التفاصيل البيبلوغرافية
| العنوان: |
Progress towards achieving hepatitis B control in the Cook Islands, Niue, Tokelau, and Kiribati |
| المؤلفون: |
Patel, Minal K., Wannemuehler, Kathleen, Tairi, Rangi, Tutai, Rufina, Moturi, Edna, Tabwaia, Beia, Nikuata, Akineti Bauro, Etuale, Malae Fepuleai, Mokoia, Grizelda |
| المصدر: |
Vaccine |
| سنة النشر: |
2016 |
| مصطلحات موضوعية: |
Article, demo, envir |
| الوصف: |
BACKGROUND: Hepatitis B virus (HBV) is highly endemic in many of the Pacific Island countries. Four island countries—Cook Islands, Kiribati, Niue, and Tokelau—sought to evaluate the success of their hepatitis B vaccination programs by conducting nationally representative serosurveys among children born post-vaccine introduction. METHODS: Cook Islands, Niue, and Tokelau conducted school-based census serosurveys because of small populations. The Cook Islands tested children in second grade; Niue tested children in early childhood education through sixth grade; and Tokelau tested children in first through sixth grades. Because Kiribati has a much larger birth cohort, it conducted a one-stage stratified serosurvey among first grade students. All four countries tested children using the Alere Determine(™) rapid point of care hepatitis B surface antigen (HBsAg) test. RESULTS: In the three smaller countries, no children were seropositive for HBsAg (0/245 Cook Island students, 0/183 Niuean students, 0/171 Tokelau students). In Kiribati, 39 (3.3%, 95% confidence interval 2.4–4.6%) of 1249 students were HBsAg positive. Vaccination data collected in the Cook Islands and Tokelau showed high vaccination coverage in both countries with ⩾P95% birth dose coverage and 100% 3-dose coverage. CONCLUSIONS: The Cook Islands, Niue, and Tokelau have made remarkable progress in establishing strong vaccination programs and towards decreasing the burden of hepatitis B among children. Kiribati still needs to improve vaccination coverage to achieve the <1% HBsAg target established by the World Health Organization Western Pacific Region. |
| نوع الوثيقة: |
text |
| اللغة: |
English |
| Relation: |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735872/ |
| الاتاحة: |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735872/ |
| Rights: |
undefined |
| رقم الانضمام: |
edsbas.4E859228 |
| قاعدة البيانات: |
BASE |