Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands.
BACKGROUND & AIMS: In the Netherlands, a selective hepatitis B virus (HBV) vaccination programme started in 2002 for men having sex with men, drug users, commercial sex workers and heterosexuals with frequent partner changes. We assessed the programme's effectiveness to guide policy on HBV...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2013-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3726692?pdf=render |
| _version_ | 1811269762743795712 |
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| author | Susan Hahné Robin van Houdt Femke Koedijk Marijn van Ballegooijen Jeroen Cremer Sylvia Bruisten Roel Coutinho Hein Boot |
| author_facet | Susan Hahné Robin van Houdt Femke Koedijk Marijn van Ballegooijen Jeroen Cremer Sylvia Bruisten Roel Coutinho Hein Boot |
| author_sort | Susan Hahné |
| collection | DOAJ |
| description | BACKGROUND & AIMS: In the Netherlands, a selective hepatitis B virus (HBV) vaccination programme started in 2002 for men having sex with men, drug users, commercial sex workers and heterosexuals with frequent partner changes. We assessed the programme's effectiveness to guide policy on HBV prevention. METHODS: We analysed reports of acute HBV infection in the Netherlands between 2004 and 2010 requesting serum from patients for HBV-genome S- and C-region sequencing. We used coalescence analyses to assess genetic diversity of nonimported genotype-A cases over time. RESULTS: 1687 patients with acute HBV infection were reported between 2004 and 2010. The incidence of reported acute HBV infection decreased from 1.8 to 1.2 per 100,000 inhabitants, mostly due to a reduction in the number of cases in men who have sex with men. Men were overrepresented among cases with an unknown route of transmission, especially among genotype A2 cases mainly associated with transmission through male homosexual contact. The genetic diversity of nonimported genotype-A strains obtained from men who have sex with men decreased from 2006 onwards, suggesting HBV incidence in this group decreased. CONCLUSIONS: The selective HBV-vaccination programme for behavioural high-risk groups very likely reduced the incidence of HBV infection in the Netherlands mainly by preventing HBV infections in men who have sex with men. A considerable proportion of cases in men who did not report risk behaviour was probably acquired through homosexual contact. Our findings support continuation of the programme, and adopting similar approaches in other countries where HBV transmission is focused in high-risk adults. |
| first_indexed | 2024-04-12T21:49:02Z |
| format | Article |
| id | doaj.art-c6af2e9fc4bd43e8a1a8b2fa6c4606f7 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T21:49:02Z |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-c6af2e9fc4bd43e8a1a8b2fa6c4606f72022-12-22T03:15:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e6786610.1371/journal.pone.0067866Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands.Susan HahnéRobin van HoudtFemke KoedijkMarijn van BallegooijenJeroen CremerSylvia BruistenRoel CoutinhoHein BootBACKGROUND & AIMS: In the Netherlands, a selective hepatitis B virus (HBV) vaccination programme started in 2002 for men having sex with men, drug users, commercial sex workers and heterosexuals with frequent partner changes. We assessed the programme's effectiveness to guide policy on HBV prevention. METHODS: We analysed reports of acute HBV infection in the Netherlands between 2004 and 2010 requesting serum from patients for HBV-genome S- and C-region sequencing. We used coalescence analyses to assess genetic diversity of nonimported genotype-A cases over time. RESULTS: 1687 patients with acute HBV infection were reported between 2004 and 2010. The incidence of reported acute HBV infection decreased from 1.8 to 1.2 per 100,000 inhabitants, mostly due to a reduction in the number of cases in men who have sex with men. Men were overrepresented among cases with an unknown route of transmission, especially among genotype A2 cases mainly associated with transmission through male homosexual contact. The genetic diversity of nonimported genotype-A strains obtained from men who have sex with men decreased from 2006 onwards, suggesting HBV incidence in this group decreased. CONCLUSIONS: The selective HBV-vaccination programme for behavioural high-risk groups very likely reduced the incidence of HBV infection in the Netherlands mainly by preventing HBV infections in men who have sex with men. A considerable proportion of cases in men who did not report risk behaviour was probably acquired through homosexual contact. Our findings support continuation of the programme, and adopting similar approaches in other countries where HBV transmission is focused in high-risk adults.http://europepmc.org/articles/PMC3726692?pdf=render |
| spellingShingle | Susan Hahné Robin van Houdt Femke Koedijk Marijn van Ballegooijen Jeroen Cremer Sylvia Bruisten Roel Coutinho Hein Boot Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. PLoS ONE |
| title | Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. |
| title_full | Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. |
| title_fullStr | Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. |
| title_full_unstemmed | Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. |
| title_short | Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. |
| title_sort | selective hepatitis b virus vaccination has reduced hepatitis b virus transmission in the netherlands |
| url | http://europepmc.org/articles/PMC3726692?pdf=render |
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