Surveillance for Viral Hepatitis – United States, 2013

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Hepatitis A virus

Index

PAGE	DESCRIPTION
Table 2.1	Reported cases of hepatitis A, nationally and by state ― United States, 2009-2013
Table 2.2	Clinical characteristics of reported cases of hepatitis A ― United States, 2013
Table 2.3	Number and rate of hepatitis A-related deaths, by demographic characteristics and year — United States, 2009–2013
Figure 2.1	Reported number of acute hepatitis A cases — United States, 2000-2013
Figure 2.2	Incidence of hepatitis A, by age group — United States, 2000-2013
Figure 2.3	Incidence of hepatitis A, by sex — United States, 2000-2013
Figure 2.4	Incidence of hepatitis A, by race/ethnicity — United States, 2000-2013
Figure 2.5	Availability of information on risk exposures/behaviors associated with hepatitis A – United States, 2013
Figure 2.6a	Hepatitis A reports, by risk behavior — United States, 2013
Figure 2.6b	Hepatitis A reports, by risk exposure — United States, 2013

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2009–2013

State	2009		2010		2011		2012		2013
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	0.3	(12)	0.2	(8)	0.2	(8)	0.4	(19)	0.2	(10)
Alaska	0.3	(2)	0.7	(5)	0.6	(4)	0.1	(1)	0.1	(1)
Arizona	1.0	(68)	1.0	(61)	1.2	(77)	1.4	(93)	1.0	(66)
Arkansas	0.4	(12)	0.1	(2)	0.1	(3)	0.3	(8)	0.3	(9)
California	0.7	(273)	0.6	(242)	0.5	(186)	0.5	(209)	0.7	(255)
Colorado	1.0	(52)	0.7	(36)	0.4	(21)	0.5	(28)	1.0	(51)
Connecticut	0.5	(18)	0.8	(29)	0.5	(18)	0.6	(23)	0.5	(19)
Delaware	0.5	(4)	0.8	(7)	0.2	(2)	1	(9)	0.4	(4)
District of Columbia	0.2	(1)	0.2	(1)	U	U	U	U	U	(U)
Florida	0.9	(171)	0.7	(139)	0.5	(87)	0.5	(87)	0.6	(115)
Georgia	0.5	(54)	0.4	(40)	0.3	(27)	0.5	(46)	0.4	(36)
Hawaii	0.8	(11)	0.6	(8)	0.6	(8)	0.4	(5)	1.1	(16)
Idaho	0.3	(5)	0.5	(8)	0.4	(6)	0.7	(11)	0.5	(8)
Illinois	1.0	(126)	0.4	(48)	0.6	(73)	0.5	(67)	0.6	(79)
Indiana	0.3	(17)	0.2	(12)	0.4	(24)	0.2	(11)	0.5	(32)
Iowa	1.3	(38)	0.4	(11)	0.3	(8)	0.2	(7)	0.6	(17)
Kansas	0.4	(12)	0.5	(14)	0.1	(4)	0.5	(15)	0.4	(11)
Kentucky	0.3	(12)	0.6	(26)	0.2	(10)	0.6	(25)	0.5	(24)
Louisiana	0.1	(6)	0.2	(11)	0.1	(5)	0.2	(7)	0.3	(14)
Maine	0.1	(1)	0.5	(7)	0.5	(6)	0.7	(9)	0.8	(10)
Maryland	0.8	(47)	0.4	(23)	0.4	(26)	0.5	(28)	0.5	(29)
Massachusetts	1.1	(71)	0.7	(48)	0.6	(39)	0.6	(40)	0.6	(43)
Michigan	0.7	(72)	0.7	(73)	0.7	(70)	1	(100)	0.8	(83)
Minnesota	0.6	(29)	0.7	(37)	0.5	(27)	0.5	(29)	0.6	(32)
Mississippi	0.3	(9)	0.1	(2)	0.2	(7)	0.4	(11)	0.2	(5)
Missouri	0.4	(21)	0.4	(21)	0.2	(13)	0.3	(20)	0.1	(8)
Montana	0.6	(6)	0.4	(4)	0.3	(3)	0.6	(6)	0.6	(6)
Nebraska	1.2	(21)	0.8	(14)	0.3	(5)	0.9	(16)	0.7	(13)
Nevada	0.6	(15)	0.5	(14)	0.2	(5)	0.4	(10)	0.7	(19)
New Hampshire	0.5	(7)	0.2	(2)	0	(0)	0.5	(6)	0.7	(9)
New Jersey	0.8	(71)	0.9	(76)	0.9	(79)	0.7	(60)	0.8	(68)
New Mexico	0.4	(8)	0.2	(5)	0.3	(7)	0.5	(10)	1.0	(20)
New York	0.7	(136)	0.8	(147)	0.6	(113)	0.6	(111)	0.8	(167)
North Carolina	0.4	(41)	0.5	(48)	0.3	(31)	0.3	(34)	0.5	(46)
North Dakota	0.3	(2)	0.6	(4)	0	(0)	0.3	(2)	1.2	(9)
Ohio	0.3	(36)	0.4	(47)	0.3	(39)	0.3	(36)	0.5	(59)
Oklahoma	0.2	(7)	0.2	(6)	0.3	(11)	0.3	(12)	0.4	(14)
Oregon	0.5	(19)	0.4	(17)	0.3	(11)	0.2	(9)	0.7	(29)
Pennsylvania	0.5	(68)	0.4	(53)	0.5	(60)	0.5	(62)	0.4	(53)
Rhode Island	0.9	(9)	0.9	(9)	0.8	(8)	0.3	(3)	0.4	(4)
South Carolina	1.4	(63)	0.6	(26)	0.2	(11)	0.1	(6)	0.3	(14)
South Dakota	0.4	(3)	0.1	(1)	0.2	(2)	0	0	0.5	(4)
Tennessee	0.2	(13)	0.2	(12)	0.4	(23)	0.4	(23)	0.3	(20)
Texas	0.7	(184)	0.6	(139)	0.5	(138)	0.5	(134)	0.4	(109)
Utah	0.3	(7)	0.4	(12)	0.3	(8)	0.1	(4)	0.4	(12)
Vermont	0.3	(2)	0	0	1.0	(6)	0.3	(2)	1.1	(7)
Virginia	0.5	(42)	0.6	(52)	0.4	(30)	0.6	(49)	0.4	(36)
Washington	0.6	(42)	0.3	(21)	0.5	(31)	0.4	(29)	0.6	(45)
West Virginia	0.3	(6)	0.8	(15)	0.4	(8)	0.4	(8)	0.2	(4)
Wisconsin	0.6	(33)	0.4	(23)	0.1	(8)	0.4	(21)	0.6	(37)
Wyoming	0.4	(2)	0.7	(4)	0.4	(2)	0.2	(1)	0.0	(0)
Total	0.6	(1,987)	0.5	(1,670)	0.4	(1,398)	0.5	(1,562)	0.6	(1,781)

