Considerations for HAV vaccine in India.

摘要: Currently available evidence indicates that most parts of India still qualify to be hyper-endemic regions and hence recommendations for vaccinations developed low endemicity are not applicable. There however, some pockets which showed distinct epidemiologic shift. is need identify geographic like Kerala have potential epidemic outbreaks through cyclic sero-epidemiological surveys. With economic development consequent improvements in the levels sanitation quality water supplies, more such areas will identified. Efforts improve personal hygiene remain as important efficient intervention retard transmission HAV. Unless a critical improvement living standards our population achieved, aim eradicating HAV infection from community realistic. Presently, cost three doses exorbitant focus vaccination restricted individual protection who likely unexposed till adulthood can afford pay it. below 5 years mostly asymptomatic. The use resources therefore offer vaccine high risk individuals beyond this age after screening antibodies against