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Hepatitis B Control

Country Profiles 2013

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Hepatitis B Control

Country Profiles 2013

(4)

© World Health Organization 2015 ISBN 978 92 9061 698 6

All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax:

+41 22 791 4857;

email: bookorders@who.int).

Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO web site (www.who.int/about/licensing/copyright_form/en/index.html). For WHO Western Pacific Regional Publications, request for permission to reproduce should be addressed to Publications Office, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines, fax: +632 521 1036, email:

publications@wpro.who.int

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication.

However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages

(5)

CONTENTS

Regional Progress: Hepatitis B Vaccination Coverage, 1990 – 2013 1 Regional Progress: Status of the 2013 Hepatitis B Control Milestone 2

Country Profiles

American Samoa 3

Australia 4

BruneI Darussalam 5

Cambodia 6

China 7

Hong Kong SAR (China) 8

Macao SAR (China) 9

Cook Islands 10

Fiji 11

French Polynesia 12

Guam 13

Japan 14

Kiribati 15

Lao People’s Democratic Republic 16

Malaysia 17

Marshall Islands 18

Federated States of Micronesia 19

Mongolia 20

Nauru 21

New Caledonia 22

New Zealand 23

Niue 24

Northern Mariana Islands 25

Palau 26

Papua New Guinea 27

Philippines 28

Republic of Korea 29

Samoa 30

Singapore 31

Solomon Islands 32

Tokelau 33

Tonga 34

Tuvalu 35

Vanuatu 36

Viet Nam 37

Wallis and Futuna 38

(6)

Demographics

COUNTRY

Race ethnicity Hepatitis B vaccine

Total Population (2012) Births (2012)

Surviving infants (2012) Urban Population (2012)

Aasd HepB3 Introduced Nationwide

HepB Birth Dose Introduced Current schedule

HepB3 type

HepB3 manufacturer HepB BD manufacturer

2012 Neonatal deliveries 2012 Reported hepatitis B vaccination coverage 2012 Percent of districts by coverage categories*

Coverage surveys

Survey Geographic Ages Sample HepB BD HepB3 DTP3 Reference/Notes

Year Location Enrolled Size % % %

Hepatitis B prevalance in children

Survey Geographic Ages Sampling Sample HBsAG Prevalence Reference/Notes

Year Location Enrolled Base Size (95% CI)

WHO verification

Status of Verifying Prevalence Targets Verification Started:

Decision:

(7)

Demographics

COUNTRY

Race ethnicity Hepatitis B vaccine

Total Population (2012) Births (2012)

Surviving infants (2012) Urban Population (2012)

Aasd HepB3 Introduced Nationwide

HepB Birth Dose Introduced Current schedule

HepB3 type

HepB3 manufacturer HepB BD manufacturer

2012 Neonatal deliveries 2012 Reported hepatitis B vaccination coverage 2012 Percent of districts by coverage categories*

Coverage surveys

Survey Geographic Ages Sample HepB BD HepB3 DTP3 Reference/Notes

Year Location Enrolled Size % % %

Hepatitis B prevalance in children

Survey Geographic Ages Sampling Sample HBsAG Prevalence Reference/Notes

Year Location Enrolled Base Size (95% CI)

WHO verification

Status of Verifying Prevalence Targets Verification Started:

NR Decision:

(8)

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

Demographics

AMERICAN SAMOA

Hepatitis B vaccine

Total Population (2013) 55 165

Births (2013) 1 287

Surviving infants (2013) 1 278

Urban Population (2013) 93%

HepB3 introduced nationwide 1986–1987 HepB birth dose introduced not reported

Current schedule NR

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

1990 National 3–4 years 95 not reported 82% NR Mahoney Pac Hth Dialog 1996

1995 National 7–8 years 432 75% 91% NR Bialek ISVHLD P351 2006

1996 National 7–8 years 435 not reported 87% NR Mahoney Pac Hth Dialog 1996

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1991 T utuila 3–4 years Community based 93 2.2% Mahoney JID 2009

