2019 Hepatitis B and C Annual Surveillance Report Viral Hepatitis Surveillance and Prevention Unit Updated October 22, 2020 Table of Contents Viral Hepatitis Data Summary ............................................................................................................................................................................... 3 Background and Technical Notes ........................................................................................................................................................................... 7 Michigan Census and Demographics .....................................................................................................................................................................11 Population by Age, Sex & Education .......................................................................................................................................................................... 12 Population by Race & Ethnicity .................................................................................................................................................................................. 13 Poverty, Income & Health Insurance ......................................................................................................................................................................... 14 Acute Hepatitis B ..................................................................................................................................................................................................16 Acute Hepatitis B—Incidence and Sex ....................................................................................................................................................................... 17 Acute Hepatitis B—Race and Ethnicity ...................................................................................................................................................................... 18 Acute Hepatitis B—Risk Behaviors ............................................................................................................................................................................. 19 Acute Hepatitis B Rate Maps by County and Local Health Jurisdiction ...................................................................................................................... 20 Chronic Hepatitis B ...............................................................................................................................................................................................21 Chronic Hepatitis B—Incidence and Sex .................................................................................................................................................................... 22 Chronic Hepatitis B—Race and Ethnicity ................................................................................................................................................................... 23 Chronic Hepatitis B Rate Maps by County and Local Health Jurisdiction ................................................................................................................... 25 Acute Hepatitis C ..................................................................................................................................................................................................26 Acute Hepatitis C—Incidence and Sex ....................................................................................................................................................................... 27 Acute Hepatitis C—Race and Ethnicity ...................................................................................................................................................................... 28 Acute Hepatitis C Rate Maps by County and Local Health Jurisdiction ...................................................................................................................... 30 Chronic Hepatitis C ...............................................................................................................................................................................................31 Chronic Hepatitis C—Incidence and Sex .................................................................................................................................................................... 32 Chronic Hepatitis C—Race and Ethnicity ................................................................................................................................................................... 33 Chronic Hepatitis C—Risk Behaviors .......................................................................................................................................................................... 34 Chronic Hepatitis C Rate Maps by County and Local Health Jurisdiction ................................................................................................................... 35 Hepatitis C Testing & Treatment ...........................................................................................................................................................................36 Hepatitis C—Testing and Genotype Data .................................................................................................................................................................. 37 Viral Hepatitis Medicaid Data .................................................................................................................................................................................... 39 MDHHS Bureau of Laboratories Hepatitis C Testing .................................................................................................................................................. 40 Focus Populations ................................................................................................................................................................................................43 Adults Under Forty (18-39 years of age) .................................................................................................................................................................... 44 Adults Under Forty (18-39 years old) HCV Case Rate Maps by County and Local Health Jurisdiction ....................................................................... 47 Drug Poisoning and Drug Treatment Data ................................................................................................................................................................. 48 Emergency Department Syndromic Surveillance Data .............................................................................................................................................. 49 Total Drug Poisoning Death Rate Maps by County and Local Health Jurisdiction ..................................................................................................... 51 Opioid Overdose Death Rate Maps by County and Local Health Jurisdiction ............................................................................................................ 52 Heroin Overdose Death Rate Maps by County and Local Health Jurisdiction ........................................................................................................... 53 Treatment Episode Data Sets (TEDS) Rate Maps by County and Local Health Jurisdiction ....................................................................................... 54 Neonatal Abstinence Syndrome (NAS) ...................................................................................................................................................................... 55 Perinatal Hepatitis C .................................................................................................................................................................................................. 56 Perinatal Hepatitis B .................................................................................................................................................................................................. 58 Hepatitis and HIV Co-infections ................................................................................................................................................................................. 60 Hepatitis C and HIV Co-infections Among MIDAP Beneficiaries ................................................................................................................................ 63 Viral Hepatitis Outcomes ......................................................................................................................................................................................64 Viral Hepatitis Hospitalizations and Liver Transplants ............................................................................................................................................... 65 Viral Hepatitis-Related Cancer & Mortality ............................................................................................................................................................... 66 Hepatitis C Emerging Threats Project ........................................................................................................................................................................ 69 Harm Reduction and Syringe Service Programs ....................................................................................................................................................70