Hepatitis C virus (HCV) and hepatitis B virus (HBV) are the main causes of post-transfusion hepatitis.1 HBV prevalence among blood donors in the UK and USA has been reported as 0.1-1%. A higher prevalence has been observed in southeastern countries.2 In children, an HBV prevalence rate of 0.3% was reported after the mass vaccination program against HBV in Saudi Arabia. 3 The overall prevalence rate of anti-HCV antibodies among blood donors is 1.5% in Saudi Arabia, 4 which is lower than reported from other Middle Eastern countries. 5 The present study was undertaken to determine the prevalence of HBsAg and anti-HCV antibodies among blood donors in the Al-Hasa region of Saudi Arabia.
Patients and MethodsDuring the period of [1987][1988][1989][1990][1991][1992][1993][1994][1995][1996][1997][1998][1999] 95,539 blood donors were screened for HBsAg at King Fahad Hospital, AlHofuf, Al-Hasa. All these donors were 17-55 years of age, with a body weight of more than 55 kg. They were carefully selected after a complete physical examination and answering the donor's questionnaire. Criteria for exclusion of donors was age less than 17 years or more than 55 years, body weight less than 55 kg, hemoglobin less than 13 g, history of jaundice, sickle cell disease, G6PD deficiency, diabetes, hypertension, history of recent fever, and a visit to a malaria-endemic area within one year. These donors were predominantly Saudi males. There were very few female donors who donated for their family members. The sex distribution of these donors was not known. At this time, non-Saudi donors were rarely allowed to donate for their families, however, in 1999 they were encouraged to start donating, in order to meet the increasing requirements of blood in the region.HBsAg was tested by AUSZYME monoclonal enzyme immunoassay (Abbott Laboratories, USA). The beads coated with mouse monoclonal antibodies to HBsAg were incubated with donors' plasma, along with appropriate controls. HBsAg present was bound to solid phase antibodies. The unbound material was aspirated and the beads were washed. Mouse monoclonal antibody to HBsAg conjugated with horseradish peroxidase was allowed to react with antibody-antigen complex on beads. The unbound conjugate was aspirated and beads were washed. Ophenylenediamine solution containing hydrogen peroxide was added to the beads and after incubation development of yellow-orange color more than the cut-off value was taken as positive. The positive samples were confirmed by confirmatory neutralization enzyme immunoassay (Abbott Laboratories, USA).Anti-HCV testing was introduced in 1992. From 1992From -1999,684 blood donors were screened for anti-HCV antibodies. Anti-HCV antibodies were tested by enzyme immunoassay (Murex Diagnostics, UK). The plasma samples were incubated in microwells coated with highly purified antigens containing sequences from core NS3, NS4 and NS5 regions of HCV. The anti-HCV antibodies were bound to the immobilized antigens. The unbound material was removed by washing. The captured anti-HCV antibod...