*Rate per 100,000 population.
U=No data available for reporting.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 2.2 Clinical characteristics of reported cases of hepatitis A ― United States, 2013

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	1,095	61.5	753	68.8
Hospitalized for hepatitis A	1,081	60.7	519	48.0
Died from hepatitis A	959	53.8	9	0.9

*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.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 2.3 Number and rate of hepatitis A-related deaths, by demographic characteristics and year — United States, 2009–2013

Demographic characterisic		2009		2010		2011		2012		2013
Demographic characterisic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	1	0.00	3	0.00	0	0.00	2	0.00	2	0.00
	35–44	1	0.00	7	0.02	1	0.00	5	0.01	2	0.00
	45–54	14	0.03	25	0.06	11	0.02	12	0.03	13	0.03
	55–64	22	0.06	34	0.09	16	0.04	23	0.06	30	0.08
	65–74	12	0.06	10	0.05	12	0.05	17	0.07	19	0.08
	≥75	32	0.17	16	0.09	29	0.15	18	0.09	14	0.07

Race	White^§	68	0.02
	Black^¶	13	0.04
	Non-White, non-Black	1	0.00

Race/ Ethnicity	White, non- Hispanic			65	0.03	44	0.02	51	0.02	63	0.02
	Black, non- Hispanic			15	0.04	10	0.03	8	0.02	6	0.01
	Hispanic			12	0.03	6	0.02	8	0.02	8	0.02
	Asian/Pacific Islander			2	0.02	8	0.06	7	0.05	3	0.02
	American Indian/Alaskan Native			1	0.05	1	0.04	2	0.08	0	0.00

Sex	Male	50	0.03	73	0.05	37	0.02	46	0.03	50	0.03
Sex	Female	32	0.02	22	0.01	32	0.02	31	0.02	30	0.01

Overall		82	0.02	95	0.03	69	0.02	77	0.02	80	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).
§ The race category "White" Included white, non-Hispanic and white Hispanic. The race category "Black" included black, non-Hispanic and black Hispanic. The race category "Non-White, non-Black" included all other races.
¶ The race/ethnicity category was added starting in 2010 to incorporate bridged race categories. One death in 2012 is not represented under the race/ethnicity category due to missing race and/or ethnicity data.

Source: CDC. National Vital Statistics System.

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Hepatitis B virus

PAGE	DESCRIPTION
Table 3.1	Reported cases of acute hepatitis B, nationally and by state ― United States, 2009-2013
Table 3.2	Clinical characteristics of reported cases of acute hepatitis B ― United States, 2013
Table 3.3	Number of newly reported chronic hepatitis B case-reports submitted by states, 2013
Table 3.4	Reported cases of chronic hepatitis B, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013
Table 3.5	Number and rate of hepatitis B-related deaths, by demographic characteristics and year – United States, 2009-2013
Figure 3.1	Reported number of acute hepatitis B cases — United States, 2000-2013
Figure 3.2	Incidence of acute hepatitis B, by age group — United States, 2000-2013
Figure 3.3	Incidence of acute hepatitis B, by sex — United States, 2000-2013
Figure 3.4	Incidence of acute hepatitis B, by race/ethnicity — United States, 2000-2013
Figure 3.5	Availability of information on risk behaviors/exposures associated with acute hepatitis B — United States, 2013
Figure 3.6a	Acute hepatitis B reports, by risk behavior — United States, 2013
Figure 3.6b	Acute hepatitis B reports, by risk exposure — United States, 2013

Hepatitis B virus

Table 3.1 Reported cases of acute hepatitis B, nationally and by state ― United States, 2009-2013

