Uneven access to health-care resources is complicating the drive to eliminate this viral infection.
Those findings echo hepatitis B vaccination success stories elsewhere, including in China, where the proportion of newborns vaccinated at birth in many areas rose from 64% to more than 90% after the country began making vaccines free for newborns in 2002.
Much of the world is on track or not far behind in their efforts to reach the target of eliminating HBV in young children, as long as they keep up their three-dose vaccination programmes, according to data from the Polaris Observatory, which collects and analyses global data on hepatitis B and C. But, first ‘birth dose’ vaccinations, which should be given within 24 hours of delivery, are still lagging behind .
Yet in low-income countries, only 7% of people living with the disease have received a diagnosis, according to the CDA . In high-income countries, 44% have been diagnosed . Of those diagnosed, 30% are getting treatment in high-income countries, compared with 2% in low-income countries. Reaching the WHO’s goals in the United States, researchers estimate, will require diagnosing 90% of chronic hepatitis B cases and treating 80%.
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