Viral hepatitis surveillance and case management : guidance for state, territorial, and local health departments
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Viral hepatitis surveillance and case management : guidance for state, territorial, and local health departments

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    Since the 2005 edition of the Guidelines for Viral Hepatitis Surveillance and Case Management, the epidemiology of viral hepatitis in the United States has changed substantially. Decreases in hepatitis A incidence that occurred following release of the hepatitis A vaccine in the late 1990s ended in 2016, when large person-to-person outbreaks of hepatitis A began being reported primarily among people who use drugs (PWUD) and people experiencing homelessness. Decreases in acute hepatitis B incidence that occurred after release of the hepatitis B vaccine in the 1980s ceased in 2010. Also in 2010, decreases in acute hepatitis C incidence that were first observed in the 1990s began to reverse. Rates of acute hepatitis C have most notably increased among people 20–49 years of age, American Indian/Alaska Native people, and nonHispanic White people. The shift in acute hepatitis B and hepatitis C incidence is most evident in jurisdictions disproportionately affected by the opioid crisis.

    Suggested citation: Centers for Disease Control and Prevention. Viral Hepatitis Surveillance and Case Management: Guidance for State, Territorial, and Local Health Departments https://www.cdc.gov/hepatitis/statistics/GuidelinesAndForms.htm. Published August 2021. Accessed [date].

    viral-hepatitis-surveillance-and-case-management_508.pdf

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