Health
Studies suggest that Ontario should vaccinate newborns with hepatitis B
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Not all pregnant women are screened for hepatitis B virus (HBV) in Ontario, but this screening is recommended, and the majority of people who test positive are followed up or It leads to infection of newborns without intervention.Study in CMAJ (((Canadian Medical Association Journal).
An estimated 257 million people worldwide are chronically infected with HBV, which is Cirrhosis And Liver cancer..
World Health Organization recommends that countries such as Canada offer the first vaccine For newborn HBV at birth. However, only three and territory states, two to five states, and five states, including Ontario, are vaccinated at birth for 6th and 7th grade schoolchildren. Full information on states and territories can be found here. https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information.html..
“One of the reasons for not vaccination at birth is that interventions associated with universal prenatal screening prevent mother-to-baby transmission,” said the University of Toronto Liver Disease Center, University Health Network, and the University of Toronto. Hepatologist Dr. Jordan Feld explains. .. “But our study is incompletely screened, Children People born in Canada are beginning to get hepatitis B before they are vaccinated as teenagers. Therefore, the current immunization strategy in Ontario needs to be reviewed. “
To understand the uptake of prenatal HBV screening in Ontario and to determine the number of HBV infections in pre-vaccinated children in adolescence in the state, researchers conducted ICES, Public Health Ontario from 2003 to 2013. , Better Outcomes & Registry Network (BORN) We analyzed the data in Ontario.
Among children under the age of 12, 139 Canadian-born children were HBV-positive. This represents the minimum number of infections in Canadian-born children, as most children are untested and infections have few or no symptoms early in life. These infections may have been prevented by vaccination at birth. Once an infection is established in a newborn, it usually lasts a lifetime and requires close follow-up, putting people at risk of complications.
“Canada’s guidelines recommend changing the state’s hepatitis B immunization strategy if women are not universally screened or if their children are infected. It is necessary, “explains Dr. Miabiondi, a primary care nurse practitioner. Researchers in the community and the Toronto Liver Disease Center. “Infant hepatitis B vaccination can be seamlessly integrated into primary care for healthy baby visits and other vaccinations. This is an easy solution.”
The authors recommend that Ontario move to HBV vaccination at birth and improve existing systems to ensure that all women are screened for HBV during pregnancy. If the test is positive, you should follow up to prevent the spread of the infection and receive proper HPV care.
Prenatal Hepatitis B Screening and Pediatric Hepatitis B Burden: Descriptive Study in Ontario was published on October 26, 2020.
CMAJ (2020). www.cmaj.ca/lookup/doi/10.1503/cmaj.200290
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Canadian Medical Association Journal
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