Hepatitis C Tables and Figures

Index
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DESCRIPTION
Table 4.1 Number and rate of reported cases of acute hepatitis C, by state or jurisdiction and nationally ― United States, 2013–2017.
Table 4.2 Number and rate of reported cases of acute hepatitis C, by selected characteristics — United States 2013–2017.
Table 4.3 Number of newly reported cases of confirmed chronic hepatitis C and reporting status, by state or jurisdiction, 2017.
Table 4.4 Number and rate of deaths with hepatitis C listed as a cause of death among US residents, by demographic characteristic and year – United States, 2013–2017.
Figure 4.1 Actual number of acute hepatitis C cases submitted to CDC by states and estimated number of acute hepatitis C cases — United States, 2013–2017.
Figure 4.2 Rates of reported acute hepatitis C cases, by state compared to the 2017 overall rate of acute hepatitis C — United States, 2016 and 2017.
Figure 4.3 Rates of reported acute hepatitis C, by age group — United States, 2002–2017.
Figure 4.4 Rates of reported acute hepatitis C, by sex — United States, 2002–2017.
Figure 4.5 Rates of reported acute hepatitis C, by race/ethnicity — United States, 2002–2017.
Figure 4.6 Availability of information on risk behaviors/exposures associated with reported cases of acute hepatitis C — United States, 2017.
Figure 4.7 Reported cases of acute hepatitis C, by risk behavior/exposure — United States, 2017.

Table 4.1. Number and rate* of reported cases† of acute hepatitis C, by state or jurisdiction and nationally ― United States, 2013–2017.

Table 4.1.
State 2013
No.
2013
Rate*
2014
No.
2014
Rate*
2015
No.
2015
Rate*
2016
No.
2016
Rate*
2017
No.
2017
Rate*
Alabama 30 0.6 35 0.7 70 1.4 32 0.7 17 0.3
Alaska N N N N N N N N
Arizona U U U U U U U U U U
Arkansas 30 1.0 13 0.4 2 0.1 1 0.0
California 72 0.2 73 0.2 59 0.2 60 0.2 103 0.3
Colorado 21 0.4 33 0.6 40 0.7 35 0.6 42 0.7
Connecticut 17 0.5 9 0.3
Delaware U U U U 4 0.4 25 2.6 4 0.4
District of Columbia U U U U U U U U
Florida 134 0.7 93 0.5 126 0.6 236 1.1 357 1.7
Georgia 48 0.5 57 0.6 84 0.8 93 0.9 100 1.0
Hawaii
Idaho 14 0.9 6 0.4 4 0.2 7 0.4 8 0.5
Illinois 37 0.3 27 0.2 31 0.2 21 0.2 39 0.3
Indiana 175 2.7 122 1.8 138 2.1 146 2.2 191 2.9
Iowa U U U U U U U U
Kansas 17 0.6 28 1.0 22 0.8 15 0.5 19 0.7
Kentucky 226 5.1 176 4.0 119 2.7 103 2.3 83 1.9
Louisiana 19 0.4 22 0.5 24 0.5 5 0.1 7 0.1
Maine 8 0.6 31 2.3 30 2.3 25 1.9 21 1.6
Maryland 53 0.9 42 0.7 38 0.6 35 0.6 32 0.5
Massachusetts 174 2.6 228 3.4 249 3.7 424 6.2 327 4.8
Michigan 74 0.7 78 0.8 83 0.8 107 1.1 152 1.5
Minnesota 47 0.9 40 0.7 37 0.7 51 0.9 57 1.0
Mississippi U U U U U U U U U U
Missouri 6 0.1 6 0.1 8 0.1 24 0.4 49 0.8
Montana 16 1.6 13 1.3 15 1.5 20 1.9 14 1.3
Nebraska 2 0.1 2 0.1 8 0.4 2 0.1 2 0.1
Nevada 9 0.3 6 0.2 12 0.4 16 0.5 35 1.2
New Hampshire N N N N N N N N 25 1.9
New Jersey 106 1.2 113 1.3 130 1.5 122 1.4 125 1.4
New Mexico 12 0.6 16 0.8 40 1.9 18 0.9 16 0.8
New York 131 0.7 126 0.6 121 0.6 179 0.9 188 0.9
North Carolina 79 0.8 111 1.1 144 1.4 82 0.8 114 1.1
North Dakota 4 0.6 1 0.1 1 0.1
Ohio 116 1.0 105 0.9 122 1.1 187 1.6 159 1.4
Oklahoma 40 1.0 45 1.2 35 0.9 32 0.8 46 1.2
Oregon 14 0.4 15 0.4 13 0.3 19 0.5 35 0.8
Pennsylvania 81 0.6 69 0.5 129 1.0 225 1.8 224 1.7
Rhode Island U U U U U U U U U U
South Carolina 4 0.1 5 0.1 10 0.2 13 0.3
South Dakota 1 0.1 20 2.3 19 2.2
Tennessee 98 1.5 123 1.9 173 2.6 150 2.3 142 2.1
Texas 28 0.1 47 0.2 48 0.2 40 0.1 35 0.1
Utah 11 0.4 38 1.3 30 1.0 76 2.5 81 2.6
Vermont 3 0.5 4 0.6 1 0.2 5 0.8 9 1.4
Virginia 41 0.5 54 0.6 52 0.6 43 0.5 62 0.7
Washington 63 0.9 82 1.2 63 0.9 62 0.9 52 0.7
West Virginia 58 3.1 62 3.4 63 3.4 94 5.1 102 5.6
Wisconsin 40 0.7 49 0.9 64 1.1 103 1.8 94 1.6
Wyoming U U U U U U 5 0.9
Total 2,138 0.7 2,194 0.7 2,436 0.8 2,967 1.0 3,216 1.0

