The relationship of HBsub(s) antigen and antibody to atomic bomb radiation in the adult health study sample, 1975-77

A study was conducted on the frequency of HBsub(s) positive antigen and antibody reactions as an index for determining whether there is any change in the immune competence as a late observable effect of atomic bomb exposure in Hiroshima and Nagasaki. There was no difference between the two comparison groups in the occurrence of positive HBsub(s) antibody reactions (prevalence of HB virus). However, the frequency of positive HBsub(s) antigen reactions (79% remained persistently antigen-positive) was significantly higher in those exposed to 100 rad or more than in the controls. The same tendency was apparent for the two exposure groups when classified by sex, city, and age, though by age the difference between exposure groups among the younger age groups (age 20 or less at the time of the bomb) was more marked. On the other hand, contrary to expectation, there was no difference between exposure groups in the distribution by high vs low titers among the antigen-positive individuals. There is no difference in the prevalence of positive HBsub(s) antibody reactions between Nagasaki and Hiroshima, but the frequency of positive antigen reactions is higher in Nagasaki. With respect to HBsub(s) antigen subtypes, adr occurs in a higher and adw in a lower frequency in Nagasaki than in Hiroshima, corresponding to earlier reports for the Japan archipelago of reverse and complementary distributions of these two subtypes. (author)