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Updated: Jul 18, 2026

Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
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.
Abstract:
This study aimed to determine the protective efficacy of hepatitis B vaccine against infection and chronic carriage in 720 children aged 10 years who were vaccinated in infancy. All children were tested for hepatitis B serologic markers including hepatitis B surface antigen (HBsAg), antibody to hepatitis B surface antigen (anti-HBs), and antibody to hepatitis B core antigen (anti-HBc) using 3rd generation ELISA technique. Only 37.9% of vaccinated children had protective anti-HBs indicating its decay with time. Hepatitis B infection occurred in 6.8% of the vaccinated children and it induced a boosting effect on anti-HBs level. HBsAg was detected in 0.6% only of the vaccinated children. Thus we could conclude that up to 10 years, booster doses are unnecessary possibly due to protective anamnestic response to antigenic challenge. Further follow-up studies for longer duration than 10 years are needed especially during adolescence with the onset of sexual activity to monitor the vaccine efficacy in preventing chronic carriage and the possible necessity for booster doses.
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