Source: CDC, National Notifiable Diseases Surveillance System.

* Rate per 100,000 population.

† For case definition, see https://wwwn.cdc.gov/nndss/conditions/hepatitis-c-acute/

—: No reported cases. The reporting jurisdiction did not submit any cases to CDC.

N: Not reportable. The disease or condition was not reportable by law, statue, or regulation in the reporting jurisdiction.

U: Unavailable. The data are unavailable.

Table 4.2. Number and rate* of reported cases† of acute hepatitis C, by selected characteristics — United States 2013–2017.

Table 4.2.
2013
No.
2013
Rate*
2014
No.
2014
Rate*
2015
No.
2015
Rate*
2016
No.
2016
Rate*
2017
No.
2017
Rate*
Total§ 2,138 0.7 2,194 0.7 2,436 0.8 2,967 1.0 3,216 1.0
Age group
  0 – 19 years 102 0.1 88 0.1 99 0.1 86 0.1 103 0.1
  20 – 29 years 831 2.0 918 2.2 999 2.4 1,135 2.7 1,189 2.8
  30 – 39 years 519 1.3 643 1.7 682 1.7 868 2.2 937 2.3
  40 – 49 years 294 0.7 282 0.7 337 0.9 452 1.2 441 1.1
  50 – 59 years 189 0.5 166 0.4 240 0.6 264 0.6 332 0.8
  60+ years 59 0.1 70 0.1 77 0.1 141 0.2 185 0.3
Sex
  Male 1,142 0.8 1,167 0.8 1,334 0.9 1,627 1.1 1,775 1.2
  Female 993 0.7 1,025 0.7 1,093 0.7 1,310 0.8 1,431 0.9
Race/ethnicity
  American Indian/Alaskan Native 38 1.7 29 1.3 39 1.7 70 3.1 67 2.9
  Asian/Pacific Islander 13 0.1 11 0.1 16 0.1 25 0.1 23 0.1
  Black, Non-Hispanic 75 0.2 74 0.2 112 0.3 130 0.3 202 0.5
  White, Non-Hispanic 1,527 0.8 1,569 0.8 1,724 0.9 2,109 1.1 2,227 1.2
  Hispanic 114 0.2 124 0.2 148 0.3 191 0.4 234 0.4
HHS Region¶
  Region 1 185 2.1 263 3.0 280 3.2 471 3.8 391 2.8
  Region 2 237 0.8 239 0.8 251 0.9 301 1.0 313 1.1
  Region 3 233 0.8 227 0.8 286 1.0 422 1.4 424 1.4
  Region 4 615 1.0 599 1.0 721 1.2 706 1.1 826 1.3
  Region 5 489 0.9 421 0.8 475 0.9 615 1.2 692 1.3
  Region 6 129 0.3 143 0.4 149 0.4 95 0.2 105 0.2
  Region 7 25 0.2 36 0.3 38 0.3 41 0.4 70 0.6
  Region 8 53 0.5 84 0.8 85 0.8 152 1.4 162 1.4
  Region 9 81 0.2 79 0.2 71 0.2 76 0.2 138 0.3
  Region 10 91 0.7 103 0.8 80 0.6 88 0.7 95 0.7