State	2009		2010		2011		2012		2013
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	1.9	(89)	1.4	(68)	2.5	(119)	1.6	(79)	1.9	(90)
Alaska	0.6	(4)	0.7	(5)	0.4	(3)	0.1	(1)	0.1	(1)
Arizona	0.6	(42)	0.4	(26)	0.2	(14)	0.2	(14)	0.4	(28)
Arkansas	2.2	(65)	2.3	(66)	1.9	(57)	2.5	(74)	1.7	(50)
California	0.7	(258)	0.7	(252)	0.4	(157)	0.4	(136)	0.4	(138)
Colorado	0.5	(27)	0.9	(46)	0.4	(23)	0.5	(24)	0.5	(24)
Connecticut	0.5	(16)	0.6	(22)	0.5	(19)	0.4	(15)	0.2	(8)
Delaware †	U	U	U	U	1.4	(13)	1.2	(11)	1.5	(14)
District of Columbia	1.7	(10)	0.5	(3)	U	U	U	U	U	(U)
Florida	1.6	(299)	1.6	(297)	1.1	(213)	1.3	(247)	1.7	(323)
Georgia	1.5	(144)	1.7	(165)	1.4	(142)	1.1	(109)	1.0	(104)
Hawaii	0.5	(6)	0.4	(6)	0.4	(6)	0.4	(5)	0.3	(4)
Idaho	0.7	(11)	0.4	(6)	0.1	(2)	0.3	(5)	0.8	(13)
Illinois	0.9	(118)	1.1	(135)	0.7	(85)	0.7	(86)	0.7	(94)
Indiana	1.2	(74)	1.2	(75)	1.1	(70)	1.4	(90)	1.5	(101)
Iowa	1.2	(37)	0.5	(15)	0.5	(15)	0.4	(13)	0.4	(11)
Kansas	0.2	(6)	0.4	(11)	0.5	(15)	0.3	(9)	0.4	(11)
Kentucky	2.1	(90)	3.1	(136)	3.5	(151)	4.1	(180)	4.9	(214)
Louisiana	1.6	(73)	1.2	(55)	1.4	(62)	1	(44)	1.8	(82)
Maine	1.1	(15)	1.0	(13)	0.6	(8)	0.7	(9)	0.8	(11)
Maryland	1.3	(72)	1.2	(67)	1.1	(62)	0.9	(52)	0.7	(43)
Massachusetts	0.3	(17)	0.2	(13)	1.0	(67)	1.1	(75)	1.1	(71)
Michigan	1.3	(132)	1.2	(122)	0.9	(91)	0.8	(81)	0.5	(53)
Minnesota	0.7	(38)	0.4	(23)	0.4	(20)	0.3	(17)	0.4	(19)
Mississippi	1.1	(33)	1.1	(33)	1.9	(57)	2.6	(78)	1.8	(55)
Missouri	0.8	(47)	1.1	(67)	1.0	(60)	0.8	(48)	1.0	(61)
Montana	0.1	(1)	0	(0)	0	(0)	0.2	(2)	0.4	(4)
Nebraska	1.2	(22)	0.7	(12)	0.7	(12)	0.5	(10)	0.5	(9)
Nevada	1.3	(34)	1.5	(41)	1.1	(29)	1	(28)	1.0	(29)
New Hampshire	0.5	(6)	0.4	(5)	0.2	(3)	0.3	(4)	0.2	(2)
New Jersey	1.1	(93)	0.9	(77)	0.8	(73)	0.8	(70)	0.7	(65)
New Mexico	0.4	(8)	0.2	(5)	0.5	(10)	0.1	(3)	0.1	(3)
New York	0.7	(129)	0.7	(139)	0.7	(134)	0.6	(113)	0.6	(117)
North Carolina	1.1	(104)	1.2	(113)	1.1	(109)	0.7	(73)	0.8	(75)
North Dakota	0	(0)	0	(0)	0	(0)	0	0	0.0	(0)
Ohio	0.8	(88)	0.8	(95)	0.8	(90)	1.5	(178)	1.9	(225)
Oklahoma	3.3	(122)	3.1	(115)	2.6	(100)	2.1	(79)	1.0	(40)
Oregon	1.2	(44)	1.1	(42)	0.8	(32)	0.6	(25)	0.8	(32)
Pennsylvania	0.8	(106)	0.6	(72)	0.7	(84)	0.5	(63)	0.3	(43)
Rhode Island	U	U	U	U	U	U	U	U	U	(U)
South Carolina	1.2	(56)	1.3	(59)	0.8	(39)	0.8	(37)	1.2	(58)
South Dakota	0.5	(4)	0.2	(2)	0.2	(2)	0.2	(2)	0.6	(5)
Tennessee	2.2	(136)	2.4	(150)	3.0	(192)	3.7	(240)	4.0	(262)
Texas	1.7	(420)	1.6	(394)	0.8	(204)	0.7	(170)	0.5	(142)
Utah	0.2	(5)	0.3	(8)	0.4	(10)	0.5	(13)	0.2	(5)
Vermont	0	(0)	0.3	(2)	0	(0)	0.3	(2)	0.3	(2)
Virginia	1.4	(110)	1.2	(97)	1.0	(84)	1	(84)	0.9	(72)
Washington	0.7	(48)	0.7	(50)	0.5	(35)	0.5	(34)	0.5	(33)
West Virginia	4.6	(84)	4.7	(88)	6.1	(113)	7.6	(141)	10.5	(195)
Wisconsin	0.4	(24)	0.9	(54)	0.3	(17)	0.4	(22)	0.2	(9)
Wyoming	0.7	(4)	0.5	(3)	0	(0)	0	0	U	(U)
Total	1.1	(3,371)	1.1	(3,350)	0.9	(2,890)	0.9	(2,895)	1.0	(3,050)

