1. Epidemiology of Reported Hepatitis in Thailand 1993 - 2002 Suchada Juntasiriyarkorn, Khanchit Limpakarnjanarat, Ellie Click, Sonja Olsen, Ubolrat Narueponjirakul, Kumnuan Ungchusak

2. Background 1970Included in the national surveillance 1978Separately reported hepatitis A, B, and non-A, non-B 1997Began to report for hepatitis D 1999Began to report for hepatitis C and E

3. Objectives To describe the 2002 distribution of hepatitis the national trends

4. Methods Health Center/Hospital District Health Office Provincial Health Office Ministry of Public Health

5. Results In 2002, Reported Cases6,617 Morbidity10.6/100,000 pop. Mortality0.15% Male:Female1.4 : 1 Age > 1587.8% Agriculture31.9% South Region13.14% Monthly Reported Cases 443-668

6. Percentage of Reported Hepatitis cases by Phatogen-Specific, Thailand, 2002. Hepatitis A 6.06% Non-A, Non-B Hepatitis 4.69% Unspecified Hepatitis 56.7% Hepatitis B 32.56% Source: Bureau of Epidemiology, Royal Thailand Ministry of Public Health

7. Reported cases of Hepatitis (total) per 100,000 Population by Year, Thailand, 1993 - 2002. Source: Bureau of Epidemiology, Royal Thailand Ministry of Public Health

8. Fig.6 Reported Hepatitis Subtypes in Thailand, 1978-2002. Hepatitis B vaccine introduced Hepatitis A Hepatitis B

9. Distribution of Hepatitis (Total) Cases by Month, Thailand, 1993 - 2002. 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 No. of Cases Source: Bureau of Epidemiology, Royal Thailand Ministry of Public Health

10. Conclusions Need Pathogen-Specific Incidence Observed Declining Rates

11. Acknowledgements Local Health Personnel, District Health Officers, and Provincial Health Officers International Emerging Infections Program, Thailand MOPH - U.S. CDC Collaboration