Watson B
Vaccine Evaluation Center, Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
Pediatr Infect Dis J. 1998 Jul;17(7 Suppl):S38-42. doi: 10.1097/00006454-199807001-00005.
There are numerous strategies recommended in the United States for control of the hepatitis B virus, including universal vaccination of infants and adolescents and vaccination of all high risk populations. A recent hepatitis B vaccination program conducted in Philadelphia, PA, focused on effective ways to educate and vaccinate the high risk Asian Pacific Islander population.
Multiple intervention activities were used for both health care providers and Asian Pacific Islander community members, including one-to-one educational programs.
Intervention activities did increase hepatitis B vaccination coverage to 34%, but coverage increase was less than has been shown with other programs.
The intervention program, however, may have a long-lasting positive impact on vaccination coverage because postintervention, study participant health care providers began to offer a more flexible vaccination delivery system. It is likely that the total cost of $135943 for all intervention activities will prevent future costly cases of chronic hepatitis B and its serious related sequelae among this high risk population.
美国推荐了多种控制乙肝病毒的策略，包括对婴儿和青少年进行普遍接种以及对所有高危人群进行接种。宾夕法尼亚州费城最近开展的一项乙肝疫苗接种计划，重点关注教育和接种高危亚太岛民群体的有效方法。
对医疗服务提供者和亚太岛民社区成员都采用了多种干预活动，包括一对一的教育项目。
干预活动确实将乙肝疫苗接种覆盖率提高到了34%，但覆盖率的增长低于其他项目所显示的水平。
然而，该干预项目可能会对疫苗接种覆盖率产生持久的积极影响，因为在干预后，研究参与者的医疗服务提供者开始提供更灵活的疫苗接种服务体系。所有干预活动总计135943美元的成本，很可能会预防该高危人群未来出现代价高昂的慢性乙肝病例及其严重的相关后遗症。