*Rate per 100,000 population.
† Updated data for Delaware in 2011.
U=No data available for reporting.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 3.2 Clinical characteristics of reported cases of acute hepatitis B ― United States, 2013

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	2,149	70.5	1,653	76.9
Hospitalized for hepatitis B	2,125	69.7	1,250	58.8
Died from hepatitis B	2,018	66.2	18	0.9

* A total of 3,050 hepatitis B cases were reported during 2013.
† 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.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 3.3 Number of newly reported chronic hepatitis B case-reports submitted by states, 2013

Jurisdiction^

No. chronic hepatitis B
case reports submitted

Data Source

Colorado¶

511

NNDSS

Delaware

126

State-provided

Florida¶

4,270

NNDSS

Iowa

266

State-provided

Kansas

108

State-provided

Maine¶

107

State-provided

Michigan¶

1,130

State-provided

Minnesota¶

189

NNDSS

Montana¶

21

State-provided

New Jersey**

303

NNDSS

New Mexico¶

119

NNDSS

New York
(minus New York City)**

636

State-provided

New York City**

5,857

State-provided

Oregon**

150

State-provided

Pennsylvania¶

1,512

State-provided

South Carolina††

448

NNDSS

South Dakota¶

79

NNDSS

West Virginia¶

212

State-provided

Total

16,044

Abbreviation: NNDSS, National Notifiable Diseases Surveillance System
* For case-definition, see
http://wwwn.cdc.gov/nndss/script/ConditionList.aspx?Type=0&Yr=2012
† Reports may not reflect unique cases.
§ Jurisdictions that gave permission to report their number of chronic HBV cases
** Includes confirmed case reports only.
†† Includes confirmed, probable, and suspect case reports.

Table 3.4. Reported cases of chronic hepatitis B, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013

Category	Massa- chusetts No. (%)	Michigan No. (%)	New York State† No. (%)	Philadel- phia No. (%)	San Francisco No. (%)	Washing- ton§ No. (%)	Total No. (%)
Sex
Female	224 49.1%	207 43.9%	236 36.5%	118 42.1%	339 46.3%	72 42.4%	1,196 43.4%
Male	231 50.7%	264 56.1%	409 63.2%	162 57.9%	387 52.9%	91 53.5%	1,544 56.0%
Unknown/ missing	1 0.2%	0 0.0%	2 0.3%	0 0.0%	6 0.8%	7 4.1%	16 0.6%
Race/ethnicity
American Indian/ Alaskan Native, non-Hispanic (NH)	0 0.0%	5 1.1%	1 0.2%	0 0.0%	0 0.0%	4 2.4%	10 0.4%
Asian/Pacific Islander, NH	177 38.8%	114 24.2%	176 27.2%	98 35.0%	364 49.7%	48 28.2%	977 35.4%
Black, NH	80 17.5%	98 20.8%	83 12.8%	52 18.6%	9 1.2%	5 2.9%	327 11.9%
White, NH	46 10.1%	124 26.3%	99 15.3%	14 5.0%	16 2.2%	30 17.6%	329 11.9%
Hispanic	30 6.6%	7 1.5%	29 4.5%	12 4.3%	0 0.0%	5 2.9%	83 3.0%
Other, NH	29 6.4%	26 5.5%	26 4.0%	9 3.2%	6 0.8%	5 2.9%	101 3.7%
Unknown/ missing	94 20.6%	97 20.6%	233 36.0%	95 33.9%	337 46.0%	73 42.9%	929 33.7%
Age group, years
0-14	7 1.5%	9 1.9%	5 0.8%	3 1.1%	6 0.8%	4 2.4%	34 1.2%
15-24	34 7.5%	31 6.6%	60 9.3%	22 7.9%	49 6.7%	15 8.8%	211 7.7%
25-39	165 36.2%	143 30.4%	240 37.1%	93 33.2%	258 35.2%	48 28.2%	947 34.4%
40-54	141 30.9%	147 31.2%	189 29.2%	101 36.1%	215 29.4%	62 36.5%	855 31.0%
55+	109 23.9%	141 29.9%	153 23.6%	61 21.8%	204 27.9%	41 24.1%	709 25.7%
Unknown/ missing	0 0.0%	0 0.0%	0 0.0%	0 0.0%	0 0.0%	0 0.0%	0 0.0%
Place of birth
United States	39 8.6%	127 27.0%	12 1.9%	139 49.6%	10 1.4%	U	327 12.6%
Outside United States	224 49.1%	121 25.7%	47 7.3%	120 42.9%	67 9.2%	U	579 22.4%
Unknown/ missing	193 42.3%	223 47.3%	588 90.9%	21 7.5%	655 89.5%	U	1,680 65.0%
Hepatitis B laboratory testing¶
HBV surface antigen +	399 87.5%	269 57.1%	541 83.6%	233 83.2%	654 89.3%	81 47.6%	2,177 79.0%
[IgM anti-HBc] –	77 16.9%	25 5.3%	106 16.4%	0 0.0%	0 0.0%	42 24.7%	250 9.1%
HBV “e” antigen +	155 34.0%	2 0.4%	99 15.3%	64 22.9%	75 10.2%	12 7.1%	407 14.8%
HBV NAT +	281 61.6%	4 0.8%	203 31.4%	228 81.4%	465 63.5%	45 26.5%	1,226 44.5%
Total no. cases	456	471	647	280	732	170	2,756
2013 Estimated population total**	6,692,824	9,895,622	11,245,290	1,553,165	837,442	5,405,750	35,630,093
Rate per 100,000 population	6.8	4.8	5.8	18.0	87.4	3.1	7.7

