseases, 10th Revision (ICD-10) codes B15 (hepatitis A).
§Included white, non-Hispanic and white Hispanic.
¶Included black, non-Hispanic and black Hispanic.
**Included all other racial/ethnic groups.

Source: CDC. National Vital Statistics System.

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Hepatitis B virus

Index

PAGE	DESCRIPTION
Table 3.1	Reported cases of acute hepatitis B, by state ― United States, 2008–2012
Table 3.2	Clinical characteristics of reported cases of acute symptomatic hepatitis B ― United States, 2012
Table 3.3	Number of laboratory-confirmed, chronic hepatitis B case reports — National Notifiable Diseases Surveillance System (NNDSS), 2012
Table 3.4	Number and rate of deaths with hepatitis B listed as a cause of death, by demographic characteristic and year – United States, 2007-2011
Figure 3.1	Reported number of acute hepatitis B cases — United States, 2000-2012
Figure 3.2	Incidence of acute hepatitis B, by age group — United States, 2000-2012
Figure 3.3	Incidence of acute hepatitis B, by sex — United States, 2000-2012
Figure 3.4	Incidence of acute hepatitis B, by race/ethnicity — United States, 2000-2012
Figure 3.5	Availability of information on risk behaviors/exposures associated with acute hepatitis B — United States, 2012
Figure 3.6a	Acute hepatitis B reports, by risk behavior — United States, 2012
Figure 3.6b	Acute hepatitis B reports, by risk exposure — United States, 2012

Hepatitis B virus

Table 3.1 Reported cases of acute, hepatitis B, by state ― United States, 2008–2012

