Abstract
Background
Little is known about the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections in Ladakh, a mountainous region with low population density. We, therefore, determined these and tried to identify risk factors associated with these infections.
Methods
Randomly selected residents of Ladakh region were tested for hepatitis B surface antigen (HBsAg), antibodies to hepatitis B core antigen (anti-HBc) and antibodies to HCV (anti-HCV). A subset of HBsAg-positive persons were tested for hepatitis B e-antigen (HBeAg) and HBV DNA and those with anti-HCV for HCV RNA. Viral genotype was also determined.
Results
Of the 2674 subjects, 141 (5.3%) tested positive for HBsAg, i.e. had current HBV infection and 339 (12.7%) tested positive for either HBsAg and or anti-HBc, i.e. had either current or past infection with HBV. Anti-HCV antibody was detected in 22 (0.8%) subjects. The HBsAg positivity rate was higher in Kargil district (8.3%) than in Leh district (3.3%). No particular risk factor was identified for either infection. Of the 141 and 22 specimens that contained HBsAg and anti-HCV, respectively (one had both), 74 and none tested positive for HBV DNA and HCV RNA, respectively. Of the 29 specimens that had sufficient HBV DNA for genotyping, 21, 7, and 1 specimens had HBV genotypes D, C, and A, respectively.
Conclusion
The overall prevalence of HBV infection seems to be higher in Ladakh region, especially the Kargil district. The prevalence of anti-HCV was similar to that in other parts of India.
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Acknowledgements
We are thankful to Directorate of Health Services, Kashmir, Health Departments of Leh and Kargil Districts, and paramedical staff of Gastroenterology Laboratories, SKIMS and SGPGI especially Mr. Bashir Ahmad (Technical Officer, GE Laboratory, SKIMS), Mr. Mustafa (Sr. Techonologist, GE Laboratory SKIMS), and Mr. Ashiq Altaf Dar.
Funding
The project was funded by Indian Council of Medical Research, New Delhi (ICMR) (Ref. No. VIR/20/2011/ECD-1).
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MAK, SAZ, JU, TAL, RA, GB, MA, SR, TN, and ZAW declare that they have no conflict of interest.
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Khan, M.A., Zargar, S.A., Upadhyay, J. et al. Epidemiology of hepatitis B and C viral infections in Ladakh region. Indian J Gastroenterol 37, 504–510 (2018). https://doi.org/10.1007/s12664-018-0888-z
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DOI: https://doi.org/10.1007/s12664-018-0888-z