* Chronic hepatitis B data from Florida, one of the 7 funded sites, were not included in this table. Chronic hepatitis B data from all funded sites, including Florida, will be published in an updated table in July.
† Cases and population estimates from New York excluded those who resided in New York City.
§ Cases from Washington excluded Snohomish County, Pierce County, and 90% of King County.
¶ Cases can be reported with more than one laboratory test result. The denominator used to calculate proportions was the total number of cases reported for each site.
** Population estimates for the United States: https://wonder.cdc.gov/bridged-race-population.html. Population estimates from Washington excluded Snohomish and Pierce Counties.
U = No data available for reporting.

Table 3.5. Number and rate of hepatitis B-related deaths, by demographic characteristics and year – United States, 2009-2013

Demographic characteristic		2009		2010		2011		2012		2013
Demographic characteristic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	39	0.03	48	0.03	41	0.03	38	0.03	40	0.03
	35–44	143	0.34	142	0.35	143	0.35	123	0.30	146	0.36
	45–54	469	1.05	448	1.00	421	0.94	428	0.97	389	0.89
	55–64	547	1.57	610	1.67	645	1.69	639	1.66	704	1.79
	65–74	254	1.22	296	1.36	285	1.27	314	1.31	343	1.36
	≥75	245	1.30	248	1.34	269	1.42	229	1.20	251	1.29

Race§	White	978	0.35
	Black	320	0.87
	Non-White, non-Black	399	2.15

Race/ Ethnicity ¶**	White, non- Hispanic			856	0.34	832	0.32	818	0.31	868	0.33
	Black, non- Hispanic			356	0.94	373	0.98	322	0.81	384	0.98
	Hispanic			136	0.43	161	0.48	139	0.39	149	0.39
	Asian/Pacific Islander			421	2.95	422	2.72	469	2.93	451	2.64
	American Indian/Alaskan Native			17	0.73	9	0.38	18	0.74	14	0.55

Sex	Male	1,267	0.80	1,316	0.81	1,321	0.80	1,272	0.75	1,375	0.79
Sex	Female	430	0.24	476	0.27	483	0.26	499	0.27	498	0.26

Overall		1,697	0.51	1,792	0.52	1,804	0.52	1,771	0.50	1,873	0.52

* Rates for race, sex, and overall total are age-adjusted per 100,000 U.S. standard population in 2000.
† 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, B18.1 (hepatitis B).
§ The race category "White" Included white, non-Hispanic and white Hispanic. The race category "Black" included black, non-Hispanic and black Hispanic. The race category "Non-White, non-Black" included all other races.
¶ The race/ethnicity category was added starting in 2010 to incorporate bridged race categories. Six deaths in 2010, seven deaths in 2011, five deaths in 2012, and seven deaths in 2013 are not represented under the race/ethnicity category due to missing race and/or ethnicity data.

Source: CDC. National Vital Statistics System.

All seven figure slides in PowerPoint 2007 format[PPTX – 369 KB]

Hepatitis C virus

PAGE	DESCRIPTION
Table 4.1	Reported cases of acute hepatitis C, nationally and by state ― United States, 2009-2013
Table 4.2	Clinical characteristics of reported cases of acute hepatitis C ― United States, 2013
Table 4.3	Number of newly reported past or present hepatitis C case-reports submitted by states, 2013
Table 4.4	Reported cases of past or present hepatitis C, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013
Table 4.5	Number and rate of hepatitis C-related deaths, by demographic characteristics and year – United States, 2009-2013
Slide 4.1	Reported number of acute hepatitis hepatitis C cases — United States, 2000-2013
Slide 4.2	Incidence of acute hepatitis C, by age group — United States, 2000-2013
Slide 4.3	Incidence of acute hepatitis C, by sex — United States, 2000-2013
Slide 4.4	Incidence of acute hepatitis C, by race/ethnicity — United States, 2000-2013
Slide 4.5	Availability of information on risk exposures/behaviors associated with acute hepatitis C — United States, 2013
Slide 4.6a	Acute hepatitis C reports, by risk behavior — United States, 2013
Slide 4.6b	Acute hepatitis C reports, by risk exposure — United States, 2013

Hepatitis C virus

Table 4.1 Reported cases of acute hepatitis C, nationally and by state ― United States, 2009-2013