State	2008		2009		2010		2011		2012
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	2.3	(109)	1.9	(89)	1.4	(68)	2.5		1.6	(79)
Alaska	1.5	(10)	0.6	(4)	0.7	(5)	0.4	(3)	0.1	(1)
Arizona	1.2	(80)	0.6	(42)	0.4	(26)	0.2	(14)	0.2	(14)
Arkansas	2.3	(67)	2.2	(65)	2.3	(66)	1.9	(57)	2.5	(74)
California	0.8	(303)	0.7	(258)	0.7	(252)	0.4	(157)	0.4	(136)
Colorado	0.7	(33)	0.5	(27)	0.9	(46)	0.4	(23)	0.5	(24)
Connecticut	0.9	(30)	0.5	(16)	0.6	(22)	0.5	(19)	0.4	(15)
Delaware	U†	U	U	U	U	U	U	U	1.2	(11)
District of Columbia	U	U	1.7	(10)	0.5	(3)	U	U	U	U
Florida	1.9	(344)	1.6	(299)	1.6	(297)	1.1	(213)	1.3	(247)
Georgia	1.9	(187)	1.5	(144)	1.7	(165)	1.4	(142)	1.1	(109)
Hawaii	0.5	(7)	0.5	(6)	0.4	(6)	0.4	(6)	0.4	(5)
Idaho	0.8	(12)	0.7	(11)	0.4	(6)	0.1	(2)	0.3	(5)
Illinois	1.4	(184)	0.9	(118)	1.1	(135)	0.7	(85)	0.7	(86)
Indiana	1.0	(67)	1.2	(74)	1.2	(75)	1.1	(70)	1.4	(90)
Iowa	0.8	(24)	1.2	(37)	0.5	(15)	0.5	(15)	0.4	(13)
Kansas	0.3	(9)	0.2	(6)	0.4	(11)	0.5	(15)	0.3	(9)
Kentucky	2.4	(101)	2.1	(90)	3.1	(136)	3.5	(151)	4.1	(180)
Louisiana	2.1	(94)	1.6	(73)	1.2	(55)	1.4	(62)	1	(44)
Maine	1.1	(15)	1.1	(15)	1.0	(13)	0.6	(8)	0.7	(9)
Maryland	1.5	(85)	1.3	(72)	1.2	(67)	1.1	(62)	0.9	(52)
Massachusetts	0.3	(21)	0.3	(17)	0.2	(13)	1.0	(67)	1.1	(75)
Michigan	1.5	(149)	1.3	(132)	1.2	(122)	0.9	(91)	0.8	(81)
Minnesota	0.5	(25)	0.7	(38)	0.4	(23)	0.4	(20)	0.3	(17)
Mississippi	1.7	(50)	1.1	(33)	1.1	(33)	1.9	(57)	2.6	(78)
Missouri	0.6	(38)	0.8	(47)	1.1	(67)	1.0	(60)	0.8	(48)
Montana	0.2	(2)	0.1	(1)	0	(0)	0	(0)	0.2	(2)
Nebraska	0.5	(9)	1.2	(22)	0.7	(12)	0.7	(12)	0.5	(10)
Nevada	1.6	(43)	1.3	(34)	1.5	(41)	1.1	(29)	1	(28)
New Hampshire	0.6	(8)	0.5	(6)	0.4	(5)	0.2	(3)	0.3	(4)
New Jersey	1.4	(118)	1.1	(93)	0.9	(77)	0.8	(73)	0.8	(70)
New Mexico	0.6	(12)	0.4	(8)	0.2	(5)	0.5	(10)	0.1	(3)
New York	0.9	(173)	0.7	(129)	0.7	(139)	0.7	(134)	0.6	(113)
North Carolina	0.9	(81)	1.1	(104)	1.2	(113)	1.1	(109)	0.7	(73)
North Dakota	0.3	(2)	0	(0)	0	(0)	0	(0)	0	0
Ohio	1.0	(118)	0.8	(88)	0.8	(95)	0.8	(90)	1.5	(178)
Oklahoma	3.5	(129)	3.3	(122)	3.1	(115)	2.6	(100)	2.1	(79)
Oregon	1.1	(41)	1.2	(44)	1.1	(42)	0.8	(32)	0.6	(25)
Pennsylvania	1.2	(157)	0.8	(106)	0.6	(72)	0.7	(84)	0.5	(63)
Rhode Island	U	U	U	U	U	U	U	U	U	U
South Carolina	1.6	(71)	1.2	(56)	1.3	(59)	0.8	(39)	0.8	(37)
South Dakota	0	(0)	0.5	(4)	0.2	(2)	0.2	(2)	0.2	(2)
Tennessee	2.4	(149)	2.2	(136)	2.4	(150)	3.0	(192)	3.7	(240)
Texas	2.3	(562)	1.7	(420)	1.6	(394)	0.8	(204)	0.7	(170)
Utah	0.5	(14)	0.2	(5)	0.3	(8)	0.4	(10)	0.5	(13)
Vermont	0.5	(3)	0	(0)	0.3	(2)	0	(0)	0.3	(2)
Virginia	1.7	(130)	1.4	(110)	1.2	(97)	1.0	(84)	1	(84)
Washington	0.9	(56)	0.7	(48)	0.7	(50)	0.5	(35)	0.5	(34)
West Virginia	4.6	(83)	4.6	(84)	4.7	(88)	6.1	(113)	7.6	(141)
Wisconsin	0.3	(18)	0.4	(24)	0.9	(54)	0.3	(17)	0.4	(22)
Wyoming	1.1	(6)	0.7	(4)	0.5	(3)	0	(0)	0	0
Total	1.3	(4,029)	1.1	(3,371)	1.1	(3,350)	0.9	(2,890)	0.9	(2,895)

*Rate per 100,000 population.
†U=No data available for reporting.

