Intended for healthcare professionals


Blanket hepatitis B vaccination is questionable in India

BMJ 2006; 332 doi: (Published 20 April 2006) Cite this as: BMJ 2006;332:976
  1. Peter R Mansfield, director (,
  2. Anant Phadke,
  3. Ashok Kale
  1. Healthy Skepticism, Willunga, SA 5041, Australia

    EDITOR—We agree with Banatvala et al that adequate economic analysis of universal hepatitis B vaccination is required before recommending policy change in Britain.1 In India plans for universal hepatitis B vaccination have been announced without an economic comparison with other programmes that may be more cost effective.

    The marginal cost-efficacy of hepatitis B vaccine in India has been estimated, …

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