Should immunisation against hepatitis B take priority over provision of clean drinking water?
BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7203.188a (Published 17 July 1999) Cite this as: BMJ 1999;319:188- Jacob M Puliyel, Head (puliyel{at}del6.vsnl.net.in)
EDITOR—The World Health Organisation has suggested universal immunisation with hepatitis B vaccine.1 The Indian Academy of Paediatrics has recommended vaccination to paediatricians in the country and to the government; paediatricians have in turn been recommending it. The cheapest Indian vaccine costs 360 rupees (£ 5.21) for three doses.
The India Development Report 1997 suggests that a third of the population earn less than 57 rupees (83p) per capita per month.2 The main causes of death in India are diarrhoea, respiratory infections, and malnutrition.
Does the World Health Organisation really want universal immunisation with hepatitis B vaccine to take priority over the provision of clean drinking water? At what stage of development of a country's infrastructure does the prevention of hepatitis B by vaccination take priority? Is there any study about this? We would like to be rid of this vermin, but the Pied Piper must be paid.
References
Log in
Log in using your username and password
Log in through your institution
Subscribe from £164 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£30 / $37 / €33 (excludes VAT)
You can download a PDF version for your personal record.