Table 3.2 Clinical characteristics of reported cases of acute, symptomatic hepatitis B* ― United States, 2012

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	2,072	71.6	1,565	75.5
Hospitalized for hepatitis B	1,997	69.0	1,198	60.0
Died from hepatitis B	1,846	63.8	20	1.1

*A total of 2,895 hepatitis B cases were reported during 2012.
†Case reports for which questions regarding clinical characteristics were answered with “yes” or “no.” Reports with any other response were excluded.
§Numbers and percentages represent only those case reports for which data regarding clinical characteristics were available; numbers likely are underestimates.

Table 3.3 Number of laboratory-confirmed, chronic hepatitis B* case reports† — National Notifiable Diseases Surveillance System (NNDSS), 2012

Jurisdiction^	No. chronic hepatitis B case reports submitted
Arizona	892
Colorado	458
Connecticut §	562
Delaware	149
Illinois	1,714
Kansas	112
Louisiana	603
Maine	105
Massachusetts	1,750
Michigan	1,416
Montana	25
New York §	1,611
New York City	12,002
North Carolina	888
Pennsylvania §	1,952
South Carolina	463
South Dakota	51
Vermont	28
West Virginia	163
Wyoming §	6
Total	24,950

* For case-definition, see
http://wwwn.cdc.gov/nndss/script/ConditionList.aspx?Type=0&Yr=2012
†Reports may not reflect unique cases.
§Includes probable and confirmed case reports.
^Jurisdictions that gave permission to report their chronic HBV cases

Table 3.4. Number and rate* of deaths with hepatitis B listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

Demographic characteristic		2007		2008		2009		2010		2011
Demographic characteristic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	62	0.04	44	0.03	39	0.03	48	0.03	41	0.03
	35–44	184	0.43	154	0.36	143	0.34	142	0.35	143	0.35
	45–54	532	1.21	533	1.20	469	1.05	448	1.00	421	0.94
	55–64	546	1.67	523	1.55	547	1.57	610	1.67	645	1.69
	65–74	266	1.37	271	1.35	254	1.22	296	1.36	285	1.27
	≥75	225	1.21	263	1.40	245	1.30	248	1.34	269	1.42

Race	White^§	1,081	0.40	1,093	0.40	978	0.35
	Black^¶	359	1.03	327	0.92	320	0.87
	Non-White, non-Black**	375	2.16	368	2.05	399	2.15

Race/ Ethnicity	White, non- Hispanic							856	0.34	832	0.32
	Black, non- Hispanic							356	0.94	373	0.98
	Hispanic							136	0.43	161	0.48
	Asian/Pacific Islander							421	2.95	422	2.72
	American Indian/Alaskan Native							17	0.73	9	0.38

Sex	Male	1,345	0.88	1,315	0.85	1,267	0.80	1,316	0.81	1,321	0.80
Sex	Female	470	0.28	473	0.27	430	0.24	476	0.27	483	0.26

Overall		1,815	0.56	1,788	0.54	1,697	0.51	1,792	0.52	1,804	0.52

* Rates for race, sex, and overall total are age-adjusted per 100,000 U.S. standard population.
†Cause of death is defined as the underlying cause of death or one of the multiple causes of death and is based on the International Classification of Diseases, 10th Revision (ICD-10) codes B16, B17.0, B18.0, and B18.1(hepatitis B).
§Included white, non-Hispanic and white Hispanic.
¶Included black, non-Hispanic and black Hispanic.
**Included all other racial/ethnic groups.

Source: CDC. National Vital Statistics System.

All seven figure slides in PowerPoint 2007 format[PPTX – 866 KB]

