Hepatitis B prevention in Malaysia
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1 Hepatitis B prevention in Malaysia Presented by Dr A aisah binti Senin Head of Vaccine Preventable Diseases & Food and Water Bourne Diseases Disease Control Division, Ministry of Health Malaysia
2 NOTIFICATION RATE (NR) OF HEPATITIS B, (June) per 100,000 population 25 NR FOMEMA screening initiated NIP Notification of both acute & chronic Year
3 Hepatitis B Prevalence/incidence in Malaysia (2017) % Hep B (HBsAg) positives General population 0.015% (4991 Cases) -Notification Blood donors Pregnant women % (386 Cases) 0.074% (368 Cases) 1400 Hepatitis B age distribution (2017) Healthcare workers Other. NA Age % HBeAg + 0 0y - 10y 11y - 20y 21y - 30y 31y - 40y 41y - 50y 51y - 60y 61y - 70y 71y - 80y 81y - 90y >90y Hep B pos pregnant women Data Not Available
4 Vaccination schedules 2018 Immunization schedule Disease TB (BCG) Polio Vaccine Name/brand Available free from the gov Recommended not for free Birth 1m 2m 3m 5m 6m 9m 12m 15m 18m 6Y 9/10Y 12/13y Diphtheria/Tetanus/pertussis/P olio/ Haemophilus Influenzae DTaP/IPV Hib (pentaxim) Hepatitis B X X X Rotavirus Measles or MMR Menigococcal Menegitis Pneumococcal Hepatitis A Chickenpox MMR (priorix) HPV Bi-valent Influenza RSV M MMR MMR
5 Vaccination coverage Immunization coverage Year (Before 2000) % Year ( ) % Year ( ) % Year (2016) % BCG DTP1 DTP3 HepB3 HepB_BD % 97.97% % 88.11% Hib3 IPV1 JapEnc MCV1 MCV2 PAB PCV1 PCV2 PCV3 Pol3 RCV1
6 Universal of hepatitis B in your country Hepatitis B Yes/no Target (who is vaccinate + age (if relevant)) Since/period Universal Yes Birth dose - 0,1,6 months all babies 1989 Risk groups Yes Healthcare worker, high risks gp 1990
7 Hepatitis B prevention- Immunization (combined/mono valent) Available hepatitis vaccines Disease NAME (producer) Target group Monovalent HepB All baby at birth within 24h Combined Issues with hepatitis/ Combined (what are the problems in your country with use of combined Hep B ) Add text Opportunities (how do you think this issues can be solved)
8 Malaysia Extra information on birth dose(bd) Yes/no Since/period Coverage Birth dose in universal program Yes 1989 See next slide Issues with BD in your country Coverage - Return of coverage Birth dose lower than 3rd dose BCG Birth dose high WPRO Target for emtct for Hep B, HIV and Siphylis , is seroprevalence among children <0.1 % among children (Impact target) and process target of birth and 3rd dose of >95% and >95% coverage of antenatal testing of HBsAg. Successes with BD in your country Malaysia achieved WHO control goal of <1 % Seroprevalence rate of 0.3% among children
9 IMMUNISATION COVERAGE HEP B BIRTH DOSES 105 BCG HBV BD HBV
10 This is a template that will be distributed among the participants of the groups discussions in the VHPB Hanoi 2018 meeting on Prevention and control of hepatitis B with combined vaccines and birth dose The goal of this template is to get streamlined information, that can easily be compared, among participating countries. Please take this slides as a guideline, not as a fixed template. More information is always welcome but don t exceed 10 slides Present only information for your specific country (no global neither Asian region information is requested) See also some additional notes in the note box of each slide
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