Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 1
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Yu, Lijie Wang, Jian Wangen, Knut R. Chen, Ruohan Maitland, Elizabeth and Nicholas, Stephen 2016. Factors associated with adults' perceived need to vaccinate against hepatitis B in rural China. Human Vaccines & Immunotherapeutics, Vol. 12, Issue. 5, p. 1149.


Hepatitis B vaccination for healthcare personnel in American Samoa: pre-implementation survey for policy decision

  • K. N. LY (a1), H. ROBERTS (a1), R. E. WILLIAMS (a1), Y. MASUNU-FALEAFAGA (a2), J. DROBENIUC (a1), S. KAMILI (a1) and E. H. TESHALE (a1)
  • DOI:
  • Published online: 23 January 2014

American Samoa does not have a hepatitis B vaccination policy for healthcare personnel (HCP). Consequently, hepatitis B has remained a health threat to HCP. In this study, we performed a cross-sectional study and examined demographic and risk information and hepatitis B vaccination, testing, and serostatus in hospital employees in American Samoa. Of 604 hospital employees, 231 (38·2%) participated, and of these, 158 (68·4%) were HCP. Of HCP participants, 1·9% had chronic hepatitis B infection, 36·1% were susceptible, and 60·8% were immune. Nearly half of HCP participants reported history of needlestick injury. Overall, participants' knowledge of their hepatitis B infection and vaccination status was low. These data support the adoption of a hepatitis B vaccination policy for HCP by American Samoa, as currently recommended by the World Health Organization and the US Centers for Disease Control and Prevention. Adherence to the policy could be monitored as a way to measure protection.

Corresponding author
*Author for correspondence: Mrs K. N. Ly, Division of Viral Hepatitis, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, Mailstop G-37, Atlanta, GA 30333, USA. (Email:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.World Health Organization. Hepatitis B fact sheet no. 204 ( Accessed 6 August 2012.

4. EBeltrami , Risk and management of blood-borne infections in health care workers. Clinical Microbiology Reviews 2000; 13: 385407.

5.S Wicker , Determination of risk of infection with blood-borne pathogens following a needlestick injury in hospital workers. Annals of Occupational Hygiene 2008; 52: 615622.

8. FMahoney , Effect of a hepatitis B vaccination program on the prevalence of hepatitis B virus infection. Journal of Infectious Diseases 1993; 167: 203207.

9.P Spradling , Immunity to hepatitis B virus (HBV) infection two decades after implementation of universal HBV vaccination: association of detectable residual antibodies and response to a single HBV challenge dose. Clinical and Vaccine Immunology 2013; 20: 559–61.

10.B McMahon , Acute hepatitis B virus infection: relation of age to the clinical expression of disease and subsequent development of the carrier state. Journal of Infectious Diseases 1985; 15: 599603.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *