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Hepatitis A incidence and hepatitis A vaccination among American Indians and Alaska Natives, 1990-2001

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  • Bialek, S.R.
  • Thoroughman, D.A.
  • Hu, D.
  • Simard, E.P.
  • Chattin, J.
  • Cheek, J.
  • Bell, B.P.

Abstract

Objectives. We assessed the effect on trends in hepatitis A incidence of the 1996 recommendation for routine hepatitis A vaccination of American Indian/Alaska Native (AIAN) children. Methods. We examined trends in hepatitis A incidence among AIAN peoples during 1990-2001 and vaccination coverage levels among children on the largest American Indian reservation. Results. Hepatitis A rates among AIANs declined 20-fold during 1997-2001. Declines in hepatitis A incidence occurred among AIANs in reservation and metropolitan areas. Among 1956 children living on the Navajo Nation whose medical records were reviewed, 1508 (77.1%) had received at least one dose of hepatitis A vaccine, and 1020 (52.1%) had completed the vaccine series. Conclusions. Hepatitis A rates among AIAN peoples have declined dramatically coincident with implementation of routine hepatitis A vaccination of AIAN children.

Suggested Citation

  • Bialek, S.R. & Thoroughman, D.A. & Hu, D. & Simard, E.P. & Chattin, J. & Cheek, J. & Bell, B.P., 2004. "Hepatitis A incidence and hepatitis A vaccination among American Indians and Alaska Natives, 1990-2001," American Journal of Public Health, American Public Health Association, vol. 94(6), pages 996-1001.
    • Handle: RePEc:aph:ajpbhl:2004:94:6:996-1001_1
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    Cited by:

    1. Lawler, Emily C., 2017. "Effectiveness of vaccination recommendations versus mandates: Evidence from the hepatitis A vaccine," Journal of Health Economics, Elsevier, vol. 52(C), pages 45-62.

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