State	2009		2010		2011		2012		2013
State	Rate*	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)	Rate	(No.)
Alabama	0.2	(10)	0.1	(7)	0.5	(23)	0.5	(24)	0.6	(30)
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	(2)	0	(1)	0	(0)	0.2	(5)	1.0	(30)
California	0.1	(43)	0.1	(32)	0.1	(48)	0.2	(63)	0.2	(72)
Colorado	0.6	(28)	0.4	(20)	0.5	(28)	0.8	(42)	0.4	(21)
Connecticut	1.5	(53)	1.0	(37)	1.3	(47)	0.9	(34)	U	(U)
Delaware	U	U	U	U	U	U	U	U	0.0	(0)
District of Columbia	0.2	(1)	0.3	(2)	U	U	U	U	U	(U)
Florida	0.3	(53)	0.3	(56)	0.3	(64)	0.6	(107)	0.7	(134)
Georgia	0.3	(31)	0.3	(32)	0.5	(53)	0.8	(82)	0.5	(48)
Hawaii	U	U	U	U	U	U	U	U	U	(U)
Idaho	0.5	(7)	0.7	(11)	0.8	(12)	0.7	(11)	0.9	(14)
Illinois	0	(6)	0	(1)	0	(6)	0.2	(26)	0.3	(37)
Indiana	0.3	(22)	0.4	(27)	1.3	(84)	1.7	(110)	2.7	(175)
Iowa	0.4	(11)	0	0	0	(0)	0.1	(3)	U	(U)
Kansas	0	(1)	0.1	(2)	0.3	(8)	0.6	(16)	0.6	(17)
Kentucky	1.5	(64)	2.5	(109)	3.2	(142)	4.1	(178)	5.1	(226)
Louisiana	0.2	(9)	0.1	(4)	0.2	(7)	0.2	(11)	0.4	(19)
Maine	0.2	(2)	0.2	(2)	0.9	(12)	0.6	(8)	0.6	(8)
Maryland	0.4	(23)	0.4	(24)	0.6	(35)	0.7	(39)	0.9	(53)
Massachusetts	0.2	(10)	0.2	(13)	0.3	(23)	0.6	(37)	2.6	(174)
Michigan	0.4	(35)	0.5	(45)	0.3	(32)	0.8	(76)	0.7	(74)
Minnesota	0.3	(15)	0.3	(16)	0.3	(17)	0.6	(32)	0.9	(47)
Mississippi	U	U	U	U	U	U	U	U	U	(U)
Missouri	0	(0)	0.1	(6)	0.1	(8)	0.1	(4)	0.1	(6)
Montana	0.1	(1)	0.4	(4)	0.9	(9)	0.9	(9)	1.6	(16)
Nebraska	0.2	(3)	0.1	(2)	0.1	(2)	0.2	(3)	0.1	(2)
Nevada	0.2	(5)	0.3	(7)	0.4	(10)	0.4	(12)	0.3	(9)
New Hampshire	U	U	U	U	U	U	U	U	U	(U)
New Jersey	0.1	(7)	0.3	(28)	0.6	(53)	0.8	(71)	1.2	(106)
New Mexico	0.3	(6)	0.7	(14)	0.7	(14)	1	(21)	0.6	(12)
New York	0.3	(53)	0.3	(50)	0.3	(52)	0.5	(93)	0.7	(131)
North Carolina	0.3	(24)	0.4	(39)	0.6	(60)	0.6	(63)	0.8	(79)
North Dakota	0.3	(2)	0	(0)	0	(0)	0	0	0.6	(4)
Ohio	0.2	(26)	0.1	(10)	0.1	(6)	0.1	(7)	1.0	(116)
Oklahoma	0.7	(27)	1.1	(41)	1.4	(53)	2.1	(80)	1.0	(40)
Oregon	0.5	(19)	0.5	(19)	0.5	(20)	0.9	(37)	0.4	(14)
Pennsylvania	0.3	(39)	0.2	(26)	0.3	(35)	0.5	(66)	0.6	(81)
Rhode Island	U	U	U	U	U	U	U	U	U	(U)
South Carolina	0	(1)	0	(1)	0	(1)	0	(1)	0.0	(0)
South Dakota	U	U	U	U	U	U	U	U	0.0	(1)
Tennessee	0.5	(33)	0.7	(46)	1.3	(83)	2	(129)	1.5	(98)
Texas	0.1	(36)	0.1	(35)	0.1	(37)	0.2	(44)	0.1	(28)
Utah	0.2	(6)	0.4	(10)	0.4	(10)	0.6	(17)	0.4	(11)
Vermont	0.2	(1)	0.3	(2)	1.0	(6)	1	(6)	0.5	(3)
Virginia	0.1	(10)	0.2	(13)	0.3	(25)	0.9	(76)	0.5	(41)
Washington	0.3	(22)	0.4	(25)	0.6	(41)	0.8	(54)	0.9	(63)
West Virginia	1.7	(31)	1.1	(21)	2.5	(46)	3	(55)	3.1	(58)
Wisconsin	0.1	(3)	0.2	(10)	0.3	(15)	0.5	(26)	0.7	(40)
Wyoming	0	(0)	0	(0)	0.4	(2)	U	U	U	(U)
Total	0.3	(781)	0.3	(850)	0.4	(1,229)	0.6	(1,778)	0.7	(2,138)

*Rate per 100,000 population.
U=No data available for reporting.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 4.2 Clinical characteristics of reported cases of acute hepatitis C ― United States, 2013

Clinical characteristic	Availability of valid data† for clinical characteristic		Cases with clinical characteristic§
Clinical characteristic	No.	%	No.	%
Jaundice	1,491	69.7	963	64.6
Hospitalized for hepatitis C	1,382	64.6	794	57.5
Died from hepatitis C	1,291	60.4	3	0.2

*A total of 2,138 hepatitis C cases were reported during 2013.
†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.
Source: CDC, National Notifiable Diseases Surveillance System.

