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Is targeted hepatitis B vaccination working?
  1. S Kamal-Uddin,
  2. S D’Costa
  1. Paediatric Department, Darent Valley Hospital, Dartford, UK
  1. S Kamal-Uddin, Children Resources Centre, Darent Valley Hospital, Dartford DA2 8DA; Solomon_Uddin{at}

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Hepatitis B virus (HBV) infection can be transmitted from infected mothers to their babies around birth. Infected infants have a significant risk of chronic carriage with a 20% lifetime risk of developing chronic liver disease including cirrhosis and hepatocellular carcinoma. This could be prevented in 90–95% of cases by appropriate immunisation.1

The British Medical Association and World Health Organization (WHO) have highlighted that the vaccine needs to be part of the national immunisation schedule. By May 2003 151 countries had followed the WHO recommendations.1 The United Kingdom remains …

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