Hepatitis A: the Academy of Medicine recommends a limited expansion of vaccination
The National
Academy of Medicine recommends expanding to new defined vaccination against the
virus groups hepatitis A virus (HAV).
Hepatitis A: the
Academy of Medicine recommends a limited expansion of vaccination
"Fourteen
years after the first vaccine against hepatitis A market, the French strategy
of vaccination against this disease remains minimalist", said in a written
Prof. Yves Buisson, head of the Institute of Tropical Medicine Service Document
Army Health (IMTSSA) Pharo in Marseille, and corresponding member of the
Academy of Medicine.
It confines
itself to certain categories of people exposed to infection by their
professional or leisure activities, he added.
Vaccination
against hepatitis A is recommended in France for personal nurseries, personal
boarding facilities and services for children and youth with disabilities,
personal treatment of wastewater and the staff involved in food preparation in
catering.
The
recommendations also include non-immune adults and children older than one year
traveling in endemic areas, young boarding facilities and services for children
and youth with disabilities, people exposed to particular risks (hemophilia,
multiple transfusions, intravenous drug use), patients chronically infected
with hepatitis B virus (HBV) carriers or chronic liver disease, as well as gay
men.
"These
recommendations are included in a limited protection of persons at risk
strategy. More than half of the cases of hepatitis A with no known risk
factors, such a strategy can have an impact on the transmission HAV in France,
"said Dr. Bush.
The Academy of
Medicine recommends expanding vaccination against hepatitis A for all
non-immune subjects at risk of developing a severe form of the disease, including
people with chronic infection with hepatitis C ( HCV) and children with cystic
fibrosis.
It also requests
that can benefit from health insurance paid by all Traveller children,
particularly in families originating from North Africa, staying each year in
highly endemic countries and vaccine children from families "The
Journey".
The
recommendations also cover people in departments and overseas territories
(DOM-TOM), taking into account the age distribution and prevalence of hepatitis
A particularly Guyana, on prison authorities and on anyone contacting an acute
hepatitis A cases.
Routine immunization of children older than one year
admitted preschool communities would finally evaluate in terms of
cost-effectiveness in an urban area of high transmission adds Yves BuissonSHARE THIS POST
