Hepatitis B vaccination policy in drug treatment services

Hepatitis B vaccination policy in drug treatnent services EDITOR,-The World Health Organisation en- courages universal vaccination against hepatitis B in settings in which the prevalence is low'; current British policy recommends selective vaccination.2We present information about the delivery of vaccine to the target group with the highest prevalence and risk of infection, injecting drug misusers.3Drug clinics were identified from the 1992 directory of the standing conference on drug abuse, updates, and regional drugs databases and were contacted in November 1993.Characteristics of new clients were provided by the clinics or collected from regional drugs databases.Self help groups, helplines, private nursing homes, and clinics that dealt only with minor tranquillisers were excluded.Sixty of the 500 clinics had closed, were satellite clinics, or were ineligible.Three hundred and