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Data Limitations in North Dakota Hepatitis Reports (2004-2008)

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This report discusses the data limitations regarding hepatitis cases in North Dakota from 2004 to 2008. It highlights under-reporting of acute and chronic infections and the use of CDC case definitions to determine morbidity, relying on reported positive lab results. The report does not differentiate between resolved and active infections and incorporates both confirmed and probable cases. Basic demographics and county of residence have been collected, but case interviews and partner notifications were not included. It is crucial to understand these limitations for accurate epidemiological assessment.

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Data Limitations in North Dakota Hepatitis Reports (2004-2008)

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  1. 2008 Viral Hepatitis Data

  2. Data Limitations • Morbidity based on reported positive lab result • Under-reporting of both acute and chronic infections • Morbidity based on CDC case definitions • “Hepatitis C virus infection past or present” • Numbers do not distinguish between resolved vs. active infections • “Hepatitis B virus infection, chronic” • Includes “confirmed” and “probable” cases • Follow-up includes collection of basic demographics and county of residence, at a minimum • Case interview and partner notification not included • Year 2005 is baseline year for data (due to implementation of new electronic reporting system, DREAMS, and more stringent follow-up) • Current data not de-duplicated with years prior to 2005

  3. Cases Reported to ND Department of Health(2007 Morbidity)

  4. Cases Reported to ND Department of Health(2008 Morbidity) .

  5. 2008 Hepatitis C Data

  6. Reported Hepatitis C Cases* by YearNorth Dakota, 2004-2008 * Includes acute and “past or present” infections

  7. North Dakota Hepatitis C Cases* by Gender2008 *Based on reported positive lab result N=444

  8. North Dakota Hepatitis C Cases* by Age Group2008 *Based on reported positive lab result N=444

  9. North Dakota Hepatitis C Cases* by Race2008 *Based on reported positive lab result ^Race reported for 38% of cases N=444^

  10. 2008 Hepatitis B Data

  11. Reported Hepatitis B Cases by YearNorth Dakota, 2004-2008

  12. North Dakota Hepatitis B Cases* by Gender2008 *Based on reported positive lab result N=70

  13. North Dakota Hepatitis B Cases* by Age Group2008 *Based on reported positive lab result N=70

  14. North Dakota Hepatitis B Cases* by Race2008 *Based on reported positive lab result ^Race reported for 36% of reported cases N=70^

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