Hepatitis B immunisation
There is a 10-20% mortality from acute liver damage and then it can cause liver cancer and progressive liver damage for life .For this reason it is an important cause of death in developing countries.
The immunisation which is very safe and effective is given at time zero, 1 month and at 6 months. A fourth dose is generally given in 5 years.
It can be safely combined with hepatitis A (both are killed, mercury free vaccines) and given using the same time schedule.
Hepatitis A is usually a less serious disease than B rarely causing death but is much more easily caught usually from contaminated water or food.
I have been giving hepatitis B immunisation at my clinic to children now for over 7 years and I now give both as combined hepatitis A and B immunisation particularly if foreign travel is considered.
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