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. 2000 May;21(5):343-6.
doi: 10.1086/501771.

Control of occupational hepatitis B among healthcare workers in the Czech Republic, 1982 to 1995

J Helcl  1 , J Cástková, C Benes, L Novotna, K A Sepkowitz, J A DeHovitz
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Control of occupational hepatitis B among healthcare workers in the Czech Republic, 1982 to 1995

J Helcl et al. Infect Control Hosp Epidemiol. 2000 May.

Abstract

Occupational hepatitis B remains a threat to healthcare workers (HCWs) worldwide, even with availability of an effective vaccine. Despite limited resources for public health, the Czech Republic instituted a mandatory vaccination program for HCWs in 1983. Annual incidence rates of acute hepatitis B were followed prospectively through 1995. Despite giving vaccine intradermally from 1983 to 1989 and intramuscularly as half dose from 1990 to 1995, rates of occupational hepatitis B decreased dramatically, from 177 cases per 100,000 workers in 1982 (before program initiated) to 17 cases per 100,000 in 1995. Among high-risk workers, the effect was even more dramatic (from 587 to 23 per 100,000). We conclude that strong public-health leadership led to control of occupational hepatitis B among HCWs in the Czech Republic, despite limited resources that precluded administering full-dose intramuscular vaccine for much of the program. Application of a similar program should be considered for other countries in regions that currently do not have a hepatitis B vaccination program.

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Figures

FIGURE
FIGURE
Trends in acute hepatitis B among health care workers in the Czech Republic, 1982-1995, according to healthcare worker risk group. High-risk group, — — — ; lower-risk group, . . . . . . ; total, ________.
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