[Proposals concerning ways of control of hepatitis B in Poland since 2008]

Improving of epidemiological situation of hepatitis B was reached by universal vaccination of infants, adolescents and vaccination of adults in high risk groups. Elimination of cases in the age group 0-10 and decreasing about 90% of number of notified cases observed in the years 1989-2004 was observed. Changes of the programme of vaccination since 2008 would be necessary to introduce. The first group of children vaccinated basically in the first year of life would grow up then to 14. Resignation of basic vaccination in 14 is necessary. Introducing of booster dose seems to be available in 14, opposite immunological memory, because: very high incidence rate of hepatitis B in past was noted in Poland; still now high incidence rate is noted in the groups 15-19 and 20-24 also in some voyvodships; documented immunological memory lasts only 15 years. This problem should be evaluated during routine vaccination and scheme of vaccination should be changed as soon as possible, not later than after 5 years. Except vaccination also improving of sterilization of medical and cosmetic equipment in autoclaves and hygiene measures especially in voyvodships: łódzkie, świqtokrzyskie, kujawsko-pomorskie and dolnoślaske where rate of hepatitis B is the highest is necessery.