VIRAL HEPATITIS IN ISRAEL: MORBIDITY AND MORTALITY DATA1

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Abstract
Reisler, D. M., D. Brachott (Ministry of Health, Jerusalem, Israel) and J. W. Mosley. Viral hepatitis in Israel: Morabidity and mortality data. Amer. J. Epid., 1970, 92; 62–72.—Morbidity reports of viral hepatitis to the Ministry of Health in Israel yield rates from 27.1 to 56.2% of those recorded for the population covered by a large health insurance plan. Apparent completeness of notification varied within Israel between Tel Aviv (average 17.1%) and Jerusalem (average 54.0%). Secular trends, however, were adequately depicted by notifications regardless of reporting level. Similarly, use of preliminary tallies, compared with corrected reports, caused little distortion of seasonal pattern. High and low years usually alternated, both nationally and in the six Districts, during the 14-year period studies. This pattern was most regular and pronounced in Jerusalem District. Age-specific attack rates were highest in the 1 through 4 year group Secular trends in this group correlated well with those in older children and young adults, but not with the pattern in persons 45 and over. Secular trends in total cases (all ages) and specific age groups fail to correlate with deaths attributed to viral hepatitis and acute hepatic necrosis. Deaths in women 15 through 44 declined over a 19-year period to a level comparable to males.

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