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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)...

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:
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4. E Beltrami , 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.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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