Abstract
The opportunities and problems for hepatitis B vaccination programmes in prison settings are discussed. In particular, the advantages of modelling are stressed and an active case-finding approach is advocated. Measures for maintaining good case-holding are also discussed, and a 0, 1, 2 months vaccination regimen with 20 microg doses of vaccine is advocated for prison settings. A higher reference level for inferring adequate immunization is also recommended, with booster injections for inmates who do not meet the higher reference after a primary course of vaccination.
MeSH terms
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Aftercare / organization & administration
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Contact Tracing / methods*
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Hepatitis B / epidemiology
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Hepatitis B / etiology
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Hepatitis B / prevention & control*
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Hepatitis B Vaccines / administration & dosage*
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Humans
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Immunization Programs / organization & administration*
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Immunization Schedule
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Immunization, Secondary / methods
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Models, Organizational
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Needs Assessment / organization & administration*
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New South Wales / epidemiology
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Prisoners / statistics & numerical data
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Prisons / organization & administration*
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Seroepidemiologic Studies
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Substance Abuse, Intravenous / complications
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Vaccination / methods*