HEPATITIS B AND C MAPPING PROJECTS

Transcription

1 NATIONAL REPORT 2016 HEPATITIS B AND C MAPPING PROJECTS Supplementary information WHO COLLABORATING CENTRE FOR VIRAL HEPATITIS THE PETER DOHERTY INSTITUTE FOR INFECTION AND IMMUNITY AUSTRALASIAN SOCIETY FOR HIV, VIRAL HEPATITIS AND SEXUAL HEALTH MEDICINE

2 Supplementary table 1: CHB and CHC notifications by PHN and, Data sources: National Notifiable Diseases Surveillance System notifications data. s may not add up due to discordance between and PHN boundaries. Data suppressed where number of notifications was <6. Cells which have been suppressed cannot be derived using PHN totals, due discordance between and PHN boundaries. The s of Christmas Island, Cocos (Keeling) Islands, Canberra East, Lord Howe Island, and Norfolk Island are excluded from tables as they have a <2000, limiting accurate calculations. #Data may be impacted due to a significant proportion of the residing in a correctional facility. Australian Capital Territory 411, Belconnen 99, Gungahlin 73, North Canberra 55, South Canberra 28, Tuggeranong 88, Weston Creek 29, Woden Valley 36, Central & Eastern Sydney 1,553, Botany 44, Canada Bay 88, Canterbury 126, Cronulla - Miranda - Caringbah Eastern Suburbs - North 111, , Eastern Suburbs - South 157, Hurstville 134, Kogarah-Rockdale 150, Marrickville- Sydenham-Petersham Leichhardt 58, Strathfield-Burwood- Ashfield Sutherland-Menai- Heathcote 55, , , Sydney Inner City 219, Northern Sydney 906, Chatswood - Lane Cove 125, Hornsby 137, Ku-ring-gai 53, Manly 84,

3 North Sydney-Mosman 41, Pennant Hills-Epping 71, Pittwater 139, Ryde - Hunters Hill 137, Warringah 137, South Western Sydney 954, Bankstown 170, Bringelly-Green Valley 100, Camden 81, Campbelltown (NSW) 167, Fairfield 191, Liverpool 129, Southern Highlands 48, Wollondilly 30, Western Sydney 953, Auburn # 97, Baulkham Hills 207, Blacktown 126, Blacktown-North 96, Carlingford 65, Dural - Wisemans Ferry 17, Merrylands - Guildford 126, Mount Druitt 111, Parramatta 166, Hunter New England & Central Coast 1,260, Armidale 38, Gosford 174, Great Lakes 31, Inverell - Tenterfield 37, Lake Macquarie - East 138, Lake Macquarie - West 54, Lower Hunter 82, Maitland 96, Moree - Narrabri 26,

4 Newcastle 166, Port Stephens 72, Tamworth - Gunnedah 83, Taree - Gloucester 55, Upper Hunter 31, Wyong 168, Murrumbidgee 244, Albury see Murray PHN (Victoria) Griffith - Murrumbidgee (West) 47, Tumut - Tumbarumba 14, Upper Murray exc. Albury 41, Wagga Wagga 98, North Coast 524, Clarence Valley 49, Coffs Harbour 90, Kempsey - Nambucca 51, Port Macquarie 80, Richmond Valley - Coastal 81, Richmond Valley - Hinterland 76, Tweed Valley 93, South Eastern NSW 618, Dapto - Port Kembla 75, Goulburn - Mulwaree 39, Kiama - Shellharbour 96, Queanbeyan 61, Shoalhaven 102, Snowy Mountains 20, South Coast 73, Wollongong 133, Western NSW 312, Bathurst 24, Bourke - Cobar - Coonamble 20,

5 Broken Hill and Far West 72, Dubbo 58, Lachlan Valley 48, Lithgow - Mudgee 13, Lower Murray 59, Orange 48, Northern Territory 237, Alice Springs# 42, Barkly 3, Daly - Tiwi - West Arnhem 29, Darwin City 26, Darwin Suburbs# 55, East Arnhem 6, Katherine 18, Litchfield 19, Palmerston 35, Brisbane North 982, Bald Hills - Everton Park 52, Bribie - Beachmere 74, Brisbane Inner 106, Brisbane Inner - North 52, Brisbane Inner - West 80, Caboolture 11, Caboolture Hinterland 76, Chermside 52, Kenmore - Brookfield - Moggill Narangba - Burpengary 46, , North Lakes 76, Nundah 40, Redcliffe 61, Sandgate 50, Sherwood - Indooroopilly 61, Strathpine 58,

