Yu S Z
School of Public Health, Fudan University, Shanghai 200032, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2019 Dec 10;40(12):1650-1653. doi: 10.3760/cma.j.issn.0254-6450.2019.12.027.
There have been 6-10 million reported patients with chronic hepatitis B virus (HBV) infection worldwide, and the United Nations (UN) called for a "90 reduction by 2030" strategy. Since the wide practice of HBV vaccination, the numbers of HBV cases have been reduced by 85 and the incidence of hepatocellular carcinoma has also decreased by 50%. As formulated by the UN in 2015, the sustainable development agenda for the eradication of hepatitis B included the success rate of preventing mother-to-child viral transmission by 95, together with the reduction of new hepatitis B infections by 90 in 2030. In order to achieve the agenda, we proposed a strategy to achieve the "three 96" goals derived from the Shanghai experience. In brief, hepatitis B vaccine should cover for 96 newborns within 24 h, and the vaccination boosting rate should reach 96 for both one and six months after birth. If cutting off the mother-to-child viral transmission strategy can be successfully achieved, the future of hepatitis B prevention will be promising, and the task of eliminating hepatitis B and controlling hepatocellular carcinoma can be completed ahead of 2030, time proposed by the UN.
全球报告的慢性乙型肝炎病毒(HBV)感染患者有600万至1000万,联合国呼吁实施“到2030年减少90%”的战略。自从广泛接种乙肝疫苗以来,乙肝病例数减少了85%,肝细胞癌的发病率也下降了50%。联合国在2015年制定的消除乙肝可持续发展议程包括将母婴病毒传播的预防成功率提高到95%,以及到2030年将新增乙肝感染病例减少90%。为了实现该议程,我们提出了一项源自上海经验的实现“三个96%”目标的战略。简而言之,乙肝疫苗应在24小时内覆盖96%的新生儿,出生后1个月和6个月的疫苗补种率均应达到96%。如果能够成功实现阻断母婴病毒传播的战略,乙肝预防的未来将充满希望,消除乙肝和控制肝细胞癌的任务可以在联合国提议的2030年之前完成。