标题: Tactics in Taiwan Against Hepatitis B Virus [打印本页] 作者: choi 时间: 7-9-2013 15:22 标题: Tactics in Taiwan Against Hepatitis B Virus (1) Rachel Chan, Taiwan Leads Global Fight Against Hepatitis. Taiwan Today, July 7, 2013. http://taiwantoday.tw/ct.asp?xItem=206915&CtNode=428
Quote:
"In those days [when he started practicing medicine; he is 72], Taiwan had the highest chronic HBV rate in the world, with 20 percent of the local population carriers compared to 1 percent in the US, according to Liaw.
"Taiwan has since made headway in fighting HBV and related diseases, Liaw said, adding that a milestone was the 1984 implementation of the world’s first large-scale hepatitis B vaccination program, which helped slash the carrier rate in children from over 10 percent to less than 1 percent.
My comment:
(a) There is no need to read the text.
(b) Yun-fan LIAW/ Chang Gung University Medical College 廖 運範/ 長庚大學醫學院)
(c) his mentor Juei low SUNG 宋 瑞樓
(d) "In 1985, Liaw published a landmark paper in collaboration with a team led by Howard Thomas, emeritus professor of medicine at London’s Imperial College."
Paragraph 2 of the introduction: “Taiwan has been an endemic area of HBV infection, with an HBV infection rate of 95% and a 15%-20% HBsAg carrier rate in the general population. Vertical transmission is the main cause of persistent HBV infection in Taiwan; fortunately, it can be blocked by passive-active vaccination after birth. To control HBV infection, a hepatitis B (HB) vaccination program was launched in Taiwan in 1984, starting with newborns of highly infectious mothers, and expanded to all newborns in 1986.” (footnotes omitted)
My comment:
(a) There is no need to read the rest of the paper.
(b) The authors thus recommend a booster vaccination for vulnerable teenagers. See
Wu TW et al, When and for whom should booster hepatitis B vaccination be recommended? Hepatology, _: _-_ (online publication on May 20, 2013)
But this notion is not proven yet (progress in science is through reproducible evidences). Compare