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International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020

Hepatitis-B virus infection in India: Findings from a nationally representative serosurvey, 2017-18.

СтатьяНазвание и аннотация: Перевод в очереди
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Murhekar Manoj V, Santhosh Kumar Muthusamy, Kamaraj P, Khan Siraj Ahmed, Allam Ramesh Reddy, Barde Pradip, Dwibedi Bhagirathi, Kanungo Suman, Mohan Uday, Mohanty Suman Sundar, Roy Subarna, Sagar Vivek, Savargaonkar Deepali, Tandale Babasaheb V, Topno Roshan Kamal, Girish Kumar C P, Sabarinathan R, Bitragunta Sailaja, Grover Gagandeep Singh, Lakshmi P V M, Mishra Chandra Mauli, Sadhukhan Provash, Sahoo Prakash Kumar, Singh S K, Yadav Chander Prakash, Kumar Rajesh, Dutta Shanta, Toteja G S, Gupta Nivedita, Mehendale Sanjay M, ICMR – Serosurvey group

Аннотация

INTRODUCTION: India introduced a hepatitis-B (HB) vaccine in the Universal Immunization Program in 2002-2003 on a pilot basis, expanded to ten states in 2007-2008 (phase-1), and the entire country in 2011-2012 (phase-2). We tested sera from a nationally representative serosurvey conducted duing 2017, to estimate the seroprevalence of different markers of HB infection among children aged 5-17 years in India and to assess the impact of vaccination.

METHODS: We tested sera from 8273 children for different markers of HB infection and estimated weighted age-group specific seroprevalence of children who were chronically infected (HBsAg and anti-HBc positive), and immune due to past infection (anti-HBc positive and HBsAg negative), and having serological evidence of HB vaccination (only anti-HBs positive). We compared the prevalence of serological markers among children born before (aged 11-17 years) and after (aged 5-10 years) introduction of HB-vaccine from phase-1 states.

RESULTS: Among children aged 5-8 years, 1.1% were chronic carriers, 5.3% immune due to past infection, and 23.2% vaccinated. The corresponding proportions among children aged 9-17 years were 1.1%, 8.0%, and 12.0%, respectively. In phase-1 states, children aged 5-10 years had a significantly lower prevalence of anti-HBc (4.9% vs. 7.6%, p<0.001) and higher prevalence of anti-HBs (37.7% vs. 14.7%, p<0.001) compared to children aged 11-17 years. HBsAg positivity, however, was not different in the two age groups.

CONCLUSIONS: Children born after the introduction of HB vaccination had a lower prevalence of past HBV infection and a higher prevalence of anti-HBs. The findings of our study could be considered as an interim assessment of the impact of the hepatitis B vaccine introduction in India.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты