A study of hepatitis B vaccine efficacy 10 years after compulsory vaccination in Egypt

Hanan Shatat1, Amira Kotkat, Azza Farghaly

  • 1Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt. hshatat2001@yahoo.com

Insights

Hepatitis B vaccination in infancy provides protection up to 10 years, with low infection rates. Booster doses may not be needed during this period due to a robust immune response.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Hepatitis B remains a significant global health concern.
  • Infant vaccination is a primary strategy for hepatitis B prevention.
  • Long-term vaccine efficacy, especially regarding chronic carriage, requires ongoing evaluation.

Purpose of the Study:

  • To assess the protective efficacy of infant hepatitis B vaccination up to age 10.
  • To determine the prevalence of hepatitis B infection and chronic carriage in vaccinated children.
  • To evaluate the need for booster doses in this age group.

Main Methods:

  • A cohort of 720 children vaccinated in infancy was studied.
  • Hepatitis B serologic markers (HBsAg, anti-HBs, anti-HBc) were measured using ELISA.
  • Data on infection and carriage were analyzed to determine vaccine effectiveness.

Main Results:

  • Only 37.9% of children had protective antibody levels, indicating antibody decay over time.
  • Hepatitis B infection was observed in 6.8% of vaccinated children.
  • Hepatitis B surface antigen (HBsAg), indicative of chronic carriage, was detected in only 0.6% of children.

Conclusions:

  • Hepatitis B vaccination confers protection against infection and chronic carriage for at least 10 years.
  • Booster doses appear unnecessary up to age 10 due to a strong anamnestic response.
  • Further long-term studies are recommended to monitor efficacy during adolescence and assess the need for future boosters.

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