Table 4.3 Number of newly reported past or present hepatitis C case-reports submitted by states, 2013

Jurisdiction	No. chronic hepatitis C case reports submitted	Data Source
Colorado	2,982	State-provided
Connecticut¶	2,749	State-provided
Florida¶	19,759	NNDSS
Kansas	1,532	State-provided
Maine**	1,265	State-provided
Michigan¶	6,719	State-provided
Minnesota**	1,601	NNDSS
Montana¶	1,141	State-provided
New Jersey**	6,580	NNDSS
New Mexico	959	State-provided
New York (minus New York City)**	6,633	State-provided
New York City**	6,822	State-provided
Oregon**	3,772	State-provided
Pennsylvania¶	8,882	State-provided
South Carolina††	3,238	NNDSS
South Dakota**	405	NNDSS
West Virginia**	4,503	State-provided
Total	79,542

Abbreviation: NNDSS, National Notifiable Diseases Surveillance System
* For case-definition, see http://wwwn.cdc.gov/nndss/script/ConditionList.aspx?Type=0&Yr=2012.
† Reports may not reflect unique cases. §Jurisdictions that gave permission to report their number of chronic HBV cases
¶ Includes confirmed and probable case reports only.
** Includes confirmed case reports only.
†† Includes confirmed, probable, and suspect case reports.

Table 4.4. Reported cases of past or present hepatitis C, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013

Category	Massa- chusetts No. (%)	Michigan No. (%)	New York State† No. (%)	Philadel- phia No. (%)	San Francisco No. (%)	Washing- ton§ No. (%)	Total No. (%)
Sex
Female	2,013 39.1%	2,188 35.4%	2,430 36.6%	457 35.9%	389 30.3%	1,119 41.0%	8,596 37.0%
Male	3,116 60.6%	3,976 64.3%	4,172 62.9%	813 63.9%	879 68.6%	1,534 56.2%	14,490 62.3%
Unknown/ missing	17 0.3%	17 0.3%	31 0.5%	3 0.2%	14 1.1%	76 2.8%	158 0.7%
Race/ethnicity
American Indian/ Alaskan Native, non-Hispanic (NH)	20 0.4%	66 1.1%	23 0.3%	1 0.1%	16 1.2%	121 4.4%	247 1.1%
Asian/Pacific Islander, NH	86 1.7%	22 0.4%	72 1.1%	22 1.7%	60 4.7%	23 0.8%	285 1.2%
Black, NH	208 4.0%	1,228 19.9%	578 8.7%	341 26.8%	230 17.9%	35 1.3%	2,620 11.3%
White, NH	2,492 48.4%	2,923 47.3%	2,851 43.0%	219 17.2%	455 35.5%	712 26.1%	9,652 41.5%
Hispanic	347 6.7%	85 1.4%	430 6.5%	86 6.8%	96 7.5%	72 2.6%	1,116 4.8%
Other, NH	115 2.2%	78 1.3%	88 1.3%	7 0.5%	14 1.1%	18 0.7%	320 1.4%
Unknown/ missing	1,878 36.5%	1,779 28.8%	2,591 39.2%	597 46.9%	411 32.1%	1,748 64.1%	9,004 38.7%
Age group, years
0-14	41 0.8%	36 0.6%	13 0.2%	9 0.7%	0 0.0%	8 0.3%	107 0.5%
15-24	798 15.5%	567 9.2%	724 10.9%	78 6.1%	32 2.5%	249 9.1%	2,448 10.5%
25-39	1,762 34.2%	1,285 20.8%	1,815 27.4%	238 18.7%	209 16.3%	609 22.3%	5,918 25.5%
40-54	1,353 26.3%	1,611 26.1%	1,809 27.3%	411 32.3%	437 34.1%	969 35.5%	6,590 28.4%
55+	1,192 23.2%	2,682 43.4%	2,260 34.1%	537 42.2%	597 46.6%	891 32.6%	8,159 35.1%
Unknown/ missing	0 0.0%	0 0.0%	12 0.2%	0 0.0%	7 0.5%	3 0.1%	22 0.1%
Hepatitis C laboratory testing¶
Anti-HCV+	4,145 80.5%	2,367 38.3%	5,165 77.9%	890 69.9%	896 69.9%	1,640 60.1%	15,103 65.0%
HCV RNA +	3,820 74.2%	1,402 22.7%	5,575 84.0%	1,120 88.0%	780 60.8%	1,476 54.1%	14,173 61.0%
Total no. cases	5,146	6,181	6,633	1,273	1,282	2,729	23,244
2013 Estimated population total**	6,692,824	9,895,622	11,245,290	1,553,165	837,442	5,405,750	35,630,093
Rate per 100,000 population	76.9	62.5	59.0	82.0	153.1	50.5	65.2

* Past or present hepatitis C data from Florida, one of the 7 funded sites, were not included in this table. Past or present hepatitis C data from all funded sites, including Florida, will be published in an updated table in July.
† Cases and population estimates from New York excluded those who resided in New York City.
§ Cases from Washington excluded Snohomish County, Pierce County, and 90% of King County.
¶ Cases can be reported with more than one laboratory test result. The denominator used to calculate proportions was the total number of cases reported for each site.
** Population estimates for the United States: https://wonder.cdc.gov/bridged-race-population.html. Population estimates from Washington excluded Snohomish and Pierce Counties.