Source: CDC, National Notifiable Diseases Surveillance System.

* Rate per 100,000 population.

† For the case definition, see https://wwwn.cdc.gov/nndss/conditions/hepatitis-c-acute/

§  Numbers reported in each category may not add up to the total number of reported cases in a year due to cases with missing data or, in the case of race/ethnicity, cases categorized as “Other”.

Health and Human Services Regions were categorized according to the grouping of states and US territories assigned under each of the ten Department of Health and Human Services regional offices (https://www.hhs.gov/about/agencies/iea/regional-offices/index.html). For the purposes of this report, regions with US territories (Region 2 and Region 9) contain data from states only.

Table 4.3. Number of newly reported cases* of confirmed chronic hepatitis C and reporting status, by state or jurisdiction, 2017.

Table 4.3.
State/Jurisdiction No. chronic hepatitis C
case reports submitted†
Alabama N
Alaska 766
Arizona U
Arkansas N
California
Colorado 2,735
Connecticut 1,760
Delaware U
District of Columbia U
Florida 18,164
Georgia 7,376
Hawaii U
Idaho 834
Illinois 5,695
Indiana N
Iowa 1,472
Kansas 1,197
Kentucky N
Louisiana 3,340
Maine 439
Maryland 4,327
Massachusetts 4,174
Michigan 4,751
Minnesota 1,475
Mississippi
Missouri 4,897
Montana 1,042
Nebraska 772
Nevada 106
New Hampshire 158
New Jersey 4,601
New Mexico 783
New York 8,963
North Carolina N
North Dakota 581
Ohio 12,460
Oklahoma 622
Oregon 3,389
Pennsylvania 13,545
Rhode Island
South Carolina 3,341
South Dakota 440
Tennessee 11,086
Texas N
Utah 1,113
Vermont 568
Virginia 5,228
Washington 5,126
West Virginia 3,232
Wisconsin 2,344
Wyoming 384
Total 143,286

Source: CDC, National Notifiable Diseases Surveillance System

* For case definition, see https://wwwn.cdc.gov/nndss/conditions/hepatitis-c-chronic/

† Reports may not reflect unique cases.

—: No reported cases. The reporting jurisdiction did not submit any cases to CDC.

N: Not reportable. The disease or condition was not reportable by law, statue, or regulation in the reporting jurisdiction.

U: Unavailable. The data are unavailable.

Table 4.4. Number and rate* of deaths with hepatitis C listed as a cause of death† among US residents, by demographic characteristic and year – United States, 2013–2017.

