The impact of a new universal infant and school-based adolescent hepatitis B vaccination program in Australia

被引:40
作者
Gidding, Heather F. [1 ]
Warlow, Margaret [2 ,3 ]
MacIntyre, C. Raina [2 ,3 ]
Backhouse, Josephine [1 ]
Gilbert, Gwendolyn L. [1 ]
Quinn, Helen E. [2 ,3 ]
McIntyre, Peter B. [2 ]
机构
[1] Westmead Hosp, Ctr Infect Dis & Microbiol, Publ Hlth & Inst Clin Pathol, Westmead, NSW 2145, Australia
[2] Childrens Hosp, Natl Ctr Immunisat Res & Surveillance Vaccine Pre, Westmead, NSW 2145, Australia
[3] Univ Sydney, Westmead, NSW 2145, Australia
关键词
hepatitis B; seroepidemiologic studies; Australia;
D O I
10.1016/j.vaccine.2007.07.046
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We compared the results of two national serosurveys in Australia to evaluate the impact of universal infant vaccination and school-based programs for adolescents. Immunity improved significantly overall, especially in 1-year-olds (40.0% versus 86%; p < 0.0001); in adolescents it was significantly higher in regions with established school-based programs (56.6% versus 38.8%; p = 0.0008). 6.1% of 1-59-year-olds were positive for HBcAb and 0.7% for HBsAg. We have demonstrated successful implementation of universal infant hepatitis B vaccination in Australia and that school-based programs for adolescents are effective. This experience should be applicable to low prevalence countries in northern Europe which have not implemented universal hepatitis B immunisation. (c) 2007 Published by Elsevier Ltd.
引用
收藏
页码:8637 / 8641
页数:5
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