1995 Nationwide 7–8 years Community based 432 0.5% Bialek ISVHLD P351 2006

2011 Nationwide 6 years School based 562 0.20% PRELIMINARY DATA

WHO verification

Status of verifying prevalence targets Verification started: 27 February 2013 Decision: <1% in children Decision date: October 2014 99.0%

Health Facility Home with SBA Home with no SBA Unknown

(9)

Demographics Hepatitis B vaccine

AUSTRALIA

Total population (2013) 23 342 553

Births (2013) 308 051

Surviving infants (2013) 304 130

Urban population (2013) 89%

HepB3 introduced nationwide 2000

HepB birth dose introduced 2000

Current schedule 0, 2 months, 4 months, 6 months

HepB3 type DTP-Hib-HepB-IPV

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2007 National 12 months 280874 not reported 94% 92% From National Health Insurance covering 99% of population

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2002 Nationwide 1–9 years Hospital based 249 0.4% (0.0% – 2.2%) Gidding Vaccine 2007

WHO verification

Status of verifying prevalence targets Verification started: June 2012 Decision: <1% in children Decision date: December 2012 99.1%

0.9%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(10)

Demographics

BRUNEI

DARUSSALAM

Hepatitis B vaccine

Total population (2013) 417 784

Births (2013) 6493

Surviving infants (2013) 6536

Urban population (2013) 76%

HepB3 introduced nationwide 1988

HepB birth dose introduced 1988

Current schedule 0, 2 months, 4 months, 6 months

HepB3 type DTP-Hib-HepB-IPV

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2011 National 8–9 years School based 4513 not reported MoH 2011 prelim data

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

99.8%

0.1%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(11)

Demographics Hepatitis B vaccine

CAMBODIA

Total population (2013) 15 135 169

Births (2013) 388 795

Surviving infants (2013) 373 149

Urban population (2013) 20%

HepB3 introduced nationwide 2005

HepB birth dose introduced 2005

Current schedule 0, 6 weeks, 10 weeks,14 weeks

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2005 National 12–24 months 1517 not reported not reported 78% DHS Survey

2010 National 12–24 months 1614 73% 84% not reported DHS Survey: birth dose by 12M

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2001 Kg Chhnang 9–17 months Hospital based 900 2.7% Report MoH/PATH/AIHI

2006 Nationwide 5 years Community based 1558 3.5% (2.4% – 4.8%) Soeung AMTH 2009 2011 Urban, Rural, Remote 4–5 years Community based 2429 0.3%, 1.4%, 3.4% PRELIMINARY DATA

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

54.0%

29.0%

Health Facility Home with SBA Home with no SBA Unknown

(12)

Demographics

CHINA

Hepatitis B vaccine Total population (2013) 1 385 566 537

Births (2013) 18 440 329

Surviving infants (2013) 18 224 613

Urban population (2013) 52%

HepB3 introduced nationwide 1992

HepB birth dose introduced 1992

Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2006 National 1 year 3636 93% 83% not reported Liang JID 2009; 2005 birth cohort

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2006 Nationwide 1–4 years Community based 16376 1.0% (0.8% – 1.2%) Liang Vaccine 2009 2006 Nationwide 5 years Community based 2215 1.1% (0.4% – 1.8%) Liang JID 2009 2006 Nationwide 6 years Community based 2356 0.9% (0.4% – 1.5%) Liang JID 2009

WHO verification

Status of verifying prevalence targets Verification started: February 2012 Decision: <1% in children Decision date: June 2012 96.3%

3.7%

Health Facility Home with SBA Home with no SBA Unknown

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(13)

Demographics

HONG KONG SAR (CHINA)

Hepatitis B vaccine

Total population (2013) 7 203 836

Births (2013) 67 665

Surviving infants (2013) 66 966

Urban population (2013) 95%

HepB3 introduced nationwide 1988

HepB birth dose introduced 1988

Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2009 National 2–5 years 6248 not reported ≥99.5% >99.8% MoH HOK 2011

