Hepatitis
B seems to be the perfect target for a vaccine. Spreading quietly through blood
contact, sex, and birth, the virus currently infects 350 million people
worldwide, according to the World Health Organization (WHO)--mostly without
producing symptoms.
Of the 2 billion
people who have been infected with the hepatitis B virus (HBV), more than 350
million have chronic (lifelong) infections.
High rates of
chronic HBV infection are also found in the Amazon and the southern parts of
Eastern and Central Europe. In the Middle East and Indian sub-continent,
about 5% are chronically infected. Infection is less common in Western
Europe and North America, where less than 1% are chronically infected.
More than 2 billion
people worldwide are affected by the hepatitis B virus, a leading cause of liver
cancer and the cause of more than 1 million deaths annually.
According to the World Health
Organization, hepatitis B is one of the most common infectious diseases in the
world and the ninth most common cause of death. An estimated one to two million
people per year, or as many as 4,500 people every day, die from hepatitis
B-related complications.
The
prevalence of chronic HBV infection is high (>8%) in all socioeconomic
groups in certain areas (see Map 3-3): all of Africa;
Southeast Asia, including China, Korea, Indonesia, and the Philippines; the
Middle East, except Israel; south and western Pacific islands; the interior
Amazon River basin; and certain parts of the Caribbean (that is, Haiti and the
Dominican Republic). The prevalence of chronic HBV infection is intermediate (2%
to 7%) in south central and southwest Asia, Israel,
Japan, eastern and southern Europe, Russia, most areas surrounding the Amazon
River basin, Honduras, and Guatemala. In northern and western Europe, North
America, Australia, New Zealand, Mexico, and southern South America, chronic HBV
infection prevalence is low (<2%) in the general population.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
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