Hepatitis C virus

Index

PAGE	DESCRIPTION
Table 4.1	Reported cases of acute hepatitis C, by state ― United States, 2008–2012
Table 4.2	Clinical characteristics of reported cases of acute hepatitis C ― United States, 2012
Table 4.3	Number of laboratory confirmed, hepatitis C (past or present) case reports — National Notifiable Diseases Surveillance System (NNDSS), 2012
Table 4.4	Number and rate of deaths with hepatitis C listed as a cause of death, by demographic characteristic and year — United States, 2007–2011
Slide 4.1	Reported number of acute hepatitis hepatitis C cases — United States, 2000-2012
Slide 4.2	Incidence of acute hepatitis C, by age group — United States, 2000-2012
Slide 4.3	Incidence of acute hepatitis C, by sex — United States, 2000-2012
Slide 4.4	Incidence of acute hepatitis C, by race/ethnicity — United States, 2000-2012
Slide 4.5	Availability of information on risk exposures/behaviors associated with acute hepatitis C — United States, 2012
Slide 4.6a	Acute hepatitis C reports, by risk behavior — United States, 2012
Slide 4.6b	Acute hepatitis C reports, by risk exposure — United States, 2012

Hepatitis C virus

Table 4.1 Reported cases of acute, hepatitis C, by state ― United States, 2008–2012

State	2008		2009		2010		2011		2012
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	0.3	(13)	0.2	(10)	0.1	(7)	0.5	(23)	0.5	(24)
Alaska	U†	U	U	U	U	U	U	U	U	U
Arizona	U	U	U	U	U	U	U	U	U	U
Arkansas	0	(1)	0.1	(2)	0	(1)	0	(0)	0.2	(5)
California	0.1	(30)	0.1	(43)	0.1	(32)	0.1	(48)	0.2	(63)
Colorado	0.3	(14)	0.6	(28)	0.4	(20)	0.5	(28)	0.8	(42)
Connecticut	0.5	(19)	1.5	(53)	1.0	(37)	1.3	(47)	0.9	(34)
Delaware	U	U	U	U	U	U	U	U	U	U
District of Columbia	U	U	0.2	(1)	0.3	(2)	U	U	U	U
Florida	0.2	(32)	0.3	(53)	0.3	(56)	0.3	(64)	0.6	(107)
Georgia	0.2	(16)	0.3	(31)	0.3	(32)	0.5	(53)	0.8	(82)
Hawaii	U	U	U	U	U	U	U	U	U	U
Idaho	0.2	(3)	0.5	(7)	0.7	(11)	0.8	(12)	0.7	(11)
Illinois	0.1	(10)	0	(6)	0	(1)	0	(6)	0.2	(26)
Indiana	0.2	(13)	0.3	(22)	0.4	(27)	1.3	(84)	1.7	(110)
Iowa	0	(0)	0.4	(11)	0	0	0	(0)	0.1	(3)
Kansas	0	(1)	0	(1)	0.1	(2)	0.3	(8)	0.6	(16)
Kentucky	1.6	(68)	1.5	(64)	2.5	(109)	3.2	(142)	4.1	(178)
Louisiana	0.2	(9)	0.2	(9)	0.1	(4)	0.2	(7)	0.2	(11)
Maine	0.2	(3)	0.2	(2)	0.2	(2)	0.9	(12)	0.6	(8)
Maryland	0.4	(22)	0.4	(23)	0.4	(24)	0.6	(35)	0.7	(39)
Massachusetts	0.2	(13)	0.2	(10)	0.2	(13)	0.3	(23)	0.6	(37)
Michigan	1.3	(129)	0.4	(35)	0.5	(45)	0.3	(32)	0.8	(76)
Minnesota	0.4	(22)	0.3	(15)	0.3	(16)	0.3	(17)	0.6	(32)
Mississippi	U	U	U	U	U	U	U	U	U	U
Missouri	0	(2)	0	(0)	0.1	(6)	0.1	(8)	0.1	(4)
Montana	0.6	(6)	0.1	(1)	0.4	(4)	0.9	(9)	0.9	(9)
Nebraska	0.1	(2)	0.2	(3)	0.1	(2)	0.1	(2)	0.2	(3)
Nevada	0.8	(22)	0.2	(5)	0.3	(7)	0.4	(10)	0.4	(12)
New Hampshire	U	U	U	U	U	U	U	U	U	U
New Jersey	0.7	(61)	0.1	(7)	0.3	(28)	0.6	(53)	0.8	(71)
New Mexico	0.3	(5)	0.3	(6)	0.7	(14)	0.7	(14)	1	(21)
New York	0.2	(43)	0.3	(53)	0.3	(50)	0.3	(52)	0.5	(93)
North Carolina	0.5	(46)	0.3	(24)	0.4	(39)	0.6	(60)	0.6	(63)
North Dakota	0	(0)	0.3	(2)	0	(0)	0	(0)	0	0
Ohio	0.3	(40)	0.2	(26)	0.1	(10)	0.1	(6)	0.1	(7)
Oklahoma	0.5	(20)	0.7	(27)	1.1	(41)	1.4	(53)	2.1	(80)
Oregon	0.6	(23)	0.5	(19)	0.5	(19)	0.5	(20)	0.9	(37)
Pennsylvania	0.2	(27)	0.3	(39)	0.2	(26)	0.3	(35)	0.5	(66)
Rhode Island	U	U	U	U	U	U	U	U	U	U
South Carolina	0.1	(4)	0	(1)	0	(1)	0	(1)	0	(1)
South Dakota	U	U	U	U	U	U	U	U	U	U
Tennessee	0.4	(28)	0.5	(33)	0.7	(46)	1.3	(83)	2	(129)
Texas	0.2	(59)	0.1	(36)	0.1	(35)	0.1	(37)	0.2	(44)
Utah	0.4	(12)	0.2	(6)	0.4	(10)	0.4	(10)	0.6	(17)
Vermont	0.2	(1)	0.2	(1)	0.3	(2)	1.0	(6)	1	(6)
Virginia	0.1	(8)	0.1	(10)	0.2	(13)	0.3	(25)	0.9	(76)
Washington	0.4	(25)	0.3	(22)	0.4	(25)	0.6	(41)	0.8	(54)
West Virginia	1.2	(22)	1.7	(31)	1.1	(21)	2.5	(46)	3	(55)
Wisconsin	0.1	(3)	0.1	(3)	0.2	(10)	0.3	(15)	0.5	(26)
Wyoming	0	(0)	0	(0)	0	(0)	0.4	(2)	U	U
Total	0.3	(877)	0.3	(781)	0.3	(850)	0.4	(1,229)	0.6	(1778)