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2006 Nationwide 1–4 years Laboratory based 196 1% MoH HOK 2011

2009 Nationwide 12–15 years School based 1913 0.8% (0.4% – 1.2%) MoH HOK 2011

WHO verification

Status of verifying prevalence targets Verification started: February 2011 Decision: <1% in children Decision date: July 2011 100.0%

Health Facility Home with SBA Home with no SBA Unknown

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(14)

Demographics

MACAO SAR (CHINA)

Hepatitis B vaccine

Total population (2013) 566 375

Births (2013) 5743

Surviving infants (2013) 5504

Urban population (2013) 100%

HepB3 introduced nationwide 1984

HepB birth dose introduced 1989

Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2003 Nationwide 6–9 years School based 437 0% (0% – 0.7%) MoH MAC 2008

WHO verification

Status of verifying prevalence targets Verification started: April 2008 Decision: <1% in children Decision date: August 2008 100.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(15)

Demographics Hepatitis B vaccine

COOK ISLANDS

Total population (2013) 20 629

Births (2013) 260

Surviving infants (2013) 260

Urban population (2013) 75%

HepB3 introduced nationwide 1989

HepB birth dose introduced not reported Current schedule 0, 6 weeks, 3 months, 5 months

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2012 7 of 11 islands 6 years School based 265 0% PRELIMINARY DATA

WHO verification

Status of verifying prevalence targets Verification started: January 2013 Decision: NR

Decision date: NR

99.6%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(16)

Demographics

FIJI

Hepatitis B vaccine

Total Population (2013) 881 065

Births (2013) 17 977

Surviving infants (2013) 17 906

Urban Population (2013) 53%

HepB3 introduced nationwide 1989

HepB birth dose introduced 1989

Current schedule 0, 6 weeks, 10 weeks,14 weeks

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2008 not reported not reported 439 86% 99% not reported Confirm data with country

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1998 Large T owns 12–24 months Hospital based 285 0.7% Wilson Vaccine 2000

2008 Sub-national 6 months–5 years Community based 428 0% WHO:RS/2009/GE/23(JPN)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

99.8%

0.2%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(17)

Demographics

FRENCH POLYNESIA

Hepatitis B vaccine

Total Population (2013) 276 831

Births (2013) 4541

Surviving infants (2013) 4517

Urban Population (2013) 51%

HepB3 introduced nationwide 1992

HepB birth dose introduced not reported Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1988 Austral Island 0–11 months Community based 957 2.1% B Trans R Soc Trop 1990

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

99.0%

Health Facility Home with SBA Home with no SBA Unknown

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(18)

Demographics

GUAM

Hepatitis B vaccine

Total Population (2013) 165 124

Births (2013) 2879

Surviving infants (2013) 2843

Urban Population (2013) 93%

HepB3 introduced nationwide 1988–1989 HepB birth dose introduced not reported Current schedule 0, 1 months, 6 months, 19 years

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

87.2%

12.2%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(19)

Demographics Hepatitis B vaccine

JAPAN

Total Population (2013) 127 143 577

Births (2013) 1 061 717

Surviving infants (2013) 1 068 689

Urban Population (2013) 92%

HepB3 introduced nationwide not reported HepB birth dose introduced not reported

Current schedule if HBsAg+ mother

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1989 Okinawa 1–4 years School based 1529 0.1% Hayashi Int J Epi 1990

1995–1996 Nationwide 16–19 years Blood Donors 107879 0.4% (0.4% – 0.5%) Furusyo AMTM 1998 1995–2000 Nationwide 16–19 years Blood Donors 582415 0.23% (0.22% – 0.24%) Tanaka Intervirol 2004

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

99.8%

0.1%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(20)

Demographics

KIRIBATI

Hepatitis B vaccine

Total Population (2013) 102 351

Births (2013) 3200

Surviving infants (2013) 2282

Urban Population (2013) 44%

HepB3 introduced nationwide 1995

HepB birth dose introduced 1990

Current schedule 0, 6 weeks, 10 weeks,14 weeks

HepB3 type DTP-Hib-HepB

Neonatal deliveries Reported hepatitis B vaccination coverage Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1998 Large Towns 12–24 months Hospital based 156 3.8% Wilson Vaccine 2000