Table 4.5. Number and rate of hepatitis C-related deaths, by demographic characteristics and year – United States, 2009-2013

Demographic characteristic		2009		2010		2011		2012		2013
Demographic characteristic		No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Age Group (years)	0–34	116	0.08	117	0.08	128	0.09	158	0.11	121	0.08
	35–44	828	1.99	712	1.73	696	1.71	622	1.54	573	1.42
	45–54	5,469	12.26	5,171	11.49	5,073	11.34	4,749	10.73	4,344	9.93
	55–64	6,683	19.21	7,431	20.37	8,330	21.89	9,235	23.93	9,899	25.18
	65–74	1,824	8.77	1,901	8.75	2,136	9.5	2,515	10.49	3,004	11.91
	≥75	1,333	7.01	1,293	6.97	1,357	7.18	1,369	7.15	1,425	7.31

Race	White^§	12,682	4.43
	Black^¶	2,908	7.80
	Non-White, non-Black**	663	3.61

Race/ Ethnicity	White, non- Hispanic			10,575	4.03	11,196	4.19	11,839	4.35	12,219	4.40
	Black, non- Hispanic			2,981	7.72	3,167	7.89	3,232	7.81	3,520	8.35
	Hispanic			2,318	6.83	2,555	7.15	2,668	7.19	2,699	6.91
	Asian/ Pacific Islander			440	3.30	455	3.14	472	3.15	495	3.09
	American Indian/ Alaskan Native			248	9.90	275	10.61	313	11.81	324	12.22

Sex	Male	11,517	6.91	11,781	6.81	12,651	7.11	13,300	7.31	13,745	7.40
Sex	Female	4,736	2.65	4,846	2.63	5,070	2.7	5,350	2.77	5,623	2.85

Overall		16,235	4.70	16,627	4.65	17,721	4.82	18,650	4.96	19,368	5.03

* Rates for race, sex, and overall total are age-adjusted per 100,000 U.S. standard population in 2000.
† 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).
§ Two deaths in 2010, one death in 2011, two deaths in 2012, and two deaths in 2013 are not represented under the age category due to missing age data.
¶ The race category "White" Included white, non-Hispanic and white Hispanic. The race category "Black" included black, non-Hispanic and black Hispanic. The race category "Non-White, non-Black" included all other races.
** The race/ethnicity category was added starting in 2010 to incorporate bridged race categories. 65 deaths in 2010, 73 deaths in 2011, 126 deaths in 2012, and 111 deaths in 2013 are not represented under the race/ethnicity category due to missing race and/or ethnicity data.

Source: CDC. National Vital Statistics System.

All seven figure slides in PowerPoint 2007 format[PPTX – 368 KB]

Viral Hepatitis

Surveillance for Viral Hepatitis – United States, 2013

Contents

Hepatitis A virus

Index

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2009–2013

Table 2.2 Clinical characteristics of reported cases of hepatitis A ― United States, 2013

Table 2.3 Number and rate of hepatitis A-related deaths, by demographic characteristics and year — United States, 2009–2013

Hepatitis B virus

Hepatitis B virus

Table 3.1 Reported cases of acute hepatitis B, nationally and by state ― United States, 2009-2013

Table 3.2 Clinical characteristics of reported cases of acute hepatitis B ― United States, 2013

Table 3.3 Number of newly reported chronic hepatitis B case-reports submitted by states, 2013

Table 3.4. Reported cases of chronic hepatitis B, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013

Table 3.5. Number and rate of hepatitis B-related deaths, by demographic characteristics and year – United States, 2009-2013

Hepatitis C virus

Hepatitis C virus

Table 4.1 Reported cases of acute hepatitis C, nationally and by state ― United States, 2009-2013

Table 4.2 Clinical characteristics of reported cases of acute hepatitis C ― United States, 2013

Table 4.3 Number of newly reported past or present hepatitis C case-reports submitted by states, 2013

Table 4.4. Reported cases of past or present hepatitis C, by demographic characteristics and laboratory tests – Enhanced Viral Hepatitis Surveillance Sites, 2013

Table 4.5. Number and rate of hepatitis C-related deaths, by demographic characteristics and year – United States, 2009-2013

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Viral Hepatitis Home

Surveillance for Viral Hepatitis – United States, 2013

Contents

Hepatitis A virus

Index

Hepatitis A virus

Table 2.1 Reported cases of acute hepatitis A, by state ― United States, 2009–2013

Hepatitis B virus

Hepatitis B virus

Table 3.1 Reported cases of acute hepatitis B, nationally and by state ― United States, 2009-2013

Hepatitis C virus

Hepatitis C virus

Table 4.1 Reported cases of acute hepatitis C, nationally and by state ― United States, 2009-2013

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Viral Hepatitis Home

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