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Vaccinations of Asian Adoptees for Hepatitis B

An Addendum to the Hepatitis B FAQ

By Jerri Ann Jenista, MD

If child has anti-HBs (surface antibody) and anti-HBc (core antibody) and is over 18 months, he is immune. No need to vaccinate.

If child has anti-HBs and/or anti-HBC and is under 18 months, this may be maternal antibody. Either vaccinate and retest in 6 months or retest in 6 months and vaccinate if antibody is gone.

If child has anti-HBs alone at any age and also a documented history of hepatitis B vaccine, finish hepatitis B series. Can retest at 6 months but probably not necessary.

If child has no markers posistive or interpretation no clear at any age, vaccinate and retest in 6 months.

Adoption Health

Hepatitis

Hepatitis B

Physician Articles
FAQ Hepatitis B & Adoption from Asia - Martin; Dr. Jenista, MD
Hepatitis B - Dr. Worman, MD
Hep B Virus Description - Dr. Ackerman

Parenting Articles
What Our Daughters Taught Us
Adoptive Parents Discuss Hepatitis B

Physician reprints (Hepatitis B Coalition)
Hepatitis B FAQ - Dr. Wexler, MD
Advice For Adoptive Parents - Dr. Schwarzenberg, MD
The HBsAg Positive Patient - Dr. Smith, M.D.

Related Articles on Comeunity:
Tests and vaccinations for children adopted from Asia - Dr. Gindler, MD
Infectious Disease and the Internationally Adopted Child - Dr. Jenista, MD

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Dr. Palmer's Hepatitis Liver Disease Dr. Worman's Liver Disorder Sourcebook

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