[Trends in epidemiological evolution of viral hepatitis B and C , in children , Romania and Iaşi county between 1990-2009].
Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are the frequent causes of acute and chronic hepatitis worldwide and the leading causes for hepatic cirrhosis and liver cancer. There is a distinct geographical variation in VHB and VHC incidence in adult and child.


OBJECTIVE
To assess the evolution trend of VHB and VHC incidence in child, in Romania and Iasi County, during the last two decades.


METHODS
Data were obtained using information from the Reporting National System for acute viral hepatitis A, B, and C, from various geographical areas of Romania. Some systematical errors of information were identified, without significant influence of results and conclusions.


RESULTS
Results highlighted an incidence peak of VHB in Romania, in 1989, and in Iaşi county, in 1991 (43.1, respectively 41.2 per thousand inhabitants). The VHB incidence trend decreased after the implementation of vaccination programme, especially in children < 4 years old.


CONCLUSIONS
The study remarked the necessity of viral hepatitis surveillance programme continuity in Romania and the importance of prevention measures including, for VHB, an optimal vaccination.
Clinica a II-a Pediatrie, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Alice Nicoleta
AN
Azoicăi
Evelina
E
Moraru
Elena
E
Duca
Doina
D
Azoicăi
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006509:Hepatitis B / Q000453:epidemiology* / Q000517:prevention & control* / Q000821:virology; D017325:Hepatitis B Vaccines / Q000008:administration & dosage*; D006526:Hepatitis C / Q000453:epidemiology* / Q000517:prevention & control / Q000821:virology; D006801:Humans; D015994:Incidence; D007223:Infant; D011159:Population Surveillance; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D014611:Vaccination / Q000639:trends
D017325:Hepatitis B Vaccines