6 The Gap Enoggera 31, The Hills District 73, Brisbane South 1,117, Beaudesert 21, Beenleigh 57, Brisbane Inner - East 41, Browns Plains 67, Capalaba 80, Carindale 46, Centenary 34, Cleveland - Stradbroke 78, Forest Lake Oxley# 67, Holland Park - Yeronga 82, Jimboomba 37, Loganlea - Carbrook 67, Mt Gravatt 79, Nathan 27, Rocklea - Acacia Ridge 59, Springwood - Kingston 83, Sunnybank 47, Wynnum - Manly 73, Gold Coast 589, Broadbeach - Burleigh 65, Coolangatta 57, Gold Coast - North 38, Gold Coast Hinterland 15, Mudgeeraba - Tallebudgera 35, Nerang 63, Ormeau - Oxenford 122, Robina 58, Southport 90, Surfers Paradise 42, Central Qld, Wide Bay, Sunshine Coast 852, Biloela 13,

7 Buderim 64, Bundaberg 90, Caloundra 83, Central Highlands (Qld) 25, Gympie - Cooloola 52, Hervey Bay 61, Maroochy 62, Maryborough# 41, Nambour 46, Noosa 34, Noosa Hinterland 23, Rockhampton 126, Sunshine Coast Hinterland 44, Darling Downs & West Moreton 566, Burnett 49, Darling Downs - East 39, Darling Downs (West) - Maranoa 46, Granite Belt 41, Ipswich Hinterland 51, Ipswich Inner 124, Springfield - Redbank 87, Toowoomba 160, Northern Queensland 701, Bowen Basin - North 33, Cairns - North 34, Cairns - South 124, Charters Towers - Ayr - Ingham 40, Far North# 27, Innisfail - Cassowary Coast 39, Mackay 120, Port Douglas - Daintree 12, Tablelands (East) - Kuranda 46,

8 Townsville 198, Whitsunday 22, Western Queensland 63, Outback - North 29, Outback - South 18, Adelaide 1,237, Adelaide City 22, Burnside 45, Campbelltown (SA) 62, Charles Sturt 102, Holdfast Bay 42, Norwood - Payneham - St Peters Marion 73, Mitcham 76, , Onkaparinga 168, Playford 92, Port Adelaide - East 70, Port Adelaide - West 63, Prospect - Walkerville 32, Salisbury 139, Tea Tree Gully 94, Unley 39, West Torrens 76, Country SA 498, Adelaide Hills 35, Eyre Peninsula and South West Fleurieu - Kangaroo Island Barossa 58, , , Gawler - Two Wells 67, Limestone Coast 23, Lower North 28, Mid North 71, Murray and Mallee 24,

9 Outback - North East # 26, Yorke Peninsula 73, Tasmania 528, Brighton 23, Burnie - Ulverstone 56, Central Highlands (Tas.) 3, Devonport 43, Hobart - North East 53, Hobart - North West 57, Hobart - South and West 33, Hobart Inner 51, Huon - Bruny Island 21, Launceston 86, Meander Valley - West Tamar 20, North East 40, Sorell - Dodges Ferry 16, South East Coast 5, West Coast 13, Eastern Melbourne 1,522, Banyule 122, Boroondara 181, Knox 171, Manningham - East 29, Manningham - West 93, Maroondah 100, Monash 183, Nillumbik - Kinglake 58, Whitehorse - East 63, Whitehorse - West 117, Whittlesea - Wallan 242, Yarra Ranges 158, North Western Melbourne 1,659, Brimbank 134, Brunswick - Coburg 87,

10 Darebin - North 87, Darebin - South 56, Essendon 72, Hobsons Bay 90, Keilor 62, Macedon Ranges 29, Maribyrnong 74, Melbourne City 142, Melton - Bacchus Marsh 209, Moreland - North 78, Sunbury 40, Tullamarine - Broadmeadows 169, Wyndham 234, Yarra 88, South Eastern Melbourne 1,474, Bayside 101, Cardinia 96, Casey - North 107, Casey - South 212, Dandenong 189, Frankston 124, Glen Eira 141, Kingston 121, Mornington Peninsula 166, Port Phillip 108, Stonnington - East 35, Stonnington - West 69, Gippsland 284, Baw Baw 48, Gippsland - East 47, Gippsland - South West 66, Latrobe Valley 78, Wellington # 43,

11 Murray 621, Albury (NSW) 64, Heathcote - Castlemaine Kyneton # Bendigo 106, Campaspe 38, , Loddon - Elmore 8, Mildura 55, Moira 31, Murray River - Swan Hill 38, Shepparton 66, Upper Goulburn Valley 56, Wangaratta - Benalla 47, Wodonga - Alpine 72, Western Victoria 640, Ballarat 120, Barwon - West 17, Colac - Corangamite 37, Creswick - Daylesford - Ballan Glenelg - Southern Grampians 23, Geelong 192, , Grampians 61, Maryborough - Pyrenees 19, Surf Coast - Bellarine Peninsula 23, Warrnambool 53, Perth North 1,049, Bayswater - Bassendean 83, Cottesloe - Claremont 62, Joondalup 150, Kalamunda 53, Mundaring # 25, Perth City 123, Stirling 205,

