Contemporary strategy to control viral hepatitis A in the Russian Federation

Author:

Mikhailov M. I.1ORCID,Kyuregyan K. K.1ORCID

Affiliation:

1. I. Mechnikov Research Institute for Vaccines and Sera; Russian Medical Academy of Continuous Professional Education

Abstract

The problem of choosing a strategy to control hepatitis A in the Russian Federation remains relevant for the health care of our country. By strategy we mean a scientifically based program of action that defines the priorities and resources needed to effectively control hepatitis A.The aim of the work is to present a strategy to control hepatitis A in the Russian Federation, taking into account the realities of today. Based on the analysis of Russian and international studies, we present answers to the questions that should be addressed before the choosing a strategy to control hepatitis A in the Russian Federation. The low incidence of hepatitis A creates a false image of the favorable situation with this infection. The rationale is given to include vaccination against hepatitis A in the National Vaccination Schedule in the section of mandatory vaccinations. Routine vaccination of children aged 24 and 36 months will lay the foundation for future protection against this infection. We consider the creating a National Hepatitis A Vaccination Program as an important aim. The implementation of such a program will allow full control of hepatitis A in the Russian Federation.

Publisher

Central Research Institute for Epidemiology

Subject

General Medicine

Reference20 articles.

1. Mikhaylov M.I., Shakhgil’dyan I.V., Onishchenko G.G. Hepatitis A control strategy in Russia. In: Topical Issues of Epidemiology and Prevention of Hepatitis A. Collection of Abstracts of the All-Russian Conference «Russia Without Hepatitis A» [Aktual’nye voprosy epidemiologii i profilaktiki gepatita A. Sbornik tezisov dokladov Vserossijskoj konferencii «Rossiya bez gepatita A»]. Moscow; 2010: 42–5. (in Russian)

2. Mikhaylov M.I., Shakhgil’dyan I.V., Onishchenko G.G. Enteral Viral Hepatitis (Etiology, Epidemiology, Diagnosis, Prevention) [Enteral’nye virusnye gepatity (etiologiya, epidemiologiya, diagnostika, profilaktika)]. Moscow; 2007. (in Russian)

3. Shakhgil’dyan I.V., Mikhaylov M.I., Ershova O.N., Khukhlovich P.A., Khasanova V.A., Lytkina I.N., et al. Modern strategy for the control of Hepatitis A: experience of routine immunization in regional immunization shedule. Epidemiologiya i vaktsinoprofilaktika. 2011; (2): 51–4. (in Russian)

4. Mukomolov S.L., Mikhaylov M.I., Semenenko T.A., Sel’kova E.P., Gerasimova I.E. Review: burden of hepatitis a in Russian Federation. Epidemiologiya i vaktsinoprofilaktika. 2014; (6): 24–33. (in Russian)

5. Taylor R.M., Davern T., Munoz S., Han S.H., McGuire B., Larson A.M., et al. Fulminant hepatitis a virus infection in the United States: incidence, prognosis, and outcomes. Hepatology. 2006; 44(6): 1589–97. https://doi.org/10.1002/hep.21439

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