*Rate per 100,000 population. †U=No data available for reporting.

Table 4.2 Clinical characteristics of reported cases of acute, hepatitis C* ― United States, 2012

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	1,278	71.9	870	68.1
Hospitalized for hepatitis C	1,216	68.4	675	55.5
Died from hepatitis C	1,123	63.2	6	0.5

*A total of 1,778 hepatitis C cases were reported during 2012.
†Case reports for which questions regarding clinical characteristics were answered with “yes” or “no.” Reports with any other response were excluded.
§Numbers and percentages represent only those case reports for which data regarding clinical characteristics were available; numbers likely are underestimates.

Table 4.3 Number of laboratory confirmed, hepatitis C (past or present)* case reports† — National Notifiable Diseases Surveillance System (NNDSS), 2012

Jurisdiction	No. chronic hepatitis C case reports submitted
Colorado	2,947
Connecticut	2,934
Illinois	7,673
Kansas	1,805
Louisiana	1,933
Maine	1,213
Massachusetts	7,686
Michigan	8,005
Montana	1,251
New York	6,791
New York City	7,598
Pennsylvania	9,747
South Carolina	3,672
South Dakota	390
Vermont	671
Wyoming	521
Total	64,837

* For case-definition, see
http://wwwn.cdc.gov/nndss/script/ConditionList.aspx?Type=0&Yr=2012.
†Reports may not reflect unique cases.

