Decreasing prevalence of hepatitis B and absence of hepatitis ... - PLOS

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May 25, 2018 - ciones Cientificas (IVIC), Servicio de Atención y Orientación al Indıgena (SAOI) (Office in charge of Indigenous Health in Delta Amacuro State) ...
RESEARCH ARTICLE

Decreasing prevalence of Hepatitis B and absence of Hepatitis C Virus infection in the Warao indigenous population of Venezuela Ruth Y. Blanco1, Carmen L. Loureiro1, Julian A. Villalba2¤a, Yoneira F. Sulbara´n1, Mailis Maes2¤b, Jacobus H. de Waard2, He´ctor R. Rangel1, Rossana C. Jaspe1*, Flor H. Pujol1

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1 Laboratorio de Virologı´a Molecular, Centro de Microbiologı´a y Biologı´a Celular, Instituto Venezolano de Investigaciones Cientı´ficas, Caracas, Venezuela, 2 Laboratorio de Tuberculosis, Instituto de Biomedicina, Universidad Central de Venezuela, Caracas, Venezuela ¤a Current address: Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America ¤b Current address: Department of Medicine, University of Cambridge, Cambridge, United Kingdom * [email protected]

Abstract OPEN ACCESS Citation: Blanco RY, Loureiro CL, Villalba JA, Sulbara´n YF, Maes M, de Waard JH, et al. (2018) Decreasing prevalence of Hepatitis B and absence of Hepatitis C Virus infection in the Warao indigenous population of Venezuela. PLoS ONE 13 (5): e0197662. https://doi.org/10.1371/journal. pone.0197662 Editor: Isabelle Chemin, Centre de Recherche en Cancerologie de Lyon, FRANCE Received: March 27, 2018 Accepted: May 7, 2018 Published: May 25, 2018 Copyright: © 2018 Blanco et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: Nucleotide sequence data have been deposited into the GenBank database under the accession numbers MH051986- MH051998.

Prevalence and molecular epidemiology studies for hepatitis B (HBV) and C (HCV) virus are scarce in Warao Amerindians from Venezuela, where an epidemic of human immunodeficiency virus type 1 (HIV-1) has recently been documented. To carry out a molecular epidemiology analysis of hepatitis B (HBV) and C (HCV) virus in Warao individuals from the Delta Amacuro State of Venezuela. A total of 548 sera were tested for serological and molecular markers for HBV and HCV. The prevalence of active infection (presence of HBV surface antigen, HBsAg), exposure to HBV (presence of Antibody to HBV core antigen, anti-HBc) and anti-HCV, was 1.8%, 13% and 0% respectively. HBV exposure was significantly lower in men below 18 years old and also lower than rates previously reported in other Amerindian communities from Venezuela. Thirty one percent (31%, 25/80) of individuals without evidence of HBV infection exhibited anti-HBs titer  10U.I / ml, being significantly more frequent in individuals younger than 20 years. A higher HBV exposure was observed among HIV-1 positive individuals (33% vs 11%, p