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DATA BRIEFS (continued)

Hepatitis B: Menace for the poor

Protection against hepatitis B, which claims approximately 1 million lives each year, is severely limited for children in many countries. WHO and UNICEF have recommended that the hepatitis B vaccine be included in every country's childhood immunization programme, and over 100 countries have done so. But 41 poor countries (with per capita incomes below $785) where hepatitis B is highly endemic* have been unable to afford the vaccine but have received no donor help. Of the 8 poor countries that have added the vaccine to their immunization programmes, 7 (Albania, Armenia, Gambia, Kyrgyzstan, Mongolia, the Republic of Moldova and Viet Nam) face uncertain funding for the vaccine in the future.

In public sector programmes in developing countries, the cost to fully immunize a child against hepatitis B is $1.50, about twice that of immunizing against the six childhood diseases combined, but still highly cost-effective.

Missing Vaccine

Low-income countries where hepatitis B is highly endemic* that have not added the vaccine to their childhood immunization programmes.

Angola
Azerbaijan
Benin
Burkina Faso
Burundi
Cambodia
Cameroon
Central African Rep.
Chad
Comoros
Congo, Dem. Rep.
Côte d'Ivoire
Ethiopia
Ghana
Guinea
Guinea-Bissau
Haiti
Kenya
Lao PDR
Lesotho
Liberia
Madagascar
Malawi
Mali
Mauritania
Mozambique
Myanmar
Niger
Nigeria
Rwanda
Sao Tome/Principe
Senegal
Sierra Leone
Somalia
Sudan
Tajikstan
Tanzania
Togo
Turkmenistan
Uganda
Zambia

* A prevalence rate of 5% or more.

Source:  WHO.

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