Assessing the public health challenge posed by Hepatitis B and C in the EU European Centre for...
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Assessing the public health challenge posed by Hepatitis B and C in the EU European Centre for Disease Prevention and Control Information for members of the ENVI Committee 24 May 2011
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Transcript of Assessing the public health challenge posed by Hepatitis B and C in the EU European Centre for...
Assessing the public health challenge posed by Hepatitis B and C in the EU
European Centre for Disease Prevention and Control
Information for members of the ENVI Committee
24 May 2011
Epidemiology of hepatitis B1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
0
2
4
6
8
10
12
Cases p
er
100,0
00 p
opula
tion
Decreasing trend of hepatitis B in EU/EEA countries
Interpretation is hampered:
1. Incomplete reporting
2. Large heterogeneity in reporting systems• geographical coverage• mix of acute and chronic
cases• use of different case
definitions
Source: Annual Epidemiological Reports 2007-2010, ECDC, Stockholm
Hepatitis B prevalence in the general population
Epidemiology of hepatitis C
Increasing trend of hepatitis C in EU/EEA countries
Interpretation is hampered:
1. Reflects testing and screening practices
2. Large heterogeneity in reporting systems• geographical coverage• mix of acute and chronic
cases• use of different case
definitions
Source: Annual Epidemiological Reports 2007-2010, ECDC, Stockholm
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
0
1
2
3
4
5
6
7
8
9
10
Cases p
er
100,0
00 p
opula
tion
Hepatitis C prevalence in the general population
Mortality related to HBV and HCV
Hepatocellular mortality ranges from; 0.68 per 100,000 men in Sweden and 8.03 in Bulgaria
Note: Data for Belgium, Bulgaria, Estonia, Hungary, Latvia, Poland and Switzerland did not distinguish between HCC and other liver cancersSource: Boseti, 2008; La Vecchia, 2000
Acute hepatitis B notification rates per 100 000 population, 1995–2004 in selected EU countries
Source: Annual Epidemiological Report on Communicable Diseases in Europe, ECDC, Stockholm 2009
Thank you!www.ecdc.europa.eu