Table 4.4. Number and rate* of deaths with hepatitis C listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

Demographic characteristic		2007		2008		2009		2010		2011
Demographic characteristic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	131	0.09	124	0.09	116	0.08	117	0.08	128	0.09
	35–44	999	2.32	878	2.07	828	1.99	712	1.73	696	1.71
	45–54	5,937	13.53	5,758	12.98	5,469	12.26	5,171	11.49	5,073	11.34
	55–64	5,145	15.72	5,967	17.71	6,683	19.21	7,431	20.37	8,330	21.89
	65–74	1,621	8.37	1,709	8.49	1,824	8.77	1,901	8.75	2,136	9.5
	≥75	1,273	6.85	1,332	7.11	1,333	7.01	1,293	6.97	1,357	7.18

Race	White^§	11,798	4.31	12,261	4.37	12,682	4.43
	Black^¶	2,686	7.59	2,829	7.82	2,908	7.80
	Non-White, non-Black**	622	3.59	678	3.78	663	3.61

Race/ Ethnicity	White, non- Hispanic							10,575	4.03	11196	4.19
	Black, non- Hispanic							2,981	7.72	3167	7.89
	Hispanic							2,318	6.83	2555	7.15
	Asian/ Pacific Islander							440	3.30	455	3.14
	American Indian/ Alaskan Native							248	9.90	275	10.61

Sex	Male	10,561	6.64	11,116	6.82	11,517	6.91	11,781	6.81	12,651	7.11
Sex	Female	4,545	2.65	4,652	2.65	4,736	2.65	4,846	2.63	5,070	2.7

Overall		15,106	4.58	15,768	4.66	16,235	4.70	16,627	4.65	17,721	4.82

* Rates for race, sex, and overall total are age-adjusted per 100,000 U.S. standard population.
†Cause of death is defined as the underlying cause of death or one of the multiple causes of death and is based on the International Classification of Diseases, 10th Revision (ICD-10) codes B17.1 and B18.2 (hepatitis C).
§Included white, non-Hispanic and white Hispanic.
¶Included black, non-Hispanic and black Hispanic.
**Included all other racial/ethnic groups.

Source: CDC. National Vital Statistics System.

All seven figure slides in PowerPoint 2007 format[PPTX – 407 KB]

Viral Hepatitis

Surveillance for Viral Hepatitis – United States, 2012

Contents

Hepatitis A virus

Index

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2008–2012

Table 2.2 Clinical characteristics of reported cases of acute hepatitis A* ― United States, 2012

Table 2.3 Number and rate* of deaths with hepatitis A listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

Hepatitis B virus

Index

Hepatitis B virus

Table 3.1 Reported cases of acute, hepatitis B, by state ― United States, 2008–2012

Table 3.2 Clinical characteristics of reported cases of acute, symptomatic hepatitis B* ― United States, 2012

Table 3.3 Number of laboratory-confirmed, chronic hepatitis B* case reports† — National Notifiable Diseases Surveillance System (NNDSS), 2012

Table 3.4. Number and rate* of deaths with hepatitis B listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

Hepatitis C virus

Index

Hepatitis C virus

Table 4.1 Reported cases of acute, hepatitis C, by state ― United States, 2008–2012

Table 4.2 Clinical characteristics of reported cases of acute, hepatitis C* ― United States, 2012

Table 4.3 Number of laboratory confirmed, hepatitis C (past or present)* case reports† — National Notifiable Diseases Surveillance System (NNDSS), 2012

Table 4.4. Number and rate* of deaths with hepatitis C listed as a cause of death†, by demographic characteristic and year — United States, 2007–2011

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Surveillance for Viral Hepatitis – United States, 2012

Contents

Hepatitis A virus

Index

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2008–2012

Hepatitis B virus

Index

Hepatitis B virus

Table 3.1 Reported cases of acute, hepatitis B, by state ― United States, 2008–2012

Hepatitis C virus

Index

Hepatitis C virus

Table 4.1 Reported cases of acute, hepatitis C, by state ― United States, 2008–2012

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