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Modelling alternative strategies for delivering hepatitis B vaccine in prisons : the impact on the vaccination coverage of the injecting drug user population

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Sutton, A. J., Gay, N. J., Edmunds, W. John and Gill, O. N. (2008) Modelling alternative strategies for delivering hepatitis B vaccine in prisons : the impact on the vaccination coverage of the injecting drug user population. Epidemiology and Infection, Vol.136 (No.12). pp. 1644-1649. doi:10.1017/S0950268808000502 ISSN 0950-2688.

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Official URL: http://dx.doi.org/10.1017/S0950268808000502

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Abstract

Since 2001 hepatitis B vaccination has been offered to prisoners on reception into prisons in
England and Wales. However, short campaigns of vaccinating the entire population of individual
prisons have achieved high vaccination coverage for limited periods, suggesting that short
campaigns may be a preferable way of vaccinating prisoners. A model is used that describes the
flow of prisoners through prisons stratified by injecting status to compare a range of vaccination
scenarios that describe vaccination on prison reception or via regular short campaigns. Model
results suggest that vaccinating on prison reception can capture a greater proportion of the
injecting drug user (IDU) population than the comparable campaign scenarios (63% vs. 55 . 6%
respectively). Vaccination on prison reception is also more efficient at capturing IDUs for
vaccination than vaccination via a campaign, although vaccination via campaigns may have a
role with some infections for overall control.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- ) > Biological Sciences ( -2010)
Library of Congress Subject Headings (LCSH): Hepatitis B -- Vaccination, Prisoners -- Health and hygiene, Drug abuse, Prisons -- Mathematical models
Journal or Publication Title: Epidemiology and Infection
Publisher: Cambridge University Press
ISSN: 0950-2688
Official Date: 2008
Dates:
DateEvent
2008Published
Volume: Vol.136
Number: No.12
Page Range: pp. 1644-1649
DOI: 10.1017/S0950268808000502
Status: Peer Reviewed
Access rights to Published version: Open Access (Creative Commons)
Funder: Great Britain. Dept. of Health (DoH)

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