Background: Hepatitis B virus (HBV) infection causes significant morbidity and mortality worldwide. Occupational exposure of health care workers and medical students increases their risk of acquiring HBV infection, and many authorities recommend vaccination. However, significant proportions of health care workers do not receive HBV immunization, and remain at increased risk to HBV infection. Objective: To determine the hepatitis B vaccination rate among Medical students at the University of Port Harcourt Teaching Hospital (UPTH) and to determine their knowledge of HBV infection. Result: Three hundred and sixteen medical students at UPTH completed self-administered questionnaires which included questions about demographic characteristics, HBV vaccination status, knowledge of hepatitis B vaccine and reasons for not receiving the vaccine. All (100%) of the respondents had heard of hepatitis B vaccine. Two hundred and twenty two (70.2%) of them thought they were at risk of acquiring hepatitis. Two hundred and seventy (85.4%) had received at least one dose of hepatitis B vaccine while 46 (14.6%) had never received the vaccine. One hundred and ten of the respondents had received 3 doses of hepatitis B vaccine, giving a vaccination rate of 34.8%. One hundred and sixteen (36.7%) had received 2 doses, while 44 (13.9%) had received one dose. There was a statistical significant relationship among marital status (p = 0.01), clinical level (p = 0.02) and hepatitis B vaccine uptake. Conclusion: The hepatitis B vaccination rate among medical students at the University of Port Harcourt Teaching Hospital is low. National and institutional legislation for adult vaccination against Hepatitis B should be promulgated for those at higher risk.
References
[1]
Purcell, R.H. (1993) The Discovery of the Hepatitis Viruses. Gastroenterology, 104, 955-963.
Centres for Disease Control and Prevention (2007) US Department of Health and Human Services, Public Health Service: Health Information for International Travel 2008. Atlanta.
[4]
Sepkowitz, K.A. (1996) Occupationally Acquired Infections in Health Careworkers. Part II. Annals of Internal Medicine, 125, 917-928. http://dx.doi.org/10.7326/0003-4819-125-11-199612010-00008
[5]
Centres for Disease Control and Prevention (1996) Immunization of Adolescents: Recommendation of the Advisory Committee on Immunization Practices, American Academy of Pediatrics, American Family Physicians and American Medical Association. Morbidity and Mortality Weekly Report, 45, 1-14.
[6]
Chen, H.L., Chang, M.H., Hsu, H.C., Hsu, H.Y., Lee, P.I., Lee, C.Y., et al. (1996) Seroepidemiology of Hepatitis B Virus Infection in Children. Ten Years of Mass Vaccination in Taiwan. JAMA, 276, 906-908.
http://dx.doi.org/10.1001/jama.1996.03540110060032
[7]
La Torre, G., Nicolotti, N., de Waure, C., Chiaradia, G., Specchia, M., Mannod, A., et al. (2008) An Assessment of the Effect of Hepatitis B Vaccine in Decreasing the Amount of Hepatitis B Disease in Italy. Virology Journal, 5, 84.
http://dx.doi.org/10.1186/1743-422X-5-84
[8]
Payton, C.D., Scarisbrick, D.A., Sikotra, S. and Flower, A.J.E. (1993) Vaccination against Hepatitis B: Comparison of Intradermal and Intramuscular Administration of Plasma Derived and Recombinant Vaccines. Epidemiology & Infection, 110, 1771-1780. http://dx.doi.org/10.1017/S0950268800050792
[9]
Ginsberg, G.M. and Shouval, D. (1992) Cost Benefit Analysis of a Nation Wide Neonatal Inoculation Programme against Hepatitis B in an Area of Intermediate Endemicity. Journal of Epidemiology and Community Health, 46, 587- 594. http://dx.doi.org/10.1136/jech.46.6.587
[10]
Barre, P.S., Dellinger, E.P., Dougherty, S.H. and Fink, M.P. (1994) Assessment o Hepatitis B Immunization Status among North American Surgeons. Archives of Surgery, 129, 27-31.
http://dx.doi.org/10.1001/archsurg.1994.01420250039004
[11]
Hersey, J.C. and Martins, L.S. (1994) Use of Infections Control Guidelines by Workers in Health Care Facilities to Prevent Occupational Transmission of HBV and HIV: Results from a National Survey. Infection Control and Hospital Epidemiology, 15, 243-252.
[12]
Louther, J., Feldman, J., Rivera, P., Villa, N., DeHovitz, J. and Sepkowitz, K.A. (1998) Hepatitis B Vaccination Program at a New York City Hospital Seroprevalence, Seroconversion, and Declination. American Journal of Infection Control, 26, 423-427. http://dx.doi.org/10.1016/S0196-6553(98)70039-2
[13]
Fatusi, A.O., Fatusi, O.A., Esimai, A.O., Onayade, A.A. and Ojo, O.S. (2000) Acceptance of Hepatitis B Vaccine by Workers in a Nigerian Teaching Hospital. East African Medical Journal, 77, 608-612.
[14]
Dancocks, A. and Hewitt, S. (1994) Hepatitis B Immunisation Status of A & E Healthcare Workers. Occupational Health, 46, 20-23.
[15]
Echavez, M.I., Shaw, F.E., Scarlett, M.I. and Kane, M.A. (1987) Hepatitis B Vaccine Usage among Dental Practitioners in the United States: An Epidemiological Survey. Journal of Public Health Dentistry, 47, 182-185.
http://dx.doi.org/10.1111/j.1752-7325.1987.tb02002.x
[16]
Harward, M.P., Kaiser, D.L. and Fedson, D.S. (1988) Acceptance of Hepatitis B Vaccine by Medical and Surgical Residents. Journal of General Internal Medicine, 3, 150-155. http://dx.doi.org/10.1007/BF02596121
[17]
Simard, E.P., Miller, J.T., George, P.A., Wasley, A., Alter, M.J., Bell, B.P., et al. (2007) Hepatitis B Vaccination Coverage Levels among Healthcare Workers in the United States, 2002-2003. Infection Control and Hospital Epidemiology, 28, 783-790. http://dx.doi.org/10.1086/518730
[18]
Azodo, C.C., Ehigiator, O. and Ojo, M.A. (2010) Occupational Risks and Hepatitis B Vaccination Status of Dental Auxiliaries in Nigeria. Medical Principles and Practice, 19, 364-366. http://dx.doi.org/10.1159/000316374
[19]
Peterside, O., Duru, C.O., Adeyemi, O.O., Kunle-Olowu, O.E., Kunle-Olowu, A.O. and Akinbami, F.O. (2012) Hepatitis B Vaccination Rate among Medical Students at the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. Global Advanced Research Journal of Medicine and Medical Sciences, 1, 280-285.
[20]
Barre, P.S., Dellinger, E.P., Dougherty, S.H. and Fink, M.P. (1994) Assessment of Hepatitis B Immunization Status among North American Surgeons. Archives of Surgery, 129, 27-31.
http://dx.doi.org/10.1001/archsurg.1994.01420250039004