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

81.9%

1.8%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(21)

Demographics

LAO PEOPLE’S DEMOCRATIC REPUBLIC

Hepatitis B vaccine

Total Population (2013) 6 769 727

Births (2013) 181 078

Surviving infants (2013) 175 317

Urban Population (2013) 35%

HepB3 introduced nationwide 2001

HepB birth dose introduced ~ 2005

Current schedule 0, 6 weeks, 10 weeks,14 weeks

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2006 National 12 months 828 not reported not reported 32% MICS; 41.3% HepB3 by 23M

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2011 National 5–9 years Community based 1008 1.5% PRELIMINARY DATA

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

12.8%

81.5%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(22)

Demographics

MALAYSIA

Hepatitis B vaccine Total Population (2013) 29 706 965

Births (2013) 524 815

Surviving infants (2013) 514 376

Urban Population (2013) 73%

HepB3 introduced nationwide 1989

HepB birth dose introduced 1989

Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1997–2007 Nationwide 6–9 years School based 193717 0.4% MoH Malaysia 2011

2009 Nationwide 9 years School based 2938 0.2% (0% – 0.3%) MoH Malaysia 2011

2009 Nationwide 10 years School based 3265 0.4% (0.2% – 0.6%) MoH Malaysia 2011

WHO verification

Status of verifying prevalence targets Verification started: March 2011 Decision: <1% in children Decision date: July 2011 98.1%

1.4%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(23)

Demographics

MARSHALL ISLANDS

Hepatitis B vaccine

Total Population (2012) 52 634

Births (2012) 1468

Surviving infants (2012) 1442

Urban Population (2012) 71%

HepB3 introduced nationwide 1990s

HepB birth dose introduced 1998

Current schedule 0, 2 months, 4 months, 6 months

HepB3 type DTP-HepB-IPV

Neonatal deliveries Reported hepatitis B vaccination coverage Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2007 Majuro, Ebeye 5–9 years 331 49% 93% not reported Bialek Ped Infect Dis 2010

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2007 Majuro, Ebeye 5–9 years School based 331 1.8% (0.4% – 3.3%) Bialek PID 2010

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

97.0%

1.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(24)

Demographics

FEDERATED STATES OF MICRONESIA

Hepatitis B vaccine

Total Population (20123 103 549

Births (2013) 2453

Surviving infants (2013) 2379

Urban Population (2013) 23%

HepB3 introduced nationwide not reported HepB birth dose introduced not reported Current schedule 0, 2 months, 4 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

1989 National 2 years 16391 not reported 84% not reported Manea PH Reports 1992

1992 Chuuk 2 years 544 not reported 40% not reported Mahoney Pac Hth Dialog 1996

1994 Pohnpei 3–4 years 364 not reported 82% not reported Mahoney Pac Hth Dialog 1996

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2005 Chuuk 2–6 years Hospital based 362 2.5% Bialek PID 2010

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

80.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(25)

Demographics Hepatitis B vaccine

MONGOLIA

Total Population (2013) 2 839 073

Births (2013) 64 280

Surviving infants (2013) 62 533

Urban Population (2013) 69%

HepB3 introduced nationwide 1991

HepB birth dose introduced not reported Current schedule 0, 2 months, 3 months, 4 months

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

1999 Urban Area 2 years 127 not reported 94% not reported Edstam Prev Med 2002

1999 Rural 2 years 148 not reported 76% not reported Edstam Prev Med 2002

2004 National 8 years 1145 65% 60% not reported Davaalkham J Epid 2007

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2004 Nationwide 7–12 years School based 1145 5.2% Davaalkham PI 2007

2009 Nationwide 4 years Community based 5894 0.34% MoH Mongolia 2011

WHO verification

Status of verifying prevalence targets Verification started: April 2012 Decision: <1% in children Decision date: July 2012 99.5%

