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Related Experiment Videos

Measuring hepatitis B uptake in a new universal infant program.

Meenakshi Dawar1, Simon Dobson, Arlene Kallos

  • 1Department of Health Care & Epidemiology, University of British Columbia, Vancouver, BC.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|August 6, 2002
PubMed
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Universal infant hepatitis B immunization in Vancouver-Richmond achieved high coverage. Physician awareness is key to improving hepatitis B vaccine uptake in children.

Area of Science:

  • Public Health
  • Immunology
  • Pediatrics

Background:

  • Vancouver-Richmond Health Board faces high rates of hepatitis B, with 25 annual childhood cases (1994-1997).
  • Existing adolescent immunization programs do not prevent childhood hepatitis B infections.
  • Universal infant hepatitis B immunization was implemented in September 1998.

Purpose of the Study:

  • To evaluate the initial year's success of the universal infant hepatitis B immunization program.
  • To assess hepatitis B vaccine coverage rates in infants.

Main Methods:

  • A random sample of 191 infants born in March 1999 was surveyed.
  • Immunization coverage data were collected one year post-program initiation.

Main Results:

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  • 97.9% of infants received some vaccinations by eight months.
  • 73.8% received three doses of hepatitis B vaccine; 12.6% received two doses.
  • Physician awareness/acceptance (67%) was the primary barrier to hepatitis B vaccine uptake; only one parent cited adverse publicity.

Conclusions:

  • The first year of the infant hepatitis B immunization program was successful and did not disrupt other childhood vaccination schedules.
  • Enhancing physician and parent awareness can further improve hepatitis B vaccine uptake.