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Journal : Open Access DRIVERset

Serum IgM Levels and Hepatitis D Virus Co-Infection in HBsAg-Positive Patients in Abakaliki, Nigeria Azibanyam, Okosigha Saviour; Kenneth, Imarenezor Edobor Peter; Ifeoma, Anyiam Vivian
African Journal of Biochemistry and Molecular Biology Research Vol 2 No 3 (2025): African Journal of Biochemistry and Molecular Biology Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajbmbr.v2i3.7486

Abstract

Hepatitis delta virus (HDV) is a defective RNA virus that relies on co-infection with Hepatitis B virus (HBV) for its replication. This study aimed to identify HBsAg-positive patients co-infected with HDV and quantify serum IgM levels in a hospital-based population in Abakaliki, Ebonyi State, Nigeria. A cross-sectional analytical study was conducted among 1,000 patients attending the Federal Teaching Hospital Abakaliki (FETHA) and Mile 4 Hospital Ishieke. HBsAg-positive individuals were identified using a rapid diagnostic kit, while HDV-IgM was detected using ELISA. Among the 1,000 participants, 89 (8.9%) tested positive for HBsAg, and of these, 5 (5.6%) were also positive for HDV-IgM, indicating active co-infection. HDV co-infection prevalence was higher among females (7.7%) compared to males (2.7%), and significantly higher among married individuals (6.9%) than singles (3.2%) (p < 0.05). Age-specific analysis revealed the highest co-infection rate (10%) among individuals aged 29–33 years, while no cases were recorded in the 34–45 years age group. Geographically, patients from Mile 4 Hospital had a higher co-infection rate (7.5%) than those from FETHA (2.8%). Educational status and occupation also influenced prevalence; tertiary-educated individuals had the highest rate (13.6%), while no cases were reported among those with only primary education. Students recorded a prevalence of 8.9%, with no co-infections detected among traders or housewives. Among clinical subgroups, pregnant women had a higher co-infection rate (9.5%) compared to blood donors (2.1%). These findings underscore the importance of routine HDV screening among HBsAg-positive patients, especially in high-risk groups, and the urgent need for targeted public health interventions to reduce the burden and severity of HBV/HDV co-infection in Nigeria. Further research is warranted to better understand the epidemiological dynamics and clinical implications of co-infection.
Prevalence of Tuberculosis in Coastal Communities of Port Harcourt City, Rivers State, Nigeria Chinyere, Chikwendu; Kenneth, Imarenezor Edobor Peter
African Journal of Biochemistry and Molecular Biology Research Vol 3 No 1 (2026): African Journal of Biochemistry and Molecular Biology Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajbmbr.v3i1.9179

Abstract

Tuberculosis (TB) remains a major public health challenge in Nigeria, with an estimated 586,000 incident cases in 2023, and coastal zones such as Port Harcourt present distinct epidemiological risks due to high population density, informal settlements, frequent flooding, and limited access to diagnostic and treatment services. Against the backdrop of scarce TB data specific to coastal communities and an almost complete absence of information on immunopathological mechanisms in this setting, this study examined TB prevalence and treatment compliance among residents of three coastal communities in Port Harcourt City, Rivers State—Eagle Island, Marine Base, and Borikiri Sea Side—and explored how risk factor exposure, preventive practices, attitudes, and knowledge relate to disease patterns. Using a descriptive cross-sectional design, 400 respondents completed a structured questionnaire capturing socio-demographic characteristics, TB-related knowledge, exposure to risk factors, preventive behaviors, attitudes, and treatment history, and the data were analyzed with descriptive statistics (frequencies, percentages, mean scores) and hypothesis testing. The findings show an overall TB prevalence of 11.5%, with community-specific prevalence of 12.0% in Eagle Island, 10.5% in Marine Base, and 12.5% in Borikiri Sea Side. Significant exposure to risk factors such as overcrowding, occupational hazards, and household tobacco smoke was positively correlated with TB prevalence (r = 0.462, p < 0.05). Moderate adoption of preventive measures (e.g., mouth covering and ensuring proper ventilation) was associated with better treatment compliance (r = 0.378, p < 0.05), although routine health check-ups were relatively uncommon. Positive attitudes toward TB—recognizing its seriousness and rejecting stigma—were linked to improved adherence (r = 0.421, p < 0.05), and higher TB knowledge similarly correlated with higher treatment compliance (r = 0.394, p < 0.05). The study concludes that TB control in these coastal communities requires an integrated strategy that simultaneously reduces exposure to structural and behavioral risk factors, strengthens preventive practices, promotes positive attitudes, and enhances TB-related knowledge. These context-specific insights provide an empirical basis for designing targeted public health interventions to improve treatment compliance and curb TB transmission in coastal Nigerian settings.