0.2%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(26)

Demographics

NAURU

Hepatitis B vaccine

Total Population (2013) 10 051

Births (2013) 365

Surviving infants (2013) 361

Urban Population (2013) 100%

HepB3 introduced nationwide 1983

HepB birth dose introduced not reported

Current schedule NR

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

97.4%

Health Facility Home with SBA Home with no SBA Unknown

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(27)

Demographics Hepatitis B vaccine

NEW CALEDONIA

Total Population (2013) 256 496

Births (2013) 4004

Surviving infants (2013) 3960

Urban Population (2013) 64%

HepB3 introduced nationwide 1989

HepB birth dose introduced 1998 (for HBsAg+ moms) Current schedule 0, 1 months, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

87.6%

8.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(28)

Demographics

NEW ZEALAND

Hepatitis B vaccine

Total Population (2013) 4 505 761

Births (2013) 62 316

Surviving infants (2013) 62 351

Urban Population (2013) 86%

HepB3 introduced nationwide 1985

HepB birth dose introduced not reported Current schedule 6 weeks, 3 months, 5 months

HepB3 type DTP-Hib-HepB-IPV

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2005 National 12 months 1563 72% 82% 85% MoH; 87% HepB3 by 2Y

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2009 North Islands 6 years Health facility 466 0.2% (0.0% – 1.2%) Weir R. MoH NEZ 2009

WHO verification

Status of verifying prevalence targets Verification started: April 2012 Decision: <1% in children Decision date: September 2012 95.3%

Health Facility Home with SBA Home with no SBA Unknown

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(29)

Demographics Hepatitis B vaccine

NIUE

Total Population (2013) 1344

Births (2013) 25

Surviving infants (2013) 25

Urban Population (2013) 37%

HepB3 introduced nationwide not reported HepB birth dose introduced not reported Current schedule 0, 6 weeks, 3 months, 5 months

HepB3 type DTP-Hib-HepB-IPV

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

100.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(30)

Demographics

NORTHERN

MARIANA ISLANDS

Hepatitis B vaccine

Total Population (2013) 53 855

Births (2013) 1061

Surviving infants (2013) 1054

Urban Population (2013) 91%

HepB3 introduced nationwide 1988

HepB birth dose introduced 1988

Current schedule 0, 6 weeks, 6 months

HepB3 type DTP-HepB-IPV

Neonatal deliveries Reported hepatitis B vaccination coverage Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

1995 National 3–4 years 200 not reported 94% not reported Mahoney Pac Hth Dialog 1996

2005 National 19–35 months 295 100% 94% not reported not reported

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1994 Saipan 3–4 years Health facility 200 0.5% Durand Pac Hlth Dial 1996

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

100.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(31)

Demographics Hepatitis B vaccine

PALAU

Total Population (2013) 20 918

Births (2013) 229

Surviving infants (2013) 223

Urban Population (2013) 82%

HepB3 introduced nationwide 1989

HepB birth dose introduced 1989

Current schedule 0, 4 months, 6 months

HepB3 type DTP-HepB-IPV

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2003 National 10–11 years 192 100% 85% not reported Bialek ISVHLD P351 2006

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2003 Nationwide 10–11 years Community based 192 0% Bialek ISVHLD P351 2006

WHO verification

Status of verifying prevalence targets Verification started: January 2013 Decision: <1% in children Decision date: May 2013 100.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(32)

Demographics

PAPUA NEW GUINEA

Hepatitis B vaccine

Total Population (2013) 7 321 262

Births (2013) 211 555

Surviving infants (2013) 201 948

Urban Population (2013) 13%

HepB3 introduced nationwide 1989

HepB birth dose introduced ~ 2005

Current schedule 0, 1 months, 2 months, 3 months

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1989–1990 Port Moresby 3–5 months Hospital based 31 13% Nemba A TPaed. 1993

