Hepatitis and American Indians/Alaska Natives

In 2021, non-Hispanic American Indians/Alaska Natives were nearly three times more likely to die from viral hepatitis than non-Hispanic whites.¹
In 2022, non-Hispanic American Indians/Alaska Natives were 3.4 times more likely to die from hepatitis C than non-Hispanic whites.²

Viral Hepatitis

Death due to viral hepatitis, age-adjusted rates per 100,000 population, 2021
	Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
Male	2.7	1.0	2.7
Female	1.7	0.6	2.8
Both Sexes	2.2	0.8	2.8

Source: Centers for Disease Control and Prevention (CDC), 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 11.

Hepatitis A

Reported cases of hepatitis A, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
1.0	0.6	1.7

Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 1.2.

Hepatitis B

Reported cases of acute hepatitis B, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
0.4	0.6	0.7

CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.2.

Newly reported cases of chronic hepatitis B, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
3.2	1.8	1.8

CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.6.

Deaths with hepatitis B listed as a cause of death, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
--	0.3	--

CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 2.8.

Immunization (Hepatitis B)

Adults ages 19–49 who received three doses of the hepatitis B vaccination, percentage, 2018
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
--	43.6	--

Source: CDC, 2021. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2018. Supplementary Box 3, Table 2.

Adolescents ages 13–17 who received at least three doses of the hepatitis B vaccine (HepB), percentage, 2023
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
77.7	92.5	0.8

Source: CDC. TeenVaxView Interactive.

Children born in 2020 who received at least 3 doses of the hepatitis B (Hep B) vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
92.6	92.4	1.0

Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Hepatitis C

Reported cases of acute hepatitis C, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
2.9	1.5	1.9

Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.2.

Newly reported cases of chronic hepatitis C, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
104.8	31.3	3.3

Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.6.

Deaths with hepatitis C listed as a cause of death, rate per 100,000 population, 2022
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio
9.1	2.7	3.4

Source: CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.8.

¹ CDC, 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 11. (back)

² CDC, 2024. Viral Hepatitis Surveillance Report — United States, 2022.  Table 3.8. (back)