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A Major Barrier to Universal Hepatitis B Immunization of Infants

Emmanuel B. Walter, MD, MPH; Robert P. Drucker, MD; Dennis A. Clements, MD, PhD
Arch Pediatr Adolesc Med. 1994;148(5):538-539. doi:10.1001/archpedi.1994.02170050096023.
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In accordance with the Immunization Practices Advisory Committee recommendations for universal infant vaccination with hepatitis B vaccine,1 Duke University Medical Center (DUMC), Durham, NC, began in February 1993 to offer hepatitis B vaccine for all infants prior to being discharged from the hospital at birth. Of the 715 children born at DUMC between March 1, 1993, and June 30, 1993,513 (71.7%) received a first dose of hepatitis B vaccine.

According to the Immunization Practices Advisory Committee recommendations, doses two and three of hepatitis B vaccine are to be given at ages 1 to 2 months and 6 to 18 months, respectively. At the DUMC pediatrie practice, all children who are recipients of Medicaid are routinely immunized with vaccines other than hepatitis B, starting at age 2 months. All vaccines, including the Haemophilus Influenzae type b oligosaccharide

CRMj97 conjugate vaccine, are supplied by the Durham County Health Department. However, to


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