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The present study was designed to estimate the prevalence of serum anti-hepatitis C virus (HCV) antibodies and the proportion of non-A, non-B hepatitis (NANBH) cases in a rural population of Argentina. We examined 1000 apparently healthy subjects, aged 8-80 years, resident in a small town in the province of Buenos Aires, using second-generation ELISA tests, including recombinant immunoblot (RIB) and second-generation ELISA (RIBA 2.0). Serum samples from 15 patients with NANBH, and from 32 patients with chronic active hepatitis (CAH) were used to compare the performance of RIB and RIBA 2.0. The prevalence of anti-HCV antibodies was 4.8%. Prevalence increased with age and was significantly higher in sera from patients with CAH than in those from patients with NANBH (11.1 vs. 2.8%, respectively). The prevalence of anti-HCV antibodies in the entire population was significantly lower in males than in females (1.9 vs. 6.3%, respectively). The prevalence of anti-HCV antibodies was significantly higher in subjects with anti-hepatitis B surface antigen (anti-HBs) antibodies (6.1 vs. 4.0% in subjects with only anti-HBs, and 10.3 vs. 1.8% in subjects with anti-HBs and anti-HBc). The prevalence of anti-HCV was similar in subjects with CAH and in those with NANBH. An association between anti-HCV and anti-HBc was observed (P < 0.0001). Both the RIB and RIBA 2.0 tests showed a specificity of 99.8 and 100%, and a sensitivity of 94.6 and 91.7%, respectively.
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