Reported risk behaviors or exposures among reported cases* of acute hepatitis B virus infection — United States, 2020

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Reported risk behaviors or exposures among reported cases* of acute hepatitis B virus infection — United States, 2020
Table 2.3. Reported risk behaviors or exposures†# among reported cases of acute hepatitis B virus infection — United States, 2019
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Source: CDC, National Notifiable Diseases Surveillance System.

* Reported confirmed cases. For the case definition, see Acute Hepatitis B.

† Reported cases may include more than one risk behavior/exposure. 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.

§ Cases with more than one type of contact reported were categorized according to a hierarchy: (1) sexual contact; (2) household contact (nonsexual).

¶ A total of 1,297 acute hepatitis B cases were reported among males in 2020.

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 2,157 case reports of acute hepatitis B received by CDC for 2020, data regarding risk behaviors and exposures were missing for 890 (41.3%) cases. At least one risk behavior or exposure was reported for 651 (30.2%) cases during the 6 weeks to 6 months before illness onset. More than one risk can be reported for each case.

Among risk behaviors and exposures identified, injection drug use was most commonly reported (36% of the 1,115 cases for which injection drug use information was available), followed by multiple sexual partners (19% of the 636 cases for which information regarding multiple sexual partners was available).

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 and do not necessarily indicate these procedures were associated with HBV transmission.

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