Form 0920-21EE Att 3f_Acute Viral Hepatitis Case Reporting

Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments

Att 3f_Acute Viral Hepatitis Case Reporting_6-9-2021

Acute Viral Hepatitis Case Reporting

OMB: 0920-1353

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Health Department Processes to Identify and Report Acute Viral Hepatitis Cases



Participating Health Department

Health Department


Contact Name


Contact Position


Contact E-mail Address




Hepatitis B reporting


  1. (a) Are negative hepatitis B surface antigen (sAg) results currently reportable in your jurisdiction?

Yes, all negative lab results are received by the health department (complete reporting)

Yes, some negative lab results are received by the health department (incomplete reporting)

No


(b) If yes, what was the first full reporting year that negative hepatitis B sAg lab results were available in your jurisdiction? ____________


  1. (a) Of all the newly reported hepatitis B cases (acute and chronic) ≤40 years reported in 2019, what proportion had an unknown anti-HBC IgM result?

None

<25%

25%-<50%

50%-<75%

☐ ≥75%


  1. Among those cases that had an unknown anti-HBc IgM result (in question 2a), what proportion were investigated?

None

<25%

25%-<50%

50%-<75%

☐ ≥75%


Hepatitis C reporting


  1. (a) Are negative hepatitis C antibody (anti-HCV) results currently reportable in your jurisdiction?

Yes, all negative lab results are received by the health department (complete reporting)

Yes, some negative lab results are received by the health department (incomplete reporting)

No


(b) If yes, what was the first full reporting year that negative anti-HCV lab results were available in your jurisdiction? ____________


  1. (a) Are negative / undetectable hepatitis C RNA (HCV RNA) results currently reportable in your jurisdiction?

Yes, all negative lab results are received by the health department (complete reporting)

Yes, some negative lab results are received by the health department (incomplete reporting)

No


(b) If yes, what was the first full reporting year that negative HCV RNA lab results were available in your jurisdiction? ____________


  1. Among all newly reported hepatitis C cases (acute and chronic) aged ≤40 years reported in 2019, what proportion of cases were investigated by a public health department?

None

<25%

25%-<50%

50%-<75%

☐ ≥75%



Quantifying under-ascertainment and under-reporting


  1. (a) Of all of the hepatitis A, acute hepatitis B, and acute hepatitis C infections that you believe (or have estimated) occurred in your jurisdiction in 2019, what proportion do you believe were: 1) reported to the state or local health department in your jurisdiction, and 2) a notification was sent to CDC?


Confirmed

Hepatitis A

Confirmed

Hepatitis B, acute

Confirmed

Hepatitis C, acute

Reported to your jurisdiction

CDC was notified

Reported to your jurisdiction

CDC was notified

Reported to your jurisdiction

CDC was notified

<25%

<25%

<25%

<25%

<25%

<25%

25%-<50%

25%-<50%

25%-<50%

25%-<50%

25%-<50%

25%-<50%

50%-<75%

50%-<75%

50%-<75%

50%-<75%

50%-<75%

50%-<75%

☐ ≥75%

☐ ≥75%

☐ ≥75%

☐ ≥75%

☐ ≥75%

☐ ≥75%


  1. Please provide a brief justification for the answer you selected for each acute viral hepatitis infection in Question 6a.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGupta, Neil (CDC/DDID/NCHHSTP/DVH)
File Modified0000-00-00
File Created2021-08-04

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