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Hepatitis B and Refugees:
A Clinical Perspective

Kenyan children

Approximately 30% of the world's population, or about 2 billion persons, have serologic evidence of hepatitis B virus (HBV) infection. Of these, an estimated 350 million have chronic HBV infection, and at least 1 million chronically infected persons die each year from chronic liver disease, including cirrhosis and liver cancer. Even in a low endemic country such as the United States, hepatitis B causes more long-term liver problems and deaths than all of the other vaccine preventable diseases of children combined, before the availability of vaccines to prevent these diseases.

A safe and effective vaccine to prevent hepatitis B has been available for nearly 2 decades and the primary means to prevent HBV transmission and HBV-related chronic liver disease is by widespread vaccination. In order to accelerate elimination of HBV transmission in the United States, increased efforts are needed to implement effective hepatitis B vaccination programs targeted to adolescents and adults in groups at increased risk for HBV infection.

For more information on hepatitis B and the increased risk for hepatitis B among refugees click one of the links below.

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This program was created by Deborah Wexler, MD, Executive Director
of the Immunization Action Coalition.


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This page last reviewed December 6, 2003

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