Impact of Routine Hepatitis B Immunization on the Prevalence of Chronic Hepatitis B Virus Infection in the Marshall Islands and the Federated States of Micronesia

Bialek, Stephanie R.; Helgenberger, Louisa; Fischer, Gayle E.; Bower, William A.; Konelios, Mailynn; Chaine, Jean-Paul; Armstrong, Gregory L.; Williams, Ian T.; Bell, Beth P.

doi:10.1097/inf.0b013e3181b20e93

Cited by 25 publications

(25 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They found birth dose vaccination was 48% in Chuuk, 87% in Pohnpei (both Micronesia) and 49% in the Marshall Islands. 33 Complete vaccination (three doses) was 87% in Chuuk, 90% in Pohnpei, and 93% in the Marshall Islands. 33 HBsAg prevalence among children in the region was 2.5% in Chuuk, 1.5% in Pohnpei, and 1.8% in Marshall Islands.…”

Section: Hbv Prevention Strategies In Pictmentioning

confidence: 99%

An overview of hepatitis B prevalence, prevention, and management in the Pacific Islands and Territories

Howell

Gemert

Lemoine

et al. 2014

J of Gastro and Hepatol

View full text Add to dashboard Cite

There are over 500-750 000 deaths per year because of hepatitis B virus (HBV)-related cirrhosis and liver cancer worldwide and the World Health Organization Western Pacific Region has some of the highest endemic levels of HBV in the world, particularly within China, South East Asia and Pacific Island Countries and Territories (PICT). The PICT have unique ethnic diversity and a very high prevalence of smoking and metabolic syndrome, both important risk factors for liver fibrosis and liver cancer. However, in contrast to many Asian countries, there is little published data on HBV prevalence and related liver disease burden in PICT. In this review, the available published literature and World Health Organization data for HBV prevalence and related liver disease and liver cancer burden in PICT is outlined, and unmet needs for improving HBV prevention and control in the region are highlighted.

show abstract

Section: Hbv Prevention Strategies In Pictmentioning

confidence: 99%

An overview of hepatitis B prevalence, prevention, and management in the Pacific Islands and Territories

Howell

Gemert

Lemoine

et al. 2014

J of Gastro and Hepatol

View full text Add to dashboard Cite

show abstract

“…In one paper, authors indicated that poor quality IIS data could not be used to calculate immunization history, therefore mean vaccine coverage statistics were used to determine the denominators for VE calculations, rather than using IIS data directly [36]. Another study used IIS data to generate vaccination rates for the population, but applied these rates to mean disease levels to conclude that implementation of vaccination had decreased incidence of disease [37].…”

Section: Discussionmentioning

confidence: 99%

“…Study results were reported as changes in rates of incident disease as a result of implementation of vaccination or another intervention. Studies were retrospective if authors assessed or evaluated a vaccine program following its implementation [6,[36][37][38][39][40]. One paper prospectively monitored the impact of a vaccine intervention at the beginning of program implementation [8].…”

Section: Use Of Registry Data In Ve Studiesmentioning

confidence: 99%

The use of immunization registry-based data in vaccine effectiveness studies

Placzek¹,

Madoff²

2011

Vaccine

View full text Add to dashboard Cite

a b s t r a c tVaccine effectiveness (VE) studies provide a measure of population-based vaccine performance by combining immunization history data with rates of disease incidence. This review assessed the feasibility of using electronic immunization registry data sources in VE studies. Electronic databases were searched through January 31, 2010. Out of 17 studies, only one paper assessed data accuracy (71%), and three papers assessed population coverage of the registry (estimates ranged from 25% to 90%). This review shows that registry-based data sources can be used to conduct VE studies in a variety of settings and populations. However, we found little information regarding the quality of this data source in VE studies and future evaluations should investigate their reliability, accuracy, and potential bias.

show abstract

“…(11)(12)(13)(14)(15)(16)(17) The limited data that is available shows that the Marshallese face significant health disparities with higher rates of obesity, diabetes, cardiovascular disease, and infectious diseases than the US population. (18)(19)(20)(21)(22)(23) Additionally, Marshallese living in Arkansas face challenges with social determinants of health including low-income employment, low educational attainment, limited English proficiency, and multiple barriers to healthcare access. (24)(25)(26) In 2007, the University of Arkansas for Medical Sciences (UAMS) established a regional campus in northwest Arkansas with 3 rd and 4 th year medical and pharmacy students, as well as graduate programs in nursing and physical therapy.…”

Section: Introductionmentioning

confidence: 99%

Lessons learned through a partnership with Marshallese faith-based organizations to screen for hypertension and diabetes

McElfish¹,

Bing²,

Ayers³

et al. 2018

JRMC

View full text Add to dashboard Cite

Background: Marshallese are disproportionately burdened with higher rates of obesity, diabetes, cardiovascular disease, and infectious disease than the general US population. Objective: To describe the lessons learned from conducting health screenings in faith-based organizations in the Marshallese community. Methods: Health screenings were implemented by interprofessional collaboration of faculty and students from the colleges of Medicine, Nursing, Pharmacy, and Health Professions, as well as Marshallese community health workers and faith-based organization leaders. Health screenings took place in Marshallese faith-based organizations in northwest Arkansas. Results: Lessons learned in the study include the importance of cultural protocol, effective communication, partnership with health care providers, logistics of set-up and implementation, and building the capacity of the churches to act on the information received. Conclusion: Working with Marshallese faith-based organizations to conduct health screenings demonstrated an effective strategy in documenting crucial health information, conducting survey research, and connecting the community with health care services.

show abstract

Impact of Routine Hepatitis B Immunization on the Prevalence of Chronic Hepatitis B Virus Infection in the Marshall Islands and the Federated States of Micronesia

Abstract: Hepatitis B vaccination has resulted in a substantial decline in chronic infection in children in the Pacific Islands. HB vaccine effectiveness is high in this region, despite challenges in providing HB vaccine at birth and completing vaccination series on schedule.

Cited by 25 publications

References 17 publications

An overview of hepatitis B prevalence, prevention, and management in the Pacific Islands and Territories

An overview of hepatitis B prevalence, prevention, and management in the Pacific Islands and Territories

The use of immunization registry-based data in vaccine effectiveness studies

Lessons learned through a partnership with Marshallese faith-based organizations to screen for hypertension and diabetes

Contact Info

Product

Resources

About