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June 26, 1997New England Journal of MedicineOpen Access

Universal Hepatitis B Vaccination in Taiwan and the Incidence of Hepatocellular Carcinoma in Children

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Authors

MCMei‐Hwei ChangInserm
Chien‐Jen Chen
Chien‐Jen ChenSouth China Agricultural University
MLMei‐Shu LaiNational Taiwan University

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Implication

Nationwide analysis reveals declining hepatocellular carcinoma rates in children after hepatitis B vaccination in Taiwan, indicating successful public health intervention.

Key Points

  • This research aims to assess the impact of Taiwan's hepatitis B vaccination program on hepatocellular carcinoma incidence in children.
  • Analyzed liver cancer data from Taiwan's National Cancer Registry and 17 major medical centers.
  • Focused on children aged six years and older to exclude hepatoblastoma cases.
  • Collected mortality data related to liver cancer among children.
  • Average annual incidence of hepatocellular carcinoma in children aged 6 to 14 dropped from 0.70 to 0.36 per 100,000 from 1981 to 1994 (P<0.01).
  • Mortality rates from hepatocellular carcinoma in children also decreased over the same period.
  • Incidence in children aged 6 to 9 fell from 0.52 for those born 1974-1984 to 0.13 for those born 1984-1986 (P<0.001).

Cite This Study

Chang et al. (1997) studied this question.

synapsesocial.com/papers/6a09e4e200217ed3fb340862https://doi.org/10.1056/nejm199706263362602
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Also Consider

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  1. 1Maternal transmission of hepatitis B virus in childhood hepatocellular carcinoma1989 · 112 citations
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  5. 5Vertical Transmission of Hepatitis B Antigen in Taiwan1975 · 1,029 citations