Table 4.4.
Demographic characteristic 2013
No.
2013 Rate
(95% CI)
2014
No.
2014 Rate
(95% CI)
2015
No.
2015 Rate
(95% CI)
2016
No.
2016 Rate
(95% CI)
2017
No.
2017 Rate
(95% CI)
Age Group
0–34 121 0.08
(0.07-0.10)
162 0.11
(0.09-0.13)
196 0.13
(0.11-0.15)
164 0.11
(0.09-0.13)
180 0.12
(0.10-0.14)
35–44 571 1.41
(1.30-1.53)
549 1.36
(1.24-1.47)
592 1.46
(1.34-1.58)
532 1.31
(1.20-1.43)
507 1.24
(1.13-1.35)
45–54 4,327 9.89
(9.59-10.18)
4,108 9.45
(9.16-9.74)
3,659 8.47
(8.20-8.75)
3,026 7.07
(6.82-7.32)
2,556 6.03
(5.80-6.27)
55–64 9,879 25.13
(24.63-25.62)
9,976 24.89
(24.40-25.38)
9,678 23.68
(23.20-24.15)
9,011 21.73
(21.28-22.18)
8,275 19.70
(19.28-20.13)
65–74 2,997 11.88
(11.46-12.31)
3,382 12.81
(12.38-13.24)
4,009 14.55
(14.10-15.00)
4,071 14.22
(13.78-14.66)
4,397 14.81
(14.38-15.25)
75+ 1,423 7.30
(6.92-7.68)
1,431 7.21
(6.84-7.58)
1,431 7.08
(6.71-7.45)
1,288 6.25
(5.91-6.59)
1,329 6.28
(5.94-6.61)
Race/ ethnicity
White, NH (non-Hispanic) 12,188 4.41
(4.32-4.49)
12,438 4.42
(4.34-4.50)
12,329 4.35
(4.27-4.43)
11,389 3.95
(3.88-4.03)
10,781 3.70
(3.63-3.78)
Black, NH 3,520 8.33
(8.05-8.62)
3,535 8.12
(7.85-8.39)
3,602 8.13
(7.86-8.40)
3,360 7.42
(7.16-7.68)
3,262 7.03
(6.79-7.28)
Hispanic 2,747 7.03
(6.76-7.30)
2,792 6.90
(6.63-7.16)
2,737 6.48
(6.23-6.74)
2,510 5.76
(5.53-6.00)
2,399 5.29
(5.08-5.51)
Asian/Pacific Islander 473 2.95
(2.68-3.23)
419 2.43
(2.19-2.67)
415 2.32
(2.09-2.55)
384 2.03
(1.82-2.24)
368 1.86
(1.67-2.05)
American
Indian/Alaskan Native
285 10.79
(9.50-12.08)
287 10.05
(8.86-11.24)
324 11.45
(10.18-12.73)
285 9.80
(8.63-10.97)
299 10.24
(9.04-11.44)
Sex
Male 13,705 7.37
(7.24-7.49)
13,962 7.38
(7.26-7.51)
14,043 7.27
(7.15-7.40)
12,815 6.48
(6.36-6.59)
12,287 6.12
(6.01-6.23)
Female 5,614 2.86
(2.78-2.94)
5,651 2.82
(2.75-2.90)
5,523 2.71
(2.63-2.78)
5,278 2.54
(2.47-2.61)
4,966 2.32
(2.26-2.39)
Overall 19,319 5.03
(4.95-5.10)
19,613 5.01
(4.93-5.08)
19,566 4.91
(4.84-4.98)
18,093 4.42
(4.36-4.49)
17,253 4.13
(4.07-4.20)

Source: CDC, National Center for Health Statistics, Multiple Cause of Death 1999–2017 on CDC WONDER Online Database. Data are from the 2013–2017 Multiple Cause of Death files and are based on information from all death certificates filed in the vital records offices of the fifty states and the District of Columbia through the Vital Statistics Cooperative Program. Deaths of nonresidents (e.g., nonresident aliens, nationals living abroad, residents of Puerto Rico, Guam, the Virgin Islands, and other territories of the US) and fetal deaths are excluded. Accessed at http://wonder.cdc.gov/mcd-icd10.html on August 23, 2019. CDC WONDER dataset documentation and technical methods can be accessed at https://wonder.cdc.gov/wonder/help/mcd.html#.