12 Swan 150, Wanneroo 195, Perth South 980, Armadale 82, Belmont - Victoria Park 73, Canning 146, Cockburn 121, Fremantle 31, Gosnells 79, Kwinana # 40, Mandurah 100, Melville 95, Rockingham 129, Serpentine Jarrahdale # 27, South Perth 43, Country WA 534, Augusta - Margaret River - Busselton Albany 61, , Bunbury 106, East Pilbara 25, Esperance 16, Gascoyne 9, Goldfields 39, Kimberley 35, Manjimup 23, Mid West 56, West Pilbara 35, Wheat Belt - North 54, Wheat Belt - South 20,

13 Supplementary table 2: CHB treatment by provider type over time, State/Territory Treated by a GP Proportion (%) Treated by a specialist physician Proportion (%) Treated by other provider Proportion (%) Jan-Mar , % 9, % 1, % Apr-Jun , % 9, % 1, % Jul-Sep , % 9, % 1, % Oct-Dec , % 10, % 2, % Jan-Mar , % 9, % 2, % Apr-Jun , % 10, % 2, % Jul-Sep , % 10, % 2, % Oct-Dec , % 10, % 2, % Data source: Department of Human Services Medicare and PBS statistics. s may not add up due to individuals appearing in multiple categories during a particular period; for example, patients prescribed by both a specialist physician and a GP during their course of treatment. Supplementary table 3: CHB treatment by age and sex over time, Sex and age group Treated in 2015 Proportion (%) Treated in 2016 Proportion (%) MALES % % , % 2, % , % 5, % >60 2, % 2, % TOTAL 9,843 10,891 FEMALES % % , % 1, % , % 3, % >60 1, % 1, % TOTAL 5,947 6,783 Data source: Department of Human Services Medicare and PBS statistics. s may not add up due to individuals appearing in multiple categories during a particular period.

14 Supplementary table 4: CHB treatment by drug prescribed over time, Sex and age group Treated in 2015 Proportion (%) Treated in 2016 Proportion (%) Entecavir 8, % 9, % Tenofovir 5, % 6, % Lamivudine 1, % 1, % Tenofovir/Lamivudine % % Entecavir/Tenofovir % % Adefovir % % Adefovir/Lamivudine % % Pegylated Interferon % % Entecavir/Adefovir % % 17,810 19,603 Data source: Department of Human Services Medicare and PBS statistics. s may not add up due to individuals appearing in multiple categories during a particular period.

15 Supplementary table 5: Specialist physician workforce distribution by, 2015 Sum of relevant specialists^ Specialists per Specialists per 100 square km Specialists per 1000 PLWCHB Specialists per 1000 PLWCHC Adelaide 1,237, Australian Capital Territory 411, Brisbane North 982, Brisbane South 1,117, Central and Eastern Sydney 1,553, Central Queensland 852, Country SA 498, Country WA 534, Darling Downs and West Moreton 566, Eastern Melbourne 1,522, Gippsland 284, Gold Coast 589, Hunter New England & Central Coast 1,260, Murrumbidgee 621, Murray (VIC) 244, Nepean Blue Mountains 375, North Coast (NSW) 524, North Western Melbourne 1,659, Northern Queensland 701, Northern Sydney 906, Northern Territory 237, Perth North 1,049, Perth South 980, South Eastern Melbourne 1,474, South Eastern NSW 618, South Western Sydney 954, Tasmania 528, Western NSW 312, Western Queensland 63, Western Sydney 953, Western Victoria 640, Australian 24,259,041 1, Data source: Australian Practitioner Regulation Agency Workforce Survey; Estimation of CHB prevalence based on -specific prevalence and ABS data; Estimates of CHC prevalence based on published national estimates and notifications distribution. Data suppressed where total number of specialists was <6. ^Those physicians whose registered specialty corresponds with those who most commonly prescribe hepatitis B treatment (addiction medicine, gastroenterology and hepatology, general medicine, infectious diseases, sexual health medicine).

16 Supplementary table 6: CHC treatment by provider type over time, State/Territory Treated by a GP Proportion (%) Treated by a specialist physician Proportion (%) Treated by other provider Proportion (%) Mar 2013-Feb , % 7, % 3, % Mar 2016-May , % 10, % 3, % Jun 2016-Aug , % 12, % 5, % Sep 2016-Nov , % 8, % 4, % Dec 2016-Feb , % 5, % 3, % Mar 2017-May , % 4, % 3, % Data source: Department of Human Services Medicare and PBS statistics. s may not add up due to individuals appearing in multiple categories during a particular period; for example, patients prescribed by both a specialist physician and a GP during their course of treatment. Supplementary table 7: CHC treatment by age and sex over time, Sex and age group MALES Treated in Mar 2016-Aug 2016 Proportion (%) Treated in Sep 2016-Feb 2017 Proportion (%) % % , % 2, % , % 8, % >60 2, % 1, % TOTAL 15,749 13,070 FEMALES % % , % 1, % , % 3, % >60 1, % % TOTAL 8,043 6,224 Data source: Department of Human Services Medicare and PBS statistics. s may not add up due to individuals appearing in multiple categories during a particular period.