Universal immunization with Hepatitis B: Keeping up with the Joneses
Universal vaccination of all in the UK with Hepatitis B vaccine will
reduce the yearly incidence of new cases of chronic carriers by a mere 4%.
96% of the burden of disease results from disease in immigrants who will
not be helped by universal immunisation in the UK. Although these stark
facts are widely known (1), in the space of a little more than a year, we
have had two editorials in the BMJ, (authored by individuals with declared
conflict of interests) suggesting that the UK government must adopt a
policy of universal immunisation (2, 3). The latest editorial (3) says
that 168 countries worldwide and 44 of 52 countries in WHO's European
region have already implemented this policy.
It will be interesting to see at what critical mass of editorial
badgering, the government will be persuaded against its better judgement,
to undertake this wasteful programme – just to keep up with the Joneses
References
1. Foundation for Liver Research. Hepatitis B: out of the shadows.
London, Foundation for Liver Research, 2004. www.ucl.ac.uk/liver-
research/hepatitis-report.pdf
2. Beeching NJ Hepatitis B infections BMJ 2004; 329: 1059-1060
3. Banatvala J, Damme PV, Emiroglu N. Hepatitis B immunisation in
Britain: time to change? BMJ 2006;332:804-805
Rapid Response:
Universal immunization with Hepatitis B: Keeping up with the Joneses
Universal vaccination of all in the UK with Hepatitis B vaccine will
reduce the yearly incidence of new cases of chronic carriers by a mere 4%.
96% of the burden of disease results from disease in immigrants who will
not be helped by universal immunisation in the UK. Although these stark
facts are widely known (1), in the space of a little more than a year, we
have had two editorials in the BMJ, (authored by individuals with declared
conflict of interests) suggesting that the UK government must adopt a
policy of universal immunisation (2, 3). The latest editorial (3) says
that 168 countries worldwide and 44 of 52 countries in WHO's European
region have already implemented this policy.
It will be interesting to see at what critical mass of editorial
badgering, the government will be persuaded against its better judgement,
to undertake this wasteful programme – just to keep up with the Joneses
References
1. Foundation for Liver Research. Hepatitis B: out of the shadows.
London, Foundation for Liver Research, 2004. www.ucl.ac.uk/liver-
research/hepatitis-report.pdf
2. Beeching NJ Hepatitis B infections BMJ 2004; 329: 1059-1060
3. Banatvala J, Damme PV, Emiroglu N. Hepatitis B immunisation in
Britain: time to change? BMJ 2006;332:804-805
Competing interests:
None declared
Competing interests: No competing interests