Prevention of hepatitis B infection: the appropriate strategy for India

Aggarwal, R. ; Naik, S. R. (1994) Prevention of hepatitis B infection: the appropriate strategy for India The National Medical Journal of India, 7 (5). pp. 216-220. ISSN 0970-258X

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Hepatitis B infection is a major global health problem with a high morbidity and mortality. With safe and effective vaccines available, it is now possible to prevent it. Many countries have started national hepatitis B control programmes but no attempt has been made to do this in our country. An analysis of the available data on the epidemiology of hepatitis B infection in India reveals that perinatal maternofoetal transmission accounts for only a minority of hepatitis B virus carriers in India. Therefore, a policy of screening pregnant mothers for the presence of hepatitis B surface antigen and selective immunization of babies born to those who are surface antigen positive will have very little effect on the hepatitis B carrier rate in our population. Universal immunization of all newborns will have a much greater impact, it will be logistically simpler and more cost-effective--the cost of preventing one hepatitis B carrier being nearly one-fourth of that with selective immunization. We recommend that hepatitis B vaccine should be included in our country's expanded programme of immunization.

Item Type:Article
Source:Copyright of this article belongs to All India Institute of Medical Sciences.
ID Code:95469
Deposited On:27 Sep 2013 05:18
Last Modified:27 Sep 2013 05:18

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