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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
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Official URL: http://dx.doi.org/10.1017/S0950268808000502
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 > 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: |
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| 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 | ||||
| Funder: | Great Britain. Dept. of Health (DoH) |
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