Prevalence of hepatitis B, C, and D virus infection in Haiti: A systematic review and meta-analysis

Vincent, JP; Shimakawa, Y (通讯作者),Inst Pasteur, Unite Epidemiol Malad Emergentes, Paris, France.
2023-1-11
Background: Viral hepatitis causes an important global health burden. In 2016, the World Health Assembly adopted an objective to globally eliminate this as a public health threat by 2030. However, significant gaps exist between countries in their progress. Haiti is the last country that has introduced infant hepatitis B vaccines into the routine immunization program in the Region of the Americas, and its schedule still does not incorporate birth dose vaccines. As the first step to raise awareness of viral hepatitis in this country, we conducted a systematic review and meta-analysis to estimate the prevalence of hepatitis B (HBV), C (HCV), and D (HDV) viruses in Haiti.Methods: We searched PubMed, EMBASE, Web of Science and Scopus for studies reporting the prevalence of HBV, HCV and HDV among Haitian, with no language restriction, published until November 30th, 2021. Prevalence was pooled via a random-effects meta-analysis using a generalized linear mixed model with the logit link.Results: Of 453 articles retrieved, 25 studies were included: 16 reported the prevalence of hepatitis B surface antigen (HBsAg), three for anti-HCV antibody, and six for both HBsAg and anti-HCV. No study was found for HDV prevalence. The pooled prevalence of HBsAg was 0.7% [95% confidence interval (CI): 0.3-1.4, I-2 = 77.7%] among children, 3.5% (95% CI: 2.8-4.4, I-2 = 93.2%) in the general adult population and 7.4% (95% CI: 4.0-13.3, I-2 = 83.9%) in high-risk adult population. The pooled prevalence of anti-HCV antibody was 0.9% (95% CI: 0.6-1.4, I-2 = 93.5%) among the general population and 1.4% (95% CI: 0.4-4.2, I-2 = 0.0%) in high-risk adult population. No study reported the prevalence of anti-HCV antibody exclusively in children.Interpretation: The prevalence of blood-borne hepatitis, particularly that of HBV, is substantial in Haiti. The introduction of birth dose hepatitis B vaccines and improving access to testing and treatment services should be urgently considered to meet the elimination goal.
FRONTIERS IN PUBLIC HEALTH
卷号:10
收录类别:SCIE
语种
英语
来源机构
UDICE-French Research Universities; Universite Paris Cite; Le Reseau International des Instituts Pasteur (RIIP); Institut Pasteur Paris; University System Of New Hampshire; University of New Hampshire
资助信息
JV was funded by a postdoctoral fellowship by the Institut Pasteur, Ambassade de France au Japon, and Fondation Pasteur Japon. JV is supported by the the Agence Nationale de Recherche sur le SIDA, les Hepatites Virales et les Maladies Infectieuses Emergentes (ANRS-MIE).
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
2
EISSN
2296-2565
出版年
2023-1-11
DOI
10.3389/fpubh.2022.1099571
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Haiti hepatitis B hepatitis C hepatitis D prevalence epidemiology elimination
资助机构
Institut Pasteur, Ambassade de France au Japon Fondation Pasteur Japon Agence Nationale de Recherche sur le SIDA, les Hepatites Virales et les Maladies Infectieuses Emergentes (ANRS-MIE)