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

40.0%

60.0%

Health Facility Home with SBA Home with no SBA Unknown

(33)

Demographics Hepatitis B vaccine

PHILIPPINES

Total Population (2013) 98 393 574

Births (2013) 2 403 943

Surviving infants (2013) 2 337 973

Urban Population (2013) 49%

HepB3 introduced nationwide 1991

HepB birth dose introduced 2007

Current schedule 0, 6 weeks, 10 weeks, 14 weeks

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2003 National 12–24 months 1348 not reported NR 79 DHS Survey

2008 National 12–24 months 1286 not reported 80.3 not reported DHS Survey

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

0 20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

44.0%

37.8%

Health Facility Home with SBA Home with no SBA Unknown

(34)

Demographics

REPUBLIC OF KOREA

Hepatitis B vaccine Total Population (2013) 49 262 698

Births (2013) 472 386

Surviving infants (2013) 468 910

Urban Population (2013) 83%

HepB3 introduced nationwide 1983

HepB birth dose introduced 1983

Current schedule 0, 1 month, 6 months

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2008 National 0–6 years 1026 100% 93% 94.7% CDC Korea; provided during 2012 TAG

2011 National 0–3 years 7040 99% 98% 93.4% CDC Korea; provided during 2012 TAG

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

2005 Nationwide 10–14 years Community based 594 0.2% (0.0% – 0.6%) CDC Korea 2008 2007 Nationwide 4–6 years Hospital based 2920 0.2% (0.0% – 0.4%) CDC Korea 2008

WHO verification

Status of verifying prevalence targets Verification started: January 2008 Decision: <1% in children Decision date: June 2008 99.9%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(35)

Demographics Hepatitis B vaccine

SAMOA

Total Population (2013) 190 372

Births (2013) 4986

Surviving infants (2013) 4967

Urban Population (2013) 20%

HepB3 introduced nationwide not reported HepB birth dose introduced not reported

Current schedule not reported

HepB3 type not reported

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2009 National 12–24 months 321 70% not reported not reported DHS Survey

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

81.0%

19.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(36)

Demographics

SINGAPORE

Hepatitis B vaccine

Total Population (2013) 5 411 737

Births (2013) 53 587

Surviving infants (2013) 52 449

Urban Population (2013) 100%

HepB3 introduced nationwide 1985

HepB birth dose introduced 1987

Current schedule not reported

HepB3 type Monovalent

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

2007 National 2 years 31778 not reported 94–96% 97% not reported

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1998–1999 National 0–4 years not reported 229 0% Epi News Bull SNG 2000

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

99.7%

0.3%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

(37)

Demographics

SOLOMON ISLANDS

Hepatitis B vaccine

Total Population (2013) 561 231

Births (2013) 17 293

Surviving infants (2013) 16 725

Urban Population (2013) 21%

HepB3 introduced nationwide 1990

HepB birth dose introduced ~ 2005

Current schedule 0, 6 weeks, 10 weeks,14 weeks

HepB3 type DTP-Hib-HepB

2012 Neonatal deliveries 2013 Reported hepatitis B vaccination coverage 2013 Districts by coverage categories*

Vaccination coverage surveys

Survey Location Ages Sample HepB BD HepB3 DTP3 Reference/Notes

year enrolled size % % %

Hepatitis B serological surveys

Survey Location Ages Sampling Sample HBsAG prevalence Reference/Notes

year enrolled base size (95% CI)

1999 Guadalcanal Islands 0–9 years Hospital based 115 13% Furusyo Am J Trop 1999

WHO verification

Status of verifying prevalence targets Verification started: pending Decision: n.a.

Decision date: n.a.

85.0%

14.0%

Health Facility Home with SBA Home with no SBA

Unknown 0

20 40 60 80 100

2009 2010 2011 2012 2013

Vaccination Coverage (%)

Timely HepB BD HepB3 Any HepB BD

0 20 40 60 80 100

<50% 50%-79% 80%-89% 90%-94% > 94%

% Districts 2013

HepB3 Timely HepB BD

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