Abstract
Sera from individuals with different degrees of exposure to the agent of hepatitis B were tested for antibodies to hepatitis B surface antigen (anti-HB-s) by passive hemagglutination and for hepatitis B surface antigen (HB-s Ag) by radioimmunoassay and immunoelectroosmophoresis. In a plasma fractionation plant, anti-HB-s was detected in 82 percent of workers processing human plasma and 3.3 percent were healthy carriers of the antigen. Fifty-six percent of the workers having only casual contact with plasma processing exhibited anti-HB-s and 24 percent of workers with no contact had anti-HB-s, yet HB-s Ag was not found in either of these two groups of workers. A similar correlation was shown in hospital personnel; 31 percent of employees with direct contact to serum specimens and only 8 percent without direct contact had anti-HB-s. The frequency of HB-s Ag (0.8 percent in patients with disorders not involving the liver; 49.8 percent in patients tentatively diagnosed as viral hepatitis) and anti-HB-s (14.5 percent to 28.5 percent, respectively) in selected groups of hospitalized patients varied greatly. In 508 paid blood donors, anti-HB-s was present in 19.9 percent, whereas it was present in only 6.6 percent of 1,146 volunteer donors. These data demonstrate a correlation between frequency of exposure to human blood or blood products and the prevalence of anti-HB-s.
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Selected References
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- Coller J. A., Millman I., Halbherr T. C., Blumberg B. S. Radioimmunoprecipitation assay for Australia antigen, antibody, and antigen-antibody complexes. Proc Soc Exp Biol Med. 1971 Oct;138(1):249–257. doi: 10.3181/00379727-138-35872. [DOI] [PubMed] [Google Scholar]
- Gavrilă I., Păscariu C., Onesciuc I., Feticu M., Crisan M. Hepatitis-associated antigen and specific antibodies in sera of convalescents and patients with viral hepatitis. J Infect Dis. 1972 Aug;126(2):200–202. doi: 10.1093/infdis/126.2.200. [DOI] [PubMed] [Google Scholar]
- Greenberg H. B., Gocke D. J. An analysis of antibody response to Australia antigen in man. J Infect Dis. 1971 Apr;123(4):356–364. doi: 10.1093/infdis/123.4.356. [DOI] [PubMed] [Google Scholar]
- Hacker E. J., Jr, Aach R. D. Detection of heaptitis-associated antigen and anti-HAA. Comparison of radioimmunoassay and counterimmunoelectrophoresis. JAMA. 1973 Jan 22;223(4):414–417. [PubMed] [Google Scholar]
- Kliman A., Reid N. R., Lilly C., Morrison J. Hepatitis-associated antigen (Australia antigen) in Massachusetts blood donors. N Engl J Med. 1971 Sep 30;285(14):783–785. doi: 10.1056/NEJM197109302851406. [DOI] [PubMed] [Google Scholar]
- Koff R. S., Isselbacher K. J. Changing concepts in the epidemiology of viral hepatitis. N Engl J Med. 1968 Jun 20;278(25):1371–1380. doi: 10.1056/NEJM196806202782504. [DOI] [PubMed] [Google Scholar]
- Krugman S., Giles J. P. Viral hepatitis. New light on an old disease. JAMA. 1970 May 11;212(6):1019–1029. doi: 10.1001/jama.212.6.1019. [DOI] [PubMed] [Google Scholar]
- Lander H. J., Holland P. V., Alter H. J., Chanock R. M., Purcell R. H. Antibody to hepatitis-associated antigen. Frequency and pattern of response as detected by radioimmunoprecipitation. JAMA. 1972 May 22;220(8):1079–1082. doi: 10.1001/jama.220.8.1079. [DOI] [PubMed] [Google Scholar]
- Lander J. J., Alter H. J., Purcell R. H. Frequency of antibody to hepatitis-associated antigen as measured by a new radioimmunoassay technique. J Immunol. 1971 May;106(5):1166–1171. [PubMed] [Google Scholar]
- Lewis T. L., Alter H. J., Chalmers T. C., Holland P. V., Purcell R. H., Alling D. W., Young D., Frenkel L. D., Lee S. L., Lamson M. E. A comparison of the frequency of hepatitis-B antigen and antibody in hospital and nonhospital personnel. N Engl J Med. 1973 Sep 27;289(13):647–651. doi: 10.1056/NEJM197309272891301. [DOI] [PubMed] [Google Scholar]
- Okochi K., Mayumi M., Haguino Y., Saito N. Evaluation of frequency of Australia antigen in blood donors of Tokyo by means of immune adherence hemagglutination technique. Vox Sang. 1970 Sep-Oct;19(3):332–337. [PubMed] [Google Scholar]
- Peterson D. A., Froesner G. G., Deinhardt F. W. Evaluation of passive hemagglutination, solid-phase radioimmunoassay, and immunoelectroosmophoresis for the detection of hepatitis B antigen. Appl Microbiol. 1973 Sep;26(3):376–380. doi: 10.1128/am.26.3.376-380.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Prince A. M. An antigen detected in the blood during the incubation period of serum hepatitis. Proc Natl Acad Sci U S A. 1968 Jul;60(3):814–821. doi: 10.1073/pnas.60.3.814. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Prince A. M., Brotman B., Jass D., Ikram H. Specificity of the direct solid-phase radioimmunoassay for detection of hepatitis-B antigen. Lancet. 1973 Jun 16;1(7816):1346–1350. doi: 10.1016/s0140-6736(73)91674-7. [DOI] [PubMed] [Google Scholar]
- Rosenberg J. L., Jones D. P., Lipitz L. R., Kirsner J. B. Viral hepatitis: an occupational hazard to surgeons. JAMA. 1973 Jan 22;223(4):395–400. [PubMed] [Google Scholar]
- Szmuness W., Prince A. M., Brotman B., Hirsch R. L. Hepatitis B antigen and antibody in blood donors: an epidemiologic study. J Infect Dis. 1973 Jan;127(1):17–25. doi: 10.1093/infdis/127.1.17. [DOI] [PubMed] [Google Scholar]
- Szmuness W., Prince A. M., Grady G. F., Mann M. K., Levine R. W., Friedman E. A., Jacobs M. J., Josephson A., Ribot S., Shapiro F. L. Hepatitis B infection. A point-prevalence study in 15 US hemodialysis centers. JAMA. 1974 Feb 25;227(8):901–906. doi: 10.1001/jama.227.8.901. [DOI] [PubMed] [Google Scholar]
- Taylor J. S., Shmunes E., Holmes A. W. Hepatitis B in plasma fractionation workers. A seroepidemiologic study. JAMA. 1974 Nov 11;230(6):850–853. [PubMed] [Google Scholar]
- Vyas G. N., Shulman N. R. Hemagglutination assay for antigen and antibody associated with viral hepatitis. Science. 1970 Oct 16;170(3955):332–333. doi: 10.1126/science.170.3955.332. [DOI] [PubMed] [Google Scholar]
- Walsh J. H., Yalow R., Berson S. A. Detection of Australia antigen and antibody by means of radioimmunoassay techniques. J Infect Dis. 1970 May;121(5):550–554. doi: 10.1093/infdis/121.5.550. [DOI] [PubMed] [Google Scholar]
- Watson D., Langley D. J., Chrystie I. L., Bertrand J., Islam M. N., Banatvala J. E. Hepatitis-B antigen and safety in pathology laboratories. Lancet. 1973 May 5;1(7810):985–988. doi: 10.1016/s0140-6736(73)91618-8. [DOI] [PubMed] [Google Scholar]
