Hepatitis and American Indians/Alaska Natives

Historically, the highest rates for Hepatitis A occurred among American Indian/Alaska Natives. However, rates which were over 60 cases per 100,000 before 1995 have decreased dramatically.

  • In 2017, American Indians/Alaska Natives were twice as likely to die from viral hepatitis, as compared to non-Hispanic whites.
  • In 2018, American Indians/Alaska Natives were 2.7 times more likely to die from hepatitis C than non-Hispanic whites.

VIRAL HEPATITIS

Death rates for Viral Hepatitis, 2017 (all types)
*American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native / Non- Hispanic White Ratio
Male3.31.62.1
Female1.70.91.9
Total2.51.22.1

Source: CDC 2019. Deaths: Final Data for 2017. National vital statistics reports, vol. 68, no. 9. Table 10.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf [PDF | 1.76MB]

HEPATITIS A

Hepatitis A, Acute (Cases per 100,000 population), 2018
American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native / Non-Hispanic White Ratio
0.54.30.1

CDC 2020. Viral Hepatitis Surveillance — United States, 2018. Table 1.2.
https://www.cdc.gov/hepatitis/statistics/2018surveillance/pdfs/2018HepSurveillanceRpt.pdf [PDF | 7.76MB]

HEPATITIS B - ACUTE

Adults (Hepatitis B):

Hepatitis B, Acute (Cases per 100,000 population), 2018
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native / Non-Hispanic White Ratio
0.91.00.9

CDC 2020. Viral Hepatitis Surveillance — United States, 2018. Table 2.2.
https://www.cdc.gov/hepatitis/statistics/2018surveillance/pdfs/2018HepSurveillanceRpt.pdf [PDF | 7.76MB]

HEPATITIS B - CHRONIC

Adults (Chronic Hepatitis B):

Percentage of reported cases of laboratory-confirmed, chronic hepatitis B virus (HBV) infection, 2013-2016
American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native / Non-Hispanic White Ratio
0.313.50.02

Source: CDC 2018. Viral Hepatitis Surveillance - United States, 2016. Table 3.4.
http://www.cdc.gov/hepatitis/Statistics/2016Surveillance/index.htm

Death Rate (Hepatitis B):

Rate per 100,000 of Hepatitis-B-Related Deaths, 2018
American Indian/Alaska NativeNon-Hispanic White American Indian/Alaska Native / Non-Hispanic White Ratio
--0.27--

CDC 2020. Viral Hepatitis Surveillance — United States, 2018. Table 2.7.
https://www.cdc.gov/hepatitis/statistics/2018surveillance/pdfs/2018HepSurveillanceRpt.pdf [PDF | 7.76MB]

Immunization of Adolescents (Hepatitis B):

Percentage adolescents aged 13-17 years, who received 3 doses of the hepatitis B vaccination, 2019
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native / Non-Hispanic White Ratio
93.593.81.0

Source: CDC 2018. Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2017. Supplementary Table 1.
https://stacks.cdc.gov/view/cdc/58073

Immunization of Children (Hepatitis B):

Percentage of children aged 19 to 35 months who received the universally recommended vaccination – 3 doses hepatitis B (hep B) vaccine, 2017
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native / Non-Hispanic White Ratio
88.191.11.0

Source: CDC 2018. Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017. Supplementary Table 1.
https://stacks.cdc.gov/view/cdc/59414

HEPATITIS C

Hepatitis C, Acute (Cases per 100,000 population), 2018
American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native / Non-Hispanic White Ratio
3.61.32.8

CDC 2020. Viral Hepatitis Surveillance — United States, 2018. Table 3.2.
https://www.cdc.gov/hepatitis/statistics/2018surveillance/pdfs/2018HepSurveillanceRpt.pdf [PDF | 7.76MB]

HEPATITIS C - CHRONIC

Adults (Chronic Hepatitis C):

Percentage of reported cases, past or present, of hepatitis C virus (HCV) infection, 2013-2016
American Indian/Alaska Native Non-Hispanic WhiteAmerican Indian/Alaska Native / Non-Hispanic White Ratio
0.036.40.00

Source: CDC 2018. Viral Hepatitis Surveillance - United States, 2016. Table 4.4.
http://www.cdc.gov/hepatitis/Statistics/2016Surveillance/index.htm

Death Rate (Hepatitis C):

Rate per 100,000 of Hepatitis-C-Related Deaths, 2018
American Indian/Alaska NativeNon-Hispanic White American Indian/Alaska Native / Non-Hispanic White Ratio
9.053.352.7

CDC 2020. Viral Hepatitis Surveillance — United States, 2018. Table 3.7.
https://www.cdc.gov/hepatitis/statistics/2018surveillance/pdfs/2018HepSurveillanceRpt.pdf [PDF | 7.76MB]

*All data in the above surveys relate to non-Hispanic American Indians/Alaska Natives