* Rates for race/ethnicity, sex, and the overall total are age-adjusted per 100,000 U.S. standard population in 2000 using the following age group distribution (in years): <1, 1–4, 5–14, 15–24, 25–34, 35–44, 45–54, 55–64, 65–74, 75–84, and 85+. Missing data are not included. For age-adjusted death rates, the age-specific death rate is rounded to one decimal place before proceeding to the next step in the calculation of age-adjusted death rates for NCHS Multiple Cause of Death on CDC WONDER. This rounding step may affect the precision of rates calculated for small numbers of deaths.

† Cause of death is defined as one of the multiple causes of death and is based on the International Classification of Diseases, 10th Revision (ICD-10) codes B17.1, and B18.2 (hepatitis C).

Note: Numbers are slightly lower than previously reported for 2013–2016 due to NCHS standards which restrict displayed data to US residents.

Figure 4.1. Actual number of acute hepatitis C cases submitted to CDC by states and estimated* number of acute hepatitis C cases — United States, 2013–2017.

Bar chart for years 2013 through 2017. Y axis has number of cases, ranging from 0 to 50,000.

Source: CDC, National Notifiable Diseases Surveillance System.

* The number of estimated viral hepatitis cases was determined by multiplying the number of reported cases by a factor that adjusted for under-ascertainment and under-reporting (5). Corrected multipliers and confidence intervals developed by the CDC are shown in the Appendix A. In this visual representation, the sum of reported and estimated not reported total the estimated number of acute cases.

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Figure 4.2. Rates of reported acute hepatitis C cases, by state compared to the 2017 overall rate of acute hepatitis C — United States, 2016 and 2017.

Bar chart with states listed on the Y axis with rate per 100,000 along the x axis, ranging from 0 to 10.  Each state has a bar for 2016 and bar for 2017.

Source: CDC, National Notifiable Diseases Surveillance System.

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Figure 4.3. Rates of reported acute hepatitis C, by age group — United States, 2002–2017.

Line chart with years 2002 through 2017 along the x axis and Reported cases per 100,000 population along the Y axis, ranging from 0 to 3.  A line for each of six age ranges is plotted.

Source: CDC, National Notifiable Diseases Surveillance System.

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Figure 4.4. Rates of reported acute hepatitis C, by sex — United States, 20022017.

Line chart with years 2002 through 2017 along the x axis and Reported cases per 100,000 population along the Y axis, ranging from 0 to 1.4.  Lines for male and female are plotted.

Source: CDC, National Notifiable Diseases Surveillance System.

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Figure 4.5. Rates of reported acute hepatitis C, by race/ethnicity — United States, 2002–2017.

Line chart with years 2002 through 2017 along the x axis and Reported cases per 100,000 population along the Y axis, ranging from 0 to 3.5.  Lines for five different race/ethnicity groups are plotted.

Source: CDC, National Notifiable Diseases Surveillance System.

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Figure 4.6.  Availability of information on risk behaviors/exposures* associated with reported cases of acute hepatitis C — United States, 2017.

Pie chart with three sections: Risk identified=38.2%26#37;, No risk identified=14.0%26#37;, and Risk data missing=47.8%26#37;.

Source: CDC, National Notifiable Diseases Surveillance System.

* Includes case reports indicating the presence of at least one of the following risks 2 weeks to 6 months prior to onset of acute, symptomatic hepatitis C: 1) injection drug use; 2) sexual contact with suspected/confirmed hepatitis C patient; 3) being a man who has sex with men; 4) multiple sex partners concurrently; 5) household contact with suspected/confirmed hepatitis C patient; 6) occupational exposure to blood; 7) hemodialysis patient; 8) received a blood transfusion; 9) sustained a percutaneous injury; and 10) underwent surgery.

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Figure 4.7. Reported cases of acute hepatitis C*, by risk behavior/exposure — United States, 2017.

Bar chart with risk behavior/exposure groups listed on the Y axis and Reported cases, ranging from 0 to 3,000, along the X axis.

Source: CDC, National Notifiable Diseases Surveillance System.
* A total of 3,216 case reports of acute hepatitis C were received in 2017.
† More than one risk behavior/exposure may be indicated on each case report.
§ No risk data reported.
¶ A total of 1,775 acute hepatitis C cases were reported among males in 2017.

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