Figure 2.7. Availability of information regarding risk behaviors or exposures* associated with reported cases of acute hepatitis B virus infection — United States, 2019

Figure 2.7. Availability of information regarding risk behaviors or exposures*† associated with reported cases of acute hepatitis B virus infection — United States, 2019

Source: CDC, Nationally Notifiable Diseases Surveillance System.
* Case reports with at least one of the following risk behaviors/ exposures reported 6 weeks to 6 months prior to symptom onset or documented seroconversion if asymptomatic: 1) injection drug use; 2) multiple sexual partners; 3) underwent surgery; 4) men who have sex with men; 5) sexual contact with suspected/confirmed hepatitis B case; 6) sustained a percutaneous injury; 7) household contact with suspected/confirmed hepatitis B case; 8) occupational exposure to blood; 9) dialysis; and 10) transfusion.
† Risk behaviors/exposures data from one state was classified as ‘missing’ because of errors in reporting.

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See Table 2.3 for more risk behavior/exposure data.

Health departments might conduct investigations of newly reported acute hepatitis B cases to ascertain risk behaviors and exposures associated with infection. However, investigations might not be possible for all cases if patients are lost to follow-up or if health departments lack adequate resources for investigating all cases reported in their jurisdiction. Among the 3,192 case reports of acute hepatitis B received by CDC for 2019, data regarding risk behaviors and exposures were missing for 1,183 (37.1%) cases. At least one risk behavior or exposure was reported for 1,055 (33.1%) cases during the 6 weeks to 6 months before illness onset. More than one risk can be reported for each case.

Hepatitis B transmission associated with surgery, dialysis, or transfusion is extremely rare in the United States; thus, the reporting of these exposures might represent recent exposure to these health care procedures.

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