- The Effects of Maternal HBs antigenemia on the Neonatal Health.
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Jung Han Park, Sung Do Yoon, Chang Youn Kim, Sung Kwan Lee
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Korean J Prev Med. 1984;17(1):47-56.
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 Abstract
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- To study the risk factors associated with maternal HBsAg carrier and the effects of maternal HBs antigenemia on the neonatal health, sera of 729 pergnant women admitted to the Keimyung University Hospital for delivery during the period of February 1-May 30, 1982 were tested for HBsAg by RPHA method and for anti-HBs by PHA method. Among them 43 women (5.9%) had HBsAg and 246 women (33.7%) had anti-HBs giving an infection rate of 39.6%. The interview data for 43 HBsAg positive mothers and randomly selected 210 HBsAg negative mothers showed a statistically significant association between acupuncture history and HBsAg positive rate (p<0.005) which suggest that acupuncture might have contributed significantly to the propagation of viral hepatitis in Korea. The living standard of HBsAg positive mothers was generally lower than that of HBsAg negative mothers which supports the hypothesis that environmental factors are associated with viral hepatitis B infection. None of the 43 neonates born to HBsAg positive mothers had HBsAg in their cord blood. Three months after birth, 35 out of 43 infants were retested and only one infant became HBsAg positive. At six months of age, 32 out of 35 infants were retested and none of them were HBsAg positive except the same infant who was positive at three months. Among 20 control infants of HBsAg negative mothers, all of them were HBsAg negative at three and six months follow-up. These findings are not consistent with the supposition that perinatal infection is a main route of viral hepatitis B transmission in south-east Asia including Korea. HBsAg positive mothers had significantly higher rate of premature delivery (27.9%) than HBsAg negative mothers (11.7%) (p<0.05). Also, the low birthweight incidence rate was higher among HBsAg positive mothers (23.3%) than negative mothers (14.1%) but this was not statistically significant (p=0.16). The premature rupture of membrane was more frequent among HBsAg positive mothers (25.5%) than negative mothers (11.1%) (p<0.05). There were no significant differences in the stillbirth rate and incidence of congenital anomalies between HBsAg positive and negative groups. It was not clarified in this study due to small sample size whether higher incidence of premature delivery and premature rupture of membranes among HBsAg positive mothers was due to HBs antigenemia per se or their lower living standard than HBsAg negative mothers.
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Summary
- Prevalence Rate of HBsAg and Anti-HBs in prostitutes.
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Chang Youn Kim
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Korean J Prev Med. 1983;16(1):13-18.
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- This study was attempted to define epidemiologically the possibility and the magnitude of sexual transmission of HBV in Korea. Two groups of prostitutes; one group(309) deals with Koreans, the other group(126) deals with American soldiers stationing in Korea, were tested for the presence of HBsAg and anti-HBs. The prevalence rate of HBsAg or anti-HBs was significantly higher in prostitutes who deal with Korean(41.7%) than in prostitutes who deal with American soldiers(30.2%) (p<0.025). Among the prostitutes who deal with American soldiers, there was no appreciable difference in the prevalence rate of HBsAg or anti-HBs by the duration of prostitution. However, among the prostitutes who deal with Koreans, the prevalence rate was increased with the duration of prostitution, although it did not reach the statistically significant level(p=0.12). There was no remarkable association between the prevalence rate of HBsAg or anti-HBs and educational level, history of operation or history of transfusion. The data support the possibility of sexual transmission of viral hepatitis B but it seems sexual transmission does not contribute significantly to the prevalence rate of HBsAg or anti-HBs in Korea.
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KSPM
