Seroprevalence of IgG antibodies against hepatitis-A infection among individuals aged 6–30 years in India, 2021: a nationwide population-based cross-sectional study
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Le résumé fourni par la source
Background: India accounts for one-fifth of the global hepatitis A virus (HAV) infections and half of HAV-related deaths. There is a lack of nationally representative population-based data on the endemicity of HAV to inform vaccination policy. We aimed to estimate the age-specific seroprevalence of HAV infection among individuals aged 6-30 years. Methods: We used serum samples collected during the fourth national COVID-19 serosurvey conducted between 14 June and 6 July 2021 to estimate the seroprevalence of HAV infection. The survey was conducted in 70 randomly selected districts across 20 Indian states and one union territory. We tested the serum samples from individuals aged six to 30 years for IgG antibodies against HAV. We estimated the overall and state-specific seroprevalence, along with 95% CIs, for the age groups of 6-10, 11-15 and 16-30 years. We classified the HAV endemicity in India using WHO classification (high, intermediate, low and very low). Findings: We tested 14,778 serum samples from individuals aged six to 30 years for IgG antibodies against HAV. Of these, 12,236 (90.0%, 95% CI 88.5-91.4) were found to be reactive. The seroprevalence increased with age, from 74.7% (71.1-77.9) among children aged 6-10 years to 85.2% (82.7-87.4) among those aged 11-15 years and 96.9% (96.3-97.5) among individuals aged 16-30 years. India was categorized as having intermediate endemicity for HAV infection as per the WHO classification. Of the 21 states or union territories included in the survey, 18 had intermediate endemicity. Interpretation: Our study findings indicate an intermediate level of endemicity for HAV infection in India. While these findings support consideration of hepatitis-A vaccination, further evidence on disease burden and cost-effectiveness is needed to inform policy decisions. Funding: Gates Foundation & Indian Council of Medical Research.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Seroprevalence of IgG antibodies against hepatitis-A infection among individuals aged 6–30 years in India, 2021: a nationwide population-based cross-sectional study
- Date Crossref
- 01/10/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Software Training and Development Centre pays non établi dans la noticeUniversité ou école supérieure
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National Institute of Epidemiology pays non établi dans la noticeStructure de recherche
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National Institute of Research in Tuberculosis pays non établi dans la noticeStructure de recherche
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World Health Organization - India pays non établi dans la noticeOrganisme public
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National Institute of Cancer Prevention and Research pays non établi dans la noticeStructure de recherche
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National Institute of Occupational Health pays non établi dans la noticeStructure de recherche
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National AIDS Research Institute pays non établi dans la noticeStructure de recherche
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National JALMA Institute for Leprosy & Other Mycobacterial Diseases pays non établi dans la noticeStructure de recherche
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National Institute for Research in Tribal Health pays non établi dans la noticeÉtablissement de santé
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Regional Medical Research Centre pays non établi dans la noticeStructure de recherche
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Baba Raghav Das Medical College pays non établi dans la noticeUniversité ou école supérieure
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Government Medical College pays non établi dans la noticeUniversité ou école supérieure
Software Training and Development Centre, National Institute of Epidemiology et National Institute of Research in Tuberculosis, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.