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CURRENT ISSUES
Hep A shots recommended for children in high-risk US states
US states with a high incidence of hepatitis A virus (HAV) infection should implement routine childhood vaccination programmes, suggests the Advisory Committee on Immunization Practices (ACIP), an advisory body for the US Centers for Disease Control and Prevention.
According to the landmark recommendation, routine hepatitis A vaccination programmes for children should be implemented in the following high-risk areas that together accounted for 50% of reported hepatitis A cases during the decade from 1987 to 1997. • The 11 US states that had an average annual HAV
infection rate during 1987-1997 that was :2: 2-fold greater than the national average.
• Counties or communities in any state where the average annual HAV infection rate during 1987-1997 was :2: 20 per 100 000 individuals.
The ACIP also recommends that routine hepatitis A vaccination programmes for children should be considered in: • states where the average annual HAV infection rate
during 1987-1997 was :2: 10 but < 20 per 100 000 individuals
• counties or communities in any state with HAV infection rates of 10-20 per 100 000 individuals.
Routine vaccination programmes for children are considered a cost-effective way to reduce the incidence of hepatitis A, a disease which costs the US economy > $US450 million/year. Hepatitis Foundation International. CDCs Advisory Committee on Immunization Practices (ACIP) recommends hepatitis A vaccination for children in eleven high-endemic states. Media Release: [2 pages], 18 Feb 1999 800742655
1173-5503/99/0201-00051$01.00° Adlslnternatlonal Limited 1999. All rights reserved
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PhannacoEconom1cs & Outcomes News 21 Feb 1999 No. 201