Hepatitis and American Indians/Alaska Natives

  • In 2021, non-Hispanic American Indians/Alaska Natives were nearly three times more likely to die from viral hepatitis than non-Hispanic whites.1
  • In 2022, non-Hispanic American Indians/Alaska Natives were 3.4 times more likely to die from hepatitis C than non-Hispanic whites.2

Viral Hepatitis

Death due to viral hepatitis, age-adjusted rates per 100,000 population, 2021
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
Male2.71.02.7
Female1.70.62.8
Both Sexes2.20.82.8
Source: Centers for Disease Control and Prevention (CDC), 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 11.

Hepatitis A

Reported cases of hepatitis A, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
1.00.61.7
Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 1.2.

Hepatitis B

Reported cases of acute hepatitis B, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
0.40.60.7
CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.2.
Newly reported cases of chronic hepatitis B, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio 
3.21.81.8
CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.6.
Deaths with hepatitis B listed as a cause of death, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
--0.3--
CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.8.

Immunization (Hepatitis B)

Adults ages 19–49 who received three doses of the hepatitis B vaccination, percentage, 2018
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
--43.6--
Source: CDC, 2021. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2018. Supplementary Box 3, Table 2.
Adolescents ages 13–17 who received at least three doses of the hepatitis B vaccine (HepB), percentage, 2023
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
77.792.50.8
Source: CDC. TeenVaxView Interactive.
Children born in 2020 who received at least 3 doses of the hepatitis B (Hep B) vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
92.692.41.0
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Hepatitis C

Reported cases of acute hepatitis C, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
2.91.51.9
Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.2.
Newly reported cases of chronic hepatitis C, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio 
104.831.33.3
Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.6.
Deaths with hepatitis C listed as a cause of death, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
9.12.73.4
Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.8.

1 CDC, 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 11. (back)

2 CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.8. (back)


Last Edited: 10/29/2024