POST 00734E : HEPb VACCINATION : REGIONAL STRATEGIES

POST 00734E : HEPb VACCINATION : REGIONAL STRATEGIES 28 December 2004 _____________________________________ This contribution comes from Ricardo F. Morales Moreno (mailto:[email protected]) from Peru. NOTE : Originally in Spanish, this contribution was received a long time ago. Translation from Spanish to English, then to French took quite long and we apologize. However we draw conclusions that TechNet, for the time being, does not have capacities to open up to other languages. We would thus request your cooperation and would appreciate that you send your contributions in English or French only. We apologize for any inconvenience that this may cause. _____________________________________ Lately, Peru has introduced Hep B vaccine in newborns. The incidence of Hepatitis B in Peru in coastal areas is less than 2 %, while in the Amazons (Loreto) the prevalence is higher. Therefore, the vaccination strategy should be different depending on the region. What should be the recommendation in these cases? Should we vaccinate without discrimination?, or should we previously proceed to study AgsHB and Core AgHB antibodies titres? How to use hyperimmune gammaglobulin against hepatitis B? for mothers who have recently seroconverted, with a high-risk child whom should also be given gammaglobulins before vaccination? Dr. Ricardo F. Morales Moreno (pediatrician-infectiologist), Trujillo, Peru ------------------------------------------------------------------------------ Visit the TECHNET21 Website at http://www.technet21.org You will find instructions to subscribe, a direct access to archives, links to reference documents and other features. ______________________________________________________________________________ To UNSUBSCRIBE, send a message to : mailto:[email protected] Leave the subject area BLANK In the message body, write unsubscribe TECHNET21E ______________________________________________________________________________ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada (http://www.ccisd.org) ______________________________________________________________________________