Hepatitis B or C prevalence in waste pickers from South America: a systematic review

J Public Health (Oxf). 2021 Dec 10;43(4):e578-e583. doi: 10.1093/pubmed/fdaa065.

Abstract

Background: Waste pickers are considered a vulnerable population at risk for potential health damage. Taking into account the risk of hepatitis B or C infection in this population, the aim of this study was to show the prevalence of these diseases in waste pickers from South America, through a systematic review.

Methods: The search covered publications until February 2020, accessed through Google Scholar database. Epidemiological studies on hepatitis B or C focused on waste pickers in South America were included. All selected papers were evaluated for quality.

Results: Six studies composed this systematic review, all conducted in Brazil and using cross-sectional study. The prevalence of all makers (HBsAg or anti-HBc) for hepatitis B varied from 4.3 to 33.4% while for hepatitis C varied from 1.6 to 12.4%.

Conclusion: The lack of results showed the requirement for more research about hepatitis including this informal workers group. High prevalences of hepatitis B and C in waste pickers highlighted the need of increase preventive health protection as vaccination against hepatitis B; training on working conditions; and the use of individual protection.

Keywords: South America; hepatitis B; hepatitis C; prevalence; systematic review; waste pickers.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Brazil
  • Cross-Sectional Studies
  • Hepatitis B* / epidemiology
  • Hepatitis C*
  • Humans
  • Prevalence
  • Recycling
  • Refuse Disposal*