Jobayer M, Chowdhury S S, Shamsuzzaman S M, Islam M S
Dr Mohammad Jobayer, Medical officer, Department of Microbiology, Dhaka Medical College, Dhaka, Bangladesh; Email:
Mymensingh Med J. 2016 Jul;25(3):530-5.
Hepatitis and AIDS are major public health problem globally. The aim of this study was to determine the sero-prevalence of hepatitis B, C virus and HIV infection among Bangladeshi overseas job seekers. This cross sectional study was carried out in the Department of Microbiology of Dhaka Medical College, Dhaka, Bangladesh from February 2013 to August 2013. A total of 2254 adult (18-45 years) male job seekers to Malaysia attending for health check up were enrolled. HBsAg, Anti-HCV, Anti-HIV were detected from venous blood by ELISA method using commercial kits. From the positive people, further history and information were collected by predesigned questionnaire. Prevalence of HBV was 2.35%, HCV was 0.13% and none was found positive for HIV. Prevalence of hepatitis was higher in the age group of 21-30 year and infection was more prevalent in married group. No significant relationship was found between hepatitis infection and religion, localities, profession. Only a few cases had history of possible major known route of transmission of virus. But most of them had history of taking injection or sharing blades in barber shop and history of circumcision. About 96% population had no history of hepatitis B vaccination. None was co-infected with HBV and HCV. Prevalence of hepatitis B virus infection in adult population appears to be on decline and hepatitis C and HIV infection is still low in Bangladesh. In majority of the positive person, routes of transmission of viruses were not well established.
肝炎和艾滋病是全球主要的公共卫生问题。本研究的目的是确定孟加拉国海外求职者中乙型肝炎、丙型肝炎病毒和艾滋病毒感染的血清流行率。这项横断面研究于2013年2月至2013年8月在孟加拉国达卡达卡医学院微生物学系进行。共有2254名前往马来西亚进行健康检查的18 - 45岁成年男性求职者参与。使用商业试剂盒通过ELISA方法从静脉血中检测乙肝表面抗原（HBsAg）、抗丙型肝炎病毒（Anti - HCV）、抗艾滋病毒（Anti - HIV）。对于检测呈阳性的人员，通过预先设计的问卷收集进一步的病史和信息。乙肝病毒（HBV）的流行率为2.35%，丙型肝炎病毒（HCV）为0.13%，未发现艾滋病毒呈阳性者。肝炎在21 - 30岁年龄组中的流行率较高，感染在已婚组中更为普遍。未发现肝炎感染与宗教、地区、职业之间存在显著关系。只有少数病例有已知的可能主要病毒传播途径的病史。但他们中的大多数有在理发店注射或共用刀片的病史以及包皮环切术的病史。约96%的人群无乙肝疫苗接种史。无人同时感染乙肝病毒和丙肝病毒。孟加拉国成年人群中乙肝病毒感染率似乎在下降，丙型肝炎和艾滋病毒感染率仍然较低。在大多数检测呈阳性的人中，病毒传播途径尚不明确。
